PROFESSIONAL SUMMARY:

• 16 years of experience in IT industry with 10+ years at Client site in United States.
• Over 9 years of experience as a Business Analyst and system design, successfully implemented complex integration projects as per schedule and within budget.
• Very good in Functional knowledge in healthcare insurance, member enrollment and billing, claim processing, Financial systems, ecommerce.
• Possess good knowledge of Customer information processing and call center
• Consistently demonstrated capabilities to manage and successfully analyze complex requirement and deliver.
• Conduct JAD, scrum meetings, perform brainstorming and strategy sessions, build use cases.
• Use Business Processing modeling (BPM) techniques like Process Flow Diagram, Unified Modeling for integration and reengineering.
• Shows strong project management skills with SDLC and agile methodology.
• Has good knowledge of Agile process and Lean Management Techniques.
• Good at Planning & Leading Teams to meet the targets as per schedule, thereby build the strong motivated & focused team
• Proficient in Drafting Work plans, Deriving WBS, Resource Plans, WBS Estimates Project Schedules, Risk Assessments, work prioritization based on business value
• Very good at analytic and communication skills.
• Proficient knowledge in management of full project life cycle; concept through implementation and always ready to take ownership of projects.
• Manage project execution to ensure adherence to quality, scope and identify risks.
• Manage multiple projects and possess out of box thinking capabilities.
• Communicate effectively across cross - functional teams
• Provided designs and architect solutions.
• Participate in every phase, provide testing recommendation and root cause analysis.
• Effectively prepared business flow diagrams and made presentations to senior management
• Responsible for overall delivery of the project
• Majorly involved in the communication with all the Stakeholders within the project and Co-ordinate
• Schedule and facilitate meetings/ceremonies.

PROFESSIONAL EXPERIENCE:

Confidential - Grand Rapids, MI

Business Analyst

Responsibilities:

• Understand business capabilities and expectations
• Meet stakeholders and create product backlog
• Identify integration points and dependencies perform Requirement Gathering & Preparing Business cases, tracaebility, budget
• Project tracking and providing direction to team member as needed
• Follow Agile scrum methodologies
• Perform sprint planning, demonstrations and evaluation
• Participate in daily stand up calls, sprint planning
• Create Product Backlog, Epics, stories, tasks and acceptance criteria

Confidential - San Diego, CA

Business Process Analyst

Responsibilities:

• Document and analyze the current application configuration and processes; Present new design solution and provide workflow recommendations for improvements
• Perform risk analysis and evaluate fraud rules
• Integration testing and UAT support and release support
• Requirement Gathering & Preparing Business Requirement Documents
• Project tracking and providing direction to team member as needed
• Follow Agile scrum methodologies
• Perform sprint planning, demonstrations and evaluation
• Participate in daily stand up calls, sprint planning and customer calls
• Coordinate with various teams like Retail, Customer Service, Application Interface, Order Management, Supply Chain, eCommerce, marketing, third party delivery vendor Deliv.
• Create Product Backlog, Epics, stories, tasks
• Groom Product Backlog and prioritization

Confidential - San Diego, CA

Business Process Analyst

Responsibilities:

• Document and analyze the current application configuration and processes; Present new design solution and provide workflow recommendations for improvements
• Perform risk analysis
• Quality assurance and release support
• Reengineer billing process and utilizing BPM tool
• Requirement Gathering & Preparing Business Requirement Documents
• Project tracking and providing direction to team member as needed
• Perform Knowledge transfer and documentations
• Process streamline and gap analysis
• Use Business process modeling
• Follow Agile scrum methodologies
• Perform sprint planning, demonstrations and evaluation
• Participate in daily stand up calls, sprint planning and customer calls
• Perform production issue analysis and resolution
• Enhance Error reporting and reduce resolution time between state and title management system by automating state regulatory error/notification reports.

Confidential - San Diego, CA

Business Analyst

Responsibilities:

• Document and analyze the current application configuration and processes; Present new architecture workflow recommendations for improvements
• Perform financial risk analysis and fraud of as per CA 4840 regulation
• Quality assurance of the ITSS application upgrade through software testing
• Work with directors for Application Management process restructuring for SOW
• Verify member billing and accuracy of customer information from SAP system
• Analyze the Security management plan for San Diego and create a schedule to implement plan.
• Perform City employee healthcare utilization management and risk profiles assessments
• Evaluation of COTS applications and proof of concepts.
• Evaluate application migration plans
• Facilitate workshops and brainstorming for requirement collection
• Develop business process workflow and modeling
• Understand general application security risk and file encryptions
• Follow agile scrum environment
• Perform Business Process modeling for cost benefit analysis like SWOT.
• Completed call tracking metrics through Track IT and Service Now.
• Conduct research on Confidential contract, value-add services, resource model and present in a PowerPoint format
• Requirement Gathering & Preparing Business Requirement Documents, perform cost benefit analysis
• Perform risk analysis and mitigation as part of risk management
• Prepare and enhance California state format 4860 OSHA reports
• Project tracking and providing direction to team member as needed
• Evaluate COTS products like ITSS, GLTS

Confidential - Raleigh, NC

Business Analyst

Responsibilities:

• Scope Planning and Impact Analysis
• Perform Cost Analysis and evaluate COTS applications.
• Client Interactions for business issues and maintenance activities
• Defining the responsibilities for onsite and offshore team and ensuring SLA is met
• Reviewing the project status and taking corrective measures
• Perform Architecture flow of new solutions, build new business workflow.
• Plan data migration strategies and reporting using ETL and BI tools.
• Understand SOX compliance to check fraud and risks.
• Understand banking compliance for billing, payments and claims
• Evaluate account credit risk
• Building One View application to facilitate Call center needs
• Perform cost/benefit analysis, feasibility studies and ROI.
• Develop, assist and evaluate proof-of-concepts for new opportunities
• Assist on RFPs/SOW
• Cross-functional, cross application integration evaluation mapping and implementation
• Initiate and execute various process re-engineering, business workflow models and enhancements
• Gather and followup lessons learned for process improvement for program.
• Use various requirement collection techniques such as brainstorming for prioritization and optimal solutions
• Use Customer Information or touchpoint applications to understand customer needs, gaps and enhancements.
• Requirement Gathering & Preparing Business Requirement Documents (BRD, FRD)
• Develop prototypes, wireframes and screen mockups
• Prepare Business Process Modeling (BPM), data and business flow diagrams for “As Is” and “To Be” process
• Use Redhat Jboss BPM suite to build and monitor system migration
• Assist in Prototype for pattern matching and rule based BPM
• Reengineer and deployed rule based system using Redhat JBOSS BPM for effective claim auditing
• Understand structures, policies and ensure SOP are followed
• Perform data analysis and system design.
• Lead requirement definition sessions and track progress.
• Identify HIPAA, PPI and Security Access control risks
• Lead and participate various project management activities.
• Conduct and participate analysis and JAD sessions, prepare and review use cases.
• Follow agile scrum methodologies
• Ensure requirements and issues tracked per sprint and agile methodology.
• Coordinate with Enterprise Release Management
• Recommend use cases, test data, test plan and do root cause analysis.
• Participate and provide direction in Release Management meetings
• Manage project plan, schedule, scope and quality
• Perform risk analysis and mitigation
• Drive and assist senior managers for migrating waterfall to agile scrum environment
• Schedule and attend sprint daily stand up, demonstrate and retrospection meetings
• Perform sprint planning, track spring progress and backlog
• Follow and recommend strong change management process
• Project tracking and providing direction to team member as needed
• Identify improvement opportunities. As a part of it, developed ‘Logical Mapping Process’ (LMP) which has shown tremendous improved results
• Identify dependencies, prepare development plan
• Reviewing the status of the project and taking corrective measures
• Prepare integration testing plan, execute with team and validate results
• Onsite-offshore coordination
• Prepare solutions for Data warehouse data flow, Migration of millions of data, capturing daily claim event capture
• Assist TDD, testing automation and continuous Integration
• Monitor various reports for accuracy and enhancements.
• Reports includes financial, claims reporting, 835, 1099 and statistical information etc.
• Participate in UAT
• Evaluate and train COTS product like Benefits Builder, ClaimsXten etc.
• Successfully managed medium teams of 5-10 members

Confidential

Associate Consultant

Responsibilities:

• Communicate with Onsite and Offshore team leads
• Understand delinquencies and credit risk
• Requirement Gathering and Analysis
• Prepared specification document, code, review and unit test
• Responsible for Integration testing

Confidential

Programmer Analyst

Responsibilities:

• Requirement Analysis
• Prepared specification document, code, review and unit test

Confidential

Programmer Analyst

Responsibilities:

• Understand and implement Supply Chain principals
• Perform Impact Analysis
• Develop reports based on Program Specifications
• Coding, Review and Unit Testing