• Strong experience as a Business Analyst in delivering strategic IT projects with my analytical, business and management skills.
• Having In-depth knowledge of Software Development Life Cycle SDLC and SOA methodologies. Having thorough understanding of various phases such as Requirements, Analysis/Design, Development and Testing, Risk and Security management.
• Experienced in Agile, SDLC, and RUP methodologies.
• Good understanding of ICD9,ICD 10,HCPCS and CPT
• Experienced in backend programming including SQL Queries
• Experienced in conducting JAD sessions, project meetings, reviews and walkthroughs.
• Experienced in performing Gap analysis by identifying existing technologies, documenting the enhancements to meet the end-state requirements.
• General understanding on XML, HTML and Web Services
• Designed and developed Use Cases, Activity Diagrams and Sequence Diagrams using Unified Modeling Language UML .
• Experienced in Smoke Testing, Regression Testing, User Acceptance Testing UAT ,Unit and Integration testing
• Knowledge on Medicare, Medicaid, SME in Claims Management System, Customer service like eligibility, benefit calculation, claim status check and claim submission
• Carried out Project Management Activities like allocating tasks, reviewing estimation, monitoring and reporting project status, involved in knowledge management, defect management and business continuity planning and audits for the internal projects.
• Regularly interacted with the development team, database designer and the higher management to meet the deadlines of Project milestones.
• Highly motivated team player with excellent communication, presentation and interpersonal skills, always willing to work in challenging and cross-platform environment.
• Conducted walkthroughs, surveys, questionnaires, interviews and brainstorming to elicit requirements from the customer
• Managed projects involving multiple cross functional teams from client and vendor organization. Broad experience in Project Management Planning, Resource Allocation, Task Allocation and Monitoring of Tasks.

Business Analyst

Confidential

Responsibilities:

• Interact with the Operations team and gather requirements for the enhancement of healthcare module in Patient plus application.
• Created user stories by taking inputs from business users and Analyze the business requirements and its impact on the existing application.
• Prepare Requirement specification documents and conduct requirements walkthrough sessions with Operations, development and testing teams. prioritizes and schedules projects by understanding cross-functional requirements and business strategies
• Developed web portal to provide information about the patients insurance to provider and clients
• Conducted individual and group JAD sessions with business and technical units and subject matter expert.
• Created both high level use cases and detailed use cases to explain the system's interaction with the users and assisting other team members.
• Work experience in requirements gathering and documentation of e-prior authorization, claims processing portal which stored patient account and send approved claims to financial edge for payments and deals with PDMI Transactions.
• Researched and analyzed various steps in claims processing lifecycle and created a system to monitor the riskier claims
• Developed Use Case Diagram, Activity Diagrams and Sequence Diagrams.
• Worked on HIPPA Transactions 270,271,276,834,835 and 997 and involved in HIPPA gap analysis of ICD 9 and ICD 10 Initiatives.
• Involved in building up a new application using Service oriented architecture SOA and XML to integrate various application of patient plus.
• Analyzed and documented differences between the AS-IS and TO-BE processes.
• Responsible to assist the testing team while creating test plans, test scripts and performing UAT and worked on multiple projects and implementation simultaneously.
• Completion of all relevant process documentation, including technical design, estimation of new projects and architectural design of both waterfall and agile.
• Provide timely and complete information to management on current projects, metrics, issues and opportunities. Plan and schedule project timelines, milestones and deliverables
• Troubleshoot issues in a timely manner and communicate resolutions
• Administration of EDI trading partners as well as daily EDI administrative tasks such as resending batch transmissions, helping customers download via FTP
• Assisting in the data classification system, protect information on provider portal and documenting the risk assessments.
• Actively involved in the migration project in designing and conduct feasibility studies and prepare business cases
• Leading a team of 3 business analysts and 7 offshore developers.
• Maintain and manage all project documents in SharePoint for version control and utilizing SharePoint 2013 dictionaries to help with implementations.
• Involved in writing and executing the SQL queries for testing applications.

Environment: SQL, SSRS, PL/SQL, VB.Net, ASP.Net, Visual Studio 2008,Visual Studio 2013, Business Objects, MS Office 2008, MS Visio, IT Service Management, XML, TFS, Share point 2013,Share point 2008,SOA, Web services.

Business System Analyst

Confidential

Responsibilities:

• Knowledge and experience in managing medium to large projects and process planning and facilitation techniques
• Worked on documenting Business partner's requirements for UI and batch interfaces for the Merchandising and financial planning tool using Agile Methodologies along with Use Case and traceability matrix.
• Provides users and management with functional support on matters related to information security such as the criteria to use when selecting information security products
• Working closely with business stakeholders in understanding their full lifecycles for merchandising, marketing, and email campaigns
• These specifications included UML-based use case models and activity diagrams, and usability analysis/user interface specification including wireframes and usability analysis.
• Followed the RUP methodology for the entire SDLC.
• Gathered requirements using Agile/Scrum Methodology
• Conducted Gap Analysis for the system considering AS IS and TO BE features
• Responsible for writing and implementation of the test plan, and various test cases
• Initiated, proposed and implemented critical analytical and technical solutions extensively increasing the quantitative and qualitative value

Environment: Rational Unified Process RUP , XML, XSL, XSLT, Visual Basic, MS Excel, MS Word, Microsoft Visio, .NET, PL SQL, SQL, Ecommerce, Business Objects, Oracle 9i, Unix, WinNT, Win Runner Mercury Quality centre.

Business Analyst

Confidential

Responsibilities:

• Responsible for identifying and documenting business rules and creating detailed Use Case's. Created Use cases, Use Case diagrams, Business Flow diagram, Navigational Flow diagrams, creating
• Process models, data flow diagrams, AS IS diagrams and Activity diagrams using Visio
• Generated Test scenarios, Test cases, and Test scripts for each specification in Requirement Specification Document corresponding to each module.
• Used Test Director for identifying manual scripts written for each positive/negative test case feature, and conducted test as needed.
• Performed Functionality, Regression Testing, GUI Testing and Data Driven Testing using.
• Developed system integration test plan and ensured customer acceptance / satisfaction.
• Ability to interact effectively to internal and external parties. Coordinating related support and development activities.
• Worked closely with the project managers to monitor progress, and the deliverables for the project
• Experience in Clinical Trial Management Systems.
• Used Test Director to house all test documentation and report/track all issues and defects.
• Was involved in maintaining the Test Matrix.
• Performed parallel testing between various components of web-based applications and updated the traceability metrics.

Environment : Rational Requisite Pro, Adobe fireworks, Visual Basic 6.0 Rational Rose, RUP, UML, SQL,PL/SQL,MS Office, MS-Project, Windows 2000, Mercury Quality Center.

Business Analyst

Confidential

Responsibilities:

• Lead multiple work packages on a project that streamlines all the business coming in from different access points - .com business, agency and after hours quote bind through Agile methodology.
• Work on Business Case Development and carry out research initiatives with Business and Systems Executives to set the scope items for future rollouts using Software Development Life Cycle Methodology
• Liaison with Property casualty underwriting to decide Eligibility rules for the new customers based on Customer Underwriting Index Model
• Gather requirements for various auto insurance products for various states in the US and Canada
• Subject matter expert/ primary point of contact for business requirements related to Drive safe save DSS program and Customer Underwriting Index model
• Authorize and review the requirements documentation FRDs , gather and document the requirements change notices
• Conduct the User acceptance testing and Functional testing using
• Work closely with Razorfish to capture the detailed screen behavior for Eligibility and Drive safe save DSS program screens in content component library that is used by User interface Designers UIDs for mock up screens
• Coordinate and monitor the requirements related to claims processing for designated line s of business
• Build Requirements Traceability Matrix to ensure all aspects of the Requirements document have been covered in the Test cases
• Support the design team with the questions related to business rules and screen behavior for both Eligibility and DSS program
• Conceptualized rules in collaboration with other functional groups to capture rainy day scenarios
• Capture the Business/Functional Requirements in Mega/Excel/Test Link and assist in migration of Requirements from Requisite Pro to Test Link

Environment : Rational Requisite Pro, Visual Studio 2008, Visual Studio 2012 ,RUP, UML, SQL,PL/SQL,MS Office, MS-Project, Windows 2000, Mercury Quality Center.

Business Analyst

Confidential

Responsibilities:

• Collect, evaluate and present findings in order to increase sales productivity: Analyze sales records and trends to evaluate performance measured against quotas.
• Recommend revenue quotas and product mix for sales organization.
• Evaluate current economic conditions and prepare sales forecasts by satellite locations based in consumer buying habits.
• Involved in Project management, market research, preparation and feasibility studies and business plans, financial planning, financial statements review and analysis, financial and market analysis, valuations, financial advisory and evolving with changing market demands.
• Delivered a business rules and conditions repository
• Enumerated test plans for enrollment and rebalance transactions for bundled and unbundled clients
• Verified the user access management functionality
• Developed test case and for use-case models for the reports interface. Used Clear quest to report bugs and defects. Performed UAT
• Executed regression testing for two quarterly releases
• Introduced quality reporting from multiple data sources and formats

Environment: Rational Unified Process RUP , XML, XSL, XSLT, Visual Basic, MS Excel, MS Word, Microsoft Visio, .NET, PL SQL, SQL, Ecommerce, Business Objects, Oracle 9i, Unix, WinNT, Win Runner Mercury Quality centre.

Business Analyst Feb'05 Dec'06

Confidential

Responsibilities:

• Responsible for identifying and documenting business rules and creating detailed Use Case's. Created Use cases, Use Case diagrams, Business Flow diagram, Navigational Flow diagrams, creating Process models, data flow diagrams, AS IS diagrams and Activity diagrams using Visio
• Involved in the recruitment activities of off shore development centre
• Generated Test scenarios, Test cases, and Test scripts for each specification in Requirement Specification Document corresponding to each module.
• Used Test Director for identifying manual scripts written for each positive/negative test case feature, and conducted test as needed.
• Performed Functionality, Regression Testing, GUI Testing and Data Driven Testing using.
• Developed system integration test plan and ensured customer acceptance / satisfaction.
• Ability to interact effectively to internal and external parties. Coordinating related support and development activities.
• Worked closely with the project managers to monitor progress, and the deliverables for the project
• Experience in Clinical Trial Management Systems.
• Used Test Director to house all test documentation and report/track all issues and defects.
• Was involved in maintaining the Test Matrix.
• Performed parallel testing between various components of web-based applications and updated the traceability metrics.
• Participated in workshops to identify the critical business transactions.

Environment : Rational Requisite Pro, Adobe fireworks, Visual Basic 6.0 Rational Rose, RUP, UML, SQL,PL/SQL,MS Office, MS-Project, Windows 2000, Mercury Quality Center.