SUMMARY

• Over 6+ years of experience working as a Business Analyst in Health Care and banking domain.
• Strong knowledge of applied principle of the iterative methodologies of Software Development Life Cycle (SDLC) including Feasibility Study/Gathering Requirements, Analysis/Design and Development, User Acceptance Testing (UAT), Implementation and Post - Implementation Validation.
• Expertise in HIPAA standards related to testing Dental claim, Extended Health care claim transactions using client server system and mainframe applications.
• Experience in data mapping of HIPAA 4010 codes to HIPAA 5010 codes and ICD 9 codes to ICD 10 codes.
• Identified the major differences between HIPAA 4010 and HIPAA 5010 through GAP analysis of implementation guides.
• Experienced in designing software requirement specification (SRS), (BRS) business requirement specification, (FRD) functional requirement document, use cases, flow charts, unified data model (UML) by conducting interviews, workshops and requirement elicitation sessions with end-users, clients, stakeholders and development team.
• Well versed with waterfall software development methodology, iterative methodology and have knowledge of Agile Application development methods.
• Experienced in interacting with business users to identify their needs and gathering requirements, Proficiency in creating Business Process Modeling including Use Case diagrams, Activity diagrams, Sequence diagrams, Collaboration diagrams, Data-Flow diagrams using UML Methodology in MS Visio as crucial project deliverables.
• Understanding of Test Scenarios, Test Conditions, Test Cases and Test Scripts for Functional and Regression Testing based on the Design Document and User Requirement Document for the Functional, Security, and Performance Testing.
• Experience in HP Quality center (QC) for requirement management, requirement tracking and defect tracking purpose.
• Good understanding of Patient Protection and Affordable Care Act (PPACA/Obamacare) and Health Care Reform
• Strong knowledge of Health Insurance Plans like Health maintenance organization (HMO), Point-of-service (POS) and Preferred provider organization (PPO)
• Managed complex business initiatives to balance requirements for functionality, efficiency and quality
• Excellent communication and presentation skills
• Professional with extensive experience in the development, implementation and integration of strategies within a team oriented environment, utilizing quantitative and qualitative analytical skills.
• Knowledge of SQL queries and database like MS SQL server, Oracle
• Able to work in multiple projects with competing priorities and tight deadlines in addition to be a quick learner of new tools and technology

TECHNICAL SKILLS

Operating systems: Windows, UNIX, Mac

Requirement Management Tools: HP ALM (QC), JIRA

MS Office: Word, Excel, Access, Power point, Project, MS Visio, Lucid Chart

Defect Tracking Tools: HP ALM (QC), JIRA

RDBMS/ Database: MS SQL server, MS Access, Oracle

Industry Standards: HIPAA, Six Sigma, ISO, CMM, HL7

PROFESSIONAL EXPERIENCE

Confidential, Jacksonville, FL

Business Analyst

Responsibilities:

• Facilitate requirement gathering using workshops and interviews with client team for online banking application project
• Create business requirement and functional requirement documents for Pop money solution project
• Provide Use cases and flow charts using MS Visio for online banking application enhancement project
• Work as a key liaison between clients and internal stakeholders for online banking application change request
• Decompose high-level requirements and analyse them in terms of Gap, Risk and Impact etc.
• Review test plans, scenarios and test cases develop by the QA team in HP ALM tool (Quality Center) and provide active inputs
• Coordinate and provide support to UAT testing teams for UAT testing activities
• Participate in meetings for Defect triage and change management requests

Environment: MS SQL Server, Windows 7, SharePoint, MS Word, MS Visio, MS Excel, HP Quality Center.

Confidential, Colton, CA

Business System Analyst

Responsibilities:

• Analyzed current business process flow by understanding present business rules and conditions.
• Conducted formal interviews, Live Meetings with business users and Subject Matter Experts (SME’s) during requirement inception phase.
• Designed and developed Use Cases, Activity Diagrams and Sequence Diagrams using UML
• Created requirements for database changes by writing SQL queries to extract data from modified database tables.
• Documented, organized and tracked the requirements using HP Quality Center (ALM).
• Created Data Flow Diagrams (DFDs), ER diagrams for data modeling and Web-page mock-ups using MS Visio for acceptance from end users
• Provided walkthroughs to stakeholders to present requirements before each code release.
• Analyzed and updated Database using SQL.
• Assisted with user acceptance testing of systems and maintain quality procedures and ensure appropriate documentation is in place.
• Maintained Requirement Traceability Matrix (RTM) and utilize HP Quality Center for change requests and defect tracking.
• Experienced in creating requirements for claim validation for Health plan Medicaid programs.
• Worked closely with the technical team to look up for the best possible solution on requirements by keeping business needs and technical constraints in mind.
• Participated and provided inputs in weekly team meetings for different projects.
• Updated, transferred and shared Files using FTP between Windows and UNIX machines.

Environment: Oracle, Java, TOAD, HP Quality Center, MS Word, MS Power Point, UML, Windows 7, FTP, UNIX, Telnet.

Confidential, Franklin Lakes, NJ

Business Analyst

Responsibilities:

• Facilitated requirement gathering using workshops, interviews and surveys with client team for low income Subsidy project
• Conducted Gap Analysis on claim entry application and payment output processing documents to create functional requirement for product development
• Utilized MS Visio to create flow charts, use cases and business process flow for the project
• Participated in analysis, design, development and maintenance of medium to large relational databases and data warehousing
• Understood theBusinessLogic, User Requirements, developed Design and User Interface Specifications
• Worked closely with Subject Matter Experts (SMEs) to understand the application and address critical defects
• Collaborated with QA analyst to clarify different requirements which help them to develop test plan and test cases
• Managed multiple projects and supported different clients from end to end

Environment: .Net, MS SQL Server, Windows XP, SharePoint, MS Word, MS Visio, MS Excel, HP Quality Center, XML, WINSCP, Web Logic

Confidential, Columbus, OH

Business System Analyst

Responsibilities:

• Worked withbusinesspartner to elicit high-level requirements and capturebusinessneeds
• Conducted weekly meetings with the clients and internal teams to formulate priorities and determine automated and manual solutions
• Responsible to manage all test deliverables through the various phases (Analyze, Design, Build and test) phase of SDLC
• Maintained Requirement Traceability Matrix to ensure that all Functional Requirement are addressed at the Use Case level and matched with Business requirement
• Created Use cases and flow charts for MITS migration project using Lucid chart and presented them to Stakeholders for approvals
• Worked on change request for Claim log file specification on new MITS system
• Documented minutes of meeting and present/maintain status reports
• Provided business requirement clarification to UAT testing team which helped in UAT testing phase

Environment: Java, Windows XP, UNIX, SharePoint, MySQL, MS Word, Lucid chart, MS Excel, HP Quality Center, XML

Confidential, Laguna Niguel, CA

Jr. Business Analyst

Responsibilities:

• Worked with the statisticians and underwriting team to analyze and validate run-time decision models.
• Gathered and analyzed requirement for HIPAA 5010 and ICD 10 changes.
• Analyzed and documented the changes in the compliance rules for adverse action redesign.
• Worked with client and stakeholders on creating a change request for different EDI claim scenarios for batch processing.
• Served as a key member for requirement gathering for a project related to EDI daily transmission, Reject tracking and Reconciliation reports.
• Run EDI Reconciliation reports daily and document in MS Excel.
• Involved in monitoring project progress and status through MS Project.
• Extensive use of Use cases, written business flows, and work flow diagrams for EHR application.
• Used SharePoint to provide all teams visibility and maintains traceability among requirements, use cases and change requests.
• Managed all the requirements using HP Quality Center and provided peer review to internal team members for effective feedback.
• Created requirements analysis and design phase artifacts using MS Visio.
• Attended project meetings with stakeholders, developers and UX designers to define System Requirement Specifications (SRS) and Detailed Designed documents.
• Worked extensively with the end users and with different levels of management to identify requirements, use cases and to develop functional specifications.
• Created Use cases, Activity, Sequence and Collaboration diagrams.
• Conducted Risk Analysis of the Requirements and Traceability focus areas of the various projects and worked with the project team to help them identify the high-risk areas.
• Traces and manage all the requirements with HP Quality Center to ensure the delivery of deliverables on time.
• Created Data mapping using SQL queries to filter data within the Oracle.
• Responsible for coordinating business meetings and generating monthly status reports.
• Assisted QA team members by providing feedbacks on test plan and test cases.
• Design specifications for the HIPAA standards
• Provided SRS and design specification walkthroughs to QA team members.

Environment: MS SQL, Windows XP, UML, SharePoint, Business Objects, MS Word, MS Visio, MS Project, MS Excel, HP Quality Center, Java, XML