SUMMARY

• 8+ years of extensive experience in the field of Business Analysis/ UAT working with the technical staff to implement business requirements into the software application in Healthcare and Commercial Industry.
• Highly motivated team player with excellent communication, presentation and interpersonal skills, always willing to work in challenging and cross - platform environment.
• Highly proficient in working with users to gather requirements and analyze them
• In-depth knowledge of creating use cases, functional design specifications, activity diagrams, and deployment views to extract business process flow.
• Good Knowledge of HIPAA Compliance Lifecycle, HIPAA Insurance Regulations and Claims Processing and Facets.
• Used Query Analyzer, Execution Plan to optimize SQL Queries.
• Strong understanding of project life cycle and SDLC methodologies including RUP, RAD, Waterfall and Agile.
• Facilitated Change Management across entire process from Project conceptualization to Testing through Project Delivery, Software Development and Implementation Management in diverse Business and Technical Environments
• In depth knowledge of SDLC and implementation of the Rational Unified Process (RUP) in all four phases of a project: Inception, Elaboration, Construction and Transition.
• Conducting requirement gathering sessions, feasibility studies and Impact Analysis and organizing the software requirements in a structured way using Rational RequisitePro to track development.
• Interacting regularly with the development team, creative services, database designer, system administrator and the higher management to meet the deadlines of Project milestones.
• Worked in close co-ordination with the testing team in developing test plan and test cases from functional and business requirements.
• Performed UAT and exposure to User Certification Testing (UCT) and Operational Readiness Testing (ORT)
• Expertise in understanding and supporting the client with Project Planning, Project Definition, Requirements Definition, Analysis, Design, Testing, System documentation and user training.
• Used TRAC /JIRA/RTC for tracking and prioritizing defects and for enhancements after base lining the requirements.
• Experience in Change Management Process (Identify, Analyze, Evaluate, Plan, Implement, Review and Close.

TECHNICAL SKILLS

Data Base: Oracle (SQL Series), DB2

Operating Systems: MS-DOS, Windows95/98/NT/2000/XP, Apple McIntosh, Linux

Software: MS Office Suite(Word, Excel, Access, PowerPoint & Outlook), MS Visio, Rational Team Concert, Requisite Pro, Adobe Acrobat, Lotus Notes, RDNG, JIRA, RRC, iRISE

Processes/Technologies: Rational Unified Process (RUP), Waterfall, Six Sigma, Agile, UML & Microsoft Office SharePoint 2007

PROFESSIONAL EXPERIENCE

Confidential, Seattle, WA

Business System Analyst

Responsibilities:

• Responsible for leading technical vision on a project to improve business flexibility of a currently mainframe-based insurance system
• Working effectively within IT, various vendors, and business teams to develop solutions that meet technology standards and business needs
• Designing and recommending changes to processes in support of business information systems
• Working closely with the software development teams to understand system solutions
• Developing testing strategies to ensure deliverables meet customer requirements
• Leading and participating in highly complex projects with managers and end-users
• Working on Data mapping document
• Working on reports retentions policies
• Working on converting NDM process to SFTP
• Working on converting file format to EBCIDIC to ASCII and vice versa

Confidential, Seattle, WA

Business System Analyst

Responsibilities:

• Conduct the test cases and prioritize the defects based on priority and severity.
• Provide testing estimates for UAT projects based on Project Complexity/Testing Resources and Project Timelines
• Experience in gap analysis, data mapping, defining Data elements, writing functional specifications, design, testing, and Triage effort
• Create test plan and test cases based on the acceptance criteria of user stories.
• Experience using multiple industry standard defect tracking tools like RTC, JIRA
• Planning, conducting, documenting, and directing the analysis of complex business problems and processes
• Translate business requirements into functional requirements using ReqPro /RDNG
• Meet with the business subject matter experts to ensure requirements meet expectations
• Create specifications (Use Case, User Interface Specifications, Data Mappings) for systems to meet business requirements
• Identifying, evaluating and developing systems and procedures, which are cost effective and meet user requirements
• Worked on ALGO, UIS, Rating, Quote Proposal, Quote Summary, Forms, GENRATS and other requirements
• Provide support to the development team for functional requirement issues
• Assist in testing application to ensure that the application meets the functional requirements (traceability)
• Maintaining and enhancing existing applications to accommodate changes in the business processes
• Designing and implementing interfaces to legacy systems
• Identifying and incorporating performance tuning
• Assist project manager with issue and risk identification
• Elicit requirements using appropriate techniques and document using agreed artifacts
• Ensure traceability, prepare the requirement package, and communicate requirements.
• Support solution assessment via QA and UAT disciplines and support development of transition requirements and activities.
• Defines and implements best practices, standards and procedures within the unit and contributes to those for the department.
• Conduct gap analysis between current and future state
• Prepare for elicitation activities, clarify scope, explore documentation, schedule activities
• Develops and maintains a deep and thorough knowledge of the system capabilities.
• Reads and understands all business requirements artifacts.
• Facilitates creation, validation and sign off of business content in systems requirement processes.
• Creating Mockup of screen on iRise

Environment: Microsoft Suites (Word, Excel, PowerPoint, SharePoint, Visio), Rational Unified Process (RUP), Rational Requisite Pro, Rational Requirement Composer (RRC) 4.1, Rational Door next generation (RDNG) 5.0, RTC, iRise, PSD, Windows 2000/XP, Mainframe

Confidential, Bloomington, IL

Business Analyst

Responsibilities:

• Successfully established and maintaining strong relationship with business partners across Corporate and the Systems department
• Facilitated meetings / business discussions for the integration of various Legacy and new system
• Developed and created documents such as BRD’s, FRD’s, Business Processes and Work Flow diagrams per business needs
• Management console documents for business checkout plan, Functional and technical process diagram to derive requirements for the new system using MS Visio and MEGA
• Single Point of contact to coordinate and support various teams within a project for production support issues and also Single Point of Contact to communicate and to submit the deliverables
• Created Continuity plan document, Downtime document and Critical symptoms of critical failure document
• Developed business use cases/business scenarios to record business and system processes for Life and Health insurance products using MS Excel
• Designed and developed UML diagrams (activity/state, sequence, and collaboration) using MS Visio
• Successfully gathered business requirements by conducting interviews with SME’s, studying the legacy systems and conducted
• Data Mapping exercise such as Forward and Backward data mapping between the fields in Legacy System and New system
• Analyzed business needs to develop rules and requirements complying with the current business practices
• Performed gap analysis to identify discrepancies in the processes, requirements, rules, and documentations
• Participated in lesson learned sessions and developed lesson learned actions items and process document
• Developed Test Cases and test scripts with technical and UAT team to verify implemented features
• Continuously communicated with business users to validate and update business scenario requirements by verifying test cases and test script
• Conducted Gap Analysis on the AS-IS and TO-BE business processes and technology; and identified potential pitfalls, risks, and issues
• Gathered and validated inventory of applications, interfaces, and reports that will need to be modified to comply with ICD-10 requirements
• Helped with building ICD 9 to ICD 10 crosswalk map by grouping thousands of codes and ranges in Clinical, Benefits, Financial, Medical policy waves
• Organized Joint Application Development (JAD) sessions with the Vendor, Subject Matter Experts, and team leads to define business and functional requirements and document in Requirement Traceability Matrix
• Involved in writing different Training modules - these modules will be used in training claim handler
• Experience working in virtual environment
• Wrote, updated and edited technical documentation such as: Procedure manuals, user guides/manuals,
• Ability to effectively communicate technical specifications/instructions to a wide range of audiences.

Environment: Microsoft Suites (Word, Excel, PowerPoint, SharePoint, Visio), MEGA, Cyberlife, Rational Unified Process (RUP), Rational RequisitePro, Rational Rose, Clear Quest, Windows 2000/XP, Test Link, Business Objects XR2

Confidential, Harleysville PA

Business Analyst

Responsibilities:

• Gathered analyzed, documented business and technical requirements from both formal and informal sessions and validate the needs of the business stakeholders.
• Conducted user interviews and documented business and functional requirements.
• Performed Requirement Analysis and developed Use Cases, Activity Diagrams using Rational Rose
• Performed Data mapping, logical data modeling, created class diagrams and ER diagrams and used SQL queries to filter data
• Created use cases for AS400 modernization
• Completed the documentation of Claims Scenario’s for the source system
• Analyzed the existing claims process and specific business rule logic will be applied in the ACP model.
• Prepared for GAP Analysis; identified and documented improving areas to meet capital requirement regulations.
• Documented Medicare claims processing.
• Designed High level design, for New process, integrating with legacy and Facets
• Involved in creating business processes and modeling diagrams using Rational Unified Process (RUP).
• Organizing JAD sessions, personal interviews and surveys in the process of collecting requirements including that of G.M.’s and other higher management
• Exposed to Agile methodology.
• Helped execute migration/modernization efforts in mainframe/AS400 platform
• Involved in Service Oriented Architecture (SOA) of the claims processing system
• Created use case scenarios and documented work flow and business process using Rational Rose
• Involved in project management using MS Project
• Documented requirements associated change requests with requirements and connected requirements with Use cases.
• Wrote test cases and test scripts for the User Acceptance Testing
• Incorporated Rational Unified Process (RUP) to create Requirement Document Specifications using Visible Analyst.
• Used Rational Clear case for version control
• Responsible for creating test scenarios, scripting test cases using testing tool and defect management for Policy Management Systems, Payables/Receivables and Claims processing.
• Involved with all the phases of Software Development Life Cycle (SDLC) methodologies throughout the project life cycle.
• Served as conduit for managing system requirements between the business and the software development team.
• Queried database using SQL for backend testing
• Used Rational clear quest for defect management

Environment: XML, XSL, Rational Clear Quest, Rational Clear Case, Rational Requisite Pro, Rational Rose, UML,RUP, Microsoft Excel, Microsoft Word, Microsoft Power Point, Visio.

Confidential

Business Analyst

Responsibilities:

• Involved in all phases of software development life cycle in RUP framework.
• Analyzed and collected business requirements identified system interfaces and created the requirements specification document.
• Performed Requirement Analysis to Develop Use Cases, Activity Diagrams and Sequence Diagrams.
• Hence developed and documented conceptual design of Application in System Specification Document.
• Extensively interacted with both user group and development team in coming up with charts, sequence diagrams.
• Involved with client service and customer relationship team (CRM) to get the end users feedback about the application.
• Involved in checking the bugs in the codes or confirmation with the team of QA.
• Provided documentation such as requirements management plans, operational risk management plans, functional requirements, test plans and test cases.
• Incorporated the best practice methodologies as advocated by the Rational Unified Process.
• Designed and analyzed Use Case model and test procedures based on RUP methodology.
• Performed requirement analysis by gathering both functional and non-functional requirements based on interactions with the process owners. Performed user interviews, JAD sessions.
• Wrote Functional requirements specification (FRS) documents, Swot analysis as per the Business requirements and process flow.
• Supported the assigned project manager with creating detailed project plans and assisting in developing, scheduling and tracking project timelines.
• Designed and developed project templates based on SDLC Methodology.
• Acted as User Acceptance Testing coordinator and monitored business testing

Environment: MS Visio, Rational Requisite Pro, Rational Rose, SQL, UML, Fiserv Recon, Moody's Tools, Rational Unified Process, FIX, Test Director, Crystal Reports, MS Office