PROFILE

6 years of experience as a Business Systems Analyst within the Healthcare domain in Business Analysis, Requirements Gathering, Business Process Modeling, System Analysis Design, and Quality Assurance Projects. Experience working in a fast paced environment and in cross-functional teams. Worked as a team player using SDLC methodology. Seeking to utilize and apply my communication and professional skills in the field of Business Analysis.

SUMMARY

• Extensive experience in creating Business Requirement Documents BRD , Use Cases, Systems Designs Document SDS , Functional Requirements Specification FRS , Project Plans, Requirements Traceability Matrix RTM throughout the Life Cycle of a project.
• Acted as a liaison between the business and development teams for requirements.
• Organize meetings with stakeholders to identify their needs and problems so as to be able to resolve issues and develop a better methodology to ensure an accurate and desired solution.
• Excellent skills in Business Analysis, Object Oriented Analysis OOA , Data Analysis, Data Mining, Data Mapping, Requirement Analysis, Business Modeling and Proficient in customizing workflows, activities and deliverables of existing business practices.
• Extensive experience in healthcare standards such as HIPAA 4010, 5010 and ICD 9-10.
• Introduced the project, the team members, their roles, and key deliverables. Established deadlines, milestones, communication processes, also performed question and answer sessions.
• Use Case development using modeling tools like Rational Rose/MS Visio.
• Managed project from its inception to its implementation phase.
• Worked on analyzing bugs, Interacted with the Quality assurance team in order to correct the errors.
• Initiated JAD sessions between the end users and the development team as a part of requirement elicitation process.
• Documented Functional and Non-Functional Requirements from Business Requirements
• Conducted risk analysis to identify the risk areas for the project and perform testing accordingly.
• Managed meeting sessions with the SMEs to review business requirements.
• Conducted GAP analysis so as to analyze the variance between the system capabilities and business requirements.
• Performed SWOT analysis, cost/benefit analysis.
• Familiar with the use of agile methodology, including Scrum approach.

SKILLS

PROFESSIONAL EXPERIENCE

Confidential

Sr. Business analyst

Hewlett Packard HP Health Services is the one of the best US Health service provider currently engaged with CIGNA global health services company to support the implementation of HIPAA 5010/ICD 10 system enhancements.

Responsibilities:

• Worked with client to gather requirements, Approval of CR Change request , Design and Implementations. One of the main tasks is to organize meetings between Client and developers.
• Worked as Lead BA for two types of claims: Professional and Institutional.
• Analyzed enhancements required to be made to ICD 10 /HIPAA Electronic Transaction Standards.
• Translated business requirements and information architecture requirements into functional specifications for the Collaboration, Communication, and Productivity.
• Business Requirements Validation for ICD 10.
• Attend/Coordinate the Requirements, Architecture and Program design walkthroughs.
• Developing test strategy and test plan documents, design and develop test cases and test scripts and test data for System, Regression and User Acceptance Testing.
• Holding review meetings with the business and developments teams for resolving issues and defects.
• Worked on the Test Case development and Defect Management using rational tools.
• Worked on Requirements Gathering Automated testing to tools for Healthcare Insurance EDI transactions: EDIFECS.
• Worked as a liaison between business stakeholders and IT development team to gather requirements, system analysis, reporting, process mapping, understand business process and problems, providing new solution and developing accurate BRD and FRD.
• Performed Gap Analysis, analyzed business processes and recommended solutions in regards to content management and workflow.

Confidential

Business Analyst

Blue Cross Blue Shield Insurance is one of the leading providers of health insurance services with multiple locations across the country.

Responsibilities:

• Performed extensive requirements analysis and requirement gathering including data analysis and GAP analysis.
• Organized and facilitated meetings with the management and the development team, conducting requirements gathering sessions.
• Acted as the primary liaison between the business stakeholders and technical teams.
• Prepared User Requirements Document URD and Functional Requirements Document FRD .
• Involved in mapping and validation of different EDI transaction used for claims filing like ANSI X12 837 I, P, D for claim submission, ASC X 12 270/271 for the eligibility/benefit inquiry and response, ASC X12 276/277 for the claims status enquiry and response and ASC X12 835 for the healthcare claim payments.
• Conducted walkthroughs and meetings with development team to discuss solution designs, requirements clarifications and defect resolutions.
• Conducted User Acceptance Testing UAT with assistance from the business users and SME's
• Waterfall SDLC methodology was followed throughout software development cycle.
• Coordination with onsite, offsite and offshore teams during the project implementation period for development and testing activities.
• Coordinated extensive JAD sessions with Design, Development, DBA's and SME's to tree down the business requirements into Functional requirements Technical .
• Performed GAP analysis and analyzed system effectiveness in meeting the requirement.
• Extensive Requirement illustration and documentation was performed and any changes were controlled by Change Control Board CCB .
• Developed Use Case Models, Activity Flow, Business process flow, Sequence and well documented for future reference.
• Implemented Claims adjudication module facets inline with EMR/EHR in compliance with HIPPA approved transactions such as claim filing 837 , Claim Remittance 835 , and Health plan Eligibility 270/271 .
• Assisted QA team in creating Test Plans, Test Scenario and Test cases.
• Conducted UAT testing with the Business end-users and Developed Training Manuel/Guide for performing claim remittance 835 , claim status 276/277 , and health Plan eligibility 270/271 transactions.
• Defect process management was performed with QA and Developers to resolve defects.

Confidential

Business Analyst

Morgan Stanley is a multinational corporation which offers financial services and operates in 42 countries, with its headquarters in Manhattan, New York City.

Responsibilities:

• Created Business Requirement Document BRD and Functional Requirement Document FRD .
• Created Use cases, Use case diagram, Activity diagram, and other flow charts to define the business process.
• Worked on the Global Knowledge Exchange Project, which involved the combining of international tax and profit information in one user application.
• Experience in facilitating of Joint Application Development JAD sessions with end user, expert team, business intelligence team, SME's, QA team, walk-through and signoff with Stakeholders as required.
• Extensively used tools like Microsoft Excel, Access, Share point, MS Visio and in-house Optimal Trace tool.
• Facilitated JAD Joint Application Development sessions to resolve issues relating to difference between business requirements and technical design.
• Extensively used Optimal Trace Home grown system to document BRDs FRDs.
• Created Use Cases to make developers understand the requirements in more easy way.
• Strong experience in RUP and Agile Business Modeling process complete UML artifacts related to Business Modeling and Requirements, including MS Visio and Rational Rose.
• Served as a liaison between the Subject Matter Experts SMEs and the project team to define frameworks for the development.
• Translated business requirements and functional specifications into Scenarios to make developers understand the requirements in a more easy way.
• Reviewed Technical Specification Documents TSD with development team, resolves issues and provide Sign Off.
• Reviewed QA test case outputs for all projects undertaken.

Confidential

Business Analyst

Interim HealthCare is the nation oldest proprietary national organization providing health care personnel at all skill levels in all settings. I worked on System Requirement Analysis and CRM chain of the company it also dealt with Data handling of company at server level computation.

Responsibilities:

• Identified system integration requirements, and coordinated the collection and verification of business needs.
• Collected and documented business processes as well as business rules.
• Participated in the identification, understanding, and documentation of business requirements, including the applications capable of supporting those requirements.
• Translated the business needs into system requirements, communicating with the business on a non-technical level, and with the System Analyst on a more technical level.
• Gained extensive experience with tools such as Lombardi and MS Visio.
• Performed gap analysis.
• Documented and delivered Functional Specification Document to the project team.
• Responsible for multiple roles such as requirements gathering and solution development across the full insurance life cycle from CRM marketing, sales, service to underwriting quoting, policy administration, commissions broker management, claims, financial reporting and analytics for Property and Casualty division.
• Helped the business units understand how data warehousing and data mining techniques can help them do their decision making in a more organized and easy manner.
• Helped the developer team understand the needs of the business environment using the programming terminology.
• Conducted User Acceptance Testing UAT with the help of Test Director.
• Assist the PM in setting realistic project expectations and in evaluating the impact of changes on the organization and plans accordingly.
• Developed test scenarios and implemented test plan, providing key input in working with users in defining project and system requirements.
• Conducted project related presentations.