Summary:

• Over Seven years of extensive experience in Business Analyst, Software Validation and business process re-engineering with proven ability to articulate business values.
• Exposed to diverse business processes, that includes Healthcare.
• Good experience working with Clinical Trials Databases.
• Functional experience with concentration on Use Case modeling using UML, Business Process Modeling, Data Modeling, Change Management, Technical Training, Software Development methodologies, QA testing, and Systems Testing of client server and web-based systems.
• Extensive experience in creating Functional Specifications, UI specifications and UI prototypes.
• Strong project management skills including planning, scheduling, monitoring and budgeting with experience in requirement gathering, gap analysis, risk analysis, effort estimation etc.
• Strong Business Analysis Skills including In depth knowledge of Software Development Life Cycle SDLC , having thorough understanding of various phases like Requirements, Analysis/Design, Development and Testing and Practical knowledge of Rational Unified Process RUP .
• Extensive Knowledge of Systems Management, Design and Data Modeling.
• Hard-core experience involving Business Process Re-Engineering, Software Re-Engineering using RUP methodology and ERP Systems Implementation and Continuous Improvement techniques.
• Proven expertise in creating test plans, UML diagrams, flowcharts, screen mockups and systems requirements specifications.
• Application Knowledge Expert in EPIC Ambulatory Medical software application order entry, Immunizations/Injections, and user preference list set-up.
• Demonstrated strong analytical skills in combining workflow needs with existing EPIC Medical software application. Strong understanding of information technology capabilities and dependencies, including platforms, content management, e-document strategies and process mapping.
• Demonstrated high capacity to learn new technologies rapidly with no formal training.
• Proficient at creating and transforming business requirements into software requirement specification SRS using Rational RequisitePro and designing business models using UML diagrams such as use case model, Class Diagrams, Activity Diagrams, Sequence Diagrams and Collaboration Diagrams in Rational Rose and MS Visio.

Software/Environment:

MS Visio, MS Project, Rational Rose, RequisitePro, ClearQuest, Windows XP/2000/Me/98/95/3.1/NT, OS X, SunOS, MS-DOS, Dream Weaver, Adobe Photoshop, Flash, Business Objects, XML, UML, HTML, C , UNIX, Dreaweaver, Frontpage, VB.NET,ASP.NET, PL/SQL, Java, Access, Microsoft Word, Power Point, Excel, Outlook, PSP Studio, Word Perfect

Confidential

Business Analyst

Improve source system data-mappings and interpretation to better explain 835 payments and adjustments. Show improvements in 835 balancing - line and claim level. Improve COB data in 835s. Improve remark code translation and derivation. Improved adjustment matching by implementing claim level check against more robust DB claim repository. Perform end to end workflow claim level logging to identify claim data quality for better reporting. Implement compliance software Faciedi, Ingenix integration to validate all claims in 835s for better quality management, error management and metrics.

Responsibilities:

• Assisted the PM in developing Use Cases and project plans and also managed changes to the scope of the project.
• Interfaced with the client as part of the Requirements Engineering team to finalize the project scope.
• Conducted user interviews, gathered Requirements, analyzed the Requirements and managed changes using Rational Suite.
• Conducted interviews with end-users to collect requirement and business process information.
• Involved in data mapping and assisting the data analyst to analyze the data.
• Work closely with Business Owners and Stakeholders to outline Business Requirements using rational requisite pro.
• Gathered requirements from JAD/JAR sections with developers and business clients.
• Requirements Elicitation, Analysis, Communication, and Validation according to Six Sigma Standards.
• Implemented data access, storage and validation routines on the database server using Procedural Language/Structured Query Language PL/SQL .
• Developed business process models in RUP to document existing and future business processes.
• Performed extensive Requirement Analysis including data analysis and gap analysis.
• Designed and developed project document templates based on SDLC methodology.
• Participated in various stages of data and requirement analysis for project needs.
• Identified internal and external system requirements, design and configuration set-up, also created User Documentation and conducted training classes.
• Developed business requirement specification documents as well as high-level project plan.
• Designed and developed Use Cases, Activity Diagrams, Sequence Diagrams, and OOD using UML.
• Assumed ownership of Use Case Diagrams, Use Case narratives and other various artifacts.
• Relieved pressure off the PM by maintaining artifacts and portions of the project binder.
• Documented and delivered Functional Specification Document to the project team.
• Assisted the Project Manager to develop both high-level and detailed application architecture to meet user requests and business needs.
• Participated in the logical and physical design sessions, assisted and developed high and low level design documents.
• Conducted JAD/JAR sessions to synchronize the different stakeholders on their objectives
• Assisted the PM in setting realistic project expectations and in evaluating the impact of changes on the project plans accordingly and conducted project related presentations.
• Assisted with user testing of systems, developing and maintaining quality procedures, and ensuring that appropriate documentation is in place.
• Conducted User Acceptance Testing UAT .
• Functioned as the primary liaison between the business line, operations, and the technical areas throughout the project life cycle.
• Performed task decomposition, delegated tasks and monitored project milestones using MS Project.
• Data mapping, logical data modeling, created class diagrams and ER diagrams and used SQL queries to filter data within the Oracle database
• Assisted the PM in performing Risk Assessment, Management and Mitigation.

Environment: Microsoft Office Suite, Microsoft Visio,JAD, Documentum, UML, J2EE, Windows NT/XP,JAR, Oracle, SQL, SQL Server, Sybase, PL/SQL, UNIX, VBScript, C . NET, ASP.NET, Business Objects, Test Director, Load Runner

Confidential

Business Analyst

Confidential positive health care experience for everyone. We combine our strength and stability with nearly three decades experience serving customers of all sizes. This system permits the registered members with Aetna Health Services, to get the details of the long term care insurance schemes and benefits.This project involved creating the drug claims processing system for Aetna. It consisted of different modules like provider enrollment, member enrollment, programs and coverage. This project also involved the maintenance of claims workstation that automatically handles the entire claims life cycle.

Responsibilities:

• Involved in gathering business requirements from the end users and management.
• Created high quality functional requirement specifications and supporting documents for business systems.
• Responsible for establishing and maintaining positive business relationships with IT managers and clients, and ensuring that business objectives and priorities are aligned.
• Interpreted business objectives to support the implementation of technical software application.
• Good facilitation skills in conducting JAD and JAR sessions.
• Met with physicians, nurses, billing and administrative personnel. Documented the clinical, financial and administrative business practices, procedures and work-flows.
• Defined the current clinical and financial business processes and practices.
• Reviewed administrative and clinical practices and procedures: point of care, scheduling, registration, clinical documentation, patient care, and charge entry, medical coding and diagnostic testing procedures associated with multiple business units.
• Developed reports based on the Clinical Trial protocol
• Used Test Director, PL/SQL for testing the application
• Worked on complex business problems, analyzing and evaluating current business methods and procedures for improvements.
• Responsible for creating test scenarios, scripting test cases using testing tool and defect management for Policy Management Systems, Payables/Receivables and Claims processing.
• Completed the documentation of Claims Scenario's for the source system
• Analyzed the existing claims process and specific business rule logic will be applied in the ACP model.
• Extensive use of MS Office tools like MS Access, MS Word, MS Excel, MS PowerPoint MS Project for data migration in to the CI System Knowledge Data Base in Microsoft SharePoint Designed and developed Use Cases, Activity Diagrams, Sequence Diagrams, OOD using UML
• Analyzed and translated business requirements into system specifications utilizing UML and RUP methodology
• Involved in set up of testing methodologies and improvement of process model.
• Used ClearCase for creating documents repository and sharing the documents across the team.
• Created traceability matrix to ensure that the requirements are traced to the test cases.
• Ensured that extremely thorough, effective and organized test process is implemented and delivered the highest quality product.
• Worked closely with the project team in planning, coordinating and implemented QA methodology on various phases of the application.
• Analyzed results of Regression Testing as performed by Testers using QTP and held meetings with Developers and Testers.
• Interacted with the developers to report and track bugs using Test Director.

Environment: Java, UML, Rational Rose, Requisite Pro, ClearCase, ClearQuest, WinRunner 6.0, Load Runner 6.0, Rational Clear Case, Mainframe, PL/SQL, and UNIX. MS Word, Excel, Visio, Access, PowerPoint

Confidential

Business Analyst

As a Business System Analyst Worked on the Drug Claims processing system within the company for scanning and capturing of data including working on UB-92 claims forms. Involved in using the technology to recognize, validate, and store claims and their attachments using HIPAA compliance interface. The project involved streamlining Data flowing from various systems and was also involved in developing a Mainframe based system to better maintain data flow.

Responsibilities:

• Studied the CMS regulation for reporting requirements.
• Directed the clinical trial data capture and worldwide data collection systems for various therapeutic areas.
• Developed business case, objectives, cost analysis and budget for implementation clinical and financial business systems.
• Involved in creating business processes and modeling diagrams using Rational Unified Process RUP .
• Work closely with Business Owners and Stakeholders to outline Business Requirements.
• Work with System analyst and IS teams to understand the flow of data.
• Reviewed and analyzed data from various sources.
• Participated as a core team member of a Clinical Development initiative to create an architectural business end-to-end solution for clinical trials as a standard for all Merck remote data capturing clinical trials.
• Identified gaps and performed gap analysis with respect to CMS requirements
• Created Mapping Documents, Report Mockups and modified existing report mockups as to CMS requirements and finalized for development
• Created MS Access database s and forms to capture training evaluations and attendance.
• Provide technical expertise as an early engagement to different modules and enhancements to access impacts and define scope.
• Wrote PL/SQL statement and stored procedures in Oracle for extracting as well as writing data.
• Created SAS programs that are used for data validation, statistical report generation and program validation and automated the Edit Check programs using Macros
• Used SAS ODS to create output files in different formats including PDF and RTF
• Formulated logical statements of business requirements researched and evaluated alternative solutions and recommend the most efficient solution for system design.
• Review requirements and understand technical recommendations and constraints, and develop comprehensive and accurate functional specifications Data Mapping, and process flows.
• Work with Compliance and Regulatory operations to follow and monitor different IT process bound by CMS Regulations.

Environment: Windows XP, Business Objects, Zachman Framework, MS Word, Excel, Visio, PowerPoint, Access, Casewise Corporate Modeller, power point, Mainframe, SQL, PL/SQl, DB2, SAS database

Confidential

Business Analyst

Responsible for creation of the Physical Data Model for Program Management Module of Medicaid Management Information System Confidential is an Enterprise Medical Management System that is responsible for processing Medicare, Medicaid and Pharmacy Claims for a number of states. The project was also involved constructing a Mainframe-Cobol based system to improve the ease and efficiency in the qualifying process

Responsibilities:

• Interfaced with the client as part of the Requirements Engineering team to finalize the project scope.
• Assisted the PM in developing Use Cases and project plans and also managed changes to the scope of the project.
• Conducted user interviews, gathered Requirements, analyzed the Requirements and managed changes using Rational Suite.
• Conducted interviews with end-users to collect requirement and business process information.
• Requirements Elicitation, Analysis, Communication, and Validation according to Six Sigma Standards.
• Implemented data access, storage and validation routines on the database server using Procedural Language/Structured Query Language PL/SQL .
• Developed business process models in RUP to document existing and future business processes.
• Performed extensive Requirement Analysis including data analysis and gap analysis.
• Designed and developed project document templates based on SDLC methodology.
• Participated in various stages of data and requirement analysis for project needs.
• Identified internal and external system requirements, design and configuration set-up, also created User Documentation and conducted training classes.
• Developed business requirement specification documents as well as high-level project plan.
• Designed and developed Use Cases, Activity Diagrams, Sequence Diagrams, and OOD using UML.
• Assumed ownership of Use Case Diagrams, Use Case narratives and other various artifacts.
• Relieved pressure off the PM by maintaining artifacts and portions of the project binder.
• Documented and delivered Functional Specification Document to the project team.
• Assisted the Project Manager to develop both high-level and detailed application architecture to meet user requests and business needs.
• Participated in the logical and physical design sessions, assisted and developed high and low level design documents.
• Assisted the PM in setting realistic project expectations and in evaluating the impact of changes on the project plans accordingly and conducted project related presentations.
• Assisted with user testing of systems, developing and maintaining quality procedures, and ensuring that appropriate documentation is in place.
• Conducted User Acceptance Testing UAT .

Environment: MS Word, Excel, Visio, PowerPoint, Access, Microsoft Visio, Documentum, UML, J2EE, Windows NT/XP, Oracle, SQL, SQL Server, Sybase, PL/SQL, UNIX, Mainframe, VBScript, DBA, DB2, C .

Confidential

Business Analyst

The channels content management Team is responsible for managing content, publishing content on msn sites across different channels like Latino, health, Kids, Lifestyle, Travel msn.com. The mission of this team is to drive web application excellence into production by providing web content management leadership using Bedrock and Shuttle.

Responsibilities:

• Gathered Web Content Management requirements from business units, translated those requirements into wireframe designs, and delivered HTML and CSS wireframe prototypes to client for implementation.
• Performs system administration duties related to the content management system Stellent . This would include developing process flows required for the development of workflows within Stellent that tracks all CMS-mandated content contributions.
• Designed and developed Use Cases, Activity Diagrams, Sequence Diagrams, OOAD using UML and Business Process Modeling.
• Conducted Functional Walkthroughs, User Acceptance Testing UAT , and supervised the development of User Manuals for customers.
• Data mapping, logical data modeling, created class diagrams and ER diagrams and used SQL queries to filter data within the Oracle database
• Wrote PL/SQL statement and stored procedures in Oracle for extracting as well as writing data.
• Involved in the testing phase right from the Unit testing to the User Acceptance testing.
• Used SDLC System Development Life Cycle methodologies like the RUP and the waterfall.
• Use Cases and other Process Flow Models were designed using Visio and Rational Rose.
• Followed the UML based methods using Rational Software Modeler/MS Visio to create: Use Cases, Activity Diagrams / State Chart Diagrams, Sequence Diagrams, and Collaboration Diagrams.

Environment: RUP, UAT, GAD Gap Analysis Document , Microsoft Office 2003 Professional Outlook, Word, Excel, Visio, Access , ERWIN, SQL, PL/SQL.