SUMMARY

• 7 years of experience as a Business Analyst / UAT Coordinator working in the Software Development Industry- specializing in Requirement gathering/analysis/negotiation , project coordination, UAT planning/execution , Release Management and Production Support.
• Experienced in all Phases of Software Development Life Cycle SDLC - Agile Scrum , Waterfall, and RUP
• Experienced in writing/analyzing/negotiating Business Requirements BRD , Functional Requirements FRD , User Stories US , Test Plans - Test Scripts, Product Backlog, and Help Topics Quick Steps Guide and User Manuals.
• Experienced in interacting with business users and executives to identify their needs, gathering requirements and authoring Business Requirement Documents BRD , Functional Specification Documents, Use Case Diagrams, Activity Diagrams and Sequence Diagrams using UML modeling.
• Experienced in facilitating and conducting Joint Application Development JAD , interviews, workshops and requirement elicitation sessions with end-users, clients, stakeholders and development team.
• In-depth knowledge of ICD 9 codes and ICD 10 conversion
• Excellent knowledge of HIPAA standards, EDI Electronic data interchange Transaction syntax like ANSI X12, Implementation and Knowledge of HIPAA code sets, ICD-9, ICD-10 coding.
• Good knowledge of Health Insurance Plans Medicare Part A, B, C and D , managed care concepts Medicaid and Medicare
• Experienced in working with various departmental teams, developing interactive relationships with business and IT colleagues.
• Having a thorough understanding of the constraints, needs, and perspectives of both the business users and the technical team.
• Strong work ethic, taking ownership of all duties and responsibilities and meeting management objectives.
• Strong business acumen, analytical, problem solving, interpersonal and presentation skills.
• Excellent written and oral communication skills to keep executive
• Expert in conducting GAP analysis, Cost Benefit Analysis, Work Flow Analysis, USE Case, UI interface / Usability and User Design Studio.
• Proven ability to work with all levels of management, Globally / remote diversified team, Product Managers, Product Owners, Internal / External stakeholders, cross functional departments, SME and various other units.

TECHNICAL SKILLS

Work Summary

Confidential

Business System Analyst

Responsibilities:

• Interacted with Business community to elicit, analyze and document project requirements.
• Developed use cases, process flow diagrams as-is/to-be flows and UI mockups/wireframes to represent business requirements.
• Documented user guide for the data warehouse and provided training to the different groups involved in the daily reporting process.
• Preparing and getting sign-off on Business Blueprint for General Ledger Accounting, Accounts Payable, and Accounts Receivable.
• Proactively presented business and technical solutions for business process automations.
• Involved in all phases of software development life cycle SDLC in RUP framework.
• Worked as a business analyst to support the re-design of the Mortgage Asset Management System.
• Managed and implemented Microsoft Exchange 2007 roll out and company wide acceptance.
• Conducted requirements walkthroughs with various stakeholders including Business owners, technology architects, developers, QA leads, Information security and legal/compliance.
• Responsible for all phases of accounting including general ledger, accounts receivable and payable through loan application.
• Analyzed individual portfolios compared their annual ROR against custom benchmark indices in order to determine if the target asset allocation is in line with the client's objective.
• Worked with various COTS and worked on projects to integrate them with already present applications.
• Client business requirements mapping for General Ledger Accounting, Accounts Payable, Accounts Receivable, Asset Accounting
• Designed and analyzed Business Process Model, Use Case model and test procedures based on RUP methodology using Rational Rose
• Actively assisted Project Managers in tracing project deliverables, preparing and reporting project statuses to upper level management.
• Involved in Data validation in both front end and back end risk management reference center
• Performed gap analysis between the present data warehouse to the future data warehouse being developed and identified data gaps and data quality issues and suggested potential solutions
• Assigned tasks monitored and tracked progress of process to provide status update reports to the project management on a weekly basis.

Environment: Windows 2000/XP, MS SharePoint 2007, MS Office Suite, SQL Server, Oracle, Agile, MS Project, MS FrontPage 2003, MS Access, Business Process, Rational Clear Quest, Rational Clear Case, Rational Requisite Pro, Rational Rose, UML, RUP, Web Designing, Informatica, Visio.

Confidential

Business Analyst

Responsibilities:

• Met with the client groups to determine the User Requirements and the goal of the project.
• Utilized Rational Unified Process RUP to configure and develop process, standards, and procedures and create a Business Requirement Document BRD .
• Analyzed Business Requirements and segregated them into high level and low level Use Cases, Activity and Sequence using Rational Rose according to UML methodology.
• Involved in finding and documenting requirements where the new data capture solution would be compatible with existing Customer Interface Control Systems CICS .
• Involved in Gap Analysis of existing SDLC process, implementing RUP.
• Worked with the Requirements Management Team RMT to elicit the business and system requirements and importing them into Rational Requisite Pro.
• Created a Scope Diagram for the project that would depict the basic system architecture.
• Gathered all the business and technical requirements and created a FRD with critical items verified by the SME's.
• Created Data Flow Diagrams, Use Cases and Business Process Flowcharts on which the actual system architecture would be based.
• Carried out meetings with SME's to create the process requirements, process improvements and to proper explain the development team the flow of future data modules.
• Worked closely with the Business Intelligence BI team to define standards for report.
• Involved in creating the master Test Plan and the Test Cases as well as coordinated the testing.
• Facilitated User Acceptance Testing UAT with the stakeholders and the business users, and the errors discovered were fixed via regression testing.
• Worked closely with the QA team during the automated testing using the HP Quality Centre.
• Involved in Back-End Testing using PL-SQL Queries on Microsoft SQL.
• Involved in the overall SDLC including inception, elaboration, construction and deployment.
• Provided clear and concise documentation regarding requirements management plans, functional requirements, and supplemental requirements.

Environment:

Windows 2000, WinRunner, LoadRunner, Microsoft Project 2000, UNIX, MS Access, IIS, MS SQL server, Crystal Reports, Mercury Quality centre, RUP, UML, power builder, SAP FI/CO, SAP HR.

Confidential

Systems Analyst

Responsibilities:

• Used the guidelines and artifacts of the Rational Unified Process RUP to strategize the Implementation of RUP effort in different iterations and phases of the Software Development Life Cycle.
• Created vision and scope document and business requirement document for claim adjustment process.
• Performed data Gap analysis for understanding the needs of various elements of Claims department as found on the core form, the old/ legacy system and the new system.
• Interfaced with SMEs to prepare comprehensive Business Requirements documents for major initiatives related to the ongoing projects.
• Analyzed and translated business requirements into system specifications utilizing UML and RUP methodology
• Involved in the full HIPAA compliance lifecycle from GAP analysis, mapping, implementation, and testing for processing of Medicaid Claims.
• Involved in creating business processes and modeling diagrams using Rational Unified Process RUP .
• Entered claims in Enter Price to see how claims were being adjusted and also to see the difference between claims adjusted through claim edits versus 3-claim adjustment.
• Performed Data mapping between source systems to Target systems, logical data modeling, created class diagrams and ER diagrams and used SQL queries to filter data
• Experience in working with HIPAA 4010 and knowledge about its rules and policies. Experience working with the Medicare Part A, B, C, D and Medicaid Products.
• Worked for designing and building report solutions using specific Business Intelligence tool-Business Objects.
• Added additional functionalities to make claim adjustment more elaborate and clear.
• Documented user guide for the data warehouse and provided training to the different groups involved in the daily reporting process.
• Determined claim adjustment impacts on various areas, such as, FNX, Accounting etc.
• Worked under tight deadlines to include as many features as possible for claim adjustment process and to make sure that the same gets implemented.
• Used mercury test director to identify the defects relating to 3-claim adjustment and assisted in fixing the same.

Environment: RUP, MS Visio, Clear Quest, SQL, Oracle, Web Designing, MS Office Suite, MS Project, Microsoft Outlook.

Confidential

Business Systems Analyst

Responsibilities

• Interacted with Users, Developers, Project Manager and SMEs to understand the business processes, identify enhancements and gather Requirements.
• Worked on various ICD Implementation using ICD 9 enhancement and ICD9/ICD10 conversion.
• Participated in the identification, understanding, and documentation of requirements including the applications capable of supporting those requirements.
• Prepared Use Cases, Activity Diagrams and Sequence diagrams by using MS Visio.
• Conducted JAD sessions with the stakeholders at regular intervals.
• Documented project related artifacts and sent them for onsite review and stored them in the MS SharePoint site.
• Wrote use cases, designed wire-frames and workflow diagrams to supplement the business requirements and mapped the use cases to corresponding business requirements.
• Interacted with the SME to clarify any doubts on requirements.
• Accessed data from data tables using SQL queries.
• Analyzed various data relating to Benefits.
• Middle Office tasks tool used to prepare Personalized Communication Statements so that appropriate Personal Communication Statements with accurate data are sent to the participants.
• Reviewed analysis and test plan documentation updates and evaluated the results of the test execution.
• Designed data processing technology and built logical and physical MSSQL database models.
• Provided analysis of database work.
• Resolved Data Warehouse MSSQL database performance issues by improving its architecture.
• Advised new improvements on the reporting tools, used in the MSSQL database.
• Mentored developers on the improvements of the Data Warehouse architecture and various other programs.
• Reviewed analysis of benefits and pension plans.

Environment: RUP methodology, MS tools Visio, MS SharePoint, MS suite, MS Office, MS Excess.

Confidential

Business System Analyst

Responsibilities:

• Gathered requirements and prepared business requirement documents BRD .
• 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.
• Actively took a part in Manages, writes, edits, evaluates and analyzes healthcare policy and procedure and implement changes to system, rule maintenance, rule application and configuration.
• Involvedd in working on Medicaid and Medicare claim process.
• Attended weekly meetings to discuss reporting functions and system configuration.
• 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.
• Involved in HIPAA/EDI Medical Claims Analysis, Design, Implementation and Documentation.
• Involved in preparing the Test Scenarios for Health Care Claim Payment/Advice.
• Written multiple Use Cases for multiple transactions.
• Maintained Requirement Traceability Matrix RTM .
• Use Case development and UML modeling using modeling tools like Rational Rose/MS Visio.
• Presented the nursing outcomes to C-Level executives in Gentiva Nursing and Data Management group using Crystal Reports XI.
• Expertise in building applications using SQL and Oracle 10g.
• Analyzed business needs, created and developed new functionality to meet real time data integration that facilitated decision-making.
• Created product documentation, printed user manual and training materials.
• Developed queries using SQL to automate the weekly and monthly Meds Update Reports and FCO reports.
• Coordinated Regression Testing and created test scenarios for User Acceptance Testing UAT .
• Maintained documents for change request and implemented procedures for testing changes.

Environment: MS Visio, MS Project 2000, UML, HTML, TestDirector7.6, SQL Server, MS Office Word, Excel, PowerPoint , Load Runner, Visio.