Technical Skills

• Methodologies: RUP, Agile, CMMI, CMM, Six Sigma, OOAD, UML, Business Modeling, Process Modeling and Data Modeling
• Office Tools: MS Word, MS Excel, MS PowerPoint, MS Access, MS Project, MS Outlook, Lotus Notes
• Process/Modeling tools: MS Visio, Rational Rose, Rational Requisite Pro, Smart Draw, ClearCase, ClearQuest
• Testing Tools: Test Director, Quality Center, WinRunner. Selenium
• Operating Systems: Windows Vista, NT/2000/2003/ XP/98, MS DOS
• Quality Management: HIPAA, CMMI, CMM, Six Sigma, TQM
• Languages: C/C , Java, SQL, PL/SQL, HTML, XML
• Database: MS Access, SQL Server 2000, Oracle 9i 10g, Teradata.
• Other Tools: Macromedia Dream Weaver, Macromedia Flash and Adobe Photoshop.

PROFESSIONAL EXPERIENCE

Confidential

Business System Analyst

Confidential is a leading global financial services firm with operations in more than 60 countries. The firm is a leader in investment banking, financial services for consumers, small-business and commercial banking, financial transaction processing, asset management and private equity. They serve millions of customers in the United States and many of the world's most prominent corporate, institutional and government clients under its J. P Morgan and Chase brands. The scope of the project aimed to develop an integrated system and method where in main idea was to build customer loyalty.

Responsibilities:

• Analyzed the business needs of clients and stakeholders to help identify business problems and propose solutions.
• Extensively did GAP analysis in the project as there were 'As-Is' and 'To-Be' conditions.
• Prepared the Functional Requirements Specification FRS and Business Requirements Document BRD
• Created Workflow scenarios, designed new process flows documented the business process of the business from the conceptual to procedural level using MS Visio.
• Facilitated JAD Sessions with users, developers, and database design team to further breakdown the requirements
• Conducted interview workshops, focus groups, Conducted feasibility analysis and product backlog planning with Project Manager, created work break down structure using MS Project.
• Created Use-Case Models to depict Actors and Use-Cases in various Business Processes. Expressed the requirements through business rules, future state mapping and process flow diagrams.
• Acted as a Scrum master by creating sprint backlogs, organizing and conducting sprint planning meetings, daily scrum meetings.
• Determined the velocity of each sprint and created the Sprint burn down chart, storyboards and Product Backlog and managed Requirements churn
• Utilized data mining and data analysis tools.
• Validated the data loaded into the data warehouse for accuracy.
• Created the product backlog with help of user stories collected through requirements gathering and sprint burn down charts.
• Used SharePoint 2013 for content management, and to share the information with the groups involved during the project
• Assisted in creating enterprise banking data model, created SQL stored procedures to access customer information and implementing corresponding data access objects. Helped in creating test cases for the system.
• Worked with SQL queries to extract application data to perform application validations
• Logged and tracked the defects using HP Quality center. Created an error repository and managed the testing process with the QA team

Environment: HPQC,UML,SCRUM,MS ACCESS,MS OFFICE,ASP,SQL SERVER SSIS,SSRS,SSAS ,Visual Studio, SDLC, MS Visio, BPMN, VSM, SharePoint 2013

Confidential

NE Business Systems Analyst

• Confidential uses Agile Methodology for MMIS which is a legacy system, various Service Change Requests which are part of CMS services.
• Under general direction involved in gathering, defining and documenting highly complex business requirements for SCR's from the SME's.
• Facilitate meetings discussion between business users, Lead Business Analyst and Technical Analysts.
• Documented organization policies and procedures in the context of system requirements.
• Worked with technical staff and business users to achieve the best problem solving methods and workable solutions.
• Performed feasibility services and gap analysis in the system, by understanding the As-Is system to develop a better To-Be system.
• Performed data analysis, data mapping, data validation and reconciliation. Designed various data file layout to exchange between third party people
• Created test plans, test scripts, test cases based on the requirements to cover the requirements with minimum number of test cases.
• Ensured testing results correspond to the business users expectations.
• Worked with Business leads, Stake holders, Technical staff to identify key measurable values to track and manage the project issues.
• Created user manuals for the end users, provided support for the clients which includes training and help instruction.
• Worked on the monthly and quarterly updates for the various Reference panels which are received from the CMS.
• Worked on the Medical Home Pilot project which provides the patient centered medical home, it mainly consist of patient and doctor relation to make better health condition
• Worked on a project which removes caseworkers, replacing them with the Document management centers and IVR systems.
• Worked on NDC crosswalk with HCPCS code, Designed file layouts for Mental Health Substance Abuse MHSA for the Managed Care Plans.
• Performed various data analysis for the various claim types, major subset mainly comprises of Professional, Institutional, Dental and Crossover claims.

Environment: Mainframe, Lotus notes, Excel, SQL, Clarity.

Confidential

Position: Senior Business Analyst

Job Responsibilities:

• Analyzing the existing policies and procedures and providing the inputs to Executive Management Team to fit into the compass project goals.
• Conducting JAD sessions with different Business Users to develop new policies and procedures for the Service Catalogue, Charge Capture and Service Worklist /Charge Router, Hospital billing, coding, special coding requirements for BCBS and Claim processing.
• Performing GAP analysis between Meditech and Soarian application for the Data Migration and Conversion.
• Identifying the impacts and training the users on new policies /procedures changes.
• Developed Use cases, Test Cases for the Business users and QA team.
• Performing Impact analysis for readiness of ICD-10 conversion.
• Identifying the Security Risks in the application that being built and address them in the requirement document to avoid the security breaches.
• Improved the new revenue cycle management and Electronic Medical Record EMR for PARTNERS.
• Developed an implementation guide for Partners for EDI X12 transactions such as 834, 835,837,270 and 271.
• Designed the flexible solution for patient treatment plan and patient care plan.
• Designed the tight user authentication and application security.
• Modified Existing policies and procedures for patient access such as Enterprise Scheduling, Patient Check-in/Out and Encounter automation.
• Supporting the Business Users after go live.

Environment: MS Project, MS Visio, RUP, Rational Suite RequisitePro, ClearQuest, Clearcase , Blueprint, ETS and EDI ANSI X12/HIPAA. Meditech, Soarian.

Confidential

Position: Senior Business Analyst Aug

Job Responsibilities:

• Analysis for making system compliant with HIPAA . Involved in making the Medicare patient profiles being compliant with the HIPAA regulations. Management of patient profile transfer PPT reports created by data team by verifying the associated data.
• Involved in analysis, design, and implementation of the following systems:
• Control Management Reporting and Security Systems: generation of daily, weekly, and monthly reports of hospital patients' activity. Medical Billing and Collection Systems: generation of daily billing activity based on patient records and establishment of collection protocols. Accounting Systems: Financial Statement generation and analysis according to government standards and protocols.
• Coordinated and conducted system requirements walkthroughs/sessions JRDs/JADs with business Owner/stakeholders/SMEs as well as design/development teams. Worked with business area SMEs/analysts to develop and finalize test plans/scripts/use cases. Analysis of key business requirements and assisted in the development of Business Requirement BRS , Functional Requirement FRS , and System Requirement Specification SRS .
• Working knowledge of Epic Rx /Epic Lab/Epic Care Inpatient/Health Information Management and Chart Tracking
• Experience with the use of clinical laboratory information systems within a medium to large clinical laboratory
• Experience with Epic Resolute Professional and Hospital Billing system experience
• Experience in a highly regulated environment healthcare, financial, SOX, HIPPA etc
• Hands on experience on Mercury Quality Center
• Member of the patient information reporting project team for analyzing and designing responsible for analyzing and designing a system that would improve reporting of patient data especially with relation to Medicare population.

Environment: EDI ANSI X12/HIPAA, UML, MS Access, MS Office, MS Visio and Rational Suite.

Confidential

Position: Business Analyst

Job Responsibilities:

• Assist with creation and maintenance all necessary documentation and training materials for Epic Ambulatory application
• Performed analysis, design, development and maintenance of the Epic Ambulatory applications and other clinical information systems.
• Experience with EPIC user and provider record provisioning, including the development of role-based access, security classes, and user profiles
• Experience in Epic Resolute product implementation and deployment
• Hands on experience with Epic Hospital Billing and Ambulatory
• Experience with Epic Healthcare Information Systems.
• Conducted user interviews, gathered requirements, and analyzed the requirements.
• Worked with the business team to collect the business requirements, security and service level requirements and documented them.
• Analyzed set behavior and contribution to business performance, critical business metrics tracking underlying business trends using Business Objects.
• Working with different IT Business groups to understand and determine the Impacts to the Data Warehouse and/or Data Marts for different projects
• Participated in the logical and physical design sessions and developed design documents.
• Designed new process flows for the existing system as well as for the enhanced system.
• Conducted and lead status report meetings with the business and the IT team on a weekly basis.
• Manage Scope and change throughout the life cycle of the product.
• Performed collection, coding, assessment and reporting of adverse event data using ARISg.
• Worked in the ARISg Implementation of the EHR-Pharmacy Module.
• Captured all HIPAA-related EDI data in the repository using FACETS.
• Accepted inbound transactions from multiple sources using FACETS.
• Supported integrated EDI batch processing and real-time EDI using FACETS.
• Recommend tactic to implement HIPAA 4010 EDI X12 837,834,278,270 in the new System
• Worked on Electronic health record system as a CRM web based application.
• Working Experience in Electronic Submissions in standard format E2B.
• Knowledge of regulatory issues including State, Federal, AABB, CAP, CLIA, and JCAHO.

Environment: MS Project, Microsoft Visio ,EPIC, FACETS and Business Objects

Confidential

Position: Business Analyst

Job Responsibilities:

• Conducted detailed and comprehensive Business Analysis by working with end users and other stake holders to identify the system, operational requirements, and proposed enhancements.
• Facilitated Joint Application Development JAD sessions with all IT group members for communicating managing expectations and to discuss various means for integrations with current system using an adoption through execution strategy
• Gathered business requirements from business users such as Insurance Policy Managers, credit card Managers and drafted business requirement specification BRS .
• Co-authored Business Requirements Specification BRS , Use Case Specifications, Systems Requirement Specification SRS and Change Request along with the Business Group and the IT project group members.
• Identified all necessary Business and System Use Cases from requirements, created UML diagrams including Use Case Diagrams, Activity Diagrams, and Sequence Diagrams using Microsoft Visio.
• Understood the Business Logic, User Requirements and test-objectives to develop Test plans, Test cases, Use Case Scenarios.
• Assisted in developing test scenarios, test scripts and test data to support unit and system integration testing.
• Involved in comprehensive testing of the system to check it satisfies functional specifications.

Environment: MS Visio, Rational Requisite Pro, RUP, UML, SQL, PL/SQL,MS Office, MS-Project, Windows 2000, Test Director,

Confidential

Position: Business Analyst

Job Responsibilities:

• Conducted user interviews, gathered requirements, analyzed and documented business requirements based on the analysis of loan processing workflow model.
• Created Gantt chart and PERT chart and used them to develop project schedule, allocate resources and make cost estimates using MS Project.
• Prioritized the requirements gathered from financial specialists, business users, domain experts through interviews and JAD sessions.
• Identified the deliverables at the end of the inception and elaboration phase of the Rational Unified Process RUP life cycle in terms of business modeling and requirements analysis.
• Created and maintained the Requirement Traceability Matrix RTM between the requirements and other products such as design documents and test plans.
• Initiated Use Case using UML, which provided the framework for potential use case deliverables.
• Ensured verification and sign-off of business requirements by various stakeholders/investors under SOX Compliance.
• Conducted various meetings and interacted with the analysts, and developers to discuss Enhancement and Modification Request issues.
• Version control of the artifacts generated within the life cycle using Rational Clear Case.
• Performed Functionality testing and regression testing.
• Involved in executing test cases and scripts using Win Runner, Developed Sub Reports using Crystal Reports.
• Created various Charts and Graphs like Bar Chart, Line graphs, Pie Charts for analysis

Environment: MS Visio, Rational Requisite Pro, MS Project, RUP, UML, Win Runner, Rational Project Console, MS Office, Windows 2000, Crystal Reports, SQL

SKILLS:

• Languages: C, C , SQL, PL/SQL, Automation tools: Mercury QTP 9.0/8.2, Winrunner 8.0/7.0, Loadrunner 9.0, Mercury Quality Center 9.0, Test director 8.0, Web Technologies: HTML, XML, VB Script, Java Script and Perl, Configuration tools: VSS, Rational RequisitePro, Bug Tracking tool: Projectbynet, Rational ClearQuest, Bugzilla, OS: Windows 2000 / XP, Vista, Linux, UNIX, Databases: MS-Access, Oracle 9i, MS SQL Server 2000, Packages: MS office, Microsoft Visio 2000, Source Insight, MS Excel, Word.
• Test Director Quality Center Shell Script QA Analyst QA Lead Qualty Assurance Analyst Business Analyst User Acceptance Testing UAT Regression Testing Functional Testing RUP Rational unified Process Use Case UML Unified Modelling Language FRS Functional requirement Specifications. EDI HL7 ICD 9 10 ANSI NASCO FACETS PEGA HIPAA Six Sigma Blueprint Medical Claims 837 Billing Change Management MS Project MS Visio Work Flow-Process Flow Mortgage Claims 21 CFR Part 11 820 medical devices IQ OQ PQ Supply Chain Management Value Analysis QTP Mercury Quality Center Sharepoint Crystal report COGNOS Business OBJECTS
• MS Office Suite and MS Front Page, UNIX, Windows XP, Data Mapping, Requirements Gathering, MS Excel, MS Visio, Mainframe, CICS, DB2, MVS, MS Access, MS Project, UAT, Quality Center/Blueprint
• Project Manager, Business Analyst, Process Documentation, Change Management, Agile Project Management Methodology, Telecom, Healthcare, MS Office, Sharepoint, MS Project, Visio, BusinessObjects, , Lotus Notes, Remedy, Rational Rose, Test Cases, Use Cases, Business Analyst, ACCESS, MS Project, Quality Center, ClearQuest, Cognos, Manual Testing, Rational Soda, ReportNet, SQL Server, Teradata, Test Plans, Agile, Basic
• UML, Rational Rose, RUP, Visio, JAVA, Oracle, Test Cases, Use Cases, ACCESS, Project Manager, QA, Business Analyst, Business Objects, C, HTML, Javascript, MS Project, Rational Requisite Pro, SDLC, SixSigma