SUMMARY:

• Over 9+ years of professional experience in the Information Technology industry, with expertise in areas of as a Business System Analyst, Data analyst, Project manager, Scrum Analyst, Software Quality Lead & UAT Coordination.
• Effective team member with excellent interpersonal skills
• Strong knowledge of the Systems Development Life Cycle (SDLC) models; involved in all phases from Planning to the Implementation stage.
• In depth knowledge and experience in Classic Waterfall, Rational Unified Process (RUP), Agile, Scrum, RAD (Rapid Application Development) methodology, thorough understanding of Object Oriented Analysis and Design (OOA&D) concepts.
• Extensive Experience in EHR/EMR, Financial, Insurance and Health Care Industries.
• In depth knowledge of HIPAA 4010, 5010, HIPAA EDI transactions such as 834, 835, 837 (P, D, I) 270, 271, 278., Claim processing, ICD - 9, ICD-10,&HL7, TriZetto's FACETS version
• Extensive experience in Physician Workflow, EHR/EMR Web Portals, Health Information Exchange (HIE).
• Sound Knowledge of AML, KYC and Consumer Identification. Good understanding of the SOX, IRC and Treasury (Tax) Regulation.
• Hands on Experience with Master Data Management efforts and creation of MDM related artefacts.
• Good understanding of Data Warehousing. Proven experience in complete project life cycle - Design, Development, Maintenance and Documentation of Enterprise DataWarehouse, DataMart’s, and Operational Data Stores (ODS).
• Experience in ETL and BI platforms in creating requirements and providing solutions.
• Proficient with web technologies such as HTML, XML, Web Services, Ektron and Alfresco.
• Comprehensive knowledge of SDLC with experience in black box, regression, integration, UAT, load and performance testing
• Facilitated User Acceptance Testing (UAT) with the stakeholders and the business users
• Worked in close co-ordination with the testing team in developing Test plan and Test cases from functional and business requirements
• Knowledge of QA methodologies and experienced testing work as well as manage off-shore and on-site teams.
• Strong knowledge of Project management skills such as time estimation, task identification, and scope management
• Expertise in Project Planning, Project Design, creating functional specifications and data flow diagrams.

Operating Systems: Windows XP/7,8,10, Mac OS

UML/Agile Tools: MS Visio, Rational Rose, Azure, JIRA Agile, VersionOne.

Defect Tracking: Rally,JIRA, HP Quality Center

Database: Sybase 11.0.2, Oracle 11g,My SQL, MS-Access

Web Applications: HTML, XML, Web Services, Ektron, Alfresco, Adobe Photoshop.

Data Warehousing: SSIS, Informatica

Business Intelligence: SSRS, SSAS and SAP Business Objects

AML: NICE Actimize, IBM EAS

Master Data Management: IBM InfoSphere MDM-RDM Hub, IBM Inspector

WORK EXPERIENCE:

Confidential, Norfolk,VA

Business system analyst/ Data analyst

Responsibilities:

• Assisted Product Owner in developing EPIC’s and Product Backlog.
• Developed detailed User Stories with Acceptance Criteria and Done Criteria for all the EPIC’s
• Presented and Detailed Product Backlog Items to the Scrum Team in the Sprint Planning Sessions and assisted them in arriving at the Story Points.
• Developed Activity Diagrams, Use Case Diagrams, and Workflow Diagrams, swim lane charts using Microsoft Visio.
• Produced Visuals for the application using Azure tool and created Use Cases, State diagrams, Sequence Diagrams and Activity Diagrams.
• Reviewed user Stories and Acceptance Criteria with the team
• Assisted the Scrum Master in Creating and Managing the Release Planning Documents in SVN Repository.
• Assisted Scrum master in Developing the Task Sheet and Burn down Charts.
• Facilitated Demos of the software output of each Sprint and assisted Business in making Decisions on the release during the Sprint Review Meetings.
• Involved in HIPAA EDI transactions such as 834, 835, 837 (P, D, I) 270, 271, 278.
• Worked within the areas of process improvement and enhancements of Billing/ Payment systems for Medicare Part D functional area.
• Responsible for developing Front end edits for claims adjudication
• Worked on receiving Encounter files from their PBM (Pharmacy Benefit Manager), verifying the data content by transactional analysis.
• Participated actively in Requirements Churns between Sprints to update the product backlog.
• Created UI mock ups and PoC’s for the Public facing user interface and the adverse event Reporting form.
• Authored Requirements documentation (BRD, FRD); workflow design and analysis.
• Provided TO-BE process design, Gap analyses.
• Provided ETL process design and requirements, Data Mapping and BI reporting requirements.
• Provided DTD (Document Type Definition) for XML files to be used in the ETL process.
• Participated in Change Management Board meetings to ensure deliverability of functional requirements change and to assign priority to approved changes.
• Provided Use Case models, unit test and UAT scenarios, development team support.
• Helped hands on workday .

Confidential, Dallas,TX

Sr. BSA

Responsibilities:

• Worked with the core team to gather business requirements from multiple stakeholders, Business Teams and management groups - and reconciled conflicts by conducting Joint Application Development (JAD) sessions based on the project scope.
• Created Functional Specifications Document and designed high and low level Use Cases and Process / Activity Diagrams using MS Visio.
• Performed GAP analysis and Impact Analysis involving the current state and proposed state.
• Worked Closely with Application Architects and Business teams to converge on requirements for the Enterprise Consumer Matching WebServices.
• Worked closely with Data Architects and ETL Leads/Managers and was responsible to perform detailed data requirements analysis and create design specifications and operational documentation.
• Provided the ETL team with the Data mapping document and assisted them to create the mappings.
• Worked closely with the architects, database administrators and technical team during Data Mapping and Data Integration
• Involved in data modeling and building fact and dimension tables.
• Analyzed and presented the Business with information on data anomalies, issues, input errors, field value ranges, data patterns, referential integrity gaps and the level of record incompleteness that is in the source systems.
• Organized meetings with the SMEs and Data Owners to walk through the findings and determine the cleansing process.
• Participated in various sessions with Business to understand the business rules and to come up with naming conventions to standardize the data. 
• Played a key role in the user acceptance testing (UAT), and implementation of system.

Confidential, Bloomfield, CT

Sr. Facets Business analyst/ System analyst

Responsibilities:

• Interviewed Business Users to gather Requirements and analyzed the feasibility of their needs by coordinating with the project manager and technical lead.
• Works with the corporate HCSC team (similar to healthcare systems like HEDIS) to monitor accuracy of data and methodologies when assigned.
• Worked with diverse team of Business users to gather requirement and prepared BRD and FRD.
• Developed plan for data feeds and data mappings for integration between various systems, including XML, to follow ICD 10 Code set and ANSI X12 5010 formats.
• Involved in analyzing requirements for data migration, data reconciliation, mapping rules, staging rules and transformation rules for the ETL processes.
• Performed the Gap Analysis to find the existing gap between the HIPAA 4010 to HIPAA 5010 EDI transactions and ICD 9 to ICD 10.
• Assist with managing facets of project life cycle, including design, development, testing, and deployment.
• Prepared several use cases and designed use case diagram, activity diagram and sequence diagram.
• Involved in requirement gathering and database design and implementation of star-schema, dimensional data warehouse using Erwin.
• Worked on the EDI 834-file load to Facets through MMS (Membership maintenance sub-system)
• Worked on solving the errors of EDI 834 load to Facets through MMS.Created keyword files to have member data bulk loaded into the FACETS system through the MMS batch
• Conducted JAD sessions with PM, SMEs; facilitated interviews with end users and hospital administrators to collect business requirements.
• Wrote test cases for testing migration of EDI 4010 to 5010 and the processing of member enrollment and benefits, batch jobs corresponding to the enrollment (834) and real time transaction like 270, 271, 276, and 277.
• Worked on developing the business requirement and use cases for FACETS batch process, automating the billing entities and commission process. .
• Troubleshoot any problems found within FACETS and when testing the SQL data database while validating the business rule.
• Designing test scripts for testing of Claims in Development, Integration and production environment.
• Analyzed the Design of FACETS data model to ensure optimal system performance and tuning.
• Worked with the Data stewards to identify and document business rules that need to be applied to the Care Management data in the warehouse
• Performed requirement gathering for adding the new fields in Medicare part D claim data.
• Communicate with the insurance specialist to ensure proper billing to insurance company, third parties,payers,clients for all products
• Maintain accurate billing procedures.

Confidential, CT

NICE Actimize Business Analyst/ Project manager

Responsibilities:

• Gathered and analyzed business requirements to develop User Requirements Specifications of the application to be developed.
• Helped with Coordinating, supporting and implementing data acquisition related activities also develop current state business process models for account transitions from the current system to AML system .
• Supported various Webster banking system support staff in data acquisition exercises for the NICE Actimize implementation 
• NICE Actimize system knowledge with strong knowledge on data acquisition, sourcing and integration 
• Documented all the sources of customer Data and created mapping documents.
• Validated the Customer records to ensure Data Quality and correctness.
• Validated Customer Records using IBM Inspector in the process of identifying the Golden Record of Customer.
• Developed EPIC’s from the Themes and Documented the Product Backlog for the release.
• Presented and Detailed Product Backlog Items to the Scrum Team in the Sprint Planning Sessions and assisted them in arriving at the Story Points for the User Stories.
• Reviewed user Stories and Acceptance Criteria with the team
• Assisted the Scrum Master in Creating and Managing the Release Planning Documents in the Version One and Share Point Repository.
• Assisted Scrum master in Developing the Task Sheet and Burn down Charts.
• Facilitated Demos of the software output of each Sprint and assisted Business in making Decisions on the release during the Sprint Review Meetings.
• Conducted requirements Churns between Sprints to update the product backlog.
• Conducted Analytics and Assessments to derive the Team Velocity based on the various Sprint Outputs.
• Prepared Data Flow Diagrams and Use case models using MS-Visio.
• Managed requirement change requests and implemented procedures for test changes.
• Created master test plan and test cases and coordinated with users for the new system testing.
• Worked with QA team during the automated testing and preparation of testing reports using HP Quality Center.
• Held project level testing status meeting to review new defects and status of open defects.
• Facilitated UAT (User Acceptance Testing) for the application
• Provided production support after the deployment of Window7 server.

Confidential

Scrum Analyst

Responsibilities:

• Created Process Flow Document and designed high and low level Process / Activity Diagrams using MS Visio.
• Performed Workflow analysis and task Analysis for various operational teams in the company.
• Performed GAP analysis and Impact Analysis involving the current state and proposed state.
• Worked Closely with Application Architects and Business teams to converge on requirements for the New Workflow Management System and Content Management System.
• Used AGILE methodology and worked in short SPRINTS to achieve goals.
• Participated in SCRUMS and discussed the open issues and statues.
• Participated in Agile Planning Sessions and as sumed the Scrum BA / Master role for the agile initiative.
• Created and explained the User Stories to the Scrum Team and helped them design the Tasks.
• Designed acceptance criteria for validating the output of each Sprint.
• Reviewed Team Velocity on a frequent basis and advised Agile PMO at various stages.
• Participated in Sprint Planning and Sprint review meetings for Finalizing the Sprint Backlogs and Verifying the sprint outputs respectively
• Crea ted Release Tracking Document in orde r to tra ck the ne ce ssa r y c h a ng es .
• Identified the key business processes to model by analyzing the requirements and modeling using MS Visio
• Prepared logical Data Models that contain set of diagrams and supporting documents containing the essential business elements, detailed definitions, and descriptions of the relationships between the actors to analyze and document business data requirements.
• Participated in various sessions with Business to understand the business rules and to come up with naming conventions to standardize the data.
• Played a key role in the user acceptance testing (UAT), and implementation of system.

Confidential

Scrum BA

Responsibilities:

• Assisted Lead Business Analyst towards creating requirement documents, Use Cases, Supplementary specifications.
• The Database team was led to create a Logical Data Model followed by a Physical Data Model.
• Assisted in Change control process for documentation, Development, Bug fixing and tracking.
• Supported Lead Business analyst towards creation of requirement documents (Use Cases, Supplementary specifications etc.)
• Supported Development team towards accomplishing all development goals with hands on approach.
• Took hands on approach to development and testing tasks, by helping Development and Test teams resolve Technical and Process issues.
• Played a key role in the user acceptance testing (UAT), and implementation of system.

Confidential

Business Analyst

Responsibilities:

• Interacted closely with the Business users (Physicians) along with the administration and management to gather business requirements and analyze the functionalities to be incorporated into the system
• Participated in JAD sessions / conducted interviews for analyzing business requirements and reviewing them with business and technical teams
• Identified all necessary Business and System Use Cases from requirements, created UML diagrams, including Use Case Diagrams, Activity Diagrams and Data Flow Diagrams using MS Visio.
• Attended demo sessions to understand existing system functionalities
• Arranged interviews with all the stakeholders to review and understand the gathered business requirements
• Developed UID Documents, FRD and other SDLC Artifacts
• Coordinated with system architects and developers to convert business requirements into system requirements
• Conducted Demos and walkthroughs for Confirming Business requirements
• Developed UAT strategy, UAT Plan and facilitated UAT
• Verified and validated all build or release related issues and resolved them through discussion with business analysts with users’ approval.
• Conducted Smoke tests in Production and Documented Lessons Learnt during the Project.