SUMMARY

• About five years of Business Analysis experience with in - depth knowledge of business processes in IT industries.
• Experience in business requirement gathering, analyzing, detailing, tracking and documenting in Requirement Specification Document for the health care projects like EDI transactions migration and ICD9 to ICD10 conversion.
• Expertise in performing GAP analysis and Impact analysis in several projects.
• Experience in writing requirement and specification like Business Requirements Document (BRD), Use Case Realization Document, Functional Requirements Specifications, Systems Design Specification (SDS), Systems Requirements Specification (SRS), Requirements Traceability Matrix (RTM), and Process Mapping.
• Experience in documenting requirement using Unified Modeling Language (Use Case and Activity Diagrams) and building Business Process Flow, Sequence Diagram using tools such as Visio and Rational Rose.
• Experience in using various IBM Tools; for requirement management used Requisite Pro, for defects tracking used HP Quality Center, for sign offs used Clear Quest and also used Clear Case, SharePoint for uploading.
• Experience in writing SQL queries, Stored Procedures & ETL (SSIS) to extract and load data from multiple source on to data mart.
• Understand JIRA Agile, JIRA reports, use of add-ons and its workflow.
• Experience in Data Type Mapping with SQL Server.
• Understand transitioning from Data Warehousing to Big Data using Hadoop.
• Familiar with Informatica PowerCenter 9.x data load, expression transformation and mapping.
• Worked with various functional areas within IT projects with exposure in overall project life cycle.
• Excellent - communication skill, interpersonal skill, leadership qualities, mentoring qualities and ability to work independently.
• Quick learner, self-starter, can adapt to new environment and technologies with confidence.

TECHNICAL SKILLS

Business Planning & Work Flow Tools: UML, MS Visio, Rational Rose, MS Project, Requisite Pro.

Processes: RUP, Agile, Waterfall

Databases: MS Access, MS SQL Server, ORACLE, DB2

Programming Languages: SQL, PL/SQL, HTML

Testing/Defect Tools: Rational Test Manager, Quality Center, Clear Quest

Operating Systems: Windows, Linux

Reporting Tools: Cognos, SSRS, Crystal Reporting

Management Tools: Microsoft Project, MS Office, MS Outlook, JIRA

PROFESSIONAL EXPERIENCE

Confidential, NE

Business Analyst

Responsibilities:

• Identified AS-IS process flow of ICD-9-CM and ICD-10-PCS compliance requirements using the gap analysis for the existing plan.
• Ensured that ICD-9-CM procedure codes and CPT codes were not outdated. Contributed in ICD-10 Awareness Training Management Plan, created evaluation tool, and survey questions
• Reviewed state documents (policies, manuals, business processes, systems documents, banners, bulletins) from various divisions.
• Analyzed and performed quality assurance to determine areas impacted by ICD-9 related data.
• Generated numerous Business Requirement Documents, Functional requirements specification documents, Use Cases, system flow and work flow diagrams.
• Gathered requirements by conducting JAD sessions, facilitating meetings and interview with Business Units and Technical Supports & Development team.
• Worked with awareness, assessment, remediation, testing and transition of ICD-10 implementation process.
• Successfully tested all the test conditions documented the defects and discussed with technical analysts the discrepancies between expected and actual results for the test conditions.
• Conducted knowledge transfer sessions, which were used to make the users and other teams aware of all the changes being made in the system as part of various projects.
• Developed work-flows that demonstrate current and proposed business requirements. Along with providing weekly updates to project stakeholders on the progress of project development activities.

Environment: Windows, MS Office (MS Word, MS Excel, MS PowerPoint, MS Visio), HTML, XML, SQL, UML, HP Quality Center

Confidential, Woodland Hills, CA

Business Analyst

Responsibilities:

• Authored and maintained Business Requirement Documents and Requirements traceability matrix throughout the length of the project.
• Created a BRD for plan information based on eligibility coverage and benefits.
• Participated in the initial Impact Analysis (ICD-10) for all the critical functions in the organization, i.e.
• Membership & Enrollment, Claims Processing, Reporting, Vendor Management/clearinghouse management etc.
• Created questionnaires for different departments to do impact analysis for code conversion impacts and then did impact analysis for claim processing impacts.
• Conducted BRD walk through sessions and acted as a liaison between the business units and IT teams during the entire life cycle of the project.
• Audited coverage determinations to ensure Centers for Medicare and Medicaid Services (CMS) policies and procedures were followed appropriately.
• Defined ICD-9 to ICD-10 mapping process with the business using crosswalk file.
• Created custom mapping between ICD-9 and ICD-10 codes.
• Participated in Code Reviews, System Testing and UAT followed by production verification, post production testing and support.
• Worked with internal team to build out a high level road-map and time line to achieve compliance.
• For HIX, I worked on requirements for member portal changes on the client’s site and integration with provider directory from the federal exchange.
• Also worked on defining language and accessibility requirements.

Environment: - HP Quality Center, Agile Scrum, MS Office (MS Word, MS Excel, MS PowerPoint, MS Visio), Windows, UML, Oracle, SQL

Confidential, Naples, FL

Business Analyst

Responsibilities:

• Involved in the analysis of the functional, technical specifications and conceptual diagrams.
• Documented user stories and modeled use case diagrams by utilizing MS Visio.
• Conducted Joint Application Development (JAD) sessions to develop and agree upon a system that focuses on a Business Requirement.
• Wrote process flow and business case documents of existing processes.
• Actively involved in design of wireframes for the different UI’s with UX architects by mitigating the requirement and business validation rules.
• Defined frameworks for the application development and analyzed the areas of improvement
• Highly interacted with the development team and claim settlement experts making sure that the development of the project is meeting the business requirements.
• Jointly responsible for monitoring the progress of the system development by preparing status reports.
• Conducted daily interaction with the development team, stake business executives and Quality assurance to coordinate all the engineered process.
• Analyzed the security implementation of the application with respect to user’s perspective.
• Worked with the data architecture and data analyst team in designing the model and in creation of the data mapping documents.
• Evaluated test results and prepared test summary reports. Performance testing analysis was also done by analysis the results from balance and load tests.

Environment: Agile, SharePoint Server 2010, MS Office, MS Visio, SQL Server 2008 R2, PL/SQL

Confidential, Skokie, IL

Business Analyst

Responsibilities:

• Gathered and analyzed requirements and transformed into Business Requirement Documents (BRD).
• Created detailed functional specification document for each functionality (e.g. New Accounts, Product, Service Policy etc.) for the developers and QA team.
• Created Technical Requirement documents (TRD) containing data elements list and its explanation.
• Designed and developed all User stories and UML models using MS Visio for structuring/modeling the whole project.
• Involved in creating detailed GUI screen mock-ups.
• Participated in periodical Joint Application Development (JAD) sessions with the management and IT teams.
• Utilized Rational Unified Process (RUP) to configure and develop processes, standards, and procedures.
• Developed Sequence Diagrams and Activity Diagrams.
• Used MS Office extensively (Word, Excel, Visio, Power Point, Outlook, Project) for analysis, presentation and documentation throughout the project.
• Involved in the design stages of the Application and participated in the meetings with the Development team and QA team.

Environment: MS Outlook, MS Project, MS Word, MS Excel, MS Visio, Agile Methodology