PROFESSIONAL SUMMARY:

• Over 6 years of comprehensive experience as a Business Analyst in Healthcare and Retail E-Commerce industry.
• Experience in all phases of Software Development Life Cycle SDLC and skillful in applying Waterfall, Agile and RUP methodologies.
• Proficient in documenting BRDs, FRDs, FSDs, Use Case documents, Test Plans, Test Case documents, UAT documents as well as User Manuals.
• Expertise in visualizing requirements using UML for Activity diagrams, Sequence diagrams, Wireframe diagrams, Swim Lane diagrams, Use Case diagrams, Context Diagrams and Data Flow diagrams.
• In depth knowledge of EDI transactions, HIPAA 5010 transaction processing and ICD 10 compliance.
• Competent in Claims Processing for multiple plan types including HMO, PPO, Medicaid and Medicare.
• Experience in facilitating JAD sessions, Scrum Sessions, Requirement Elicitation Sessions, Interviews and Focus Groups.
• Excellent skills in user research and analysis of the existing systems, with knowledge of traceability matrix.
• Strong Experience in conducting User Acceptance Testing UAT , Unit Testing and documenting Test Cases and Test Scripts.
• Involved in Test Planning, Test Preparation, Test Execution, Issue resolution and Report Generation to assure that all aspects of a project are in compliance with the business requirements.
• Excellent verbal and written communication skills with the ability to interact professionally with stakeholders at all levels of the organization, including the ability to exercise good judgment in frequency and nature of communications to senior management, stakeholders and team members.
• Possess a disciplined, professional and quality centered approach with strong analytical and problem solving skills.
• Able to work under pressure and in dynamic cross-functional and cross cultural-environments.

TECHNOLOGIES

Work Summary

Confidential

Sr. Business Analyst

Responsibilities:

• Gathered requirements through interview and focus group sessions for member eligibility, enrollment, provider, claims processing and benefits.
• Performed business process analysis, as-is system to-be systems GAP analysis to check the compatibility of the existing system infrastructure with the new business requirements of enhancements.
• Assisted in the compiling of guidelines for members and providers after reviewing the requirements from inbound documents from end users.
• Documented Claims management work flows.
• Created Use Cases from Business Requirements and developed Wireframe Diagrams and Activity diagrams using MS-Visio to be understood by business as well as in a the technical teams.
• Performed impact analysis of conversion to ICD 10 on the current system and developed a deep understanding of cross walking and GEM General equivalence mapping between ICD9 ICD10.
• Dealt with 834 enrollment member lookup processes and resolved issues regarding multiple criteria queries associated with member lookup processes.
• Served as a liaison between the internal and external business community Claims, Customer service, membership management, provider management and the project team.
• Conducted functional walkthroughs, User Acceptance Testing UAT sessions and bug tracking sessions.

Environment: Waterfall, MS Visio, UML, Oracle, SQL, MS Office, MS-Project, Share Point, and HP QC.

Confidential

Sr. Business Analyst

Responsibilities:

• Conducted interviews with key business users to collect requirements and business process information.
• Analyzed requirements with cross functional teams through JAD sessions with SMEs to understand and document Current State vs Future State.
• Developed system workflow diagrams including activity, sequence, use case, swim lane and process flow diagrams using MS Visio.
• Involved in business process and application improvement recommending enhancements from conceptualization through implementation, including problem definition and process mapping recommendations.
• Worked in unison with the QA team through the Testing Cycle to verify complete and rigorous testing of requirements.
• Led meetings with work-stream owners of different functional areas including Benefit and Member Enrollment to engage them in procedural support for User Acceptance Testing UAT .
• Maintained and proposed changes for the current business processes in the Traceability Matrix.
• Drafted User Training Manuals outlining the features of the application and step-by-step process for using the functionality provided by the application.

Environment: Agile, CaliberRM, MS Project, MS Access, MS Office 2010, MS Outlook, and MS SharePoint.

Confidential

Sr. Business Analyst

Responsibilities:

• Conducted requirement gathering sessions with Business, Development and QA teams to facilitate the requirement understanding process, data collection and data analysis.
• Collaborated with project manager to define project scope, risks and determined appropriate methodologies to apply based on Scope/Vision documents, and developed project time lines for on time delivery based on RUP methodology.
• Followed a structured approach to organize requirements into logical groupings of essential business processes, business rules, information needs and ensured that critical requirements were not missed.
• Performed Gap analysis for new functionality requirements, as well as prioritized them based on actual business needs so as to align them with the product release roadmap.
• Performed Software Requirements Traceability Analysis to trace software test cases.
• Worked in unison with the QA team through the Testing Cycle to verify complete and rigorous testing of requirements.
• Monitored and managed Defect Tracking using Rational Clear Quest to ensure that testing effort was progressing with the development team.
• Conducted UAT, documented and reported user feedbacks to management team.
• Developed training materials for different end users and assisted in User Training for the new system.

Environment: RUP, MS Project, MS Visio, Rational Suite Rational Requisite Pro, Clear Quest and Clear Case .

Confidential

Business Analyst

Responsibilities:

• Conducted user interviews, attended Joint Application Development JAD sessions, created agendas and documented analysis in requirements gathering.
• Extensively interacted with both user group and development team in coming up with structured charts, class and sequence diagrams.
• Verified and validated data model with changes to business information and rules.
• Reviewed all Requirement Specification Documents and Functional Design Documents for completeness and testability.
• Developed Functional Requirement Document FRD using and MS Office.
• Created Use Case Diagrams and Wireframe Diagrams.
• Identified the use cases from the gathered requirements and prepared a comprehensive Use Case Specifications document.
• Analyzed, documented and managed all project requirements and changes to requirements throughout the software development lifecycle.
• Coordinated all the testing activities between the development teams and offshore and onsite QA teams.
• Worked with QA manager to ensure testing requirements were successfully completed for the satisfaction of the stake holders.

Environment: RUP, MS Office, Visio, Requisite Pro, Rational Rose, SharePoint and Clear Quest.

Confidential

Business Analyst

Responsibilities:

• Responsible for interacting with clients for requirements gathering, analyzing requirements and creating detailed specifications.
• Analyzed and defined the requirements with the assistance of the Project Manager and stakeholders based on federal, state regulations.
• Interacted closely with external clients as well as internally with the technical staff, Product Development staff, testing staff and the business teams to ensure effective definition, development and delivery of software functionality.
• Recommended changes for system design, methods, procedures, policies and workflows affecting claims processing in compliance with government standards.
• Developed and executed SQL queries on claim records to validate reporting data.
• Reviewed Test Cases from Use cases for EDI transactions and executed them in the Quality Center testing environment.
• Assisted clients in developing content and training materials recommended enhancements and identified new business requirements ensuring appropriate documentation.

Environment: Waterfall, MS Office, MS Visio, SharePoint and HP QC.