Professional Summary

• Experienced Senior Business Analyst with over seven years of proven skills in requirement gathering, interacting with developers, documenting various business processes, coordinating various projects in Healthcare industries.
• Expertise in Business Modeling and UML Diagrams Use Case Diagrams, Activity Diagrams, Sequence Diagrams using MS Visio.
• Implemented effective business solutions that meet customer needs to improve customer contentment.
• Reviewed Requirements Matrix to ensure all requirements were included in the scope of testing.
• Develop, modify and maintain various types of documentation for a Windows based system including: procedural software user manual, software user release notes, course development instructor and student guides , training materials, presentations, and job aides.
• Experience in all phases of Software Development Life Cycle SDLC : gathering requirements, business process management, analysis, testing and implementation of projects across diverse facets
• Experience in Data analysis SQL ,Business Process Modeling BPM and simulation of process flows Functional modeling Use cases
• Proficient in transforming business requirements into User Requirement Specification, Functional Requirement Specifications Document FRD and Use Case Narratives.
• Extensive knowledge of Unified Modeling Language UML .
• Analyzed and synthesized results from Joint Application Development JAD , proposed alternative tasks and transformed those into Business Requirement Document BRD .
• Knowledge of SAP Web intelligence rich client.
• Collected, documented, and managed business requirements.
• Performed GAP and Risk analysis of existing system and evaluated benefits of new system.
• Developed Business Requirement Documents BRD , Functional Specifications and Design Specification Documents including Use Cases and Data Flow Diagrams.
• Design and develop Complex Webi Reports using Variables, Drill Downs, Sections, Breaks, and Merged Dimensions etc.
• Used SAP BIWS to connect dashboards to SAP Business Object Webi Reports.
• Proficient in business scope definition, developing functional and technical specifications, creating business and application use case documentation, leading business and technical analysis sessions, supporting development and testing teams throughout the Software Development Life Cycle SDLC .
• Trace and inform business requirement changes through the lifecycle of the project while maintaining customer needs and maintain a Requirements Traceability Matrix RTM to keep the stakeholders informed of the progress of the project.
• Worked on Case Management function and claims process in healthcare using MS Visio.
• Proven ability as a team player and to work independently with excellent communication and people skills and presentation skills.
• Prepared ICD-9-CM to ICD-10 conversion activity diagram and ICD-10 Implementation phase package flow diagram using UML Diagrammer.
• Experience in conducting GAP analysis, User Acceptance Testing UAT , SWOT analysis, Cost Benefit analysis, ROI Analysis and Requirement Traceability Matrix RTM .
• Preparing graphical depictions of use cases including State Diagrams, Activity Diagrams, Sequence Diagrams, Use Case Diagrams, Component-Based Diagrams, Collateral Diagrams, including the Business Workflow Chart.

Professional Experience

Business Analyst

Confidential

• Work as a liaison among stakeholders of NYS Department of Taxation and Finance and NYS Department of Labor in order to elicit, analyze, communicate, and validate the requirements for changes to current business processes, policies, and information systems and for the development of new business process, policies and information systems.
• Document requirements using process models, use cases and other artifacts according to project artifact guidelines.
• Requirement gathering from Department of Labor users, for nonprofit organization and Indian tribes employer.
• Worked on processing of NYS45,NYS100 forms.
• Coordinate use cases, process flows and other industry standard business requirements documentation with other requirements teams for seamless process flows and system design.
• Follow the project's package preparation guidelines and utilize templates provided by projectmanager.
• Interact with cross-functional teams subject matter experts, developers, architects, and database and staff to ensure requirements are thoroughly and accurately documented and to design and document recommendations for improved business processes that enable the organization to achieve its goals.
• Provided a weekly status report to DOL Project Manager in the format specified, including issues and risks.
• Stored documentation in Microsoft SharePoint and IBM Rational Clear Case as per the package preparation guidelines and in any other format/repository as may be required.
• Utilized experience with AGILE software development paradigms and Scrum methodology to help drive projects and manage/co-ordinate multiple initiatives and development teams including offshore/remote teams
• Led group discussions and conducted one-one-one interviews to elicit requirements from business unit teams and external/internal clients and documented them in a Business Requirements Document BRD
• Assisted project manager in maintaining expectations within scope, including change request analysis/impact analysis and change control documentation using Clear Case
• Used MS Visio to create Data Models
• Performed manual front-end testing to check all functionalities of different modules.
• Worked with business users and technical team to monitor the deployment of the application.
• Designed the look-n-feel requirements of the application through wire framing using MS Visio, for better illustration of the application to research team and portfolio managers.

Confidential

Business Analyst

Responsibilities:

• Responsible for improving project communications and managing stakeholder expectations.
• Developed project timeline, project plan and status report.
• Interviewed subject-matter experts for source material, conducted reviews of technical content with development and system test teams, tested documentation against product.
• Learned RoboHelp software and completed a Windows help file for school management application.
• Created user manuals, and training materials, tool tips and help content.
• Performed extensive Business Process Modeling using Swim-Lane diagrams, Sequence diagrams, Workflow diagrams and Activity diagrams using MS Visio.
• Managed the RFP process across multiple contributing teams while meeting all due dates.
• Managed a standards setting group comprised of the technical writers from all divisions of the company.
• Delivered presentations to senior management, project team and stakeholders.
• Conducted meeting minutes and follow up on the action items.
• Captured requirements, change requests, issues and gaps.
• Documented the current and future state process flow diagrams.
• Created and maintained the requirement matrix and functional specifications.
• Generated project deliverables to attain sign off from stakeholders.
• Completed project management artifacts for obtaining project phase gate review approval.

Environment: Microsoft Office Project, Publisher, Excel, Word, PowerPoint and Visio

Confidential

Business Analyst

Responsibilities:

• Liaised with business and functional owner during risk engineering and high-level review sessions to derive and execute action plans, meeting deadlines and standards.
• Interfaced with business users to prepare and update Business Process Requirements BPR and Software System Requirements SSR . Ensured all artifacts complied with corporate SDLC policies and guidelines.
• Prioritized outstanding defects and system problems, ensuring accuracy and deadlines were met.
• Followed the UML methodology to Create Business Process Diagrams
• including Use Cases Diagrams, Activity Diagram ,Swim Lane Diagram.
• Website preparation using Word Press 3.1 updating plug-in , Writing Editing, Web Research, Virtual Assistance.
• Worked using concepts of Business Process Improvement for improving the quality of service and prepared business plan with Project Manager and team.
• Proficiently working in business scope definition, developing functional and technical specifications, creating business and application use case documentation, leading business and technical analysis sessions, supporting development and testing teams throughout the Software Development Life Cycle Confidential
• Working in transforming business requirements into User Requirement Specification, Functional Requirement Specifications Document FRD and Use Case Narratives.
• Analyzed and synthesized results from Joint Application Development JAD , proposed alternative tasks and transformed those into Business Requirement Document BRD .
• Scrum meeting arrangements track team performance, created discussion forums.
• Assist with planning and execution of all society events, Communicate with existing contacts and partners
• Track team performance, created discussion forums.
• Design and develop Complex Webi reports using Variables, Drill Downs, Sections, Breaks and Merged Dimensions etc.
• Used SAP BIWS to connect dashboards to SAP Business Object Webi Reports.
• Page layout, desktop publishing, illustration, on-line documentation and editing.
• Development of standard operating procedures and new user training.
• Develop, modify and maintain various types of documentation for a Windows based system including: procedural software user manual, software user release notes, course development instructor and student guides , training materials, presentations, and job aides.
• Additionally responsible for the development of customer training materials
• Responsibilities included production of user manuals and training materials for a loan application software product for a start up company.
• In addition, trained customers in instructor-led classes. Also managed the office staff and created a company policy manual.
• Translated technical information into clear, readable documents to be used by technical and non-technical personnel.
• Act as a liaison between organizations, corporations and vendors provide on-site support to staff and coordinate all daily business efforts.
• Manage administration tasks for Committee meetings, including compiling agendas, recording minutes and drafting correspondence based on meeting outcomes.
• Responsible for UAT project planning like creating testing scenario, test plans, and test scripts
• Perform responsibilities of conducting research on IT requirements and business requirements in UAT areas
• Handle the tasks of identifying UAT testers and managing resource plan by coordinating with business stakeholders
• Analyzed Business requirement and technical specification document and identified UAT scenarios accordingly
• Define the UAT Test Plan and Create UAT Test Cases
• Coordinated user acceptance testing UAT globally and provided daily updates to management on progress, issues and options
• Managed UAT defects with IT and ensured re-testing was completed, documented and signed off promptly by the business

Environment: Microsoft Office Project, Publisher, Excel, Word, PowerPoint and Visio

Confidential

Business Analyst

Responsibilities:

• Developed use cases, workflow, screen mock-ups, and conversion requirements.
• Created Business Use Cases, Flow Diagrams and validated business rules and data elements for EOB and Adjustments application.
• Gathered Business Requirements, analyzed data/workflows, and defined the scope.
• Met with client groups to determine User Requirements and Goals, thus converting User Requirements into Business Requirements and User and Technical Requirement Specifications.
• Prepared Data Flow DFD diagram, UML diagrams using MS Visio.
• Mapping 4010 and 5010 differences.
• Participated in various Healthcare presales initiative for EHR applications, HIPAA 4010-HIPAA 5010 and ICD9 ICD10 conversions.
• Researched and understood the claims adjudication and reimbursement systems based on HIPAA X12 4010 standards.
• Facilitated collection of Functional Requirements from system users, and prepared Business Requirement Documents.
• Reviewed client's current ICD-9 claims experience and map them to the equivalent ICD-10 codes and developed the process and approach for conducting the mapping for the remaining ICD-10 diagnosis and procedure codes expected for the client.
• Produced Gap Analysis documents for HIPAA 5010 and ICD-10.
• Collected, documented, and managed business requirements.
• Performed GAP and Risk Analysis of existing system and evaluated benefits of new system.
• Developed Business Requirement Documents BRD , Functional Specifications and Design Specification Documents including use cases and data flow diagrams.
• Validated technical designs created by IT developers against functional specifications.
• Coordinated work plans between Project Manager and client using MS Project.
• Created documentation for training and Help Desk teams.
• Maintained and submitted periodic/monthly status reports to the Program Manager to serve as the teams assessment of the project and its schedule.
• Analyzed business requirements, performed gap analysis and segregated them into high level and low level Use Cases, Activity Diagrams using MS Visio.
• Served as a liaison between the internal and external business community Claims, Billing, Membership, Capitation, Customer Service, Membership Management, Provider Management, Advanced Healthcare Management, Provider Agreement Management and the project team.
• Perform the tasks of designing and developing test procedures to meet business requirements
• Reviewed Requirements Matrix to ensure all requirements were included in the scope of testing.

Environment: UML, Project Manager, SDLC, SQL. Microsoft Office Project, Publisher, Excel, Word, PowerPoint and Visio

Confidential

Business Analyst

Responsibilities:

• Extensively worked with Project Manager to determine the current best practices for
• requirement gathering.
• Acted as a resource in understanding how IS carry out business functions and assists in ensuring the timely and effective implementation.
• Developed project delivery schedule, managed projects and identified resources to successful completion
• Conducted user interviews, one to one sessions with the managers and the critical users, and arranged JAD Session at both in-house and client locations.
• Conduct workflow, process diagram and gap analyses to derive requirements for existing systems enhancements
• Identified and documented business rules and created detailed Use Cases
• Designed and developed Use Cases, Activity Diagrams and Sequence Diagrams
• using UML
• Worked with development and testing teams to accomplish timely release objectives.
• Assisted in user acceptance testing UAT of the system
• Responsible for all project documentations

Environment: Microsoft Office Project, Publisher, Excel, Word, PowerPoint and Visio

Confidential

• Helped manage risk analysis and mitigation plans, status reports, and client presentations prepared business process models, defined milestone deliverables, and established critical success factors.
• Prepared graphical depictions of use cases including Activity Diagrams, Use Case Diagrams, including the Business Workflow Chart using MS Visio.
• Prepared Fraud and Abuse Detection in medical claim process use case and RTM Requirement Traceability Matrix .
• Worked on Case Management function and claims process in healthcare using MS Visio.
• Learned various computational skills such as Visio, Microsoft Office 2010, Project, Word, Excel, PowerPoint, Access, Visio , UML Diagramer.
• HIPPA, ICD9-10-CM, experienced with EDI files 835, 270/271, 276/277 file formats extensively participated in verification of EDI file formats against standards. Hands on experience with the 837 and 835 ANSI X12 transaction understanding loops segments, elements and structure.
• Gained knowledge of HL7 and v2.x standards.
• Extensive knowledge of Patient Protection and Affordable Care Act PPACA .
• Trace and inform business requirement changes through the lifecycle of the project while maintaining customer needs and maintained a Requirements Traceability Matrix RTM to keep the stakeholders informed of the progress of the project.
• Practiced and worked on various project management tools like MS Office Suite, MS Project.

Strengths

Well organized with self-motivation, hardworking, and initiative to achieve both personal and corporate goals and interested to learn new technologies. Good interpersonal skills and team spirit to achieve the targets and requirements.

Technical Experience

• Business Modeling UML, MS Visio ,BPM
• Programming Languages Perl, HTML
• Processes SDLC, SCRUM Methodology, JAD
• Databases PDB, KEGG, GenBank, PubMed, Uni-Prot, DDBJ
• Operating Systems MS-DOS, Linux, UNIX, Windows 2000, NT, XP, VISTA
• Project Management MS Office Suite, MS Project
• Other Tools Visio, Microsoft Office 2010, Project, Word, Excel
• PowerPoint, Visio , RoboHelp
• Standard Skills HIPAA, ICD9-10-CM, Patient protection and
• Affordability Care Act,