PROFESSIONAL SUMMARY:

• Over 7 Years of experience in Business Analysis, System Analysis and Quality Analysis with extensive experience in the development, implementation and integration strategies within a team oriented environment, utilizing quantitative and qualitative analytical skills in diverse domains like Pharmaceutical, Health Care.
• Extensive experience in Gathering Requirements, Analysing them, Modelling Business Process Flows, writing Business Requirements Document BRD , Use case Specifications, Systems Requirements Specification SRS , Workflows and using UML and RUP methodology.
• Skilled in creating Narrative Use Cases, Use Case diagrams, Sequence Diagrams, Activity Diagrams, Flow Diagrams and other related UML diagrams. Extensive knowledge and experience in using MS Project and Visio.
• Strong knowledge in project management principles and tools.
• Adept using Gap Analysis techniques to gain a clear understanding of the AS IS of the system and additionally derive new user scenarios to understand the potential TO BE system.
• Expertise in creating, editing and coordinating extensive communication networks through the facilitation of joint application development JAD sessions and joint requirement planning JRP sessions and interviews, written correspondence, reports, implementation requirements, project status reports, oral presentations and email, to keep executive staff and team members apprised of goals, project status, and resolving issues and conflicts. Good experience in developing testing scenarios and testing scripts.
• Good Knowledge of evaluating Technical and Business needs, analysing them and providing technical solutions, training and support for the teams in customizing and implementing the products.
• Hands on experience in analyzing the high level requirements, developing User Stories, Test Plans, writing Test cases, creating RTM, building test data using Excel SQL queries, testing documenting issues and collaborating with development teams to resolve issues using tools like TFS, JIRA, Quality Center.
• Highly Proficient in different types of testing like Functional and Regression Testing, System Testing, Integration Testing, User Acceptance Testing, Performance Testing, Smoke Sanity Testing, Exploratory Testing.
• Highly proficient in SQA methodologies for Waterfall, RUP, Agile, XP models.
• Facilitated Change Management across entire process from project conceptualization to testing through project delivery, Software Development Implementation Management in diverse business technical environments, with demonstrated leadership abilities.
• Possesses excellent written, communication and interpersonal skills. Worked in big and small teams with very little supervision. Very hardworking and highly collaborative Team player.

Technical Skills:

PROFESSIONAL EXPERIENCE:

Confidential

Role: Business Analyst

Responsibilities:

• Gathered requirements and prepared business requirement documents BRD .
• Responsible for the full HIPAA compliance lifecycle life cycle from gap analysis, mapping, implementation and testing for processing of Medicaid and Medicare Claims.
• Responsible for translating BRD into functional specifications and test plans. Closely coordinated with both business users and developers for arriving at a mutually acceptable solution.
• Conducted JAD sessions to define the project and to reduce the time frame required to complete deliverables.
• Developed and maintained all operational and technical flows using Visio and Power point.
• Used Rational Rose/MS Office Suite for creating use cases, workflows and sequence diagrams according to UML methodology thus defining the Data Process Models.
• Defined Use cases from requirements and helped convert them into software specifications.
• Aided in workflow analysis and process design.
• Maintained Requirement Traceability Matrix RTM .
• Performed Regression Testing and created test scenarios for User Acceptance Testing UAT
• Prepare training manuals and perform training to State and Internal staff as a result of system changes.
• Maintained documents for change request and implemented procedures for testing changes.
• Prepare training manuals and perform training to State and Internal staff as a result of system changes.
• Generate monthly metrics data, including downloading data, analyzing and resolving anomalies for presentation and review by Systems Manager and Supervisors.

Environment: Rational Rose, MS Office Suite, MS Project, MS Visio.

Confidential

Role: Business Analyst

Responsibilities:

• Responsible for the full HIPAA compliance lifecycle life cycle from gap analysis, mapping, implementation and testing for processing of Medicaid and Medicare Claims.
• Gathered business requirements from the users, both in terms of enhancements to existing systems and in entirely new applications.
• Responsible for designing the transactions for the state of Texas for the following transactions: 834 Benefit Enrolment and Maintenance , 820 Payment Order/ Remittance , 837 Claim Encounters , 835 Claim Payment , 270 Eligibility Enquiry , 271 Eligibility Response and 276/277 Health Care Claim Status/ Notification .
• Developed gap analysis document, logical and physical design and remediation plan.
• Conducted and coordinated JAD sessions with stakeholders and involved in design reviews and code reviews
• Was responsible for designing Business User Requirements BUR's , Functional Design Documents and Detailed Design documents.
• Used RUP model for designing the project model.
• Assisted in the development of EDI and XML schemas.
• Extensively involved in drawing Use Case diagrams, Class diagrams, Activity diagrams, Sequence diagrams, collaboration diagrams and State diagrams.
• Involved in execution of test cases for data verification, the creation of department documentation, defect tracking and analysis, and assisting in the development of long-term data audit processes.
• Developed and deployed Crystal Reports using Business Objects.
• Tested the system manually and using Test director.
• Responsible for mapping documents, creation of test plan, test scenarios, test cases for unit, system and system integration testing.
• Developed test cases and test scripts for testing the application by using Test Director.
• Incorporated Transaction Points to measure response times of typical business transactions.
• Involved in design, development and maintenance of catalogs, multiple ad hoc queries with complicated reports and different types of drilldown reports using prompt selection.

Environment: SDLC, RAD, MS Office, MS Project, MS Visio, MS Project, Rational Suite, SQL, Windows.

Confidential

Role: Business Analy

Responsibilities:

• Created and maintained EDI applications with strict adherence to HIPAA, ANSI ASC X12 and industry standards/specifications 837 PID, 270/271, 276/277, 278, 835 .
• Analyzed user requirements and worked with the data modelers to identify entities and relationship for data modeling.
• Responsible for accuracy of the data collected and stored in the corporate support system.
• Performed reformatting and importing data files, running queries, and accurate and timely production of management information and reports.
• Performed data review, evaluate, design, implement and maintain company database.
• Involved in identification of data sources, construction of data decomposition diagrams, and data flow diagrams and documented the process
• Participated in project meetings with data warehouse development teams to ensure user requirements and issues are correctly being addressed while controlling scope.
• Defined data structures, fit gap analysis and technical specifications.
• Developed process flow diagrams using E-R models.
• Worked closely with Application Developers, Programmers, DBA's and Quality assurance group throughout the company to obtain and maintain an understanding of the processes, application and management of various data sources.
• Designed and developed modules to redefine existing functionality using client server technology.
• Prepared the technical specification for the reports to be built, making sure the reports were developed right to the specification.
• Documented test plans and scenarios for new features by working with business and development.

Environment: EDI ANSI X12/HIPAA, MS Office, MS Project, Rational Rose, Clear Quest, MS Visio, MS Project, ERWIN 4.0, XML, SQL, Oracle, Test Director, Windows XP

Confidential

Title :Business Analyst

Responsibilities:

• Facilitate requirements gathering activities, including meeting with State to discuss system take request, enhancements, and project assessment quotations requirements using Agile methodology.
• Involved in development of Business Requirement Document BRD and Functional Requirement Document FRD .
• Initiate test plans, develop and execute test cases and scenarios: work with user to develop specific acceptance criteria and prepare exhibits.
• Worked with HIPAA Team for of X12 ANSI 270/271 and 276/277 Companion guides for Professional claims and also dealt with the standard X12 version 4010. Cross-functional team member in the implementation of the ANSI X12 involving 837 HIPAA compliance and 835 Remittance Advice.
• Maintain online files, including system parameters, medical criteria, and exception controls.
• Ensure that system documentation as a result by system and procedural changes is accurate and up-to-date.
• Prepare training manuals and perform training to State and Internal staff as a result of system changes.
• Generate monthly metrics data, including downloading data, analyzing and resolving anomalies for presentation and review by Systems Manager and Supervisors.

Environment: Agile Methodology, SQL, MS-Visio, MS-Office, MS access, UML, Oracle 9i.

Confidential

Title: BUSINESS ANALYST

Responsibilities:

• Analyzed user requirements and worked with the data modelers to identify entities and relationship for data modeling.
• Responsible for accuracy of the data collected and stored in the corporate support system.
• Involved in identification of data sources, construction of data decomposition diagrams, and data flow diagrams and documented the process
• Participated in project meetings with data warehouse development teams to ensure user requirements and issues are correctly being addressed while controlling scope.
• Defined data structures, fit gap analysis and technical specifications.
• Developed process flow diagrams using E-R models.
• Worked closely with Application Developers, Programmers, DBA's and Quality assurance group throughout the company to obtain and maintain an understanding of the processes, application and management of various data sources.
• Designed and developed modules to redefine existing functionality using client server technology.
• Prepared the technical specification for the reports to be built, making sure the reports were developed right to the specification.
• Documented test plans and scenarios for new features by working with business and development.

Environment: Rational Rose, Test Manager, Erwin, SQL and Microsoft Office Tools.

Confidential

Title: Developer

Responsibilities:

• Responsible for accuracy of the data collected and stored in system.
• Developed process flow diagrams using E-R models.
• Development of front end and back end of software.
• Designed and developed modules to redefine existing functionality.

Environment: JAVA, SQL and Microsoft Office Tools.