SUMMARY:

Over 8 years of experience as Sr. Business Analyst/System Analyst/BSA and over 4 years as Quality Assurance Analyst Manufacturing Industry with focus on understanding business logic, identifying implementation requirements and determining solutions to business processes based complex software projects, that includes system development component, business process improvement, strategic planning and policy development.

• Expertise in requirements gathering through direct user interviews, workshops, secondary market research and databases.
• Excellent business partner interaction and facilitation skills. Strong organizational and process adherence skills.
• In IT Software in the field Software testing& quality with proficiency in Health Care Nasco Processing System.
• Good Experience working with NASCO - Applications such as - HIQK, HEHK, HSSK, HRBK, HRRK, HURK, HSSK, TPOL, PDM and EFDE.
• Involved in analysis, and executing the Test Cases. Tested many scenarios for New Group implementation.
• Facilitating JAD sessions with business users and development team to drive out detailed business requirements.
• Provided satisfactory results being a liaison between business users and developers.
• Exceptional documentation skills for writing use cases and functional requirement documents as well as for creating Use Case diagrams, Activity diagrams, State diagrams based on UML Methodology and business process flow diagrams.
• Proficient knowledge of Agile, Scrum & Waterfall model.
• Experienced in all phases of the Software Development Life Cycle (SDLC) including requirements gathering, analysis, design, implementation, testing and deployment.
• Strong command over conducting Enterprise Requirement Analysis including Requirements Planning and Management, Requirements Gathering and Communication, Solution Assessment, Risk Analysis, GAP Analysis, Business Impact Assessment, Testing and Validation of Projects.
• Hands on experience with all MS Office products, including MS Excel, and MS Access MS Visio.
• Expertise in analyzing business and technical specifications, developing and documenting Test Requirements, Test Scripts, Test Cases and procedures along with formulating Business Models.
• Experience in Functional and User Acceptance Testing (UAT).
• Excellent team player with ability to think analytically and troubleshoot issues. Responsible and strong work ethics, fulfilling all duties and meeting deadlines.
• Effective verbal and written communication skills

TECHNICAL SKILLS:

Requirement/Application Management Tools: Rational Requisite Pro, MS Office Suite, MS-Project, Share point Portal Server 2003/2007, Enterprise Architect, Knowledge of DOORS.

Repository Management: Rational ClearCase, SharePoint.

Operating Systems: Windows XP/95/98/NT/2000, UNIX, LINUX.

Business Tools: MS Visio, MS Project, MS Access, MS Office Suite.

Business Skills: Business Requirements Elicitation, Business Process Analysis(BPMN), Gap Analysis, Use Case Modeling & Analysis, data flow diagrams, Entity relations.

Methodologies: Waterfall and RUP (Rational Unified Process), Agile, and Scrum

PROFESSIONAL EXPERIENCE:

Confidential

Business Analyst/System Analyst/BSA

• Responsible for the system changes that come thru Business.
• Conduct SAC (SER Acceptance Meetings) with the SME’s and Business to discuss system changes.
• Provide Approvals based on the requirements from the business.
• Provided analytical support to a specific group of customers on business applications, infrastructure and technology related activities.
• Acted as a project team member, specifically on requirements definition and testing activities.
• Provided guidance, assistance, coordination and follow-up on complex problems and ensure resolution.
• Actively participated in designing of Mock up screens using Visio.
• Assisted customers on their migration to new or revised products, applications and platforms.
• Worked with application developers and operations personnel to support production applications and customer-specific operations.
• Build, enhance, and maintain Access databases and Excel spreadsheets for metric reporting and inventory management.
• Able to read / write Visual Basic for Applications (VBA) and Structured Query Language (SQL).  
• Able to conduct Reporting and Data Analysis; and trouble shoot.
• Work as a Gate keeper between business and system.
• Work as Change manger to get information loaded in the tool used to track all requirements.
• Conduct QRM (Quality Release Meetings)for all the system changes and have a SME’s review on all the business requirements.
• Pre Review all defect and provide resolutions to resolve the defects.
• Review all PFG’s and provide analysis.
• Worked as a Project manager in the Rx carve out project for BCBSM did the budgeting conduct all the meeting to gather information and logged all information from different pharmacies.
• Present and explain the design changes to Quality Release Management for approval.
• Experience in conducting user workshops, focus group sessions & other collaborative techniques.
• Documented User Stories and Test Cases for successful completion of the project.
• Did QA/QC Testing for Test Cases use ALM Tool and SAS Enterprise Guide.
• Create detailed, comprehensive and well-structured test plans and test cases
• Track, manage, and Assess the results of Test Defects over time.
• Estimate, prioritize, plan, and coordinate testing activities.

Confidential

Business Analyst/System Analyst/BSA

• BPM UAT Team to perform the Claims User Acceptance Testing from a business perspective.
• Created Ids and assigned access to them.
• Added the required access to the appropriate person.
• Test the scenario to see if they pass or fail.
• The goal of this document is to define and confirm the activities, develop a project plan and identify the resources required to successfully complete UAT for claims processing component of the BPM initiative
• Access Claims: UAT Test team would validate that Research station pended claims can be accessed via the new BPM application.
• Assign Claims: UAT Test team would verify that all claims are assigned to Service area team. Team would validate
• Total claims pended in RS = Total Assigned + Unassigned+ Conflict
• Reassign Claims: UAT Test team would test the ability of users to manually reassign claims to different area
• Business Rules: UAT Test team would validate that the production claims picked up for testing are being routed based on Business Rules set-up.
• Reports: UAT Team would test user’s ability to pull claims reports for one or multiple areas
• Develop Test Plan
• Analyze Requirements
• Finalize Test Environment Requirements
• Define Test Cases
• Test Deliverables Sign-off
• Worked on CPL Defects

Confidential

Business Analyst/System Analyst/BSA

• Analyze the PCR (policy change request) from Medical Affairs.
• Perform Unit Testing and Acceptance Testing in Model Office and Post Production Testing in Production.
• Look for Logic in Benefit File, GENO Tables, Flex Plan Rules and Procedure File.
• Create CSRs (Customer Service Request) using CSR Financial Tool and write CSRs in PDM.
• Present and explain the design changes to Quality Release Management for approval.
• Using Change manager Tool to send request to File Maintenance team for GENO Table update.
• Procedure File Update using MDSS Procedure File Request Form.
• Perform Validations in Model office and Production environments.
• Pull EOBs, Vouchers and 835 Using HCBO and Personix for Validations in addition to setting up Benchmark scenario claims.
• Send communication Alert using Change Manager Tool.
• Document result in close down packet and update share drive with all permit information.
• Use BF test suit to pull claims for testing purpose.
• Familiar with CXT, Modifiers and CXT rules.

Confidential

Business Analyst/System Analyst/BSA

• Experience in conducting user workshops, focus group sessions & other collaborative techniques.
• Documented User Stories and Test Cases for successful completion of the project.
• Did QA/QC Testing for Test Cases use ALM Tool and SAS Enterprise Guide.
• Create detailed, comprehensive and well-structured test plans and test cases
• Track, manage, and Assess the results of Test Defects over time.
• Estimate, prioritize, plan, and coordinate testing activities.
• Perform thorough regression testing when bugs are resolved.
• Prepare reports to communicate outcomes of quality activities.
• Evaluate audit findings and implement appropriate corrective actions.
• Develop and document quality assurance and compliance processes for an IT application portfolio or program.
• Lead test planning, test scenario and test case development and used those in testing the business applications in order to verify that functional and non-functional requirements are incorporated in to the system design.
• Worked with development, testing and production teams to develop, publish and implement software quality assurance plans.
• Performed complete testing on the NPS system - from preparation of test case documents, identification and documentation of the functional test scenarios, creation of test claim data and involved in preparing test case documents
• Conducted test cases for mental health, substance abuse, outpatient and inpatient scenarios
• Part of the testing team for the New Group Implementation testing for numerous groups
• Conducted testing for benefit changes - based on the BIFs for the corporate Groups of Horizon
• Conducted O&P Mandate Testing based on the guidelines of the O&P Mandate project - which involved the benefit changes for the Orthotics and Prosthetics columns
• Documented results in the approved test grid template
• Created Model Office contracts through TPOL system and also created test claim data through the EFD application
• Worked with the CMA database
• Worked on analyzing the BIFs and NAEGS for the corporate and national groups in the GEI database
• Extensive knowledge of HIQK, HEHK, HRRK, HURK, HRBK, TPOL, procedure and diagnosis files

Confidential, Boston, MA

Business Analyst

• Confidential Insurance is one of the biggest providers of Life Insurance in US. It has wider verity of business in Individual and group insurance, Disability Insurance, Long Term Care, Auto and home. Confidential insurance (Individual Business) uses a web application CAS for underwriting life insurance policy. This application is always undergoing with various enhancement/improvement every 3-4 months. CAS also interacts with various other vendor application and interfaces.
• Involved with the project from its inception phase to transition and production rollout phase. Responsible for writing Functional Requirement Specifications (FRS)
• Worked to BRIDGE the gaps between IT and Business Client.
• Conducted JAD sessions with both business and technical teams (Stakeholders, SME’s).
• Developed prototype of the application with additional features as per requirements.
• Created Use cases, activity report, logical components and deployment views to extract business process flows and workflows involved in the project.
• Actively participated in designing of Mock up screens using Visio.
• Helped in collaborating billing with client database and simplifying the billing process.
• Performed GAP and Risk analysis of existing system and evaluated benefits of new system.
• Facilitated the weekly meetings with the review teams to continuously improve the QA process for the application development.
• Worked with QA team to design test plan and test cases for User Acceptance Testing (UAT).

Confidential

Business Analyst

• Mystery Shopping audit program is a tool to measure quality of retail service. It is an independent and constant examination of the ‘real’ practices being followed at customer interaction points and what are your customers really thinking about your products and services? It helps in evaluating the practices in relation to defined standard requirements and help companies to achieve r4xsconsistency as well as continual improvement in their customer delivery models, standards, procedures
• Develop reports on the audits done by the auditors gather information regarding the particular topic.
• Prepared and analyzed AS-IS and TO-BE in the existing architecture and performed Gap Analysis.
• Created workflow scenarios, designed new process flows, documented the Business Process and various Business Scenarios, activities of the business from the conceptual to procedural level.
• Acted as the primary liaison between the client departments and the Information systems department and interacted with internal as well as external clients, to collect requirements and business process information, documented them in Business Requirement Document (BRD).
• Collect all the information about the project and interact with the auditor and collect all information.
• Interaction and information from different sources of information.
• Interact with the product owner to gather requirements for new project.
• Interact with clients and gather and document user requirements.
• Providing total customer satisfaction with all the formalities and legalities involved.
• How to deal with pressure of matching up with the expectation of the company.
• Establish good work relationship and work team promotion and communication and suggestion on participation.
• Provide quote and timeline to clients
• Maintain project schedules in MS Project
• Maintain project issue lists.
• Reviewed test scripts and objectives and, coordinated, managed the execution of the user acceptance testing.