Lead Business Analyst Resume Blue Bell - Hire IT People

SUMMARY:

Lead Business Analyst - Electronic Data Interchange, Healthcare, Banking
Ensure that appropriate sign offs are received on requirements for implementation.
Ensure Requirements matrix is provided to ensure that all requirements are validated and tracked through testing process
Prepare feasibility and cost analysis determinations for projects.
Interface with business clients, PMO, all levels of management, technical staff, architects, vendors, and others with minimal supervision to achieve project goals and initiatives.
Effectively communicate with all stakeholders and ability to convey technical concepts to non-technical stakeholders in a manner that enables good business decision making.
Demonstrate superior customer focus. Build consensus among stakeholders as it relates to large-scale business problems and issues.

TECHNICAL SKILLS:

Skills: IBM Rational Clear Case, Clear Quest, Requirements Composer, Agile, Use Case, MS Office, Visio, Ultra Edit, Plan View, Live Meeting, WebExCobol, DB2/SQL, CICS, VSAM, MVS JCL, File aid, BMS, Sufi, IBM Utilities, TSO/ISPF, Expediter, CICS Interest, Predict, Platinum, Change man, Info man, CA-View, CA-7, SAR, Easytrieve

PROFESSIONAL EXPERIENCE:

Lead Business Analyst

Confidential, Blue Bell

Responsibilities:

Responsible for business requirements elicitation, project design, development and quality assurance for EDI Gateway and other applications.
Analyze Business requests and generate Expanded Business Needs on project kick-off stage;
Conduct JAD sessions and meetings with SMEs, trading partners and back end applications;
Simultaneously work on multiple projects, facilitate requirements gathering sessions;
Create Use Case Narratives; write Agile Stories;
Document functional and reporting requirements, prepare file layouts and technical specs;
Support application architects in building process flows and data diagrams;
Create Logical maps and Reports mock ups;
Support application developers in project design;
Review Testing Plans and Scenarios;
Help business SMEs in preparing Companion Guides and User Acceptance Test plans;
Investigate EDI/HIPAA compliance errors in Batch and Real Time transactions;
Research problems in EDI Gateway, Traditional Data Capturing, Electronic and Paper claims systems, Electronic Transactions Reporting, Government programs, and other applications;
Analyze acknowledgements and error reports for Medicare and State Reporting;
Assist EDI Production Control, Balancing & Reconciliation, Revenue Calculation and other business teams in resolving EDI issues;
Work with project managers, architects and vendors on project deliverables required by SDLC;
Assist QA teams in estimating efforts and writing test scripts, analyze defects and test results.
Most recent visible projects: ICD10, CMS Encounters Reporting, Re-submitting Rejected Claims, Re-pricing Claims by External Entities, Dental NAP, Medical/Pharmacy accumulators, 5010 Compliance - Sales Tax & Postage, Post Adjudicated State Reporting, Misdirected claims processing, Medicare specific Claim Intake Edits.

Senior Business Analyst

Confidential, Blue Bell, PA

Responsibilities:

Responsible for requirements gathering and technical spec writing for health insurance projects.
Analyze the business needs and design solutions, work with business and applications SMEs on EDI requirements, create functional specs, support EDI developers, mappers and QA teams.
Examine vendor documentation, Companion and Implementation guides and standards, analyze proprietary data formats, facilitate mapping sessions and team meetings, design inbound and outbound logical maps for different processes.

Lead Systems Analyst

Confidential, New Castle, DE

Responsibilities:

Responsible for Software design and new customer implementations; System development, maintenance and stability;
System renovation and new functionalities; Technical support and production coverage.

Programmer/Analyst

Confidential, Springfield, PA

Responsibilities:

Team work on Confidential Check Processing system enhancements and stabilization.

Systems Engineer

Confidential

Responsibilities:

Design adaptation algorithms for automated electronic systems.

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Lead Business Analyst Resume

Blue, BelL

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