SUMMARY

• Over 8+ years of experience working as a Business Analyst in the Banking, Insurance and Healthcare Industry.
• Strong knowledge of SDLC methodologies like RUP (Rational Unified Process), RAD (Rapid Application Development), Waterfall, Scrum and Agile.
• Extensively worked on Agile (Scrum) methodology for different LoB's in P&C Insurance as well as Healthcare sector; defined epics, user story cards, and user stories elaboration addressing UI, UI Validations and Business Rules, UI Mock - ups, Integration, and Acceptance Criteria in-line with prescribed requirements documentation practices.
• Strong knowledge of IIBABABOK, and SDLC including analysis, design and review of business and systems requirement specifications, testing methodologies and techniques.
• Organize many Joint Application Developments (JAD) sessions and Joint Requirement Planning(JRP)sessions, walkthrough, Interviews, Workshops and Rapid Application Development (RAD) sessions with end- user/clients/stake holders and the IT group.
• Adept at creating and transforming business requirements into detailed functional requirements
• Designing business models using UML diagrams - Use Case, Sequence, Activity diagrams in MS Visio and Rational Rose.
• Experience in performing GAP analysis, SWOT analysis, and Cost Benefit analysis.
• Extensive experience in gathering and documenting System Requirements for functionalities.
• Proficient in preparing Functional Specifications (FS), Workflow, Process Re-engineering, Business Rules, Use Cases, Software Requirement Specification (SRS) and Requirement Traceability Matrix (RTM).
• Strong experience in the creation of Test Plan, Test Cases, Test Scripts and Test Procedures based on the Design Document and User Requirement Document for the Black Box, Functional, Usability and User Acceptance Testing (UAT).
• Expert in writing complex queries using PL/SQL for AdHoc Report Generation and Research analysis and participated in Data Analysis &Data Mapping projects.
• Strong experience on various P&C insurance modules including Claim Management, Bill Management, Policy Management, Payments, Claim Offline Tool and Medicare Claim Reporting Tool.
• Excellent knowledge of Health Insurance Portability & Accountability Act(HIPAA) standards, Electronic Data Interchange (EDI)transaction sets (837, 835, 270, 271, 276, 277, 820 and 834), ICD-9 to ICD-10 coding, Health Insurance Exchange (HIX), Electronic Medical Record (EMR), Electronic Health Record (EHR) and Confidential t Protection and Affordable Care Act (PPACA).
• Extensive knowledge on the various health insurance programs such as: Medicaid, Medicare (Part A, B, C and D), PPO (Preferred provider organization), HMO (Health maintenance organization), and POS (Point of Service).
• Experience in working with Project Managers, Project Sponsors and Service Managers to support project administration through activities like effort estimation, resource management, issue/risk analysis, milestone tracking and associated documentation.
• Knowledge on how to investigate business problems and requirements and how to identify and recommend appropriate creative solutions
• Excellent Team Building, Project Management, interpersonal and communication skills.

TECHNICAL SKILLS

Languages: SQL, HTML, XML, C, C++, Java and Visual Basic Script

Operating Systems: Windows XP/95/98/NT/2000, UNIX

Databases: Oracle 8i/9i and MS Access.

Testing Tools: Quality Centre, QTP, QA Wizard Pro, Test Tracker.

Business Tools: SQL developer, MS Visio, MS SharePoint, MS Project, MS Access, MS Office Suite.

Business Skills: Business Definition Requirements, Business Process Analysis, Gap Analysis, Use Case Modeling & Analysis, Data Analysis

PROFESSIONAL EXPERIENCE

Sr Business Analyst

Confidential, Cumberland, RI

Responsibilities:

• Involved in all stages of SDLC (Software Development Life Cycle) through broad knowledge of Businessrequirements analysis, use case modeling, and use case specification.
• Prepared BRD (BusinessRequirement Document), FRD (Functional Requirement Document), SRS (Software Requirement Specification), Use Cases, and User Manuals.
• Performed JAD (Joint Application Development) sessions among end-users, SMEs and development team for project meetings and walkthroughs.
• Utilized RUP (Rational Unified Process) methodology and performed data modeling and mapping design with help of UML and Rational tools during all phases of RUP: Inception, Elaboration, Construction and Transition.
• Experienced in using agile software development methodology to make sure iterative workflow and incremental delivery of working software in time boxed iterations.
• Outstanding knowledge of HIPAA standards, EDI (Electronic Data Interchange), Implementation and Knowledge of HIPAA code sets and ICD-9, ICD-10 code sets.
• Medical Claims experience in Process Documentation, Analysis and Implementation in EDI transactions 835/837/867/270/271/ (X12 Standards) processes of Medical Claims Industry from the Provider/Payer side.
• Used BusinessProcess Modeling (BPM) industry standard tools to create Use Cases diagram, Block diagrams, Activity diagram, Data flow diagrams and Sequence diagrams.
• Skilled in performing Change Management, Impact Analysis, Feasibility Analysis and Risk Analysis.
• Talented to efficiently relate, converse and liaise with multi-functional teams, together with business owners, stakeholders, architects, managers, developers and testers at every stage.
• Created Test Plans and Test Cases. Familiar with the use of HP ALM.
• Worked closely with Project Managers, Developers and QA team to translate functional designs into technical design documents.
• Extensively used SQL for Data Analysis.
• Proficient in analytical trouble shooting, decision making, and interpersonal skill with aptitude to interact with individuals at all levels.

Environment: Waterfall-Scrum, Windows, SQL Server, Cognos, MS Visio, Rally and MS Office Suite, HTML5, JAVA Restful, Pencil, Informatica and MS Project.

Business Analyst

Confidential, Dallas, TX

Responsibilities:

• Chaired Requirement Gathering Sessions (RGS), Joint Application Development (JAD) sessions and Joint Application Requirement (JAR) sessions.
• Gatheredbusiness and system requirements for developing application on handling BOFA's debit card reconciliation.
• Conducted Gap Analysis and created an AS-IS workflow to better understand the mechanics of the existing system.
• Generated reports as per Adhoc request from the client through Data extraction, Data mapping, Transformation, and loading through by using Informatica Tool.
• Worked closely with Client Services/Finance/Fraud & Risk team to gather requirements for designing the Data Warehouse model
• Created and deployed SSIS packages using various transformations such as Slowly Changing Dimension, Multicast, Merge Join, Lookup, Fuzzy Lookup, Conditional Split, Aggregate, Derived Column, and Data Conversion Transformations.
• Fine-tuned SQL Queries for maximum efficiency and performance.
• Designed and implemented data warehouse architecture for corporate circulation data warehouse. Subsequent data marts, extracts and reports were sourced from the architecture of conformed facts and dimensions
• Created Drill-down and Sub-Report using SSRS. Monitored the performance of the reports.
• Generated Dashboards with Quick filters, Parameters and sets to handle views more efficiently.
• Generated context filters and data source filters while handling huge volume of data.
• Built dashboards for measures with forecast, trend line and reference lines.
• Published Workbooks by creating user filters so that only appropriate teams can view it.
• Delivered Data flow diagrams, Database normalization theory techniques.
• Coordinated with QA team for Test Planning and Design & creation of traceability matrix for ensuring the consistency of test cases with the business requirements.
• Worked with Solution Architect team for establishing batch framework and scheduling.
• Delivered High-Level and Low-Level Requirements Documents, Functional specification Documents and Test Plans.
• Maintained version control for documents through SharePoint.
• Prepared GAP Analysis Document to display current and futurebusiness process with MS Visio.
• Handled SDLC lifecycle of the project in building applications i.e. Plan Driven and Change Driven Methodology including Sprint releases.
• Developed BRD's for enhancement requests from internal stakeholders.

Environment: Agile, SharePoint, MS Visio, Azure, Informatica, MS Project, Rational CQ.

Business Analyst

State Farm Insurance Company, Bloomington, IL

Responsibilities: -

• Coordinated multiple development and support projects for P&C applications.
• Involved in continuous process improvement and for identifying and maintaining a clear and measurable Development Process that is deployable throughout the enterprise.
• Acted as a liaison between Business users and project team (SME’s, developers, testers, data team, Architects) to define business requirements and analyze the functional requirements for Personal Lines P&C Insurance.
• Extensively worked on Agile Scrum methodology for defining epics, creating user stories, defining UI Validations and Business Rules for the P&C web application working through several Sprints.
• Worked on Waterfall SDLC Methodology in several other projects; prepared various requirements engineering artifacts and continuously worked towards improving requirements engineering documentations and deployment of best practices for Business Analysis practices and processes covering Requirement Elicitation, Requirement Documentation and Requirement Management using Team Foundation Server (TFS).
• Assisted Project Manager in developing project plans and also managed changes to the scope of the project relating to the various P&C lines of business.
• Facilitated JAD sessions with management, users and other stakeholders to define the project scope and requirements in the form of Business Requirement Documents (BRDs).
• Derived Functional Requirement Specifications (FRSs) based on User Requirement Specifications (URSs). Understand and articulate business requirements from user interviews and then convert requirements into technical specifications.
• Managed day-to-day project activities and coordinate tasks with other teams through the Scrum meetings.
• Analyzed high-level business requirements to create Use Cases and Use case diagrams using Rational Rose according to UML methodology.
• Used Rational Requisite PRO and DOORS in various P&C projects for requirements management and traceability among requirements, uses cases, business rules and test cases.
• Identified several integration points and created process flow models and attribute and dependency mappings between customer facing web portal Statefarm.com and Claims and Policy Systems.
• Created Screen mock-ups to elicit new requirements and align them around project scope using HTML and MS Visio.
• Data mapping, logical data modeling, used SQL queries to filter data within the IBM DB2 database tables.
• Developed and validated Test scenarios/scripts and Defect Tracking with Quality Center and TRAC.
• Provided support for User Acceptance Testing with UAT plans and resolving any issues with the users, performed UAT and developed different testing strategies for Black Box and Load testing.
• Responsible for managing the System Requirements and Requirements Traceability Matrix using Rational Requisite Pro.
• Reported progress against Development/Action Plan routinely to the Program Manager and leadership with recommendations for corrective actions, where necessary.

Environment: MS Office, Quality Center, MS Project, MS Visio, IBM DB2, Toad, Rational Requisite Pro, Rational Rose, Windows XP, Rational ClearCase, Rational ClearQuest, Rational DOORS, IBM Optim Query, WinSQL. TRAC, Salesforce (SAAS), JIRA, Team Foundation Server (TFS)

Client: Cardinal Health, OH

Role: Business Systems Analyst

Responsibilities:

• Facilitated meetings and arranged JAD sessions with business users for requirements gathering within the Waterfall Methodology
• Primarily involved in gathering requirements for the GUI (Graphical User Interface) screens and designing the same
• Analyzed and created workflow diagrams and presented to developers
• Created use cases and designed use case diagram, class diagrams and sequence diagrams
• Responsible for preparing Software Requirements Specification (SRS) taking functional requirement specification as a base
• Responsible for the Timeline estimation
• Analyzed and documented non-functional requirements
• Worked on credit card issuing and working knowledge on transactions through payment gateway.
• Interacted with various cross-functional teams on building business scenarios, and understanding expenses and revenue stream
• Prepared detailed reports of the defects and Comparison Chart
• Interaction with the developers to report and correct defects

Environment: Waterfall, MS-Office, BABOK, Microsoft FrontPage, MS Excel, MS Access, MS Word

Client:Shepherd Systems, Bradenton FL

Role: Business Systems Analyst

Responsibilities:

• Responsible for interacting with the Stakeholders and Subject Matter Experts (SME) to gather, understand and analyze business requirements. Used Rational Requisite Pro
• Conducted requirements gathering sessions, interviews and Joint Application Development (JAD) sessions
• Studied business process of client's functional areas
• Made data flow maps on MS Visio for a high-level view of system interaction
• Responsible for maintaining and enhancing communication with TSYS and IBM teams to ensure that all the stakeholder requirements are addressed
• Studied the business and technical needs and modelled the "as-is" and "to-be" scenario for the Bad Rate. Conducted Gap analysis and Impact analysis of the "to-be" model
• Created the Business Requirements Document (BRD) from the requirements gathered
• Liaison between the Business community and the technical people, translating the business requirements into technical specifications
• Pre-site functional testing of the product, Providing demo and training to the end users on HIS
• Configured HIS according to client business need
• Coordinated with development and testing team by assisting understand domain, functional requirements and business expectations
• Provided onsite and offsite support on operational and functional issues for health care applications
• Implemented and configured various modules Registration, IP-Billing, Admissions
• Environment: Waterfall, Windows, Oracle, Teradata, QC, SQL, Microsoft Office suite, HTML, XML.