SUMMARY

• Over 9 plus years of experience as Business Analyst in Healthcare, and banking focusing mainly on Iterative Software Development Lifecycle SDLC .
• Extensive experience in implementing Software Development Life Cycle SDLC principles and methodologies such as Agile, Rational Unified Process RUP , and Waterfall Method in development.
• Skilled at building a strong team environment, and have the ability to acclimatize to new technologies, conditions and situations with ease.
• An articulate communicator who can fluently speak the languages of both, people and technology, blending technical expertise with exceptional interpersonal skills, to effectively deliver results on-time and within budget.
• Extensive knowledge of UML modeling, Drawing Sequence Diagrams, Flow diagram and Activity diagram using tools such as Microsoft Visio and Rational Rose.
• Highly experienced in conducting Gap Analysis and Feasibility Analysis to check the compatibility of the existing system infrastructure with new business requirements
• Participated in project assessment, functional analysis and requirements gathering and converting business requirements into functional requirements 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 the open issues.
• 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 the open issues.
• Experience in conducting Joint Application Development JAD sessions for requirements gathering, analysis and design. Organized weekly Project Status and Task Review meetings
• Hands-on experience in creating Business Requirement Document, Functional Requirements Specifications Documentation, and Scope Documents.
• Experience in conducting GAP analysis, User Acceptance Testing UAT .
• Experience reviewing Test plans, Test cases and Test case execution. Writing test cases using Quality Center. Extensive experience in Manual Testing and System Testing.
• Dataflow analysis using use cases, dataflow diagrams and activity diagrams.
• Strong expertise in building, Templates, Graphical analysis charts and Statistical reports using MS Excel and also expertise in MS Word, MS PowerPoint, Ms Project.
• Identification, definition and verification of key usability issues.
• Checking and validating requirements in conjunction with the stakeholders.
• Extensive Knowledge in writing SQL queries to manage SQL Server and Oracle databases.
• Requirements management using tools like Rational RequisitePro.
• Managing reporting, analysis and decision-making for a change request.
• Creating use case models in Rational Rose, Microsoft Visio.
• Technical writing skills including drafting contracts, documentation and editing of user manuals.
• In-depth knowledge in Claims Processing and Billing Module, effective analytical and problem solving skills.
• Experience with the working of Medicare Part A, B, C and D and Medicaid Health Insurance Policies, Personal Injury Protection PIP insurance, billing experience with life and disability in health plans.
• Worked with ANSI X12 5010 and ANSI X12 4010 including the standards for medical transactions like 837 medical claims , 835 medical claim payments , 270 eligibility inquiry , 271 eligibility response , 276 claim status , 277 claim status response , 820 enrollment , and 834 premium payments .
• Extensive knowledge of Medical Management Information Systems MMIS , and National Provider Identification NPI .

Skill Set:

Rational Unified Process, UML, MS Visio, MS Office Word, Excel, PowerPoint, Project, Outlook, Access , MS SQL Server, Rational Rose, Rational Requisite Pro, Rational Clear Quest, HP Quality Center.

Windows NT/ 2000/2003/2007, UNIX .

Health care claims processing: FACETS ,QNXT, Trizzetto.

Projects Summary:

Confidential

Position : Integration Analyst

• Conducted/Organized JAR sessions with both the source and destination vendors
• Translated the business needs into system requirements, communicating with the business on a non-technical level, and with the System Analyst on a more technical level
• Conducted Internal Workshops and validated the requirements
• Gathered requirements and created Tech-notes/BUR.
• Designed and developed Use Cases, Activity Diagrams and Sequence Diagrams using UML.
• Accepted inbound transactions from multiple sources using FACETS.
• Also worked on Medicaid management information system MMIS related to analysis and assessment of the current EDI standards for 837 medical claims , 835 medical claim payments and 270 eligibility enquiry 271 eligibility response transactions.
• Responsible for GAP analysis, mapping, implementing requirements between Current state and future state documents.
• Developed Test Plan and Test cases based on the Use cases and Functional specifications and also performed manual testing of the functionality of the application by inserting varying data on different test runs.
• Compiled the Vision Document and composed detailed Use Case Specification Documents
• Analyzed the laws and regulations HIPAA, HL7 before implementing the electronic medical record software
• Validated business rules and all artifacts with users, approval and sign off
• Provided technical and business knowledge to clients
• Scheduled meetings with developers, system analyst and testers to collaborate resource allocation and project completion using MS Project
• Involved in Blackbox testing and use case testing and also assisted in Code review
• Responsible for managing tests and change requests using HP quality center

Environments: MS Office, MS Visio, MS Project, IBM WebSphere MQ, Message Broker, HP Quality center, Agile, MS Sharepoint, Connexion, MFT

HP quality center V11.00, Connexion engine for real time transfers and MFT for Batch files

Transfer of files from source adapter to destination adapters

Confidential

Position : Business System Analyst

Responsibilities:

• Gathered requirements and prepared business requirement documents BRD .
• Responsible for translating BRD into functional specifications and test plans. Closely coordinated with both business users and developers for arriving at a mutually acceptable solution
• .Followed standards according to Medicaid ,HIPPA compliance and ANSI X12,837 medical claims 276 claims status 277 claim status response , 820 enrollment and 834 premium payments transactions.
• Conducted JAD sessions to define the project and to reduce the time frame required to complete deliverables.
• Used Rational Rose/MS Office Suite for creating use cases, workflows and sequence diagrams according to UML methodology thus defining the Data Process Models.
• Defined Use cases from requirements and helped convert them into software specifications.
• Incorporated and implemented all the HIPAA standards, Electronic Data Interchange EDI , transaction syntax like ANSI X12, ICD-9, ICD-10 coding and HL7.
• Involved in preparing the Test Scenarios for Health Care Claim Payment/Advice
• .Written multiple Use Cases for multiple transactions include 837I, 837P, 835, 276, 277, 270, 271 both inbound and outbound transactions.
• Maintained Requirement Traceability Matrix RTM .
• Use Case development and UML modeling using modeling tools like Rational Rose/MS Visio.
• Analyzed business needs, created and developed new functionality to meet real time data integration that facilitated decision-making.
• Created product documentation, printed user manual and training materials.
• Developed queries using SQL to automate the weekly and monthly Meds Update Reports and FCO reports
• Coordinated Regression Testing and created test scenarios for User Acceptance Testing UAT
• Maintained documents for change request and implemented procedures for testing changes.

Environment: UML tools, Agile, Rational Clear Case, Oracle 10g, SQL, MS Visio, MS Office Suite, MS Project, MS Excel 2010 CIM, HP Quality Center.

Confidential

Business System Analyst

Responsibilities:

• Implemented RUP methodology and managed software system development and integration projects through all phases of project life cycle - analysis, design, development, testing, implementation, and post-production support.
• Interacted with stakeholders to get a better understanding of client business processes and gathered requirements.
• Organized and facilitated meetings with the management and development teams.
• Analyzed requirements for developing a cross-walk for understanding major changes from ICD-9 to ICD-10 with the help of SME's.
• Drafted the major changes that would appear in ICD-10 version
• Medicare A, B, C, D , Medicaid standards were followed.
• Also worked on Medicaid management information system which included technical requirements, preparation of cost analysis and implementation of new MMIS automation system.
• Also worked on claim processing for HIPAA transaction set 837 medical claims on FACETS.
• Conducted requirement gathering sessions with the purpose of creating and defining the Business Requirement Document BRD and the Functional Requirement Document FRD and linked it to requirements in Quality Center.
• Conducted functional requirement reviews and walkthroughs with the designers, developers, and stakeholders
• Created high-level Use Cases from Business Requirements and created UML diagrams like Use Case and Activity diagrams using MS-Visio and Rational Rose.
• Conducted sign-off meetings with IT teams to lock down the requirements.
• Conducted JAD sessions to allow different stakeholders to communicate their perspectives with each other, resolve any issues and come to an agreement quickly.
• Tracked stakeholder requested enhancements and changes using Requirement Traceability Matrix RTM .
• Involved in gap and feasibility analysis for the design and architecture of the new application.
• Executed SQL queries to test the database for records that detect and submit functional acknowledgement and remittance advice in the claims application.
• Involved with the Quality Assurance Team to develop and design test plan and test cases.
• Conducted User Acceptance Testing UAT of the application with the QA team.

Environment: Rational RequisitePro, UML tools, RUP, Rational Clear Case, Oracle 10g, SQL, XML, MS Visio, MS Office Suite, MS Project.

Confidential

Business System Analyst

Responsibilities:

• Utilized the RUP Software Development Methodology for the creation of the new operations system.
• Actively participated in all phases of SDLC, which is used as our practice-based methodology to effectively model the system.
• Used Rational RequisitePro to collect requirements.
• Prepared Project requirements, User Specification documents, and UML diagrams to present detailed design of the system.
• Conducted JAD sessions for gathering requirements for the project.
• Followed standards according to Medicare A, B, C, D and Medicaid, HIPAA compliance and ANSI X12 837 formats.
• Created business and technical requirements, functional specs, gather and translate functional requirements into technical requirements and provide analytical support to the management team as needed.
• Heavily involved in testing and reporting issues, as well as defining resolutions.
• Managed defect tracking and helped in the verification of the developed test cases.
• Generated traceability matrices for QA and test teams.
• Conducted risk analysis to analyze potential risk that could affect patients as a result of new functionality introduced into the system.
• Performed defect tracking and maintaining trailing history of bugs.
• Executed SQL queries to test data entry into the database and worked with the QA team to execute test cases.
• Contributed knowledge and support to QA and UAT teams throughout the process of testing the applications workflow and functionality.
• Provided weekly status updates to project stakeholders on the progress of project development.

Environment: Rational Suite RUP, Requisite Pro, Test Manager, Clear Quest , HTML, Win Runner, Oracle10G XE, MS Visio, MS Project, UML.

Confidential

Business System Analyst.

Responsibilities :

• Organized and facilitated meetings with the management and the development team, conducting requirements gathering sessions with the purpose of defining the functional business and system requirements.
• Creating and managing Project templates, Use Case project templates, requirement types and traceability relationships in RequisitePro. Also used Rational Rose to create Data Flow Diagrams as a Structured Analysis tool.
• Worked as an Interface between the users and the different teams involved in the application development for the better understanding of the business and IT processes.
• Created Flow diagrams for business process of the company using Microsoft Visio and analyzed and documented the requirement in Microsoft Excel and generate reports for the general manager.
• Developed Business flow diagrams, Activity/State diagrams and Sequence diagrams so that the development team and other stake holders can understand the business process.
• Created artifacts for system architecture document, supplemental requirements document, architecture diagrams verifying technical production infrastructure designing and executing performance tests and documentation.
• Analyzed the laws and regulations HIPAA, HL7 before implementing the electronic medical record software.
• Wrote clear, concise detailed system requirements specification SRS documents and user documentation in accordance to guidelines and standards of a level where developers can interpret and design and develop the application with minimum guidance.

Enivronment: Agile methodology, MS Visio, MS Project, UML, WinRunner, Microsoft Office, and Microsoft Share point.

Confidential

Jr.Systems Analyst.

Responsibilities:

• Generated a streamline process to understand the various steps in the loan lifecycle and desired functionality of the new system by interacting with users, management, SME Subject Matter Expert , stakeholders, lenders, underwriters.
• Interviewed business users to gather requirements and analyzed the feasibility of their needs by coordinating with the project manager and technical lead.
• Identified, researched, investigated, analyzed, defined opportunities for business process improvement, documented business processes and initiated efforts to make improvements.
• Contributed to the definition of scope, performed extensive requirement analysis and defined functional specifications.
• Conducted and participated in JAD sessions with stakeholders and system users to collect the functional requirement specifications and used RequisitePro to maintain the requirements.
• Used UML notations and RUP methodology to analyze and translate business requirements into system specifications, communicating with the business on a broader scale and with an in-depth view too.
• Prepared Business Requirement Documents BRD and used Rational RequisitePro to manage, analyze, and convert business requirements into functional specifications.
• Created and managed project templates, use-case project templates, requirement types and traceability relationships in Requisite Pro.
• Extensively used Rational Rose and UML to produce Use Case models, required UML diagrams Such as class diagrams, sequence diagrams, etc.
• Used Rational Clear Case to keep different versions of the documents and Rational Clear Quest to report bugs or defect.
• Assisted the PM in setting realistic project expectations and in evaluating the impact of changes on the organization and plans accordingly and conducted project related presentations.
• Assisted in designing test plans, test scenarios and test cases for integration, regression and user acceptance testing UAT to improve overall quality of the Application.

Environment:Windows XP/2000, OracleRequisitePro.

Confidential

Junior Business Analyst

Job Responsibilities:

• Generated periodic reports for clients and for internal review.
• Assisted in preparation of business documents related to financial data.
• Provided assistance to users to debug operational issues related to usage of financial software.
• Researched on adequacy, competency and compatibility of various software systems which were related to financial sector with our internal systems and submitted reports to the management.
• Provided assistance in reviewing, analyzing and evaluating business requirements, user needs and functions with the objective of improving business processes and procedures.
• Encompassed strategic business research and analysis in developing business plans and market research in support of organization's initiatives and future direction.
• Worked closely with team members and then examine existing business models and the flows of data in the business.
• Worked closely with developers and a variety of end users to ensure technical compatibility and user satisfaction.

Confidential

Junior System Analyst

Job Responsibilities:

• The automation of the area coverage tracker, which included maintenance and generation of new accounts, change of address, and other particulars of a client also, the near real-time billing module.
• Worked with end users for gathering requirements and suggested new features for improvement.
• Involved in all stages of the SDLC, including design of formats required for project management and software quality assurance.
• Reports were generated for the Billing module details, pre-release defect tracking, and certain other modules.
• Manual Used and test cases were scripted.

Confidential

Management Trainee Business Operations

Job Responsibilities:

• Identify business/industry trends in consumer lifestyle and technology scan competitive landscape analyze consumer data.
• Identify, distinguish and analyze multiple components of a problem, and then make recommendations for business change.
• Provide data and thorough project recommendations to all supervisors to support strategic decision-making
• Synthesize findings from analysis and make verbal/written recommendations to upper management.
• Facilitate workout problem-solving sessions with functional leaders across the organization.
• Prepare and deliver insights and recommendations based on analyses.
• Review sales/financial analyses on what sold/did not sell determine which categories have potential to move upward cost/benefit analysis data process modeling/analysis of problems
• Interpret data based on specific knowledge of statistics and procedures used