Technical Qualifications/Skills List

Business Qualifications/Skills List

• Over 12 years of healthcare industry experience working with Medicare and Medicaid systems and applications and policies. Have the ability to work independently and manage business expectations with a delivery-focused approach.
• Experience interfacing with stakeholders, system analysts and senior management with excellent communication and interpersonal skills.
• Good work experience in creating Use Cases, Process Flow Diagrams and Data Flow Diagrams using UML, Smart Draw and MS Visio.
• Have facilitated requirements gathering sessions and design review sessions Joint Application Development sessions JAD with stakeholders including business and technology groups.
• Performed functionality testing, regression testing, accessibility testing and usability testing for various projects for which the requirements were analyzed and framed.
• Have the ability to multi-task and prioritize work duties based on business needs.
• Experience working with health care data such as Medicaid and HIPAA protected data.
• Experience providing second-level web application support to end users via phone, web, and e-mail.
• Thorough knowledge of Business analysis and Iterative Software Development Life Cycle SDLC using Waterfall and Agile methodology.
• Expertise in translating requirement documents into Test Plans, and participate in UAT.
• Experience working on MS Visio, Excel, Power Point, Word, Access and Outlook.
• Experience in training supporting end-user reporting.
• Proven ability to work under pressure, prioritize and meet deadlines.
• Open to dynamic work environment and ability to work collaboratively with business analysts, testers, developers and other team members in the overall enhancement of software product quality.
• Knowledge of ICD 9 and ICD 10

Confidential

Business Specialist ICD-10

Responsibilities:

• Perform User Acceptance Testing according to Categories of Service utilizing production and non-prod MMIS
• Writing Preparation/Development and executing claims test cases
• Review test scenarios, test cases and test sets
• Enter test results utilizing Spiratest
• Review policy manual and Collaborate with policy personnel
• Utilize the Web portal to access reference data
• Participate in weekly Clinical policy meeting
• Create and close action items
• Complete weekly status report and upload to Sharepoint

Confidential

Senior Business Analyst / Center Manager

Responsibilities:

• Conducted GAP analysis document AS-IS and TO-BE process.
• Conducted weekly staff meetings.
• Interviewed, Hired and trained employees.
• Operated center in compliance of Federal, State and Local FDA and DOT regulations.
• Managed sales team and monitored Certificate of Medical Necessity compliance and submission process.
• Managed Customer Service Department, Clinical Team, and Delivery Service Team.
• Created and updated Business Requirement Documents.
• Organized JAD sessions with business teams to understand and document the functional requirements FRD along with Use Cases using different requirement elicitation techniques such as brainstorming, document analysis, interviews, observation and requirements workshops.
• Participated in the identification, understanding, and documentation of business requirements, keeping in mind the need for the application based on the project scope and SDLC methodology.
• Worked closely with other projects in implementation of systems in various areas EDI.
• Interacted with the developer on resolving the reported bugs and various technical issues.
• Methodology used Waterfall
• Conducted functional walkthroughs, User Acceptance Testing UAT sessions, and assisted with the development of User Manuals for customers.
• Developed test scenarios and implemented test plans. Involved in generation of test data inputs for both positive and negative data.
• Updated project status to Senior Management on a regular basis.
• Created PowerPoint presentations and Project Sponsor review.
• Monitored the program progress and coordinated with different stakeholders to meet deadlines, budget, and client demand.
• Developed screen copies quickly utilizing HTML, Visio or some other quick modeling tool.
• Conducted data analysis as well as analyzing delivery and billing process.
• Assisted in the development of training programs.
• Analyzed the existing User Interfaces and identified the areas for further enhancements documentation of business requirements.
• Provide support to analyze the issues arising from the existing product by prioritizing the issues and allocating the issues to the persons responsible.

Environment: SharePoint, MS Word, MS Excel, Clarity, HP Quality Center

Confidential

Senior Business Analyst

Responsibilities:

• Gathered clean and concise User Requirements.
• Developed Business Requirement Documents BRD and Use Case documents.
• Worked extensively on each phase of the Software Development Life Cycle SDLC .
• Created Use Case Diagram, Activity Diagrams, and Class Diagrams.
• Effectively conducted presentations in Joint Application Development JAD sessions.
• Designed developed the User Acceptance test plans and implemented them at UAT.
• Assisted the project manager in preparing Project Schedules, and Milestone Tracking.
• Worked with users to analyze current business processes and procedures to help identify gaps and areas for process improvement.
• Involved in the creation of screen mockups to develop the website as per the standards.
• Acted as a liaison between Business and development teams to come up with Design specifications.
• Methodology used was Agile
• Coordinated with different stakeholders to meet deadlines, budget, and client demand. Provided situational leadership to motivate individuals.
• Published weekly status reports and documents in SharePoint sites for management.
• Performed functionality testing prioritized the issues identified during UAT and coordinated with development team to get them resolved.

Environment: MS Word, MS Excel, HP Quality Center, XpresScan Tool.

Confidential

Business Analyst Medicare

Responsibilities:

• Created Use Cases, Requirements document and User Guides for the applications in the portfolio.
• Interacted with the stakeholders to get a better understanding of client business processes and gather business requirements.
• Conducted walkthroughs with the end users and stakeholders to gather the modification requests from the user to upgrade or change the specifications for the product.
• Conducted JAD sessions, which helped synchronize the different stakeholders on their objectives and helped the developers to have a clear-cut picture of the project.
• Conducted presentations of the Q/A test results with analysis to the stakeholders and users and documented modifications and requirements.
• Worked with data management and other groups to make sure that quality procedures are integrated into their work processes.
• Managed the CR request that were submitted by SME's
• Methodology used was waterfall.
• Involved in functionality testing and regression testing.
• Monitored the program progress and coordinated with different stakeholders to meet deadlines, budget, and client demand.

Environment: MS Visio, MS word, HP Quality Center