Confidential

SUMMARY:

• 5 years plus experience working as a Business Analyst
• Extensive knowledge in gathering requirements, QFD, VOC and constructing Business Requirements Documents BRD , Functional Requirements Documents FRD , Software Requirement Specifications SRS and Use Cases.
• Knowledge of SOA architecture, BPM business processes MDM tools and policies
• Perfect knowledge of Agile Methodology and experience with Scrum, Sprint, waterfall Product Backlog.
• Excellent team spirit and leadership qualities with good communication and interpersonal skills.
• In-depth knowledge of the SDLC of project, and good interpersonal skills with project team
• Defined requirements, wrote test plans, test plans and defect lab using Quality Center.
• Experience with EDI transaction sets, 837 claims, 834 benefit enrollment, 835 payment, 850 purchase
• Prepared alternative solution templates for companies and wrote business improvement process policies and conducted UAT.
• Strong PMO understanding, PMP trained cover to cover knowledge of PMBOK
• Knowledge of WBS, activity and activity list breakdown with decomposition tool
• Excellent understanding of MS Visio using UML diagrams
• Experience in facilitating JAD sessions, brainstorming sessions and coordinating focus groups
• Created several product review templates and wrote audit process metrics
• Designed e-commerce website templates and materials
• Excellent knowledge of designing data analysis plan and able to manipulate data using SQL
• Strong knowledge of EDI claims, member enrollment, and billing transactions
• Understanding of HIPAA standards and compliance issues and HIPAA privacy policy
• Ability to work in a weak, balanced and strong matrix environment
• Knowledge of Cross-walking between ICD 9 ICD 10 diagnosis codes
• Strong Knowledge of EDI Mapping and knowledge of Quality Center
• Able to identify business performance problems and tentative solution strategy
• Expert knowledge of project management, procurement, gap analysis, conversions, integrated change control CRM
• Excellent knowledge of work packages, WBS, RBS, OBS, control accounts and activities using decomposition tool
• Excellent knowledge of change request and attending design sessions to gather action items
• Good understanding of developing project charter, procurement stages, managing stake holders expectations, strong communication between all channels about risks, and satisfying scope of project
• Expert knowledge with risk management, quality and procurement tools and processes
• Experience using Quality Center, Bugzilla and Selenium
• Knowledge of Medicare Medicaid eligibility processing. MMIS, CMS, CMMI MITA
• Hands on experience in testing of all EDI X12 HIPAA 4010 and 5010 standards

Experience in preparing test plans, test cases, test scripts and test reports and defects such as ad-hoc

TECHNICAL SKILLS:

• AUTOMATION TOOLS
• Selenium
• TEST MANAGEMENT TOOLS
• Quality Center, Bugzilla
• LANGUAGES
• SQL
• WORK FLOW TOOLS
• MS - Visio, MS - Project, MS - PowerPoint, MS - Word, MS Excel, Share-point
• DATABASES, WAS, RTM, risk register
• MS SQL Server, Oracle, OLS, Lancelot, Aurora
• OPERATING SYSTEMS
• Windows 7, XP, 2000, NT
• QTP, RUP, CRM, SAP

Business Analyst

Confidential

Project Background/Summary

This project was designed to build a new system that will modernize existing system functions and significantly enhance the efficiency of the MMIS ensuring that eligible individuals receive the health care benefits to which they are entitled and that providers are reimbursed promptly. DHMH intends to remediate the legacy MMIS to meet ICD-10 regulations and to replace its legacy MMIS claims processing system with a new MMIS system based on MITA principles including imaging and workflow management, and a robust business rules engine to aide in creating and managing flexible benefit plans.

Responsibilities

• Determine the resources required for quality control and worked also as a Business Analyst gathering requirements, conducting JAD sessions, using UML diagrams
• Worked in partnership with Team CSC, team CNSI and team DHMH
• Maintain the agreed-upon level of quality throughout the software life cycle.
• Develops software quality assurance plans, establish and maintain a process for evaluating software and associated documentation.
• Participates in formal and informal reviews at predetermined points throughout the development life cycle to determine quality.
• Examine and evaluates the software quality assurance SQA process and recommends enhancements and modifications.
• Attending design session and gathering action items to upload in procurement library and share-point portal. .
• Communicate business requirements for reports and applications development and collaborates within and across business units and across IT functions.
• Resolve problems and improves business units' technical environments and also provides third-party reviews, ratings and evaluations of vendors and vendor performance.
• Research contract requirements, mapping service delivery from Request for Proposals RFP to Proposal vendor's response to post-award work.

Professional Experience

Confidential

Position: Business Analyst

Responsibilities

• Gathered requirements and acted as a liaison between stakeholders and the team
• Defined requirements, wrote test plans, test plans and defect lab using Quality Center. Interrogate requirements for requirements coverage and test status
• Compare results from different test runs to see what has changed.
• Instigate and record the results of test runs
• Used DOORs application to define manual test instructions and link them back to the original requirements
• Analyzed Business Requirement Document BRD for different modules of application
• Prepared use cases for different workflows for different departments of the business
• Participated in several JAD sessions as both the facilitator and the scriber
• Collaborated with Sr. BA in designing the prototype of the project using ULM diagram
• Lead daily meetings and acted as the Scrum Master for a duration of 6 months
• Involved in coordinating with developers and acted as SME on HIPAA 4010 and 5010 standards for 837P EDI X12
• Performed UAT both as a business analyst
• Designed project plan and the test plan for all the phases of testing
• Developed test cases, test scenarios and test scripts based on business requirements
• Tracked SDLC activities using Requirement Traceability Matrix RTM
• Conducted Bug Review meetings with developers, SME's and consultants after using expert judgment
• Analyzed and tested HIPAA 4010 and 5010 standards for 837P EDI X12 transactions, related to providers, payers, subscribers and other related entities
• Tested the HIPPA EDI 837P EDI X12 transactions according to test scenarios and verify the data on different modules
• Tested XML generated data, wrote test and used cases
• Participated in the peer reviews to validate the test cases written by different teams
• Identified the test scenarios followed by the use case documents
• Interacted with business user for updates on requirements of projects
• Participated in defects review and test readiness meetings on weekly basis
• Interacted with Lead to follow up on defects/issues

Confidential

Position: Business Analyst

• Gathering requirement documents and gathering action items in design sessions
• Facilitator and scriber for JAD sessions, Design sessions, scrum meeting and agile
• Working directly with project and program managers
• Brainstormed, conducted focus groups and surveys to filter business information on project
• Ensured Data Consistency for the entire software application
• Conducting UAT's and supervising the efficient flow
• Presenting on Microsoft Visio project plan and strategy
• Familiar with UML diagrams, activity and sequence diagrams
• Experience with used cases and writing test cases
• Involved in gathering requirements from the end users and management.
• Facilitated bi-weekly meetings, scriber, conducted scrum, agile and sprint meetings
• Involved in set up of testing methodologies and improvement of process model.
• Developed methods and procedures for efficient testing.
• Ensured Data Consistency for the entire software application
• Interacted with the developers to report and track bugs.
• Involved in gathering requirements from the end users and management.
• Created high quality functional requirement specifications and supporting documents for business systems.