SUMMARY:

• Over 7 years of extensive experience in IT as a Business/Data Analyst with extensive knowledge and experience across the project life cycle using Software Development Life Cycle (SDLC) in the fields of Health Care (Provider) & Health Insurance (Payer), Finance and Investment Banking. Dependable and Good team player with excellent communication skills and ability to work independently along with strong problem solving, learning and interpersonal skills
• Excellent analytical skill to understand the business problem and capture the business requirements.
• Excellent communication and documentation skills along with good process management skill to deliver a quality product.
• Proven record in automation of process to save cost and increase productivity
• Hands - on experience in the documentation of business process requirements and specifications, design and development of use case scenarios.
• Experience in facilitating user group meetings and gathering business/system requirements for application development using Rational RequisitePro, Microsoft Visio, Microsoft Excel and Microsoft Word.
• Experience in conducting Joint Application Development (JAD) sessions for requirements gathering, analysis and design.
• Received recognition for performing exceptionally well in communicating the business application workflow to stakeholders, end users and application developers.
• Developed Use Case Models, Activity Diagrams, Sequence Diagrams and Data Flow Diagrams (DFD).
• Thorough knowledge of industry standard methodologies like Software Development Life Cycle (SDLC), Iterative Software Development Life Cycle and Agile.
• Strong visual modeling and business process modeling skills with tools like Rational Rose and MS Visio.
• Ability to write SQL queries on Oracle database and ETL- Informatica Powercenter
• An active liaison between business owner, SME and development teams and conduct meetings to present project scope.
• Well versed with conducting UAT, gap analysis, developing proof of concept, and detailed storyboards to help with business and technical decisions.

TECHNICAL SKILLS:

Business Modeling: UML Modeling- Rational Rose, StarUML, MS Visio, Rational Modeler

Requirement Mgt: Rational RequisitePro, EMC Documentum, Caliber, Microsoft Word.

Methodologies: Rational Unified Process, SDLC, Agile Methodologies, Waterfall.

Applications: MS PowerPoint, MS Word, MS Excel, SharePoint, Outlook

Databases: Oracle 8i, Oracle 9i, Oracle 10g, MS Access, and MySQL.

Operating Systems: Windows Vista Professional, Windows XP Professional, UNIX 5.0.4, Linux

Others: SQL*Plus, ClearCase, Power BI, JIRA, ETL-Informatica Powercenter

PROFESSIONAL EXPERIENCE:

Confidential

Sr. Business Analyst

Responsibilities:

• Created Future State Work flows in Visio and performed GAP analysis between the current and future state
• Automated process using the productivity rules and attributes
• Elicited and analyzed customer data and user requirements through brainstorming JAD sessions, onsite visits, lead interviews, observation and interpreting user needs and goals into solutions as industry best practices
• Analyze and document business process required in JIRA for the project and translate these into FRS, Business requirement specifications and detailed test plans.
• Perform tests on the test cases before providing the functionality to the client in the UAT Environment
• Edit operational and workflow requirements from internal and external customers for issued tickets in JIRA
• Supported team in integration of application with Epic and Fax servers
• Collaborate with Clinicians, Database Development leads to document all changes necessary to meet the requirements of the project
• Assisted in implementing modules of Care management such as Utilization management, Case management and Disease management.
• Worked during the SDLC phases with Health level 7 specially for ADT using A04,A28 and A31 messages.
• Lead team in implementing Gap in care implementation from 3rd party software to Jiva
• Created and validated mapping documents for importing data from the interfaces.
• Created and Maintained the RAID documents at all stages

Confidential

Business Analyst

Responsibilities:

• Identified system enhancements that improved business process and supported future business needs. Authored, or provided review of, system requests on behalf of business units and process directors, served as functional and technical liaison between business units and IS organizations. Learned new technologies and systems to advance knowledge of operations and process improvements.
• Automated direct data entry and Letter Track process to reduce manual work effort /cost and delivered training to end users
• Accountable for optimization of EDI transactions as per
• Gathered requirement and conducted brain storming sessions for BRD
• Performed GAP analysis between the current and future state
• Conducted stakeholder walk through for the final product for the assigned modules.
• Created workflows using Visio for the RCM of the new clients.
• Monitored the application using various SQL and ETL tools
• Responsible for implementing, analyzing, documenting and monitoring business process and associated workflow automation and applications.
• Edit, operational and workflow requirements from internal and external customers for issued tickets in JIRA.
• Created Use cases and Use Case Stories formatting Use Case Narratives
• Clarified system, workflow, and process needs with operations to understand the purpose and content of requested enhancements. Assisted customers with understanding system functionality and process flows. Documented business requirements and technical details, utilizing a variety of tolls including Work, Excel, and Visio.
• Generated sequences based on the criteria for account to flow through the RCM in the system
• Worked on systems to integrate with host systems like EPIC, STAR, MEDITECH and PBAR.

Confidential, VA

Business Analyst

Responsibilities:

• Complete emphasis of this project was on New S/W Development.
• Involved in gathering and documenting the requirements that were critical to the business process and in turn using those requirements to design application software using a Use Case approach.
• Automated manual process to reduce cost and increase productivity
• Analyzed the user requirements by interacting with system architect, developers and business users.
• Extensively used Enterprise Architect and MS Visio to formalize Requirements and report the same to the Implementation and testing teams.
• Gained a clear understanding of the Medico-Financial processes.
• Conducted JAD sessions both as Facilitator and Scribe.
• Created Use cases and Use Case Stories formatting Use Case Narratives.
• Closely interacted and updated with Team Lead, Systems Testing Team and Associate Managers on weekly Status updates about the Project development and UAT Process.
• Developed test cases and scripts based on business requirements for the GUI, functional & Performance testing
• Worked on Test Cases for the Med-Underwriting Processes, G-Fin and Securities applications.
• Analyzed all the requirement documents and made sure that written test cases were accurate.

Confidential

Business Analyst

Responsibilities:

• Interacted with the “Users” by interviewing them, by preparing questionnaire and getting feedback.
• Conducted JAD sessions to allow different stakeholders to communicate their perspectives with each other, resolve any issues and come to an agreement quickly
• Gathering and documenting the requirements that are critical to the business
• Leaded business initiatives including brainstorming on new functionality for current systems
• Analyzed and documented Business requirements and detail design of the software for full understanding of the business.
• Supported IT unit creating functional specification documents for the design, development and implementation of strategic projects.
• Supported the assigned project manager with creating detailed project plans; assisting in developing, scheduling and tracking project timelines.
• Supported project governance; and provided regular project communications to the project manager and business areas
• Created use case scenarios and documents work flow and business process
• Conducted Data Profiling and Transformation using Informatica Powercenter
• Used Requisite Pro to document requirements, associated change requests with requirements and connected requirements with Use cases.
• Performed feasibility, adaptability study and risk analysis to identify the business critical areas from USER perspective.
• Worked on the business process using UML and Worked on use case documents for the enhancements on the Customer Service Application.
• Documented business workflows textually as well as in UML diagrams according to RUP, for the stakeholder review.
• Conducted FRS and URS reviews and walkthroughs with the designers, developers and stakeholders.
• Developed the test plan, test conditions and test cases to be used in testing based on business requirements.

Confidential

Business Analyst

Responsibilities:

• Worked with the business side of the Inscrybe Healthcare system - a referral management and document tracking solution (site: Inscrybe.net).
• Eloquently designed a claim processing system for the healthcare management client system which allowed the user to inexpensively capture information regarding patient, summary of medical history, symptoms (International Statistical Classification of Diseases 9th Revision “ICD-9” codes), and treatment Analyzed and captured requirements to support use of International Statistical Classification of Diseases 10th Revision codes for Coverage Reviews and Appeals while coordinating with various cross functional teams to understand the impact of changes from ICD-9 to ICD-10 with respect to the Inscrybe Office application.
• Implemented supply chain strategies/vendor manufacturing process methods to determine level of procurement and strategic sourcing strategies/plans and worked with vendors/peers to determine lead times, schedules and cycle counts as well as established requirements needs
• Conducted weekly meetings for deciding the Policies and Procedures to be followed while constructing Inscrybe Office applications and Express MD application
• Used SDLC (System Development Life Cycle) methodologies such as Agile (used Project Management Framework)
• Conducted interviews, meetings and JAD sessions during the process of Requirement Gathering/Elicitation
• Performed the requirement analysis, impact analysis and documented the requirements using Rational RequisitePro
• Analyzed and translated business requirements into system specifications utilizing UML with Agile/Extreme Programming while using Rational Test Suite for various phases responsible for architecting integrated HIPAA, Medicare solutions, and Facets
• Documented the server farm requirements and requirements related to security within SharePoint using Windows Active Directory
• Performed Gap Analysis to check the compatibility of the existing system infrastructure with the new business requirements
• Interacted with client and the Technical Team for requirement gathering and translation of Business Requirement to Technical specifications
• Planned and documented procedures for data processing and prepared data flow diagrams as well as used Query Analyzer and Execution Plan to optimize SQL Queries
• Upgraded Health Maintenance Organization (HMO) Medicare Electronic Data Interchange (EDI) and reporting, also developed implementation guidelines and principles for practice-based clinical applications, including various practice management and Electronic Medical Record (EMR) systems
• Wrote PL/SQL statements and stored procedures in Oracle for extracting as well as writing data
• Assisted Quality Assurance (QA)/Testing Team in creating test scenarios, scripting test cases using testing and defect management tools

Confidential

Business Analyst

Responsibilities:

• Managed Requirements using Rational RequsitePro
• Develop Web Pages using Rational Software Architect
• Plan and Design Test Cases in Rational Test Manger and Designed and executed automated test scripts using Rational Robot.
• Created requirement models such as activity diagram and use case diagrams using Rational Software Modeler.
• Developed use cases and functional design documents
• Managed Enhancements, Defects and work items using Rational Clear Quest.
• Developed Report Requirements and Validated Report Data using PL\SQL
• Facilitate JAD Sessions for Report Requirement gathering.