SUMMARY:

• In depth Domain knowledge of Payer and provider industry.
• Onsite work experience with multiple Health Plans for more than 3+ years.
• Comprehensive experience in Requirement workshops and Business process analysis
• Strong documentation skills (BRD, FRS, Use cases, User Stories, Wireframes etc.),
• Development and review of test cases and conduct Functional, User and Integration testing
• Wide experience in Drafting Test Cases, Test Plans, Test Data.
• Working knowledge of MS - Office, MS Visio, SQL, VB, MS Project
• More than 6 years of overall experience in US Healthcare industry across both Payer and Provider domain.
• A well-diversified portfolio consisting of extensive experience in Solution Designing, Product Management, Product Validation, and Learning assignments, Presales, Business Development, Beta Testing, User Acceptance Testing, System Integration Testing, Product etc. as Team Lead capacity in the Healthcare IT vertical.
• Hands on experience in area of enterprise and business analysis, Business Process Modeling (BPM) Consulting, Requirement Gathering, analyzing and defining business and functional requirements.
• Expertise in conducting requirements workshops for products and proposed application led solutions, performing gap analysis between goals and existing procedures, delivering complete product under competitive timelines with zero escalations and great customer feedback.
• Proven and exhibited expertise in Business User Interaction, excellent communication & client-interaction skills in all the projects worked so far.

PROFESSIONAL EXPERIENCE:

Confidential, Washington, D.C

Business Analyst

Responsibilities:

• Responsible for leading an end to end Application support, serving as a Project lead for Detailed Requirement gathering and analysis for enhancements, maintaining and fixation of the client based applications.
• Leading the Agile Based project as a Scrum Master, driving Sprint Planning, Sprint Retrospective and daily sprint standups thereby ensuring smooth functioning of Agile Process and methodology.
• Able to accomplish high sprint velocity with every successive sprint for the team and hence achieve higher deliverability.
• Ensuring zero escalations with excellent & quality oriented approach.
• Exhaustive experience in working with Subject matter Experts, Business, Customers regularly to address the issues, objectives and bring them to appropriate closure within the determined timeframes.
• Troubleshooting Incident Tickets and resolving them within SLA timeframe. Provide Maintenance and Operational support of the applications.
• Perform various levels of thorough testing- UAT, System, Functional and Regression, across varied customer applications as part of Sprint cycle release.
• Mentor team members to attain the solution for issues and guide them to communicate to business and users.

Confidential

Business Consultant

Responsibilities:

• As part of this major consulting assignment, I provided end to end business remediation for ICD 10 transition for various application artifacts. Since the health plan was in initial stages of impact analysis, the major responsibility was to perform thorough gap analysis and eventually remediate the business artifacts.
• Conceptualized, Designed and implemented Process Workflow for customer’s ICD Mapping Project Plan. For the same, interacted with senior Directors to define various Governance & Compliance Frameworks used by the customer currently.
• Business Processes worked on: DoFR, IT Vendors Systems, Medical Policies, Benefit grid, Provider Contracts, Partner Assessment and Readiness, ICD 10 Based across different departments.
• Also involved in creating test plans and lead the offshore testing operations.
• Well appreciated and accoladed by the customer for the quality of work.

Confidential, Missouri

Project Lead

Responsibilities:

• As an offshore lead, involved in gathering functional requirements from the customers and putting it across development.
• The customer had a set of enhancements and Customizations which were successfully incorporated in the HCL tool before the stipulated timelines with appreciation.

Confidential

Project Lead cum BA

Responsibilities:

• Implemented standard HCL’s ICD 10 process workflow at Customer end. Active participation and contribution in ICD 10 Remediation Planning and Execution meetings at all levels including Senior Management hierarchy.
• Assisted the customer with detailed analysis of their Claims data by generating ready to use reports which were highly appreciated.
• Preemptive reachout to Business Managers spanning four different teams to understand the business issues.
• Trained multiple customer teams on the impact and understanding of compliance and regulatory frameworks with relation to transition changes.
• Leading a team of 10 resources to meet the ICD 10 compliance deadline for the customer also involving complete hybrid coordination with HCL onsite/offshore resources with their issues and challenges.
• Assist in identifying business problems and recommending viable solutions for compliance with ICD-10 systems requirements.
• Extract requirements for cross-walk and transition to ICD-10 through: interviews with stakeholders, document analysis, requirements workshops, requirements surveys, site visits, business process descriptions, Use cases, scenarios, business analysis, task analysis, and workflow analysis.
• Client liaison with respect to pre-sales activities, POC, RFP, & other business needs.
• Extensively worked on and Learning initiatives of the product- includes- delivering s and preparation of presentations and collaterals

Confidential

Responsibilities:

• Responsible for drafting responses to various Healthcare related RFPs/RFIs. Driven end to end timely closing of the same.
• Worked closely with the Onsite Sales team to identify potential customers, account penetration and broadening existing client base.
• Undergone various Fundamental and Advance Healthcare Internal s.
• Drafted various Go To Market reports for identifying and suggesting new investments areas within Healthcare. This involved deep level interactions with Market research companies and renowned healthcare industry analysts.