SUMMARY

• Over 7 years of experience as a Business Analyst of software projects involving various Business, Workflow, Web and Client-Server applications.
• Expertise in Business Analysis, Requirement Gathering, Business Modeling and developing Use Cases with Unified Modeling language during the entire Software Development Life Cycle SDLC
• Expertise in Agile methodology Scrum - creating user stories, facilitating planning meetings, sprint retrospective, backlog grooming, sprint reviews and maintaining the product backlog
• About 6 years of experience in Generating Test scripts for UAT
• Worked on HIPAA compliance and experience in designing the healthcare transactions to be HIPAA 5010 compliant
• Extensive experience on HealthCare Industry including supporting efforts including response to RFP, Requirements Analysis Documentation, General System Design and Detailed System Design Documentation, conducting JAD and JAR sessions of project life cycle
• Extensive knowledge of Object Oriented Analysis and Design OOAD using Unified Modeling Language UML , Rational Unified Process RUP , Waterfall model, Rational Rose, Requisite Pro, Rational Clear Case and MS Visio.
• Experience in industries like Healthcare, Insurance and Pharmacy.
• Analyzed Project Scope, Feasibility Study, GAP analysis, Risk analysis and managed Project Plan Document and Status Reports with Ms-Project.
• Facilitated JAD sessions, meetings, conference calls, report reviews, questionnaires, storyboard presentation and workshops with Business Users and Subject Matter Experts SME for business and technical Requirements Gathering. Analyzed new Business Models and existing legacy systems.
• Thorough Knowledge of implementing RUP in all the phases Inception, Elaboration, Construction and Transition of a project.
• Translated business requirements into Detailed Functional and non-functional Specifications.
• Highly capable in Risk Management Planning including Risk Identification, Assessment, Risk Analysis, Reporting and Risk response / monitor / control.
• Extensive experience in performing manual and automated testing creating test plans, test cases and test metrics performing test validation and defect reporting.
• Worked as a Testing Coordinator for test efforts of stand-alone projects that developed Property Casualty insurance application products.
• Good knowledge of RDBMS and SQL with experience in Data analysis, Queries and Reporting.
• Specialized experience in healthcare insurance domain including Medicare and Medicaid. Profound understanding of insurance policies like HMO and PPO and proven experience with HIPPA X12 EDI transaction codes such as 270/271 inquire/response health care benefits , 276/277 Claim status , 834 Benefit enrollment , 835 Payment/remittance advice , 837 Health care claim .
• Strong analytical, excellent interpersonal and communication skills, quick-learner, detail-oriented, committed, technically competent and result-oriented with ability to meet deadlines. Ability to work independently and with a team in a dynamic work environment for the enhancement of the product.
• Comprehensive knowledge of property and casualty coverage's
• Proficient in identifying, documenting and analyzing business requirements specifications BRS , System Design Specifications SDS and Software Requirement Specification SRS .
• Strong business acumen, strategic thinking, communication, interpersonal and presentation skills adept at creating, editing, and coordinating extensive communication networks facilitation of joint application development JAD sessions and interviews, written correspondence, reports, implementation requirements, project status reports, oral presentations, e-mails, etc. to keep executive staff and team members abreast of goals, project status, and resolving issues and conflicts.
• Outstanding organizational skills including ability to multi-task prioritize and manage increasingly complex issues.
• Adapts new systems and environments quickly. Good work ethics, take ownership of all duties, responsibilities in meeting management skills. Group and individual based problem solving and decision making skill.

AREAS OF EXPERTISE

• Operating Systems: Win 98/XP/Vista/Windows 7, UNIX, LINUX, Mac.
• Languages: C, C , Java, SQL, HTML, XML, C , VB, ASP, .Net
• Databases: Oracle, MS SQL server, MS Access, IBM DB2
• Tools: MS Office: Word, Excel, Access, Power point, Project, Visio, Front Office, Rational Rose, SoDA, Software Modeler, Team Test, Doors, PROLOG, Clearcase, Clearquest, WinRunner, LoadRunner, WebSphere, Business Modeler, HP Quality Centre, Ultra Edit, TOAD and Test Director, MMIS.
• Industry Standards: HIPAA, SOX, ISO, Six Sigma, CMM.9RPM

PROFESSIONAL PROFILE

Confidential

Business System Analyst

Responsibilities:

• Participated in project review meetings and gathering Business Requirement Documents BRD .
• Conducted user interviews, gathered requirements, analyzed the requirements using Rational Rose requisite pro RUP
• Designed and developed Use Cases, Activity Diagrams, Sequence Diagrams, OOD Object oriented Design
• Experience with ERDs to analyze the nature of all significant interactions.
• Participated in JAD and JRP sessions and interacted with technical leaders from various departments Clinical trial, Drug Discovery and Pharmaceutical Development
• Designed the business requirement collection approach based on the project scope and SDLC methodology
• Conducted workflow, process diagram and GAP analysis to derive requirements for existing systems enhancements
• Assisted with user testing of systems, developing and maintaining quality procedures, and ensuring that appropriate documentation is in place
• Created and Maintained Clinical Supporting documents technical, business, project level and sops to meet SDLC standards
• Conducted User Acceptance Testing UAT
• Excellent working knowledge of regulatory requirements
• Maintained the Requirement Traceability Matrix RTM
• Defined various scenarios for testing the application and wrote test cases based on these scenarios as well as ad-hoc test cases based on interactions with users
• Developed and wrote test cases for the testing efforts in compliance with Aventis' Design Control Policy, which were written to comply with the rules and regulations of FDA
• Updated and wrote several SOPs for day-to-day functioning of the system as well as emergency operation system recovery, back-up, etc
• Implemented FDA guidelines to avoid non-compliance, delays in production and increased costs.
• Created a detail Requirements, Test plan and procedures for application testing using Rational Test Manager.
• Made sure that the current testing practices meet legal compliancy standards of FDA
• Performed data integrity testing by executing SQL statements.
• Involved in generating Test cases for property and casualty Insurances for Different Levels of Business.
• Create test plans, testing quality assurance of commercial lines property and casualty forms policy processing including premium billing
• Interacted with business analysts to understand the requirements and impact on Stars datamart across multiple releases
• Created high level and low level detailed technical design documents from BRDs
• Conducted and facilitated technical requirements meeting with the developers.
• Environment : Windows 2003, MS Visio, Rational Requisite Pro, Rational Clear Case , Rational Clear Quest ,MS Office Suite, MS Project , Share Point, Win Runner

Confidential

Business Analyst

Responsibilities:

• Analyzed schema, worked with re-engineering design team to update database model. Established and maintained comprehensive data model documentation including detailed descriptions of business entities, attributes, and data relationships.
• Managed JAD sessions with SMEs, Business departments, and IT Analysts Project Managers for planning and Requirements Gathering.
• Used JAD sessions, and one-on-one meetings to identify business and System Requirements, and documented using Use Case Modeling, Process Flow diagrams and documentation.
• Mentored several of the team members on best practices of HIPAA documentation requirements when Process Flow diagrams and Uses Cases
• Monitored the project processes, making periodic changes, authoring progress and completing reports which were then submitted to the Project Management Office PMO on a weekly basis
• Identified opportunities for business process improvement and initiated efforts to make improvements
• Partnered with the business in analysis of process and information needs to clearly identify and document project requirements for technology solutions.
• Created BRD and FSD documents for Hybrid Sales Platform system with supporting use case diagrams and traceability matrix
• Assessed the status of the organization to determine the scope of the application for Gap Analysis
• Interacted with the customers and internal stakeholders to gather user requirements and their expectations from the system for the TO-BE model
• Generated use case diagrams, activity and sequence diagrams to demonstrate the critical processes using UML
• Helped manage, control, and secure information resources using a highly scalable infrastructure with powerful administration services using Share Point
• Provided the flow diagrams for various modules of the project using MS Visio
• Extensively worked Business process modeling to streamline the existing processes, channels through which customers contact UHC like phone, web, email, thru doctors, pharmacies, etc
• Extensively worked on High Level Logical Data Models and BRDs Business Requirement Documents supporting documents containing the essential business elements, detailed definitions, and descriptions of the relationships between the actors to analyze and document business data requirements
• Scheduled meetings with developers, system analysts and testers to collaborate resource allocation and project completion using MS Project
• Used Share point to stay connected and be more productive by providing access to the team
• Assisted the technical team in understanding and developing the appropriate functionality of system
• Identify business issues and define the required solution to ensure delivery.
• Assisted to develop the test plan, test cases and test scenarios to be used in testing based on business requirements, technical specifications and/or product knowledge
• Played a key role in the planning, testing, and implementing system enhancements and conversions
• Assisted business in developing use cases for UAT.
• Extracted requirements for data mapping from legacy claims system to new claims system.

Environment: Scrum, UML, HP Quality centre, WinRunner, Rational Clear Quest, Windows, MS Office, XML, TOAD, Ultra Edit, Rational Rose, Rally, TFS, JIRA.

Confidential

Business Analyst

Responsibilities:

• Extensively gathered requirements from all users, experts, and key personnel to understand the functional requirements.
• Responsible for documenting the business rules- both the UI and for the database level.
• Performed in-depth Gap Analysis with different business groups to ensure that the system initiatives are met.
• Developing and implementing SharePoint Plan for organization wide collaborative document sharing.
• SharePoint Administration: user setup, security permission, site configuration SharePoint Training: Trained all staff on tool features and business agreed upon usage.
• Documenting: Change Release Process, Document Control Plan, Project Charter Template Process Definition Template , SharePoint User and Admin Guide and Document Template Deliverables Log
• Responsible for documenting the end-user's AS-IS workflow and TO-BE business processes.
• Responsible for creating user stories, maintaining the sprint backlog and the product backlog.
• Responsible for creating UI mock ups using Balsamiq.
• Responsible for facilitating sprint reviews to make sure that all the requirements were met within a sprint.
• Responsible for creating and reviewing business requirements, functional specifications, project schedules, documentation and test plans.
• Performed Data Analysis and Data validation by writing complex SQL queries using TOAD against the ORACLE database.
• Prepared Logical Data Models that contains set of diagrams and supporting documents containing the essential business elements, detailed definitions, and descriptions of the relationships between the data elements to analyze and document business data requirements.
• Created and executed SQL queries using Rapid SQL and MS Access and scripts to validate data movement and generate expected results for UAT.
• Closely interacted with designers and software developers to understand application functionality, navigational flow and updated them about end-user sentiments
• Created, assigned, and maintained tickets in JIRA for bugs and defects.
• Led both internal peer review and external reviews of use case specifications and in the process clarifying the finer details of the requirements.
• Involved in developing test plans, test conditions and test cases to be used in testing based on business requirements using Quality center.
• Created and maintained the Requirement Traceability Matrix between the requirements and other products such as design documents and test plans.
• Familiar with User acceptance testing UAT , System testing, Integration testing. Validated and helped verify defects to weed out cosmetic problems and keep the project on schedule.

Environment: OO Modeling, Web Sphere, Rational RequisitePro, Rational Rose, DOORS, Rational SoDA, RUP, UML, Load Runner, MS-Project, MS Visio, Java, MS Office, Windows XP, JIRA.

Confidential

Business System Analyst

Responsibilities:

• Conducted one-on-one meetings with the project SME's to gather the requirements. Facilitated sessions with users and documented their changes in requests
• Facilitated business requirements gathering sessions with the business, and overlooked the creation of Use Cases/Activity Diagrams, Functional Specifications using Visio.
• Created Use-Cases and Business requirement document after accessing the status and scope of the project and understanding the business processes.
• Performed feasibility study and risk analysis to identify the critical requirements from the user's perspective.
• Performed Requirement Traceability Matrix to map the requirements with the test cases and performed gap analysis.
• Understood and articulated business requirements from user interviews and then converted requirements into system requirements.
• Designed and developed business flow diagrams, activity diagrams, sequence diagrams, Object Oriented models using MS Visio.
• Conducted JAD sessions with end user community ensuring that the software addressed all business needs.
• Clarified client requirements, business needs and project objectives, via feedback sessions and client meetings, in collaboration with all stakeholders.
• Critically evaluated the information gathered from multiple sources, reconciled conflicts, decomposed high-level information into details along with the ability to use the detail to gain an understanding of the end-to-end solution.
• Involved in Feasibility, GAP and Risk Analysis to identify the business critical and high-risk areas of the application.
• Fostered software initiatives through the full product lifecycle: from the initial concept through design, development, QA, release and support.
• Facilitated in the design process to plan intuitive workflows, created detailed GUI wireframes and mockups and designed process models, specifications, diagrams, and charts to provide direction to developers.
• Helped in designing and implementing deployment process, and thus maintaining the application in post deployment process
• Supported UAT/business testing shadow testing activities using TFS as the tool to track Agile progress
• Worked on TFS Team Foundation Server for managing bugs and SharePoint for document storage.
• Worked on a team environment to finalize use cases to develop functional and detail design specifications of the application.
• Developed the test lab environment and assisted in conducting research on software and hardware products to improvise the testing scope.
• Collaborated with the QA team in reviewing and validating test plans and test cases, ensuring that the final application catered to the user requirements.
• Performed requirement walkthroughs with the development and QA teams with the aim to develop testing strategies and test plans such that test cases reflect user needs.
• Worked extensively with MS office suite for preparing status reports. Provided project manager with regular status updates assisting the overall project management initiative.

Environment: Scrum, UML, HP Quality centre, WinRunner, Rational Clear Quest, Windows, MS Office, XML, TOAD, Ultra Edit, Rational Rose, Rally, TFS, JIRA.

Confidential

Business Analyst

Responsibilities:

• Assisted PM in setting realistic project expectations and assessing impact on the plans and organization using MS Project
• Used HIPAA 4010 transactions to support the analysis of current business processes and work with management to improve and implement enterprise solutions to ensure compliance and got involved in designing future state processes for HIPAA 5010 transaction processing EDI's 837,835, 270, and 271.
• Analyzed HIPAA 5010 related to 837,835, 270, and 271. Transactions and performed gap analysis between the 4010 and 5010.
• Extracted the business requirements from the stakeholders keeping in mind their need for the application and documented them using Rational ReqPro.
• Implemented the entire Rational Unified Process RUP methodology of application development with its various workflows, artifacts and activities.
• Analyzed business requirements, performed gap analysis and segregated them into high level and low level Use Cases and Activity Diagrams / State Chart Diagrams using Rational Rose, thus defining the Data Process Models.
• Conducted the FRS and URS reviews and walkthroughs with designers, developers and stakeholders. Also conducted feasibility and adaptability study.
• Developed the business anomalies workarounds and described them in documentation and presented the matter to the upper management for review.
• Developed non-functional requirements and documented them as Business Rules, Quality attributes and constraint documents.
• Interacted with database developers for formulating the ER diagrams and data flow diagrams.
• Responsible for GAP analysis of ICD9-ICD10.
• Effective communication made possible between the developers and the end-clients to guarantee that development efforts were within the scope of the project and the development was as expected.
• Held regular JAD meetings with the system architects, developers, database developers, quality testers during the entire project to assure that the critical as well as the minute details of the project were discussed and issues were resolved beforehand.
• Facilitated smooth transition of the project from the project environment to the live environment.
• Worked with QA lead in validating Test Plan and Test Scenarios.
• Used HP Quality Center for tracking Defects and tracing requirement functionality performances.
• Executed test cases manually. Compared and analyzed actual with expected results and reported all deviations to the appropriate individual s for resolution.
• Assisted Business User during deployment in formulating User Acceptance Testing UAT for customized application and getting confirmation for product Release

Environment: RUP, UML, HP Quality centre, WinRunner, Rational Clear Quest, Windows, MS Office, XML, TOAD, Ultra Edit, Rational Rose, DOORS, Rational Requisite pro.

Confidential

Business Analyst

Responsibilities:

• Analyzing the existing policies and procedures and providing the inputs to Executive Management Team to fit into the compass project goals.
• Conducting JAD sessions with different Business Users to develop new policies and procedures for the Service Catalogue, Charge Capture and Service Worklist /Charge Router, Hospital billing, coding, special coding requirements for BCBS and Claim processing.
• Performing GAP analysis between Meditech and Soarian application for the Data Migration and Conversion.
• Identifying the impacts and training the users on new policies /procedures changes.
• Developed Use cases, Test Cases for the Business users and QA team.
• Identifying the Security Risks in the application that being built and address them in the requirement document to avoid the security breaches.
• Improved the new revenue cycle management and Electronic Medical Record EMR for PARTNERS.
• Developed an implementation guide for Partners for EDI X12 transactions such as 834, 835,837,270 and 271.
• Designed the flexible solution for patient treatment plan and patient care plan.
• Designed the tight user authentication and application security.
• Modified Existing policies and procedures for patient access such as Enterprise Scheduling, Patient Check-in/Out and Encounter automation.
• Supporting the Business Users after go live

Environment: Rational Unified Process RUP , UML, Dreamweaver, Rational Test Manager, DOORS, WinRunner, Rational Clear Quest, Windows, MS Office, Rational Rose, HTML, Windows.

Confidential

Business Analyst

Responsibilities:

• Prepared the Functional Specification Document FSD and Software Requirement Specifications SRS as per SEI CMM standards.
• Conducted the JAD Sessions with stakeholders and developers to have a clear picture of a project.
• Implemented RUP Rational Unified Process methodology for iterative and incremental development of the system.
• Worked on improvement of Claims Reimbursement User Interface for a better experience and incorporate changes as per HIPAA guidelines using the gap analysis.
• Wrote SQL scripts for creating performance evaluation reports.
• Developed test cases and test plans on the basis of requirements and also did manual testing of the functionality of the application to ensure that the application is able to handle a lot of data.
• Used UML to create use case diagrams, sequence diagrams and activity diagrams.
• Performed Backend testing by using PL/SQL queries to test the integrity of the application.
• Developed flowchart and process diagram using MS Visio.
• Conducted interviews with clients to analyze their data and gather requirements.
• Clarified QA team issues and reviewed test plans and test scripts developed by development team and QA team to make sure all requirements have been covered in scripts and tested properly.
• Was in regular contact with Business partners on the status of issues, action plans and timeframe for resolution throughout the development cycle.
• Identified bugs during the test phase and reported them using HP Quality Center.
• Maintained Traceability Matrix throughout the project.
• Used the Rational Unified Process RUP to build the different phases of Software Development Life Cycle SDLC .
• Identified all necessary Business and System Use Cases from requirements, created UML diagrams including Use Case Diagrams, Activity Diagrams, and Sequence Diagrams using Microsoft Visio.
• Understood the Business Logic, User Requirements and test-objectives to develop Test plans, Test cases, Use Case Scenarios.
• Assisted in developing test scenarios, test scripts and test data to support unit and system integration testing.

Environment: RUP, Rational Requisite Pro, DOORS, Rational Clear Quest, MS office, Visio, Project, Clear Quest, Clear Case, Windows XP.