SUMMARY

• Total experience of 14 years,6 plus years of experience as a BusinessAnalyst in the healthcare industry and 8 years of front line management experience in the pharmaceutical industry.
• Knowledge of HIPAA regulations,EDIX12, CMS-Medicare, Medicaid, procedural and diagnostic codes, healthcare delivery and care team workflows.
• Experienced in EDI and HIPAA with transactions involving claims handling and processing, with payer and provider experience 270 271, 276 277,278, 835 837 .
• Familiarity with Electronic Health Record E H R systems such as Epic, Cerner, Meditech, Soarian.
• Excellent Analytical skills to understand the business process and functionality requirements and translate them to System Requirement Specification documents.
• Working knowledge of the Software Development Life Cycle SDLC including Requirements, Analysis, Design, Development, and Testing.
• Working knowledge of the Agilemethodology using the Scrum method, conducted sprintplanning, review and retrospective meetings, organized Joint Application Developments JAD sessions,walkthroughs, Interviews, Workshops for end-user, stake holders and made presentations to Executive management team.
• Knowledge of the Rational Unified Process RUP methodology of application development with its various workflows, artifacts and activities, business process models in RUP to document existing and future business processes. Established a business analysis methodology around the Rational Unified Process.
• Creating Business Requirement Documents BRD , Functional Requirement Document FRD documents, User Requirement Specifications URS documents Requirement Traceability Matrix RTM and testing documents.
• Knowledge of UML in visualizing and documenting the artifacts using UseCases diagrams,ActivityDiagrams and Sequence diagrams using RationalRose and MSVisio.
• Direct responsibilities include experience with planning, organizing, and ChangeManagement.
• Experience with User Acceptance Testing UAT and conducting user test sessions.
• Writing specifications for enhancements by using existing legacy system documentation andprocedures.
• Team player, result-oriented, fast learner, excellent communication skills with strong researchcapability, excellent documentation and interpersonal skills.
• Strong verbal and written communication skills along with project management capabilities
• Skilled in coordinating and communicating between Developers, QA Teams, Management, QA and project leads and stakeholders to keep them informed at all the times about the development and open issues.
• Managedoffshoredevelopment team in accordance to ITIL guidelines, improving service and delivery, effective communication, compliance with agreed upon internal KPI's, SLA's.
• Effective team member with proven success in diverse group environments.

TOOLS/SKILLS

• Methodologies: SDLC Waterfall, Agile Scrum, RUP.
• Modeling Tools: MS Visio, Rational Rose
• Microsoft Tools: MS Word, MS Excel, MS Outlook, MS PowerPoint, MS Project.
• Languages: Java, .net.
• Databases: Oracle, SQL Server.
• AppServers: Web logic, Web sphere.
• Web server: IIS.

PROFESSIONAL EXPERIENCE

Confidential

Business Analyst

Responsibilities

• Software development followed the Agile methodology using Scrum, conducted and participated in daily scrum, sprint planning, review and retrospective meetings.
• Effectively interacted with customers and Subject Matter Experts SME to gather the information about the documents and business processes.
• Createdthe Business Requirement Documents BRD , the Functional Requirement Document FRD and User Requirement Specifications URS documents.
• Created UseCase Diagrams,Class Diagram,ActivityDiagrams, and Sequencediagrams using Rational Rose.
• Contributed in 5010/ ICD-10 Awareness Training Management Plan, created evaluation tooland survey questions.
• Conducted and participated inJoint Application Development JAD sessions to converge towards a design acceptable to the customer and feasible for the developers.
• Managed offshoredevelopmentteam, daily communication, tracked progress and milestones.
• Reviewed documents policies, manuals, business processes, systems documents, bulletins from various divisions. Analyzed and performed quality assurance todetermine areas impacted by HIPAA5010 and ICD-10 related data.
• Participated in and contributed to the As-Is and To-Be Process Modeling Sessions and build process models.
• Performed GapAnalysisand identified defects/gaps encountered in the current state, recommendation incorporated in future state.
• Mapped ICD10codes and prepared final result summary documents with reports.
• Contributed in process development, issue solving processand creation of the process flowdocuments and diagrams.
• Conducted functional walkthrough, User Acceptance Testing UAT sessions, and assisted the development of User manuals for end user.

Environment: Java, SQL Server, Rational Rose, MS Office suite, Agile methodology Scrum.

Confidential

Business Analyst

Responsibilities

• Participated in requirements discussions with business unitsand Subject Matter Experts SME to gather the information about the business processes.
• Facilitated collection towards creation of the Business Requirement Documents BRD and the Functional Requirement Document FRD .
• Followed the Agile methodology using Scrum, conducted and participated in daily scrum, sprint planning, review and retrospective meetings.
• Prepared the Software Specification Document SSD for the Web application and mobile solutions based on businessuser information.
• Prepared the Data flow diagramand business process models that describe how the EDI Health Care Claim Transaction set 837 is used to submit health care billing information.
• Participated in Joint Application Development JAD sessions and made presentations to Business Unit leaders.
• Created UML drawings - UseCase Diagrams, Class diagram, Sequence Diagrams and activity diagrams usingRationalRose.
• Participated in the bug review meetings, updated requirement document as per business userfeedback and changes in functionality of the application.
• Assisted the Project manager in tasks ranging from scope clarification,risk analysis and mitigation plans, status reports andclient presentations.
• Managed and coordinated with the offshore development and testing team, tracking progress and delivery schedule.
• Proactively communicate and collaborate with support team and internal customers to analyze information needs and the functional requirements.
• Randomly executed test scripts developed by QA team to check main functionality ofapplication.
• Conducted functional walkthrough, User Acceptance Testing UAT sessions, and assisted the development of User manuals for end user.

Environment: Java, Oracle, Web sphere, IIS, Rational Rose, MS Office suite, Agile methodology Scrum.

Confidential

Business Analyst

Responsibilities

• Responsible for business analysis, requirement specifications, project planning andidentifying the resources and implementation of the project.
• Project used the Rational Unified Process RUP model, followed all the phases of the RUP model starting from Inception through Transition. Used a Functional Decomposition strategy to divide system into sub-systems.
• Created and updated data mapping documents with reference to the source for X12270/271 Eligibility Inquiry and Response, X12276/277 Claims Status Inquiry and Response, X12837P Professional Claim, X12837I institutional Claim.
• Used UMLdiagram created use case, activity,class and sequence diagram using RationalRose.
• Authored Data flow diagram and business process models that describe how the EDI Health Care Claim Transaction set 837 is used to submit health care billing information.
• Performed the Gap analysis of the legacy systems, generated a requirementsdocument describing new system work flow.
• Involved in decision making with regards to identifying and prioritizing high impact improvements through the analysis of current processes.
• Created the Business Requirement Documents BRD , the Functional Requirement Document FRD and User Requirement Specifications URS documents.
• Worked closely with the development team to communicate client requirements.
• Responsible for reporting status ensuring accurate coverage of requirements and businessrules.

Environment:Java,Oracle, Rational Rose, MS Office suite, RUP methodology.

Confidential

Business Analyst

Responsibilities:

• Gathered Business Requirements, analyzed data/workflows, help define the scope, and performedGAP analysis.
• Met with client groups and subject matter experts SME to determine UserRequirements and Goals, thus converting UserRequirements into Business Requirements, User and Functional Requirement.
• Analyzed the Asis and Tobe system documents to show the current and proposed functionalities of the system using MSVisio.
• Software applications were implemented using SDLCMethodology.
• Gathered requirements during theProjectplanning, feasibility study,Systemsanalysis, requirementsstage.
• Facilitated collection of requirements from system users and prepared the Business requirement document BRD and theFunctional Requirement document FRD .
• Analyzed business and technical requirements and also created the Business Use Case BUC andApplication Use Case AUC documents.
• Gathered requirements for the SixSigmaprocess improvement initiative namely the traceabilitymatrix.
• Responsible for writing Business Use Cases, Business Rules, logical analysis and changemanagementrequirements.
• Projectlead technical and functional for stream correspondence. This covered various typesof letters,mails,forms that were dispatched from client.
• Worked extensively with Subject matter expert SME and performed Gapanalysis to arrive at the gaps betweencurrent and future systems and the modules to be impacted.
• Translated business functionality and opportunities into clear, precise and easy-to-readfunctional specifications, technical specifications with data mapping, application processflow, facilitated and participated in the Joint Application Development JAD sessions.
• Helped the Project Manager with risk analysis and mitigation plans, status reports, client presentations, milestone deliverables and establish the critical success factors.
• Worked with offshoredevelopment team and ensured delivery schedule was maintained.
• Conducted User Acceptance Testing UAT sessions and assisted in the development of Usermanuals for end user.

Environment: Java, SQL Server, MS Visio, MS Office suite, SDLC methodology.

Confidential

P2P Senior Analyst

Responsibilities

• Focused on department integration of Global Procurement and Accounts Payable, its transformation to P2P the first shared services integration, identifiedand leveragedvalue added opportunities, compliance, alignment of the technology tools and business processes to achieve desired strategic outcome.
• Project manager for multiple operational excellence projects and continuous improvement tasks, identified, investigated, analyzed and resolved root cause of operational defects.
• Represented P2P in cross functional projects on both technology and business processes, part of the change management team.
• Tracked and audited current state, impact on internal stakeholders and external audiences, identified missed opportunities, gaps where P2P could fill in the business need, created Metrics and KPI's, defined the department's SLA and best in class benchmarks.
• Daily and monthly metrics reporting for all functional Procure to Payoperating segments in US and Canada.
• Communicated status, financial impact, operational performance and strategy to senior management.
• Recruited by Global Procurement Senior Vice Presidentto mine data and analysisof existing state,findings and solutionincorporated in the revised procurement order management process.
• Made on site presentations to update customers and major stakeholders on P2P and Global Procurement initiatives.
• Initiated creation of the P2P knowledge repository and served as the administrator.