SUMMARY

• 7 plus year of experience in Finance, Healthcare & Insurance as a Business Analyst with solid understanding of Business Requirements Gathering, Business Process Flow, Business Process Modeling and Business Analysis.
• Adept at Business Requirements Gathering and expertise in the documentation of Business Requirement Documents, Use Case Specifications, Functional Specifications, System Requirement Specification (SRS), Workflow and UML Diagram such as Activity Diagrams, Class Diagrams and Sequence Diagrams.
• Solid Experience in developing Scope/Vision Documentation and Project Plan, as well as tracking Project Process, and manage resources to ensure successful delivery.
• Outstanding expertise creating Decision Memos, Service - Level Agreements (SLA) and Standard Operating Procedures (SOP).
• Strong understanding of Rational Unified Process (RUP) using Rational Rose, Requisite Pro, Unified Modeling Language (UML), Object Modeling Technique (OMT), and Object Oriented Analysis (OOA).
• Extensive work with various Rational tools like RequisitePro- Requirement gathering/maintenance, Use Case document maintenance, Clear Case- version control and Clear Quest/Test Director for bug tracking, Rational Rose for Use case diagrams, Sequence diagrams and activity diagrams.
• Familiar with file 834, 5010, 837, 276, 277, 999 data transmission with health providers.
• Proficient in creating Traceability matrixes for various system interactions.
• Extensively used Microsoft Project, Access, Word, Excel and Visio.
• Extensive experience in the development, implementation and integration strategies within a team oriented environment, utilizing quantitative and qualitative analytical skills.
• Involved in conducting GAP analysis and User Acceptance Testing (UAT)
• Involved in creating, editing, and coordinating extensive communication networks facilitation of Joint Application Design (JAD) sessions and interviews, written correspondence, reports, implementation requirements, project status reports, oral presentations and email, to keep executive staff and team members apprised of goals, project status, and resolving issues and conflicts.
• Supported Integrations of deliverable with legacy mainframe systems.
• Supported a COTS Evaluation for the Office of Workforce Diversity
• Familiar with CMM, SEI, Six Sigma compliances, IO-9000 and Total Quality Management Principles
• Extensive knowledge of claims submission using HIPAA X12 Version 5010.
• Strong business as well as compliance knowledge working with state and federal health care program such as Medicaid Management Information Systems (MMIS)
• Excellent Communication, Analytical and Interpersonal skills.

TECHNICAL SKILLS

Methodologies: RUP, UML, Waterfall, RAD, Agile, ALM

Change Management Tools: Rational Clear Quest, HP Quality Center, RequisitePro, Jira, Rally

Business Modeling Tools: Rational Rose, Microsoft Visio

Version Control Systems: Rational Clear Case

Project Management: Microsoft Project, Microsoft Office, Microsoft Sharepoint

Databases: SQL Server 2000, 2005, HTML5, MS-Access, Oracle APEX

Web Technologies: Microsoft FrontPage

PROFESSIONAL EXPERIENCE

Confidential, Orlando, FL

Business Analyst

Responsibilities:

• Identify the client/organizational needs and provide suitable agile system based solutions.
• Communicate with clients and inform the organization about the customer business needs and specifications.
• Make certain the user stories are good, comply with acceptance criteria, have sufficient business value and selling points.
• Guide the development teams to break down large and complex user story into simplified versions for execution.
• Collect and analyze business requirements and create quality user stories in logical order
• Test the user stories for accuracy and compliance to ensure undisputed acceptance and validation of stories.
• Use agile systems and strategies to provide quick and feasible solutions, based on agile system, to the organization.
• Gather business requirements by using different methods such as JAD session, one to one interview as needed.
• Assist both development team and business to escalate any issue during application development
• Interface with internal and external clients continuously to maintain effective communication and coordination.
• Implement business rules working with business users and IT factory
• Attend daily short scrum meeting with team to ensure project is moving.
• Spring planning and co-ordination to ensure application development is followed in logical order.
• Coordinate activities with software developers, stakeholders, project managers and software testers.
• Work with Development and QA teams to transition business requirements into QA test cases and assist in UAT.
• Implement Business Rules, create Screen layouts, data mapping analysis for back end stories, and prepare system interfaces and GUI designs.
• Help preparing project plan with PMO office
• Co-ordinate work with end user explaining new functionality changes
• Prepare and send weekly and monthly progress reports and keep the clients updated about the software under development.

Environment: .NET, JAVA, Rally, Jira, UAT, Axure, MS Suites, Agile.

Confidential, Jacksonville, FL

Business Analyst

Responsibilities:

• Facilitated Ancillary Product in all phases from Idea Generation to Implementing new product.
• Mapped process flow; assess as-is process through user interviews, data collection and analysis, design and evaluation of to-be process solutions.
• Prepared Business Object / Business Process Models that included modeling of all the activities of business from conceptual to procedural level.
• Created Service Level Agreements for Dental and Vision service providers.
• Monitor the flow of data through EDI applications to ensure all operational systems are functioning properly when needed.
• Defined complex process and documented Standard Operating Procedure.
• Performed detailed Ancillary Products Research for different products in idea generation stage.
• Implemented pricing tables for different products working with external underwriting vendors
• Developed data conversion programs for membership, claims, and benefit accumulator data - converted thirteen corporate acquisitions.
• Developed data field mappings. Provided programming and support for claims processing functions and auto-adjudication.
• Teamed up with both internal and external software development groups to provide functional requirements specifications in form of use cases, business process flows, and prototypes and management reporting requirements.
• Co-ordinate work with vendors implementing different products IVR system
• Participated in various Healthcare presales initiative for EHR (Electronic Health Record) applications.
• Created the business process model using MS Visio for better understanding of the system and presented it to Project Manager and other team members for validation.
• Assisted the Project Manager to develop both high-level and detailed application architecture to meet user requests and business needs.
• Assisted creating MLRT training deck for new product market launch for agent, vendors, internal employee and sales department.
• Help preparing Business Cases for partnering different products with vendors.
• Created 837 Institutional and Professional outbound, 834,835, 270 and 271 Transactions
• Performed detail business migration analysis for Stand-alone Group-Vision product.
• Co-ordinated with marketing creative services developing sales collaterals materials for new and existing ancillary products.
• Co-ordinated work with Medicare Team on implementing Compliance changes to Medicare Advantage embedded Dental and Vision products.
• Assisted setting up enrollment file transfer through SFTP and FTP
• Defined roles and responsibilities of participants in the business process.
• Developed Customer Service Inquiry chart for Dental and Vision providers.
• Involved in the UAT for the application process
• Led and conducted JAD sessions for requirements gathering, analysis and design of the system.
• Created context and workflow models, information and business rule models, Use Case and Object Models during the analysis using rational tools.
• Designed and developed project document templates based on SDLC methodology

Environment: InfoBank, eRate, Adobe Pro, Requisite Pro, Rational Rose, HER, Waterfall, ISO, PL/SQL, HTML, MS Office, MS Visio, EDI, Rational Clear Quest, BPMN, Rational Clear Case, UML, RUP, Facet, Siebel.

Confidential, Troy, MI

Business Analyst

Responsibility:

• Defined and developed business functional requirements and participate in technical walk-through meetings to develop the functional design for the implementation.
• Facilitated requirement gathering sessions with the business team to collect the business reporting standards, security and service level requirements, and documented them using RequisitePro.
• Documented Requirement Traceability Matrix in RequisitePro for traceability of requirements through test cases.
• COTS evaluation and implementation for reporting tool, that resulted in choosing Business Objects
• Prepared Business Requirement Document (BRD), Functional Requirement Specification (FRS) document and Data Dictionary containing functional definitions and process details.
• Conducted sessions with business users and technical units and (JAD) sessions with IT Group.
• Worked closely with project management to keep track of the status of project and draft strategies for the near future.
• Delivery of business requirements for all interfaces into a commercial lending origination and servicing system for a large straight through processing implementation and conversion project
• Met with client groups to determine user requirements and goals. Utilized Rational Unified Process (RUP) to configure and develop process, standards, and procedures and create a Business requirement Document.
• Understand and articulate business requirements from user interviews and then convert requirements into technical specifications.
• Designed Use Case Diagrams and wrote their specifications in the Use Case Specification documents based on the Requirements gathered.
• Involved in walk-through meetings with development team to discuss related issues.
• Used Rational Rose to visually determine the proper structure, key elements and optimal design for your database and to aid efficient creation of tables, stored procedures.
• Analyzed the existing system and process gaps in context of new business changes (Gap Analysis).
• Designed Use Cases, Use Case diagrams, Class diagrams, Activity diagrams, Sequence diagrams in UML methodology using Rational Rose.
• Held group meetings, walkthroughs and supervised/trained other analysts.
• Developed and maintained relationships with clients on all on-going projects.
• Extensive interactions with the client and the management teams to understand the requirements and report the status of the testing efforts on their applications.

Environment: Oracle, HTML, and Windows, CCAR, Rational Rose, RUP, UML, Gap Analysis, Lotus Notes, Change Point, Basel, Rational RequisitPro, PeopleSoft, Glen Servicing.

Confidential, Milwaukee, WI

Business Analyst/Systems Analyst

Responsibilities:

• Gathered business requirements by driving user-group meetings and working with various global, cross-functional and virtual teams by using Rational RequisitePro.
• Consulted with healthcare third-party Administrator Company to develop conversion specifications for member, enrollment, and authorizations.
• Responsible for business system analysis of customizing the BPS Risk Management product with involvement through the whole SDLC.
• Teamed up with both internal and external software development groups to provide functional requirements specifications in form of use cases, business process flows, and prototypes and management reporting requirements.
• Used Test Director and Mercury Quality Center for updating the status of all the Test Cases & Test Scripts that are executed during testing process.
• As a part of RUP process, involved in peer reviews of data architecture team and data models.
• Utilized corporation developed Agile SDLC methodology. Used ScrumWork Pro and Microsoft Office software to perform required job functions.
• Generated server side SQL scripts for data manipulation and validation and created various Snapshots and materialized views for remote instances.
• Establish documentation for agile methodology for implementation with a very water-fall-centric development team.
• Prepared Business Requirement Documents (BRD’s) after the collection of Functional Requirements from System Users that provided appropriate scope of work for technical team to develop prototype and overall system.
• Accomplished migration of EDI client base ahead of projected schedule.
• Worked on creating Functional Specifications, UI specifications and UI prototypes.
• Involved in interactions with Subject Matter Expert, Project Manager, Developers, and the end-users in more than one JAD sessions.
• MS Project proved useful in coordinating activities with project manager and various other teams
• Involved in setting up different configuration environment for compatibility testing and manual testing.
• Provided management support to the off-shore End to End Integration / Regression Test Team
• Prepared UAT Materials UAT Test Cases to include various steps involved for UAT and to have proper coverage of requirements
• Interacted with the users and logged any defects, enhancements from the UAT and communicated them to the development team

Environment: MS Word, Excel, Visio, RUP, Access, and Project, MS SQL Server 7.0, HTML, XML, UNIX.

Confidential, Jersey City, NJ

Jr. Business Analyst

Responsibilities:

• Gathered Business Requirements through brainstorming sessions on global calls.
• Documented the business logic and associated validation logic.
• Designed and developed Use Cases, Activity Diagrams, Sequence Diagrams, OOAD using UML and Business Process Modeling.
• Represented the business requirements in various alternative views such as analysis models, process flow diagrams and user stories.
• Acted as a liaison between the development team, QA team and the Business team and resolved any conflicts due to change in requirements.
• Involved in mentoring specific projects in application of the new SDLC based on the Agile Unified Process, especially from the project management, requirements and architecture perspectives
• Worked on following applications Business Objects, Enterprise Architect, Microsoft Suite (Word, Excel, PowerPoint, Visio, Access, Project)
• Introduced Agile and RUP methodologies to reflect liquid nature of front-office improving time-to-market
• Provided suggestions and ideas more from a strategic and long term perspective.
• Created Requirements Specification Document that translated business requirements into Technical specification
• Used MS-Visio for flow-charting, process model and architectural design of the application.
• Designed and developed project document templates based on SDLC methodology
• Analyzed and translated business requirements into system specifications utilizing UML and RUP methodology
• Involved in creating business processes and modeling diagrams using Rational Unified Process (RUP).

Environment: MS Office, SQL Server, MS Project, MS Access, Rational Clear Quest, Rational Clear Case, Rational Requisite Pro, Rational Rose, UML, RUP, MS Visio.