Summary:

A diligent, detail oriented facilitator between Business and Information Technology with 8 years of experience in the field of business analysis, customer requirements analysis, process mapping, enterprise analysis, project coordination, planning, mentoring, vendor assessment. Exposed to diverse business processes, that includes Pharmaceutical, Major Medical/ Ancillary Insurance and Educational sectors. Proactive team player with a positive attitude combined with excellent verbal, written and interpersonal skills and leadership qualities. I am also an avid blogger with 15K visitors and over 40K page views since the inception of my blog in June 2013.

Work Experience:

Confidential

Business Analysis Manager

• The purpose of the Premium Billing project is to integrate billing data elements in to ODS and the purpose of NE Data Warehouse remediation project is to crosswalk NE claim data to the current ODS claim data, one time load and monthly updates of benefit description in order to facilitate NE data Warehouse remediation.

Confidential

Business Systems Analyst

Responsibilities:

• Elicited requirements for United Healthcare for Producer Appointments, Commissions, Billing, Group Setup, Enrollment, Products and Life Event Changes.
• Identified gaps in the system and functionality.
• Identified UHC's business rules.
• Performed state variation analysis for variances in group and enrollment applications for the 16 UHC states that are in scope for this integration.
• Drafted process flows for major medical carriers for Group and Individual market segments.
• Created test strategy and test scenarios.
• Created traceability matrix for tracing business requirements to business rules and test scenarios.
• Gathered requirements and created process flows for Humana/GoHealth Individual market segment integration.
• Documented business requirements for 'Agent Contract in SABA'.
• Documented Reporting requirements business, technical and design for Producer and Hierarchy dashboards and reports.

Confidential

Various Roles:Track Lead

Responsibilities:

• Analyzed the impacted applications.
• Obtained Planning Approximations from all the impacted teams.
• Documented Change Request to secure funding for the project.
• Determined high level project plan for the exception release.
• Worked with Legal and Communications teams to finalize SOW, Terms and Conditions and disclaimers.
• Facilitated sessions with vendor.
• Worked with the Business Analysts and Project Managers of each of the impacted applications.
• Worked with Manage File Transfer MFT team to establish URLs, ports and credentials for secure file transfer between ACI and Horizon.
• Established files' frequency, naming convention and transmission times.
• Analyzed the report requirements.
• Worked with Horizon's and ACI's IVR teams to finalize the IVR script that will be played back to the members.
• Worked with the vendor and Horizon's security team to obtain the 3rd party Risk Assessment
• Tracked and monitored project progress, risks and issues.
• Successfully led day 0 functionality implementation.
• Trained business users.

Confidential

Lead Business Analyst

Responsibilities:

• Facilitated PBA deliverables' sessions with EPMO.
• Working closely with the project and program managers to define the deliverables on a regular basis.
• Was accountable for the documentation and delivery of five BRDs pertaining to the account implementation domain of the program.
• Successfully delivered FMEA, RTM, Future State Process Maps, SIPOCs, UAT Plan, Operations Support Plan and Business Requirements Impact Matrix.
• Mentored new business analysts.
• Communicated requirements through structured walkthroughs.
• Obtained sign-off on requirements and all the other initiating phase deliverables.
• Performed Vendor assessment for Requirements Management Tool.
• Performed an extensive Enterprise Analysis.
• Coordinated with Billing and Enrollment domains for consistency and to address overlaps in requirements.
• Successfully cleared Opportunity Assessment Gate review with EPMO.
• Responsible for clearing the upcoming Initiating phase Gate Review.
• Successfully completed a Six-Sigma Yellow Belt pilot project.
• Loaded requirements into Rational Requisite Composer.
• Vetted business rules and passed them on to Prolifics team onsite for I-Log.

Confidential

Business Systems Analyst

• Facilitated NASCO working sessions for Gap Analysis, current state and future state sessions and gaps reconsiderations sessions.
• Participated in rigorous gap analysis sessions, identified impacts on upstream and downstream systems and delivered business and technical gaps document.
• Identified and documented the capability inventory which is proving to be a very powerful tool for the overall project.
• Mapped capability inventory to gaps and 90 applications being impacted by this program.
• Co-authored the Architecture Reference Book, Legacy Remediation and Assumptions documents for the MB A project.
• Acted as the primary point of contact from the BACOE Business Analysis Center of Excellence team.
• Contingency planning to accommodate the program based on Health Care Reform.
• Aligned NASCO release calendar to Horizon release calendar to synchronize the efforts and releases from both the teams.
• Documented current state SIPOCs and Process Maps.