We provide IT Staff Augmentation Services!

Sr. Business Analyst Resume Profile

Virginia Beach, VA

PROFESSIONAL SUMMARY:

  • A dedicated, result driven and goal-oriented Business Analyst with Over 7 years of experience in Health care, Pharmaceutical and Insurance domains of business.
  • In depth understanding of various Systems Development Life Cycle SDLC methodologies such as Waterfall, Rational Unified Process RUP and agile including Scrum. Hands on experience with various SDLC phases and deliverables/artifacts of each phase.
  • Created and managed the requirements definition documents such as Business Requirements Document BRD , Functional Requirements Document FRD and Software Requirements Specification SRS . Created and managed Traceability Matrix to track requirements.
  • Skilled in facilitating Joint Requirement Planning JRP , Joint Application Development JAD sessions and requirement elicitation sessions with Business team, end users groups, SMEs, and IT team.
  • Extensive experience in gathering business and user requirements through brainstorming, one on one interview, surveys, questionnaires and structured walkthroughs.
  • Proficient in writing business and system specifications, preparing business case for project and generating models to depict business processes and information flows. Skilled in depicting Process flow diagrams, Work flows, Organizational charts and Functional decomposition diagrams using MS Visio.
  • Conducted SWOT analysis, feasibility studies, impact analysis, cost/benefit analysis, gap analysis and risk analysis.
  • Developed Storyboards, Screen mockups and Screen Flows in order to obtain early design feedback, and utilized Prototypes to enhance user appreciation. Worked with various Wireframe tools in coming up with UI designs.
  • Comprehensive understanding of UML-Object Oriented Analysis OOA and Design OOD concepts with expertise in developing Use Case packages with Use Case Diagrams, Use Case narratives and Activity Diagrams.
  • Good understanding of HIPAA compliance, CMMI approach and Six Sigma concepts.
  • Experience with processing and adjudication systems of Medicare, Medicaid and Private Insurance claims.
  • Knowledge of ICD 9 and ICD 10, and various HIPAA 4010/5010 formats.
  • Involved in HIPAA EDI transactions such as 835, 837 P, D, I 276, 277, 278.
  • Extensive experience in reviewing Test Cases, Test Scenarios and Test Procedures, maintaining Test scripts, analyzing defects and bugs, and interacting with team members to fix errors.
  • Conducted user acceptance testing UAT as well as training and implementing new processes and procedures. Developed system manuals and user guides to facilitate hassle free adoption of software systems.
  • Extensive experience in the development, implementation, deployment and integration strategies within a team oriented environment, utilizing quantitative and qualitative analytical skills.
  • Experienced in organizing and delivering presentations, generating written correspondence and emails, keeping senior managers and business users apprised through project status reports, and resolving issues and conflicts.

BUSINESS AND TECHNICAL SKILLS:

RUP, Agile, Waterfall, MS Office suite , MS Project, MS Visio, SharePoint, FACETS, CPT and ICD-9 Coding, Rational Requisite Pro, Rational Rose, HP Quality Center, Clinical Trials, Snag It, Documentum, Ab Initio, Photoshop, MS Access, SQL Server, My SQL, Oracle, Windows NT, 2000, XP , Unix, SPSS, C , HTML, XHTML and SQL.

PROJECT EXPERIENCE:

Confidential

Sr. Business Analyst

Responsibilities:

  • Designed the business requirement collection approach based on the business need and requirement priority. Conducted end user surveys and interviews to come up all the relevant fields and information required.
  • Project was implemented in phases, enabling system to deliver as many business requirements as early as possible. Involved in Requirement Scoping and analysis of high priority requirements for implementation.
  • Worked closely with business team, and identified, analyzed the core requirements and key features of the ongoing project. Extracted, discussed, and refined business requirements and developed comprehensive business requirement document BRD . Developed Software Requirement Specification SRS document using Visio and MS Office.
  • Extensively communicated with SMEs to document and analyze medical knowledge of conversation and converted it to simpler guidelines that can be understood by IT team for software development.
  • Created agendas and conducted JAD workshops to achieve consensus on critical and sensitive issues and members privacy requirements. Consulted with legal SMEs to ensure compliance with state medical privacy laws.
  • Actively involved in the creation of comprehensive resource center through collection, documentation and extensive editing of relevant medical literature.
  • Involved in HIPAA EDI transactions such as 835, 837 P, D, I 276, 277, 278.
  • Developed internal algorithms, condition-action tables and decision trees and tables that incorporate member's personal and medical information.
  • Prepared high level business use case and developed it into multiple system use cases and Activity diagrams. Extensively interacted with both business team and development team in coming up with a Sequence diagrams.
  • Identified and suggested modifications to various master files which enable the changes to reflect consistently throughout the business.
  • Analyzed the impact of ICD-10-CM/PCS coding system and Identified General Equivalence Mappings to facilitate the conversion from ICD-9-CM codes to ICD-10-CM/PCS codes to ensure that both the application and Health Record comply with new regulations.
  • Developed UI document with UI designs and mock-ups through wireframes. Utilized Story boards and screen mock-ups to obtain client feedback and approval. Suggested changes when the user interface was confusing or needed rewording.
  • Worked in conjunction with the project manager, design team and developers to prepare project status reports and presented reports to clients in order to keep them current. Utilized prototypes and structured walkthroughs to ensure that all relevant requirements are properly addressed.
  • Prepared user acceptance criterion and testing strategy that will be utilized by QA team to validate the addressed functionality of all critical requirements. Developed and maintained Test Matrix and Traceability Matrix. Utilized Quality Center to plan and execute tests, track defects and create change alerts. Conducted User Acceptance Testing UAT .

Tools and Technologies:

HIPPA ANSI X12, SDLC, RUP, CPT and ICD-9 Coding, FACETS, Rational Rose, Rational Requisite Pro, Microsoft Visio, SAS, MS word, MS Excel, Ab Initio,MS outlook, Erwin, MS Access, EDI, Crystal Report, MS SQL Server 2005-2008.

Confidential

Business analyst

  • Worked with various departments to identify and map detailed current claim adjudication and billing processes, identify gaps and failure points, perform Root Cause Analysis and develop solutions and specifications that supported overall strategy, goals and objectives.
  • Gathered user requirements by interviewing focus groups and brainstorming with different departments. Created targeted Questionnaires for SME's to refine requirements.
  • Documented underwriter's need to create and/or import rules for determining premiums and enter, store rates based on member information.
  • Collected premium and invoice generation procedures, and analyzed them according to rating tiers, fees and late payment information.
  • Conducted Requirements Feasibility analysis to determine the technological feasibility of each requirement with the help of System Architects and Developers.
  • Analyzed business requirements and created Use case model with Use case and Activity diagrams, and then compiled it into Business Requirements Document.
  • Created Functional Requirements Document for the development team to better understand business needs and also managed changes to the document.
  • Facilitated and participated in JAD Joint Application Development sessions for requirement gathering, analysis and design which helped in elucidating the functional specifications and creating screen prototypes.
  • Developed error conditions for pending claims and notification messages for resolution. Documented the rules and procedures for incorrect invoices, applying adjustments and late payment processing.
  • Collaborated with QA team to evaluate test plan and test cases. Conducted User Acceptance Testing UAT and created training manual for the new application.

Tools and Technologies:

Rational Rose, Rational Requisite Pro, HIPPA ANSI X12, MMIS,SDLC, Agile, CPT, ICD-9 Coding, , Microsoft Visio, SAS, MS word, MS Excel, MS outlook, Erwin, MS Access, EDI, Crystal Report, Windows NT, 2000, XP , Photoshop.

Confidential

Business Analyst

Responsibilities:

  • Performed Gap analysis, requirements gathering and for enhancements to existing systems and processes.
  • Worked with Investigator Brochures, NDA periodic Reports, PSUR, and e-CTD.
  • Worked with Regulatory Report Authoring Publishing management Systems e.g. Dossier, Liquent Insight etc and Documentum.
  • Worked with the Documentum Query Language and Documentum wrapper.
  • Prepared use case models based on Business Requirement documentation gathered through interaction with users and the stakeholders.
  • Implemented RUP, which included requirements, specifications, design and analysis.
  • Created and maintained the Requirements Traceability Matrix RTM .
  • Worked with the Project Manager on various Project Management activities like keeping track of Project Status, Deadlines, Environment Request, and Compliance Issues.
  • Ensured Use-Cases were consistent and covered all aspects of the Requirements document.
  • Identified and analyzed the data requirements for the various site teams and made sure that the required data is available in the testing environment.
  • Worked directly with software engineers to ensure clear communications on requirements and defect reports.
  • Designed and developed scenarios based on business requirements.
  • Was involved in Functional System Testing, Integration Testing, Regression Testing, and User Acceptance Test before releasing the application.
  • Validated the scripts to make sure they have been executed correctly and meets the scenario description.
  • Involved in project status meetings, QA review meeting, and System Test meeting.

Tools and Technologies:

Documentum, Six Sigma, RUP, Clinical Data Management Systems ARGUS, Rational Rose, Rational Requisite Pro, Microsoft Visio, SAS, MS word, MS Excel, MS outlook, Erwin, MS Access, EDI, Crystal Report.

Confidential

Business analyst

Responsibilities:

  • Was responsible for complete project documentation and served as a liaison between the business team and the project team by assisting in identifying, understanding, and documenting their business needs.
  • Conducted interviews with internal users to generate as-Is process flow and prepared the detailed work flow diagram based on the proposed modifications.
  • Assisted senior analyst to refine Star PC requirements and draft Business Requirement Document, and Co-Authored Functional Requirement Document.
  • Independently organized work and prepared Business and System specifications for RFID tag.
  • Followed a structured approach to organize requirements into logical groupings of essential business processes, business rules, and information needs, to ensure that critical requirements are not missed.
  • Created and maintained the Requirement Traceability Matrix to trace the requirements to Use Cases, Design documents and Test plans.
  • Developed Use Cases, Activity and sequence diagrams. Conducted regular walkthroughs and collected feedback from stakeholders
  • Worked in conjunction with various stake holders including senior managers, project manager, developers, QAs, and other team members to validate complex scenarios and maintain the quality standards of the projects.
  • Documented training material for end users with the help of IT team and senior analyst.

Tools and Technologies:

RUP,.NET, MMIS, Rational Rose, Rational Requisite Pro, Microsoft Visio, SAS, MS word, MS Excel, MS outlook, Erwin, MS Access, EDI, Crystal Report, MS SQL Server- 2005/2008.

Confidential

Business Analyst

Responsibilities:

  • Analyzed user requirement documents URD , software requirement specification document SRS and prepared System test plan by dividing the application into manageable units.
  • Involved in writing Detailed Test Plan for the Application under Test AUT .
  • Succeeded in implementing a Pharmacy Benefits management PBM program using encrypted FTP data feeds.
  • Generated Reports on AE and SAE as a part of clinical data management process.
  • Developed, implemented and executed test methodologies and plans to ensure software product quality as per the RUP methodology. Test some of the Extensions in Facets application manually.
  • Developed reports based on the Clinical Trial protocol
  • Perform Gap Analysis of the processes to identify and validate requirements.
  • Involved with all the phases of Software Development Life Cycle SDLC methodologies throughout the project life cycle.
  • Translated high level business / data requirements into Process, Workflow, and Data Flow Diagrams using Rational Rose / MS Visio / BPMN towards facilitating clear understanding of the business process.
  • Prepared spreadsheets with the help of MS Office to show like specific geographic regions etc.
  • Conducted several demos driven by MS PowerPoint Presentations.
  • Gathered requirements and modeled the data warehouse and the underlying transactional database
  • Involved with the business users, developers to make sure the reports were developed right to the specification.
  • Was responsible for indexing of the tables in that data warehouse.
  • Documented existing applications with the creation of UML sequence diagram and class diagram to document.
  • Involved in creating use case diagrams for the purpose of the team to understand the workflow of the system.
  • Involved in the User Acceptance Testing to make sure the defects raised by the business users were resolved up to the Management Expectation by the developer group. Prepared documentation using MS Word.
  • Created reports in MS Word for account processing of each client group.
  • Worked with the quality assurance group throughout the company identifying the major changes with the greatest opportunity for cost reduction. Involved in generating Test Plans, Test Scripts and Test Cases manually in MS Excel.

Tools and Technologies:

Agile Methodology, Six Sigma, MS Windows 7/98/XP,SAE, Clinical Data Management Systems, Rational Requisite Pro, Microsoft Visio, SAS, MS word, MS Excel, MS outlook, Erwin, MS Access, EDI, Crystal Report.

Confidential

Associate Business Analyst

Responsibilities:

  • Involved in writing the Business Requirements for different functionalities of the web based application, including creation of an account online.
  • Diligent in writing the Data Dictionary for different processes and their file layouts
  • Mentored the effort to develop artifacts with an emphasis on the Rational Suite including: Vision, User requirements specifications, Functional specification quality assurance plan, product Acceptance plan, and test plan, test case.
  • Wrote high-level use case and generated UML use case diagrams using Rational Rose.
  • Designed prototypes for development and maintenance processes to explore the feasibility of ideas.
  • Participated in JAD workshops, refined prototypes and use cases.
  • Wrote requirements management plan document using Rational Requisite Pro.
  • Extensively used RUP methodology in all phases of the project.

Tools and Technologies:

SDLC, RUP, Rational Rose, Microsoft Visio, SAS, MS SQL, .NET, JAVA, Erwin, Microsoft Project.

Hire Now