PROFESSIONAL ABRIDGEMENT:

• 8 plus years of diversified experience in Healthcare,Insurance and Banking industry.
• Expertise in Project Planning, Project Design, creating functional specifications and data flow diagrams.
• Expertise in translating user requirements into technical specifications and mapping the process design, work flows for SDLC with documenting and managing business requirements.
• Interacted with Digital pathology which serves with the purpose of providing a facility for digital transformation of pathology and laboratory medicine.
• Interacted with SOAP for exchanging structured information in the implementation of Web Services in computer networks.
• Strong understanding of Service Oriented Architecture while following Agile Scrum methodology.
• Involved in testing HIPAA Transactions Code Sets Standards like 820- Premium Payment for enrolled health plan members, 834- Enrollment /Dis-enrollment to a health plan, 835, 837 ...etc.
• Analyzed and worked with HIPAA specific EDI transactions for claims, member enrollment, billing transactions. Worked specifically with 837, 835, 834, 270/271, 276/277
• Good Experience in testing EDI Health Care Claim Transaction set 837, Both I P
• Strong knowledge of digital pathology market which is driven by the factors such as reduction in laboratory expenses, improvement in operational efficiency, treatment decisions and patient care.
• Possess excellent organizational, interpersonal, communication and documentation skills with good process management skills along with a remarkable ability to gather requirements to bring out quality product.
• Possess strong analytical and problem solving skills with the ability to adapt to a new environment and meet stringent deadlines.
• Interacted with Extensible Markup Language XML , Hypertext Transfer Protocol HTTP and Simple Mail Transfer Protocol SMTP .
• Ability to successfully manage multiple deadlines and multiple projects effectively through a combination of business and technical skills.
• Facilitated JAD sessions with the management, vendors, users and other stakeholders for open and pending issues to develop specifications.
• Professional expertise in MS Office, MS Access, MS SharePoint and MS Project.
• Analyzed Enhancement requests and Modification requests.
• Maintained the Requirements Traceability Matrix RTM .
• Highly motivated worthy team player capable enough to work and lead within a team environment besides being capable to work independently.
• Experienced in Rational Unified Process RUP software development process using Rational Clear Case and Rational Rose.
• Experienced as a Business Analyst in a role of responsibility encompassing Requirement Gathering, Decomposition and Analysis besides Quality Assurance.
• Strong knowledge of global digital pathology market which is segmented in to two categories based on products and application.
• Ability to identify and document critical requirements through analysis.
• Conducted User Acceptance Testing UAT
• Strong business analysis skills and thorough understanding of software development life cycle.
• Strong ability to understand and document critical data through effective data collection, data analysis and data interpretation.

Technical skills:

Professional Experience:

Confidential

BUSINESS ANALYST

• Gathered requirements from key stakeholders, customers, and subject matter experts to define the scope and requirements of Wealth Management portals middle office needs.
• Wrote functional and non-functional specifications for this application.
• Gap analysis and structured walkthrough of workflow within different departments to identify and fill the gap after the merger.
• Interact with business analyst, system staff and developers
• Involved in documentation as to how to maintain and run scripts for future enhancements.
• Created Use cases, and developed detailed Use Case Diagrams and Sequence diagrams describing how actions are to be carried out using MS Visio.
• Involved in JAD sessions to gather requirements, and to analyze the requirements. Successfully conducted JAD sessions, which helped synchronize the different stakeholders on their objectives and helped the developers to have a clear-cut picture of the project
• Managed business requirements documentation to include operational overview, milestones/status and measurements of success - additionally managed enhancements to project timelines as necessary.
• Preparing the test data scenarios and most of work using MS Excel using advanced features.
• Conducted UAT Testing for clients, executed test cases and documented the actual results.
• Write/Execute SQL queries in HPQC for customizing the reports and dashboards as need of the project.

Confidential

Business Analyst

• Involved in requirement gathering phase Provider, Claim components and HIPAA
• Utilized Rational Unified Process RUP to configure and develop process, standards and procedures.
• Met with report users and stakeholders to understand the problem domain, gathered customer requirements through surveys, interviews group and one-on-one along with JAD sessions.
• Involved in understanding the current business process, defining scope of the project along with position statement.
• Wrote BRD, FRD, use cases, test scenarios, test cases for testing the functional requirement.
• Implemented automated COB processing of Medicare claims into Facets
• Validated business rules and all artifacts with users, got approval and sign off.
• Followed Unified Modeling Language UML methodology using ReqisitePro and Rational Rose to create/maintain: Use Cases, Activity Diagrams, Sequence Diagrams, and Collaboration Diagrams.
• Tested and delivered Inbound/Outbound Facets interfaces.
• Experience with Trizetto Facets System implementation, Claims and Benefits configuration set-up testing, Inbound/Outbound Interfaces and Extensions, Load and extraction programs involving HIPPA 837 and proprietary format files and Reports development.
• Assisted Design Team in preparing SRS, Software Design Document SDD , User Interface Design, and Application Architecture Database Modeling.
• Helped in project testing efforts for doing integration tests, regression tests and user acceptance tests.
• Worked on Data mapping, logical data modeling used SQL queries to filter data within the Oracle database tables.
• Made sure that the systems complied with the rules of HIPAA and CFR Part 11.
• Documented the dimensional models of ETL system.
• Led the testing efforts of the datamarts in development, coordinated moving/setting up of processes in Dev/QA/production. Worked with QA team and UAT team to go over the various test scenarios for different types of loads in the datamarts.
• Used SQL to test various reports and ETL load jobs in development, QA and production environment

Confidential

Business System Analyst

• Performed Stakeholder Analysis to identify the key players for project success.
• Participated in Stakeholder Management to communicate effectively with the right stakeholders.
• Identified and involved all key stakeholders, contributors, business, operations and technical resources that must participate in a project and ensure that contributors are motivated to complete assigned tasks within the parameters of the project plan.
• Facilitated JAD sessions for communicating and managing expectations with US Bank whose customers were going to be the final users of the product.
• Scheduled meeting with developers, SA's System's Analyst and testers to collaborate resource allocation and project completion using MS Project.
• Created Use Cases using UML and managed the entire functional requirements life cycle using Requisite Pro.
• Created Process Work flows, Functional Specifications, and responsible for preparing Software Requirement Specifications SRS , Functional Specification Document FSD and final Design Document.
• Created/ managed project templates, Use Case project templates, requirement types and trace-ability relationships in Requisite Pro.
• Proactively managed Software development, Requirements Analysis Design creation using Rational Rose and Requisite Pro.
• Responsible for creating business flow diagrams using MS-Visio and charts for E-commerce.
• Provided implementation assessment for Rational Requisite Pro, Rational Rose, UML.
• Participated in QA Team meetings for weekly QA testing reviews.
• Used Quality Center to create and maintain Test Requirements, bug tracking and reporting.
• Developed and executed Test Scripts for Smoke Test prior to build deployment.
• Used Test Director for Maintained Test Matrix and Traceability Matrix.
• Created product documentation, including online help, printed user manual, and training materials.

Confidential

Business Analyst

• Involved in business analysis and project management, coordinating between the team members, addressing budget issues and creating test plans according to the business requirements.
• Worked with the project manager for planning and organizing the project activities, and in communicating with other business center mangers and stakeholders of the project.
• Met with various groups, including business owners, SMEs subject matter experts and marketing team, for requirements gathering in definition Stage.
• Gathered requirements, developed Process Model and detailed Business Policies.
• Worked with the project manager to estimate best/worse-case scenarios, track progress with weekly estimates of remaining work to do, conducting informal meetings ad hoc and as needed.
• Followed the RUP methodology for the entire SDLC.
• Involved in writing and implementation of the test plan, and various test cases.
• Initiated, proposed and implemented critical analytical and technical turnkey solutions extensively increasing the quantitative and qualitative value of the application
• Involved in project planning, coordination and implemented QA methodology.
• Provided overall project management to multiple projects successfully completing them on-schedule and on-budget.
• Prepared the Business Workflow using MS-Visio with input, output, Pre and Post conditions
• Enhanced test cases and scripts by adding the required functionality as per the new business requirements.
• Defect Tracking and Bug Reporting was performed using Test Director.
• Worked with the clients on the final signing process in the User Acceptance stage.