SUMMARY

• Over 6 years' of experience in all phases of SDLC Software Development Life Cycle as Business Analyst.
• Experience in conducting Joint Application Development JAD sessions for requirements gathering, analysis, design and Rapid Application Development RAD sessions.
• Assisted in user acceptance testing UAT of the system.
• Documented Requirement Traceability Matrix in Requisite Pro, Test Director and MS-Excel for traceability of requirements through test cases.
• Strong functional expertise in the Healthcare Payer Area - Membership claims, benefits, eligibility, ICD10, HIPAA, CMS HCPCS Exposure to Health Care Industry standards like HIPAA / PHI and data format like EDI, XML, HL7 Interface Implementation.
• In-depth Understanding of Payer plan sponsor and the EDI transactions like 834,820,811
• Expert on US Health Care Industry, Electronic Data Interchange EDI ,Health Level 7 HL7 and Health Insurance Portability and Accountability Act HIPAA
• Developing functional specifications for business process refinement and automation, conducting feasibility studies, analyzing scope and vision of the project.
• Perfectionist in requirements collection, from clients and processing information to the project team
• Good knowledge of Business Process Modeling and Business Process Re-Engineering and experience with SWOT analysis.
• Expert in Iterative Software Development Life Cycle Process as per Rational Unified Process RUP , CMM Capability Maturity Models and Rational Tools used during various phases of RUP.
• Extensive experience with process modeling using Unified Modeling Language UML , use case diagrams, including the business workflow using Rational Suite, Rational Rose and MS Visio.
• Experience in working withWork Breakdown Structure WBS , in project management and systems engineering.
• Strong Subject Matter expertise SME in Healthcare, ARMS Medical Billing Information System, Market Research, Risk Management, Product Development, Banking, Risk Analysis, Asset Management- risks and returns.
• Experience in conducting GAP analysis, User Acceptance Testing UAT , SWOT analysis, Cost benefit analysis and ROI analysis.

SKILLS

EXPERIENCE

Business Analyst

Confidential

• Allscripts is recognized industry wide as a provider of leading healthcare software solutions. I was part of EHR development project for a hospital to convert all the hard data to electronic format and ease the access to these records amongst the facilities and demographic.
• Analyzed existing Business units, Business process, System/ Application and their Interfaces through open-ended discussions, brainstorming sessions, and prototyping, prioritizing them and converting them as system requirements that must be included while developing the software.
• Managed project and was involved in resource management.
• Co-ordinated with documenting processes used agile methodology to write the Business Requirements documents and designed Functional specifications.
• Served as a liaison between the internal/external business community and the IT organization in order to provide technical solutions to meet user needs.
• Participated in design review meetings and translated the requirements to the developers and guided the team when issues related to business requirements arose.
• Worked with Associates and understood the business rules, systems and integrated them into the requirements document and assisted in generation of test cases and test data.
• Created workflows, data diagrams, and other industry standard documents to represent client's business processes.
• Conducted JAD sessions between the business users, Developers, testers Subject Matter Experts to resolve bottlenecks.
• Used HL7 guidelines and dictionary for defining business rules associated with pre-defined workflows according to business requirements.
• Played important role into creation of CRUD Create, Read, Update and Delete Metric to make analysis and better understand data flows between different systems
• Conducted Risk Analysis to identify the risks associated with developing the patches, and formulated a Mitigation Plan to eliminate or reduce risks of high severity and any major effects.
• Played an active role in performing of Gap Analysis and its documentation.
• Met with client to present future functionality of the application, gather information from them to know about their need and send this information to test manager.
• Worked closely with the application development and design and testing team to resolve technical issues and interacted with them to ensure overall quality of the software
• Responsible for creating maintaining Requirement Traceability Matrix in order to track the development and QA process.
• Interacted closely with QA to finalize the Test strategies and maintained quality assurance using HP Quality Center.
• Provided production support pre-production and post- production issue management and defect tracking.

Environment: Windows, MS Office MS Word, MS Excel, MS PowerPoint, MS Visio , MS Access, MS Project, Apache Subversion, Erwin, Rational Rose, MySQL, Clear Case, Requisite Pro

Business Analyst,

Confidential

• Conducted Joint Application Development JAD sessions and walk in interview with the business users to gather requirements.
• Did impact analysis for changing requirements and coordinated with business users and Project Manager for prioritizing the testing/release of the changes through CAB.
• Work as part of an Agile team to solve problems and deliver projects in a fast paced environment
• Helped creating Reports for Claims processing, Provider and Member.
• Prepared the Business requirement Document for the enhancement of the existing services. Wrote TRD for the requirements and RTM for testing and defect tracking.
• Modeled the AS-IS system and performed GAP Analysis for the existing system in order to map it to the TO-BE system.
• Worked on improvement of Claims Reimbursement User Interface for a better experience and incorporate changes as per HIPAA guidelines using the gap analysis.
• Assisting business users in defining UAT test cases and plans Established and maintained test cases and test data in Quality Center.
• Coordinated with the QA Team for testing activities across multiple systems and managed Conversion test execution.
• Helps in conducting User Acceptance Testing UAT , and System Integration testing SIT and SWOTanalysis.
• Performed GAP Analysis for HIPAA 5010 transactions and Performed Analysis of ICD 9 Procedure and Diagnosis Codes in accordance with ICD 10 CM and ICD 10 PCS Conversion Compliances
• Provided PL/SQL queries to developer as source queries to identify the data provided logic to assign.
• Responsible for providing the Data Mapping document and rewrite of the PL/SQL queries from As-Is To-Beand validating the data through PL/SQL.
• Lead through UAT procedure and also conducted training sessions for the end users along with the necessary documentation
• Created test plan and facilitated its implementation, create Test cases and assisted manual testing
• Used SharePoint to ensure all team members have easy access to all the documents created
• Lead through UAT procedure and also conducted training sessions for the end users along with the necessary documentation

Environment: Rational Rose, Rational Requisite Pro and UML, Rational Clear Quest, PL/SQL, Microsoft Visio, Test Director, HP Quality Center, MS SharePoint, MS Project, ER-Win, MS Office.

Business Analyst

Confidential

• Thoroughly studied the incumbent systems to get an understanding of the processes and the functional workflow in order to analyze and initiate the project.
• Defined vision and scope of the project and transformed them into documents to better analyze and understand the rationale for the application.
• Facilitated Gap analysis to get a hold of the new business model and to extract additional functionalities that would be incorporated into the module.
• Worked closely with claim system processing to incorporate claim approval/denial and claim reimbursement and evaluated the claim system with which the data would be interfaced for the user.
• Conducted JAD sessions for clarity and gathered requirements through brainstorming sessions with the stakeholders and SMEs and with the help of rational requisite pro, prioritized these requirements.
• Documented Business Requirement Documents and use case specification documents and came across various functional requirements through UML diagrams with the help of activity, use case and specification diagrams.
• Aggressively participated in the design process along with the architect in attaining technical requirements to provide technical expertise to the developers for the development phase of the application.
• Dealt with ICD 9 encryption to verify and confirm the validity of the incoming claims and documented them by saving it in the database.
• Helped streamline the 276/277 transaction in order to enable easier and faster exchange of information between the payer and the provider.
• Assisted QA team by reviewing test cases and test protocols for verifying the requirements to ensure complete coverage of all functional and technical requirements. Used Requirement Traceability Matrix to conduct thorough testing and verification.
• Provided training to the end users, conducted Regression testing and User acceptance testing sessions to gain user approval and feedback.

Environment: Windows, MS Office MS Word, MS Excel, MS PowerPoint, MS Visio , MS Access, MS Project, Rational Rose, MySQL, Clear Case, Requisite Pro

Business Analyst

Confidential

• Documented detailed Business Requirements Documents BRD , Technical Requirement Specifications TRS and Functional Requirements Specification FRS .
• Acted as liaison between clinical staff and the technical developers conducting and facilitating JAD sessions for the analysis of current and future state processes through interviews, workshops, business process storyboarding, use case evaluation, task and workflow analysis, process modeling and simulation.
• Initiated Use Case Analysis using UML, which provided the framework for potential use case deliverables and their inter-relationships, and allow for maximizing software reuse
• Participated in various meetings and discussed Enhancement and Modification Request issues. Performed Gap Analysis of Client requirements, generated workflow process and necessary documents.
• Maintained traceability matrix throughout the SDLC to ensure complete and comprehensive delivery.
• Developed test plans, test cases and conducted User Acceptance Testing UAT .

Environment: XML, MS Office Word, Excel, MS Access, Visio, Rational Requisite Pro, Rational Rose, SQL, PL/SQL