Professional Summary:

• Facilitator between Business Systems and Information Technology with over 9 years of experiences in the field of Scrum Master and business analysis in high volume, intense, customer focused service industries include healthcare, Banking and Retail.
• Proven experience in Agile Scrum, creating Business Use case, developing user stories, create and Maintaining Product Back logs, Release Sprints, Sprint Poker Planning, Sprint release, Sprint retrospective
• Several years of experience and advance knowledge of the Systems Development Life Cycle SDLC , and project life cycles like Agile, Rapid Application Development RAD , Extreme Programming XP ,Rational Unified Process RUP
• Strong knowledge and working experience of industry standards such as HIPAA, HL7, Six Sigma, and SOX, ICD-9, ICD-10 coding, EDI Electronic data interchange , transaction syntax like ANSI X12
• Participated and actively functioned in Joint Application Development JAD
• Strong Experience in Test Plans development, Test Conditions and Test Cases, test data creation and analysis, interaction with the development team for error detection and correction.
• Hands on implementing Web, Portal, Web-Services and Enterprise Applications using Object Oriented Analysis and Design OOAD Methodology.
• Worked extensively with Dimensional Modeling and Data Migration. Experience in Data Transformation, Data Loading, Data Modeling, Metadata Model, Catalog Creation, Cube Modeling, SDK Development and Performance Tuning.
• Experience in understanding database structures and write SQL/PLSQL.
• Extensive experience in Data Analysis, Data Modeling and ETL Techniques for loading high volumes of data and smooth structural flow of the data.
• Worked on System Changed Requests Issue resolution related to Medicare and Medicaid.
• Vast experience in requirement gathering for business and application requirements, business processes, identifying risks, impact analysis, UML modeling, Sequence and Activity Diagrams using Rational Rose and Microsoft Visio.
• Have worked intensively on the PL/SQL for creating and working on the database for multiple projects.
• Adapt at writing Data Mapping Documents, Data Transformation Rules and maintaining Data Dictionary, Data Migration and Interface Requirements Documents.
• Experience in gathering reporting requirements from the business users for Business Intelligence, Data Warehouse application.
• Experience in writing Test Plans, Creating Test Suites, Test Cases/Test Scripts, Defect Tracking.
• In house experience with project management tools like MS-Project, JIRA, Creative Pro Office for status reporting, planning and error tracking and correcting.
• Proficient in working with UML development tools like MS Visio, Eclipse, Enterprise architecture framework, UML2 Tools, and Power Designer etc.
• Extensive management background within varied sectors of the healthcare industry including HMOs , PPOs, Integrated Hospital Systems, Out-Patient Surgery Centers, Dental and Vision
• Experienced in conducting GAP analysis, User Acceptance Testing UAT , SWOT analysis, Risk Analysis and mitigation plan, Cost benefit analysis and ROI analysis.
• Exposure to Healthcare, Insurance and Finance business domains.
• Extensive experience with Business Process Management BPM .
• Extensively worked and presented several documents and Use Cases for multiple transactions include 837I, 837P, 835, 276, 277, 270, 271 both inbound and outbound transactions for ongoing industry projects.
• Good knowledge of Health Insurance Plans Medicare Part A, B, C and D , managed care concepts Medicaid and Medicare and experienced in determining the membership eligibility, billing experience within life and disability in health plans.
• A sincere, committed, quick learner, oriented, motivated team player with excellent communication, analytical, leadership, interpersonal and problem solving and management skills. Exceptional Problem Solving and Sound Decision Making capabilities, along with the ability to resolve difficult situations.

Technical Overview

PROFESSIONAL EXPERIENCE:

Confidential

Sr. Business Analyst

Responsibilities:

• As a Scrum Master / Lead Business Analyst, successfully completed Four Full Project life cycle projects and lead 2 Scrum teams S2 of 8 in complete end to end development Implementation of Projects. Used Agile-Scrum and Waterfall SDLC methodology
• Guided testing and implementation of new tools that streamlined management of Scrum projects with complex sets of business and technical requirements.
• Created user documentation and hosted training sessions for analysts, testers, and developers.
• Organized five years of old requirements documentation to provide teams with centralized repository created new user checklists and standardized systems usage processes across multiple groups.
• Mentored and instruct IT department at using the Scrum process and provided steps and directions at optimizing resource
• Proven experience in Agile Scrum, creating Business Use case, developing user stories

Confidential

Business Systems Analyst

Responsibilities

• Perform a baseline assessment of Hospital-Provider systems and related interfaces, the existing service level agreements and/or policies and operational business procedures for readiness to comply with HIPAA as well as ICD-10 requirements.
• Have strong experience in requirements gathering by conducting interviews with end users
• Actively worked on Data analysis and Report analysis with respect to ICD-10 impact.
• Extensively worked on Data Mapping and ETL.
• Analyzed System flows of various department of the hospital.
• Identified risks, problems, requirements and concerns of the Hospital in order to comply with ICD-10 changes. Assisted JAD sessions to identify the business flows and determine whether any current or proposed systems are impacted by the EDI X12 Transaction, Code set and Identifier aspects of HIPAA.
• Highly involved in understanding of department workflows and process flows with respect to applications. Developed business process models in RUP to document existing and future business processes. Improved process for payment of Medicare Secondary Payer claims through revised workflows.
• Collected the information related to ongoing application upgrade and their impact on ICD-10 implementation and created awareness within the departments regarding the need, impact, benefits and risks of ICD-10 code application.
• Wrote SQL queries/joins for Oracle database and prepared test data.
• Designed and developed user interface screens for visualization of reports and various user inputs with cross-functional teams.
• Re-Organized the collected data and prepared documentation for implementation.
• Involved in providing education about the ICD-10 codes and 5010 standards, its requirements, complexity and accuracy to Physicians and Nurses of the hospital. Figured out the requirement of training in various departments of the hospital based on their daily work.
• Performed impact analysis on applications for deadliness of ICD-10 conversion.
• Responsible to meet the information demands of our business users by delivering timely, accurate, meaningful and standardized data and reporting.
• Mapped the collected data with the existing data provided by the hospital departments.
• Used Word, Excel and Visio as a working tool.
• Hands-on experience and good understanding of the hospital working system including Registration, Scheduling, Radiology, Laboratory, Pharmacy, Patient Accounting, HIM, Claim Processing etc.
• Met the deadlines and scheduled day to day meeting sessions.

Environment:Windows 2007, Packet Tracker, MS office suite, MS Visio, UML, RUP SDLC , MS SQL Server.

Confidential

Business Systems Analyst

Responsibilities:

• Assisted in identifying project scope, to conform to the regulatory compliance related to X12 837 I/P , 835, 834, 270, 271, etc.
• Responsible for soliciting and eliciting requirements for 4010-5010 conversions.
• Involved in building training material and planning material for 4010-5010.
• Defined communication plans and created a project budget for the transition.
• Carried out Risk Assessment, GAP analysis and Impact Analysis for the 4010-5010-conversion project.
• Involved in one-to-one interview sessions and JAD sessions with stakeholders, SME's and business owners to discuss the scope of the conversion.
• Produced for transaction sets 835 and 837 I/P a full gap analysis 4010 vs. 5010 against the documented application 5010 enhancements ensuring the upgraded application included the required changes and additions for 5010 compliancy.
• Involved in up-gradation of HIPAA X12 4010 transaction to HIPAA X12 5010 by conducting Impact Analysis and Risk Assessment and worked on the mitigation plan to avoid the risks.
• Worked as a liaison among stakeholders both business and IT side in order to elicit, analyze, communicate and validate requirements for changes to business processes.
• Involved in Validation of HIPAA for 837, 270/271, 276/277,835, 834 EDI transactions.
• Prepared UML diagrams Activity diagrams, Sequence Diagrams, Use case diagrams .
• Involved in Data Modeling, Data Mapping and ETL activities.
• Played a key role in project planning activities, User Acceptance testing, and implementation of the system enhancements and conversions.
• Involved with reviewing defects reported from UAT efforts and analyzed for root cause and took actions based on the findings.
• Conducted Business Process As Is/To Be sessions with various department directors and staff to ensure the Testing Plan and Test Approach would meet the identified Business Requirements, and the Training Program covered all identified new and changed processes.

Environment:Rational RequisitePro, Rational Clear Case, RUP, UML, HTML, MS Project 2000, MS Visio, TestDirector7.6, MS Office Excel, Word

Confidential

Senior BusinessAnalyst

Responsibilities:

• Facilitated all aspects of the scrum framework, including sprint planning sessions, backlog grooming sessions, daily scrums, product demos, sprint reviews and sprint retrospectives.
• Supported and consulted product owner in developing, maintaining and grooming product backlog.
• As Scrum Master maintained the capacity plan, iteration board, sprint backlog, velocity charts and burn down charts
• Identified and removed impediments to the success of the sprint by working with every single team member.
• As Scrum Master communicated dependencies and potential risks to the completion of the sprints including resources, costs and systems.
• Conducted JAD sessions, workflow diagrams, UML diagrams, process models, activity diagrams, use cases, for incorporating design changes in the order creation/ management system.
• Actively participated on creating Migration strategy from existing PDE Microsoft Access files to G old Data Repository.
• Clearly understood coding standards required for all Medicare Part D Users transactions involving electronic data interchange as provided by department of health and human services and incorporated at every stages of the project wherever found necessary.
• Prepared the Business requirement Document BRD and functional requirement document FRD for the enhancement of the existing services.
• Analysis and Design of existing transaction sets, and modification of these transaction sets to ensure HIPAA compliance.
• Did data analysis, created data mapping and data interface documents and kept the documents updated with changes in requirements and functional specifications.
• Worked on developing the business requirements and use cases for Facets batch processes automating the billing entity and commission process.
• Coordinated the upgrade of Transaction Sets 837P, 835 to HIPAA compliance.
• Worked on the EDI 834-file load to Facets through MMS Membership maintenance sub-system .
• Did gap analysis for HIPAA 4010 837P and 835 transactions and HIPAA 5010 837P and 835 transactions.
• Involved in impact analysis of HIPAA 5010 835 and 837P transaction sets on different systems.

Environment: Rally, Agile, Microsoft Office, HTML, Microsoft Visio, Share Point, Mega, XML schema, J2EE, UML, Quality Center

Confidential

Business Analyst

Responsibilities:

• Conducted detailed and comprehensive Business Analysis by working with the client IT staff, project managers, supervisors, SME's, and other stakeholders to identify the system, operational requirements and improvements through JAD session.
• Served as a liaison between business team and the project team by assisting the business in identifying, understanding, and documenting their business needs.
• Converted Business Requirements documents into Functional Requirements Specification and Technical Specification.
• Identified all necessary Business Use Cases from requirements, created UML Diagrams including Use Cases Diagrams, Activity Diagrams, and Sequence Diagrams, using Microsoft Visio.
• Assisted in developing GUI for the new application.
• Performed gap analysis to understand the improvement strategy of business.
• Created documents like the Business Glossary, Actors Catalog and Data Dictionary to facilitate the other teams in understanding client business.
• Used Microsoft Project to manage schedules, deadlines, and resources and collaborate on the project
• Collected and documented business processes as well as business rules.
• Used Test Case distribution to track the progress of test case planning, implementation and execution results.
• Worked with testing team to develop Test cases, Use Case Scenarios, Dashboard for reports, Test case execution using Test Director.
• Conducted User Acceptance Testing UAT with user group.

Environment: MS Visio, SharePoint, JustinmindPrototype, RUP, Test Director, TOAD, SQL, Crystal Reports, UML, MS Office, MS Project, HTML.

Confidential

Business Analyst

Responsibilities:

• Conducted RFI Request for Information and RFP Request for Proposal process for vendor products and facilitated Business and Technical teams in Vendor Selection Process.
• Elicited and gathered high level requirements by conducting stakeholder meetings, interviews and discussions.
• Defined system scope and objectives and prepared BRD Business Requirement Document and FSD Functional Specification Document .
• Helped business and technical people in prioritizing wish list and managing the small Change Requests.
• Conducted a JAD session to gather requirements.
• Prioritized business and systems problems conducted impact analysis.
• Developed Use-Cases, Class and Activity Diagrams to model the detailed business system elements and data flow.
• Developed workflow, screen mock-ups, and conversion requirements for all transaction related activities.
• Assisted PM to develop GANT chart and CPM Charts for project time and activity scheduling to align the project development with time and cost objective.
• Load data from a large flat file into the Oracle databases.
• Collaborated with development team in identifying UI prototype elements from user's perspective.
• Used Microsoft Excel and Microsoft Access for Data Analysis and Reporting.
• Assisted in designing tests plans, test scenarios and test case for integration, regression and user acceptance testing UAT to improve overall quality of the application.
• Used Test Director for assigning and raising an application bugs.
• Created documentation for training and Help Desk teams.

Environment:Microsoft Project 2000, UNIX, HTML, JAVA, Oracle9i, Web-Logic, Business Objects, and Test Director7.6

Confidential

Business Analyst

Responsibilities:

• Developed an improved system whereby the members could share and communicate information easily.
• Performed Feasibility, Adaptability and Risk Analysis to identify the business critical and high-risk areas of the application.
• Served as the primary liaison between the business and IT for E-Commerce Project internal search .
• Gathered Business Requirements, through constant interaction with the Users, Designers and Developers, Project Manager and SMEs to get a better understanding of the Business Processes.
• Developed business process models in RUP to document existing and future business processes.
• Analyzed and optimized the process, prepared Business Requirement Document BRD and Functional Specifications.
• Followed Waterfall Software Development Methodology and gathered the requirement and interviewed stakeholders and end users.
• Used the knowledge of Product Lifecycle Management PLM in integrating all the resources such as human resources, business systems, processes and data to provide information to support the company and its research staff.
• Conducted JAD sessions to gather requirements.
• Creating different types of diagrams using MS-Visio charts for E-commerce.
• Identified Use Cases from the requirements.
• Created UML Diagrams including Use Case Diagrams, Activity Diagrams, Sequence Diagrams, Collaboration Diagrams, Data Flow Diagrams DFDs , ER Diagrams and Web Page Mock-Ups using Rational Rose thus defining the Business Process Model and Data Process Model.
• Communicated with design, development and test team using MS exchange messaging
• Provided technical assistance in identifying, evaluating, and developing systems and procedures that were cost effective and met business requirements.
• At an individual project level worked cross functionally to define plans and schedule timelines to meet project objectives.
• Assisted the Project Manager in developing process and procedures for E-Commerce Project Management.
• Assisted QA team in designing tests plans, test scenarios and test case for integration to improve overall quality of the application.

Environment: Unified Modeling Language UML , Rational Unified Process RUP , MS Visio, GAP Analysis, JAVA, Rational Requisite Pro, Rational Clear Case, Rational Clear Quest, MS Project.