SUMMARY

• 8+years of IT experience in which extensively worked as Business Analyst with Project Management and Quality Assurance on Client/Server and Web based applications.
• Expertise in Project Design, interacting with Business users for Requirement Gathering / Capture
• Good understanding of Software Development Life Cycle and Rational Unified Process.
• Identifying and documenting critical requirements through analysis of the department’s workflow and information flow
• Experience in conducting GAP analysis, User Acceptance Testing (UAT), SWOT analysis, Cost benefit analysis and ROI analysis.
• Experience working in all phases of SDLC, Waterfall, RUP, Agile, Scrum methodologies.
• Specialized in Process Improvements for Financial, Insurance, Banking, and HealthCare domains
• Experience in writing and maintaining BRD and FRD.
• Preparing User Requirement Specifications (URS)
• Requirement Analysis and preparing Use Cases
• Preparing Data Flow Diagrams and UML Diagrams - Use Case, Object and Sequence Diagrams
• Worked with users, business managers and development teams to gather and communicate requirements.
• Solid understanding of Data Warehousing and Data Integration tools.
• Extensive experience in all phases of RUP and Waterfall methodologies of SDLC for developing ITIL Service-Now tool.
• Hands-on experience in preparation of Test Strategy, Test Planning and testing closure documents like QA Signoff document and Test Summary Report.
• Expertise in Test Environment Setup, Test data setup, Defect Management and Configuration Management.
• Extensively worked on Smoke Testing, Functional Testing, Regression Testing, Integration Testing, System Testing and Database Testing.
• Maintained and updated version control of the documentation using Rational Clear Case.
• Knowledge transfers to the design, development and testing teams
• Preparing Test Plans and Test cases including User Acceptance Test Cases
• Preparing Sample and Test Data and doing GAP analysis
• Using the MS Excel as an analysis tool for working on data manipulation, comparison and reporting
• Experience in Manual Testing and knowledge of testing tools.
• Functional experience with concentration on Business Process Modeling, Data Modeling, Change Management...
• Extensively used Quality Center, Team Foundation Server, JIRA and Clear Quest, ALM as a defect tracking & reporting system.
• Experience in conducting GAP analysis, SWOT analysis, Risk analysis and Cost/Benefit analysis.
• Using Health Rule simultaneously reducing administrative costs and increasing operational efficiencies.
• Profound Knowledge of writing Use Cases and competent in creating UML diagrams such as Use Case Diagrams, Process Maps, Activity Diagrams and Entity Relationship Diagrams using MS Visio, Bizagi and Rational Rose.
• Strong process modeling using UML (Use Cases, Sequence Diagrams, Activity Diagrams, etc.)
• Strong in writing SQL queries and reporting the results to the business team.
• Strong Requirement Traceability Matrix mapping.
• Reduced the on boarding time for new teammates by coaching and mentoring them to follow project management methodology.
• Proficient in SQL Queries, Views, Joins, Functions, Stored Procedures, Triggers.
• Proficient in using Agile Scrum methodologies, performed roles of Scrum Master following sprint/standup sessions and used Excel extensively to write user stories, analyzed the Iteration Burn Down charts and reviewed defects.
• Excellent Team player to work in conjunction with testers (QA), developers and other team members in validation and testing of complex project scenarios and in the maintenance of Quality Standards of projects.
• Involved in data warehouse design.
• Mentor and train new development personnel on business processes and development tools.
• Expert in Tracking and Managing the Requirements using Requirement Traceability Matrix
• Strong Analytical and Problem-Solving skills, Multi-Tasking abilities, with proven experience in utilizing people and process knowledge to assist enterprises in making critical decision.
• Strengths include big picture focus while developing strategic business solutions which can include: mission statements, value propositions, critical success factors, statements of work, project management, ROI
• Involved in documentation of Test Cases, Test Plans and strong experience in conducting UAT.
• Experienced in conducting Joint Application Development (JAD) sessions and interviews, written correspondence, project status reports, oral presentations and emails.

TECHNICAL SKILLS

Business Modeling Tools: MS Visio, MS Word, MS Excel, MS PowerPoint, MS Access.

Defect Management Tools: Team Web Access, JIRA, Clear Quest, ALM

Operating Systems: Windows Vista\XP\7\8\10, Linux, Windows server 2003\2008\2012.

Databases: RDBMS, MS SQL Server 2008\R2\2012\2014, MS Access, Oracle 9i.

Test Management Tools: Quality Centre, Team Foundation Server, Confluence.

Methodologies: Agile, Waterfall

Project Management Tools: Gold Remedy

Web technologies: HTML, XML, VB ScriptProgramming Language SQL, Visual Basic, Java, .NET

Testing Tools: Quick Test Professional, Selenium, Test Complete.

PROFESSIONAL EXPERIENCE

Confidential, Topeka, KS

Business Analyst/Tech Writer

Responsibilities:

• Analyzed and documented business requirements for the business area of responsibility.
• Designed, developed, implemented and maintained business solutions and recommendations to improve performance following the regulatory guidelines from CMS and FDA.
• Created user stories to assist with the development of the KMMS SURS (fraud and abuse team) and expertise in using SAS application tool (ECM, Visual Analytics, Fraud Framework) for the module.
• Created user stories to assist with the development of the MMIS provider module that provides support to physicians.
• Guided the development teams to break down large and complex user stories into simplified versions for execution.
• Participated in the development and grooming of project backlog stories/requirements with business and technology partners.
• Gathered requirements from collection, claims, Billing, and insurance appeal departments.
• Experienced with multiple payer systems.
• Supported data mapping between old and new system for Medicaid claims processing system (MMIS - Claims, Eligibility, provider etc.).
• Manipulating the data in the database tables usingSQL queriesto create various testing conditions.
• Coordinated project initiatives with software developers, clients, project managers and software testers.
• Use Confluence, Visio Diagrams/Process Mapping and Business Process Model documentation create, organize and maintain business documentation library.
• I have also conducted JAD (Joint application design) sessions for Requirement Analysis and Risk Analysis with the management and IT teams.
• Analyzed data integration strategies to customize simultaneous analysis of data from new and old environments
• Created UAT test scenarios and test cases and coordinated UAT.
• Verify file and data transfer through real-time and batch interfaces including service errors, warnings, and messages with external entities completed as designed per ICDs and/or companion guides.
• Performed processing of member enrollment and benefits (834) batch jobs corresponding to the claims (837)
• Resolved issues with member attributes, enabling multiple rules associated with member lookup process in FACETS.
• Worked with providers to Validate EDI transaction sets. This includes gap, impact and business rule validation for all 12 standard HIPAA 5010 transactions: 270/271, 276/277, 278/278, 820, 834, 835, and 837 (IPD).
• Documented Functional Specifications for Enrollment (834), Customer Service Interface, Claim (837) including Encounter Claim and Capitation Payment (820) and Authorized Representative for Members.
• Tested the Medicare preferred Eligibility and EOB claims extract files.
• Adjust copy as necessary and proofread for grammar and spelling.
• Create table of contents and cite sources.
• Ensure fields flow in the correct sequence
• Performed quality assurance, drafted, and edited newsletters, project plans and reports, and other deliverable documents for content, grammar, and style.

Environment: MS Visio, UML, MS Excel, MS Word, MS PowerPoint, XML, Databases, HP ALM, Confluence, Agile/Scrum, MS Project.XML, SQL, Business Objects Clear Quest, Visual Studio2008, Share-point.

Confidential, Topeka, KS

Business analyst/ Tec writer.

Responsibilities:

• Act as a liaison between client and technical solutions/support groups, using advanced communication skills to elicit, document, analyze and validate client requirements using Confidential ’s proprietary tools.
• Document requirements and translate into proper system requirements specifications using high-maturity methods and processes prescribed by Confidential - Confidential ’s business analysis process framework.
• Execute and co-ordinate requirements management and change management.
• Formulate and define system scope and objectives for Confidential - Confidential ’s MMIS Accounts product.
• Applying knowledge of technologies used in Confidential - Confidential ’s MMIS Accounts product, Healthcare Payer’s business processes, and US Healthcare industry standards.
• Apply extensive knowledge of US healthcare business and industry processes to develop requirements specifications as per market standards.
• Created user stories to assist with the development of the KMMIS provider module that provides support to physicians, and surf (fraud and abuse team).
• Evaluate the business implications of the Confidential - Confidential ’s MMIS Accounts product technologies to the current and future business environment.
• Configuration of solutions, development of test cases, documentation of solutions for various modules of Confidential - Confidential ’s MMIS Accounts product.
• Develop visualization, user experience and Confidential - Confidential ’s MMIS Accounts product configuration elements of solution design.
• Participate in Gap Analysis and Preliminary Design Proposals (PDP) related to Care management module of Confidential - Confidential ’s MMIS Accounts product.
• Document customer requirements into Confidential - Confidential ’s proprietary tool ALM (Application Life Cycle Management) to produce Functional requirements specification and Business requirements specification.
• Involved in knowledge transfer to technical personnel to ensure seamless transition for application maintenance.
• Performed business analysis and systems analysis functions by consulting with users to define business and technical processes, system and field relationsfor Medicaid Management information Systems.
• Analyzed current and future states and performed gap analysis.
• Researched and analyzed complex healthcare data from variety of sources to evaluate, define, design, develop, test and implement technical solutions to produce accurate data extracts/reports in the required file layout based on the Federal requirements.
• Supported data mapping between old and new system for Medicaid claims processing system (MMIS - Claims, Eligibility, provider etc.).
• Assisted in entering and updating issues such as epics, stories and tasks onto JIRA.
• Supported product owner in maintaining the product backlog and scheduling next release.

Environment: MS Visio, UML, MS Excel, MS Word, MS PowerPoint, XML, Databases, HP ALM, Confluence, Agile/Scrum, MS Project.XML, Business Objects Clear Quest, Visual Studio2008, Share-point.

Confidential, Jersey City, NJ

Data Analyst/Business Analyst

Responsibilities:

• Developed the service layer test cases.
• Brought deeper understanding, compliance, and overall satisfaction to the Change Management component.
• Facilitated Technical Review Board meeting and other meetings with technical and management staff
• Worked extensively through Agile development methodology by dividing the application into iterations.
• Participated and contributed in daily scrums, Sprint meeting and Sprint review meetings.
• Communicated change status, outcome, and impact to necessary staff
• Tracked and analyzed unsuccessful changes to bring about process improvement
• Assisted with user testing of system developed and maintained quality procedures and ensured that appropriate documentation was in place.
• Directly interacting with clients to elicit the requirements and translate them into terms that development team can comprehend.
• Traversed through all the phases of six-sigma to improve existing processes. Worked on analyzing the process gaps and suggested several process improvements.
• Facilitate User Acceptance Testing (UAT) and production rollouts, and the defects detected were tracked and managed using HP Quality Center.
• Produced reporting documents and led weekly meetings with developers and business units to discuss outstanding technical issues and deadlines that had to be met.
• Assist junior BAs in the team with appropriate documentation and domain knowledge.
• Involved in the preparation of the test plan accordingly based on the test condition...
• Analyzed data integration strategies to customize simultaneous analysis of data from new and old environments
• Created UAT test scenarios and test cases and coordinated UAT.
• Developed plans for verification and validation of requirements at all levels so that developed software successfully fulfilled user expectations and business needs.
• Assisted in documenting User Manual and facilitate UAT and provide follow up to resolve the issue.
• Conducted JAD sessions for communicating with the all project directors and stakeholders and created process workflows, functional specifications and project initiation artifacts
• Created UML Diagrams including Use Cases diagrams, activity diagrams/state chart diagrams using Rational Rose and thus defining the Business Process Model and Data Process Model
• Monitored version control and defect tracking activities using Rational Clear Case and Rational Clear Quest
• Created and managed project templates, use case templates, requirement types, and traceability matrix in Requisite Pro
• Generated test cases in accordance to the Test Approach Document.

Environment: SharePoint, work soft, HP-Quality Center, Solution Manager, XML, Agile/Scrum, Share Point, MS Office, Bizagi, SQL server, SQL queries, MS Visio, SAP.

Confidential, PA

Agile Business Analyst

Responsibilities:

• Helped in defining Change Management Process for Release Management Team.
• Mapped process flows; assessed as-is state, collected data through user interviews, developed design and evaluation of to-be process solutions.
• Collaborating with business partners and cross-functional teams and supporting system documentation
• Communicating necessary changes and development to stakeholders in meetings
• Providing operational support for existing and new projects
• Major modules include enrollment/registration, billing and reports.
• Generated reports using Web Report Studio on the sales data as per the client requirement
• Preparing technical manuals, policy terms and conditions, and meeting minutes
• Interpreting stakeholder’s business needs and translating them into actual practice
• Collecting and evaluating information gathered from various sources.
• Prepared Business Object / Business Process Models that included modeling of all the activities of business from conceptual to procedural level using Rational tools.
• Identified specifications for billing and accounts receivable requirements, performed gap analysis and presented information to technical team to identify system requirements.
• Designed and developed Use Cases using UML and Business Process Modeling.
• Consulted with healthcare insurance company to develop conversion specifications for other insurance Coordination of Benefits (including Medicare).
• Documented the requirements for billing system, cash management module and enhanced the encrypting standards that are required for the application.
• Involved in the development of a management reporting system which used a web front end to generate user queries.
• Foster Agile principles and methods for requirement gathering.
• Facilitate Agile rapid and meaningful releases.
• Reduced the on boarding time for new teammates by coaching and mentoring them to follow project management methodology.
• Participated in functional design sessions, creates and executes SQL test scripts, and aids in the solution of data issues.
• Responsible for maintaining Requirements Traceability Matrix using Quality Center.
• Recommend system/process solution approaches to minimize risk and workflow impacts while capitalize strategic goals.
• Experience in working with agile software development team.
• Prepared the project status reports and represented the BA team in the PMO meetings
• Participated in UAT along with the development & testing teams
• Gathered requirements from collection, claims, Billing, and insurance appeal departments.
• Assisted process owners in process training and implementation.
• Gathered requirements from users of the Clear Quest (CQ) tool for any Enhancements or change requests for any defects.

Environment: Windows XP Professional, MS Access 2000, MS Excel, UML, Rational Clear Quest 2002, Agile/Scrum, MS Visio 2003, Visio, JAD, Microsoft Word, Project, PowerPoint, Visio.

Confidential, Erlanger KY

Business System Analyst

Responsibilities:

• Communicated business directives, goals, and needs to the technical team and serving as business interface from the enterprise’s operational management team managing expectations and defining business satisfaction metrics.
• Successfully used Agile/Scrum Method for gathering requirements and facilitated user stories workshop. Documented User Stories and facilitated Story Point discussions to analyze the level of effort on project specifications
• Documented workflows and results of business analysis and obtaining sign-off from users on specifications.
• Critical role in the mentoring and development of junior team members in the area of business analysis and project management. Responsible for coordinating and seeing through the recruitment process for new technical team members and business analysts
• Researched, reviewed, and analyzed the effectiveness and efficiency of existing business processes and developed strategies for using web technology, portals and collaborative tools to enhance or further leverage these processes
• Designed and developed data models, reports and dashboards.
• Implemented validation of source data systems along with data mappings.
• Successfully used Agile/Scrum Method for gathering requirements and facilitated user stories workshop. Documented User Stories and facilitated Story Point discussions to analyze the level of effort on project specification
• Supervised team of Business Analysts and Senior Business Analysts.
• Successfully performed flexible project management, project task organization, budget and deadline management with internal project team and external client teams
• Led sessions with decision makers, managers, and end users to define; business, financial, and operations requirements to facilitate implementation of new or improved business processes
• Designed and Configured collaboration systems for global and local teams using SharePoint 2007 and a wide-range of custom solutions
• Developing Test Cases, Test Strategies and Test Plans that will ensure comprehensive test coverage
• Conducting hands on functional, and system integration testing; report, track and follow up on issues in a timely manner
• Used SQL Server Management Studio to executed T-SQL Queries and stored procedures and check the results.
• Obtain understanding of customer's business model and intended use of Health Rules.
• Managed assigned project deliverables and prepared dimensional data marts.
• Generating Weekly Status Reports for the QA manager & participating in weekly status meetings along with QA manager, Business Analyst and Development team.
• Formulated specifications and requirements for reporting and analytical purposes.
• Prepared and implemented test cases, data architecture and file formats.
• Executed SQL queries on relational databases to create daily reports
• Conducted user interviews, JAD sessions, brain storming and surveys. Gathered and analyzed the requirements using Rational Requisite pro
• Involved system and application development, QA, UAT, implementation and mentoring and coaching.

Environment: Load Runner 8.0, MS Visio, UML, MS Excel, MS Word, MS PowerPoint, SQL Server, SQL Queries, Databases, Agile/Scrum, MS Project.XML

Confidential

Business Analyst/QA Analyst

Responsibilities:

• Designed different document templates to gather business requirements, change requests and UAT.
• Met with different business users to determine user requirements and goals.
• Conducted presentations to make users understand about the processes.
• Prepared project plan and defined different milestones.
• Implementation of Service Now as an Integrated Service Management (ISM) for Information Systems.
• ISM (This system) provides the required workflows and associated controls to initiate, develop and implement changes to information systems in both regulated and non-regulated areas. During this assignment
• I was involved in developing processes that support or interact with the Change Management process, Configuration and Asset management, Service catalog, Incident and problem management.
• Developed and maintained the operating procedures and standards manuals.
• Conducted training sessions to implement new or improved systems and procedures.
• Provided assistance as required to organization outside of the enterprise to improve internal procedures that may be advantageous to the enterprise.
• Followed ITIL methodology to improve the quality and reduce defects
• Interacted with multiple cross-functional teams ensuring that all business requirements are captured correctly and report progress to all levels in the organization
• Performed analysis of business rules, business and system process flows, user administration to be used for the new merged platform
• Uploaded the automation scripts to Quality Center and executed them from Test Lab module of ALM.
• Identified and documented test scenarios and test cases in HP Quality Center
• Performed Functional, System, Security, and User Interface testing
• Performed regression testing to ensure system integrity with each new release.
• Supported Unit Testing and System Integration Testing (SIT)
• Developed Requirement Traceability Matrix to record the relationship of the requirements to the design, development, testing and release of the software
• Acting as a liaison between the technical, business, testing groups to provide them with required specifications/documentation and to resolve any issues in between
• Worked with the User experience team to design the GUI for the application
• Understand strategic goals, and identify technology components to enable business results
• Identified, researched, defined and documented user problems and automated/manual business processes.
• Actively solicit, analyze, prioritize and negotiate customer requirements from scope definition through detailed system requirements.
• Discussed different functional requirements and defined high level design and Use Cases.
• Acted as a Single Point of Contact (SPOC) between business user and technical team.
• Monitored client expectations through client involvement and communication throughout the lifecycle of the project, educated clients and stakeholders on the benefits and risks associated with the project.

Environment: Load Runner 8.0, MS Visio, UML, MS Excel, MS Word, MS PowerPoint, SQL Server Databases, MS Project, Java,XML, MS-Office, Windows, Quality Center, Rational Rose, Rational Requisite.