Summary

MBA graduate with 7 years of diverse experience in Information Technology with emphasis on business and system analysis of Health Care Application. Well versed with all aspects of Software Development Lifecycle, Waterfall Process, and Agile Methods. Proficient in business analysis, business modeling, data modeling, document processing, quality assurance to manage, develop and test products. Established and maintained strong working relationships with senior and junior business sponsors as well as technical specialists.

Roles and Responsibilities

• Experience to work as a business/system analyst in Health Care, Insurance, Finance industries.
• Followed the RUP based methods using UML to create Use Cases, Activity Diagrams, State Chart Diagram, Sequence Diagram etc.
• Extensive experience to gather requirements and categorized them into FURPS Functionality, Usability, Reliability, Performance and Supportability .
• Expertise to design Business Requirement Specification BRD , System Requirement Specification SRS , User Requirement Specification URS , Use Cases Document, Work Breakdown Document WBD , and Requirement Traceability Matrix RTM .
• Expertise in Rational tools for Requirement Management, Business Process Modeling and defect tracking like Rational Req Pro, Rational Rose, Rational Clear Case, Rational Clear Quest.
• Used requirement elicitation techniques like Interviewing, Brainstorming, Joint Application Development JAD , and Rapid Application Development RAD sessions.
• Proficient in creating Use Case diagrams, Sequence diagrams, Activity diagrams, Class diagrams, E-R diagrams, and Data modeling using MS Visio and Rational Rose.
• Can effectively use Erwin tool for creation of a basic Data Model and Database Schema.
• Expertise to design mock up for UI solution using Photoshop, HTML, DHTML and XHTML.
• Extensive knowledge of Integration Systems like TIBCO, GIS, STERLING.
• Created mapping documents for X-12 transactions to TIBCO CBO and to the Database.
• Familiarity with current industry standards such as HIPPA guidelines 4010 5010 and EDI Transaction. Extensive experience in EDI implementations Real and Batch Processing .Excellent experience in EDI transaction like 270, 271, 276, 835, 837
• Involved in design and maintain of Test Plans, Test Cases and Test Scripts using Test Director, Test Manager.
• Involved Unit Testing, System Integration Testing, System/Black Box Testing, and Regression Testing with QA team.
• Extensively used Clear Quest for bug tracking and Clear Case for Requirements traceability and document version control.
• Strong experience in conducting User Acceptance Testing UAT .
• Strong knowledge of project management skills like time estimation, task identification and scope management.

Technical Skills Inventory

Experience Details

Confidential

Business System Analyst

Responsibilities:

• Created Visio document to explain user demographics, profiles, environments and requirements for the National Provider Identification project.
• Interacted with Project Manager to write Project Plan Document, Work Breakdown Document, and update project plan.
• Conducted JAD sessions to get an understanding of client business process with stakeholders as well as technical group.
• Worked on CMS Centers for Medicare Medicaid Services requirements within the project.
• Analyzed existing system and develop requirements. Conducted Interviews with Management to get sign off Functional Requirements.
• Extensive experience to complete project live cycle including to doing cost-benefit analysis CBA and return on investment ROI analysis.
• Participated and lead development of overall strategies, budget and operational plans, responsible for issue pertaining to project cost, scheduling and staffing.
• Involved in Business Process Re-engineering to analyze gap between current process and suggesting business process.
• Involved in Change Management process and analyzed cost benefit analysis for new changes.
• Prioritized requirement and system capabilities to ease decision-making process.
• Created Use Cases to depict the interaction between the various actors and system using Rational Rose.
• Understood existing data model and documented suspected design affecting performance of the system.
• Worked with Data Analyst to design, reviewing and validation of final data model.
• Worked with the DBA to develop the best fit physical data model from the logical data model.
• Worked with Data Analyst in data transformation and data mapping from source to target database schemas, data cleansing procedures.
• Authored business analysis report for HIPAA compliance.
• Experience working with both versions of HIPAA i.e. 4010 vs. 5010
• Performed Gap Analysis for HIPAA transactions.
• Involved in creating flow charts and record layouts for 271 transaction sets.
• Designed and developed eligibility 270/271 , claim status 276/277 , service review and response 278 , enrollment 834 , and claim submission 837 .
• Defined business requirements and X12 mapping requirements for several conventional and internet-based medical and claims products
• Involved in Unit Testing and System Testing.
• Involved in different level of testing, which is HIPAA compliance.
• Developed several Test Scripts for testing EDI transactions.
• Involved in documenting of Test Plan, Test Cases, and Defect Status Report.
• Interacted with QA team for Automation Testing using QTP.
• Worked closely with UAT team for User Acceptance Testing UAT and collaborated with the QA team to develop the Test Plans, Test Scenarios, Test Cases, Test Data to be used in testing based on business requirements, technical specifications and/or product knowledge
• Interacted with the Performance tester to assist in performance testing of end product.
• Responsible for processing change requests from the client by filling Change Request Forms CRF .

Environment: EDI Sun TIBCO, Requisite Pro, Uses cases, Rational Rose, Cognos, Crystal Reports, UML, Rational Rose, MS Office 2003, QTP, Interfaces, Erwin 7.0.1, IBM WebSphere, MS Project, Datawarehouse, Mainframe, Test Director, COBOL/CICS, DB2, SQL, JAVA

Confidential

Business Analyst / Quality Assurance Analyst

Responsibilities:

• Reviewed the entire application and develop requirements.
• Worked extensively with the users and with different levels of management to identify requirements, Use Cases and to Develop Functional Specifications.
• Managed all the requirements in Rational Req-Pro making requirements available to all team members.
• Participated in JAD sessions to allow different stakeholders to communicate their perspectives with each other, resolve any issues and come to an agreement quickly.
• Created data flow models, data quality analysis, and cost benefit analysis.
• Published all functional and specification documents in Share point.
• Involved in Business process reengineering to approach aiming at improvements by means of elevating efficiency and effectiveness of the processes that exist within and across organizations.
• Actively involved in development and maintenance of Share point team sites, Document libraries and custom list.
• Worked with senior level Share Point developer to help support the application using MS Share Point 2007.
• VISIO process flows created upon Client request.
• Created Use-Cases, Business Use-Case Model, data model, and ER Diagram after accessing the status and scope of the project and understanding the business processes.
• Created logical data model from the conceptual model and it's conversion into the physical database design.
• Answered provider questions on the ANSI X12 format and looping structure of 837, 270/271/276/277, and 835.
• Trained the team in HIPAA standards 4010 .
• Interface was written to confirm the HIPAA Compliance.
• Involved in creating different EDI transaction set.
• Trained the team in HIPAA standards.
• Interface was written to confirm the HIPAA Compliance.
• Worked with ETL team to come up with Data mapping document.
• Interacted with various Cross-Functional Teams on building business use cases and understand expenses and revenue stream.
• Developed test plan, test script, test data for testing EDI transactions to run in different environments.
• Worked with the Automation Tester to assist in Automation Testing using QTP.
• Worked with performance tester in order to verify the performance of the system before hand off to users.
• Interacted with the developers to Report and Correct Bugs.
• Used the change management from rational to track changes to multiple artifacts by versioning artifacts, associating requirements specific change requests to streamline the defect/change tracking process.

Environment: RUP, Requisite Pro, Uses cases, Rational Rose, Content Management Systems, UML, Rational Rose, MS Office 2003, QTP, Interfaces, Erwin 7.0.1, IBM WebSphere, MS Project, Datawarehouse, Mainframe, Test Director, COBOL/CICS, DB2, SQL, JAVA

Confidential

Business Analyst

Responsibilities:

• Analyzed the current set of reports, related processes and identified all relevant data elements.
• Mapped data elements along with the associated business rules in the requirement's template using Use-case and Use-case diagrams.
• Established and followed sign-off procedures from business customers / Subject Matter Experts SMEs on the requirements.
• Assisted in solution design as required.
• Assisted the business customer in articulating the vision for the project both current and future needs, that can be easily communicated to the IT team
• Ensured traceability of all deliverables back to the Scope
• Derived all activities associated with Requirements and Testing analysis
• Proactively identified areas of need by interviewing, asking questions, probing at potential gaps in the requirements
• Facilitated improved understanding of the business requirements by IT Team
• Maintained requirements and testing documents throughout the project life cycle
• Facilitated the communication and understanding between business and IT staff and between business needs and systems/technology options
• Worked closely with technical staff, e.g., designers and developers, to help determine the best solution balancing business needs and technical aspects
• Directed/participated in the testing phases including development of test conditions, scenarios, test plans, expected results, execution of testing for system integration testing and Business Acceptance, as appropriate working with Business Customers, Designers/Developers and end customers to achieve these results.
• Ensured outstanding issues/action items are analyzed and resolved in a timely fashion
• Insured appropriate change control processes are followed
• Promoted and participated in usability testing
• Reviewed user training materials and procedures for accuracy in reflecting system functionality
• Participated in the implementation planning activities to identify transition from the current system to the new system, roll out issues, organizational issues, etc.
• Participated in the Project Phase End Reviews

Software tools used: Visio, Rational Suite RUP, UML with Rational Rose, Rational Requisite Pro, Rational robot , Oracle, WindowsNT/2000, MS Project.