SUMMARY:

• Ten years of experience as a Business Systems Analyst and UAT coordinator with frontline leadership role in System Development Life Cycle (SDLC) with expertise in various areas of Finance and Health care sectors
• Excellent writing skills in preparing Business Requirement Documents (BRD), System Requirements Specification (SRS), System Design Specification (SDS), Functional Specifications and assisting in project planning
• Excellent experience in Trading Life Cycle, Fixed Income, Capital Markets, Risk Management, Equities, Derivatives, Futures & Options and Valuation concepts
• Expertise in various Modules of FACETS which serves needs of many Health Insurance Companies
• Experience in Claims processing and Billing along HIPAA guidelines
• Experience in B2B standard with strong knowledge in EDI Integration applications for business processes.
• Expert with industry standard methodologies like Agile, SCRUM, Rational Unified Process(RUP), Waterfall, Capability Maturity Models (CMM) and ISO 9001 Quality management systems
• Highly experienced in conducting Gap Analysis and Feasibility Analysis to check the compatibility of the existing system infrastructure with new business requirements
• Conducting JAD sessions with the technology areas, interviews, written correspondence, reports, implementation requirements and project status reports
• Extensive knowledge of UML modeling, Drawing Sequence Diagrams, Flow diagram and Activity diagram using tools such as Microsoft Visio, Rational Rose, Requisite pro and ClearCase
• Extensively used rational tools for creating Use Cases, Version control, Defect tracking and reporting and applied the rational unified process in all areas of a software development life cycle
• Expertise with analytical reporting using Advanced Excel features like Power pivot automations
• Proficient with Microsoft Office tools (includes MS Project, MS Visio, MS Access, MS Excel, MS Word, MS PowerPoint), MS Visio
• Experience in design and development of Test case scenarios, developing test plans
• Skilled in Coordinating and Communicating between Developers, QA Teams, Management, QA and project leads and stakeholders to keep them informed at all the times about the development and the open issues
• Excellent organizational and Conflict resolution skills with a strong facility for acquiring new knowledge very rapidly
• Analytical, methodical and resourceful approach to problem solving, identifying root causes and corrective actions to meet short and long - term business, financial and system requirements

TECHNICAL SKILLS:

• Rational Unified Process
• Facets (4.61/4.81) UML
• MS Visio
• MS OFFICE MS SQL Server
• Oracle
• Rational Rose
• Rational Requisite Pro
• Rational Clear Quest
• Mercury Quality Center
• Windows and Data Warehousing

PROFESSIONAL EXPERIENCE:

Confidential, NJ

Sr. Business Analyst

Responsibilities:

• Part of the team for migration of HIPAA - EDI X12 4010 series to 5010 series for EDI Transaction code sets:
• Performed GAP analysis of 4010 and 5010 EDI transaction using implementation guide to identify the changes in the segments and data elements.
• Used the mapping tools to map 4010 and 5010 transactions along with ICD 9 and ICD 10 codes, and validated the HIPAA Syntax.
• Developed Incident documents and portrayed the as-Is reporting structures versus To-be Reporting needs for data integrity and accuracy.
• Identified the scope, business objective and documented the functional requirements for each release.
• Directly involved in process improvement Plans and implementing business change.
• Produced clear user manuals & training guides for User Acceptance Testing (UAT) and deployment for end-clients with step-by-step instructions and appropriate GUI screenshots.
• Utilized SharePoint and Excel as necessary to work through daily inventory assignments.
• Identified and escalated root cause issues to supervisor for escalated review.
• Interacted with the development team on regular basis to ensure and balance practicalities with innovative and efficient business systems solutions.
• Created use cases specifications, use case diagrams, swim lane diagrams, component diagram and context diagrams to define the workflow and segregate high-level and low-level requirements using MS Visio.
• Conducted and Participated JAD sessions to gain consensus on various issues related to the project. Acted as a facilitator on different occasions.
• Held regular meetings with the Business users and SME’S to priorities the business Requirements.
• Facilitated the resolution of project-related issues, identified risks, and mitigation steps to manage risk using PLSQL in RDBMS.
• Conducted walkthroughs and code reviews with developers, project managers and stakeholders and users to comprehend business work flow of applications.
• Knowledge in the principles of Procurement and Material planning, fundamental concepts, practices, and procedures of purchasing, inventory control, and forecasting material consumption.
• Analyzed business processes, requirements, and data necessary to provide detailed logic for ETL development.
• Understanding the User Experience Designs (UXD) and designing according to user requirements.
• Extensive experience in translating business requirements and user expectations into detailed specifications by using various Text formats & Unified Modeling Language (UML).
• Collaborated efforts with technical staff and subject matter experts to establish the technical vision of product and analyze triple constraint tradeoffs.
• Expertise in working with Market Prominence in compliance with CMS and HIPAA requirements.

Environment: MS Access, MS Visio, MS Project, MS Office, HTML, SQL, MS Access, Windows XP/2000, Mercury Quality Center.

Confidential, Dallas, TX

Sr. Business Analyst

Responsibilities:

• Gathered Business Requirements, through constant interaction with the Users, Designers and Developers, Project Manager and SMEs to get a better understanding of the Business Processes.
• Developed business process models in RUP to document existing and future business processes.
• Conducted JAD sessions to allow different stakeholders to communicate their perspectives with each other, resolve any issues and come to an agreement quickly.
• Analyzed and optimized the process, prepared Business Requirement Document (BRD) and Functional Specifications.
• Creating different types of diagrams (using MS-Visio) & project artifacts such as Scope Document, Gap Analysis Documents, Functional Requirements Documents and Technical Requirements Documents.
• Worked in automating, controlling, capturing, creating, managing, and distributing and archiving of documents that supported compliance with the industry specific requirements and regulations pertaining.
• Identified Use Cases from the requirements.
• Created UML Diagrams including Use Case Diagrams, Activity Diagrams, Sequence Diagrams, Collaboration Diagrams, Data Flow Diagrams (DFDs), Web Page Mock-Ups, thus defining the Business Process Model and Data Process Model.
• Performed Feasibility, Adaptability and Risk Analysis to identify the business critical and high-risk areas of the application.
• Communicated with design, development and test team.
• Provided technical assistance in identifying, evaluating, and developing systems and procedures that were cost effective and met business requirements.
• At an individual project level worked cross functionally to define plans and schedule timelines to meet project objectives.
• Assisted the Manager in developing process and procedures for Project Management
• Involved in creating automated Test Scripts representing various Transactions
• Documenting the Defects and Defect Logs.
• Created meaningful reports for analysis of the Defects and Bugs Identified.

Environment: MS-Visio, MS-Office, Oracle, SQL Navigator, Erwin, SAP, Java, Windows, and UNIX, HP Quality Center, Rationale Requisite Pro, Clear Case, Clear Quest

Confidential, Birmingham, AL

Business Systems Analyst

Responsibilities:

• Responsible for working with product management to translate Business objectives into Functional requirements, and great user experiences for our customers.
• Facilitated JAD sessions with the business team and technology team.
• Collaborated with developers to determine if solutions currently exist or whether new solutions are feasible to meet business requirements.
• Implemented Traceability Matrix to verify the functionality coverage of the application.
• Extensive use of MS Project, MS SharePoint (used as the library for Project documentation and the communication of Project information).
• Performed Valuation of various classes of assets including real estate properties.
• Identify and remove or mitigate obstacles and risks to projects.
• Conducted peer review meetings periodically to keep track of the project’s milestones.
• Assisted the Project Manager with creating detailed project plans and also in developing, scheduling and tracking project timelines.
• Partner with Back Office, Markets Risk, and technology to implement process/data improvements to reduce manual trade modifications; facilitate the gathering of weekly root-cause commentary to identify Remediation opportunities; report bi-weekly results by creating customized Remediation tracking rules using Excel
• Designed and executed test cases for application development.
• Supported traders for front office operations like order management.
• Conducted GAP Analysis of current state (As-Is) and proposed state (To-Be) situations and represented the on MS Visio.
• Implemented stored procedures, SQL queries, triggers to access data from database
• Responsible for leading all aspects of projects from start to finish, including project team definition, resource allocation decisions.
• Developed high level design of new processes and graphically presented along with text based requirements.
• Conducted Previews and User Acceptance Test (UAT) sessions.

Environment: MS Visio, MS Office Suite 2010, UML and Oracle.

Confidential, Abingdon, VA

Business Analyst

Responsibilities:

• Gathered Business requirements based on the project scope and SDLC methodology.
• Conducted JAD sessions with SME including business owners, sponsors and analysts.
• Developed business process models in RUP to document ‘AS IS’ and ‘TO BE’ business processes.
• Performed extensive requirement analysis including data analysis and gap analysis.
• Verified various transactions according to HIPAA rules (834, 278) and X12 standards.
• Captured and re-engineered transactions with legacy systems; Enrollment-834, Health Plan Premium-820, Eligibility Transaction (270/271), Referral authorization (278), Claims (837), Claim Status Report and Response (276/277), and Remittance (835).
• Conducted user interviews, gathered requirements, and analyzed the requirements using Rational Requisite pro.
• Used SQL for data integrity testing and coordinated with the trading partners to resolve Inbound and Outbound EDI errors.
• Designed and developed Use Cases and Activity Diagrams using UML in Visio.
• Experience in B2B standards with strong knowledge in EDI Integration applications for business processes.
• Documented and assisted in delivering Functional Specification Document to the project team.
• Assisted in developing and maintaining quality procedures and ensuring that documentation is in place.
• Assisted in User Acceptance Testing.

Environment: Rational Requisite Pro, Rational Clear Case, Clear quest, SODA, Windows 2000, SQL server 7.0, MS Office Suite

Confidential, Boston, MA

Business Systems Analyst

Responsibilities:

• Gathered business requirements from Traders, Portfolio Managers, Hedge Fund Managers, and Risk Management group to identify and map detailed current processes and develop functional requirements that supported overall strategy, goals and objectives, and develop and document the BRD and FSD.
• Conducted routine analysis on Trading Lifecycle in Front-office to Back-office systems and documented with diagrams.
• Prepared project deliverables: Business Workflow analysis, process analysis, user requirement documents (Use Cases & Use case diagrams) and managed the requirements using Rational Requisite Pro.
• Contributed to Fixed Income Analysis (Pricing, Risk, Yield, Duration, and Recommended Strategy) in Excel to support trading, and reviewed with portfolio manager and traders.
• Followed the RUP methodology and was extensively involved in developing the iteration plans.
• Actively contributed throughout the entire RUP process (Inception, Elaboration, Construction and Transition)
• Involved in preparing and analyzing Stock Valuation with business teams.
• Used UML methodology to prepare Use Cases from the gathered requirements and created diagrams using MS Visio.
• Involved in gathering Data requirements for Data Analysis and defining Data Mapping.
• Effectively implemented the change control processes and also updated the impacted business process documentations.
• Conducted JAD Sessions with various stakeholders and project team
• Used MS Project to manage schedules, deadlines, resources and the project tasks.
• Extensively used SQL and Excel for Data Analysis.
• Planned & implemented the Testing cycle schedules, timelines, test plan, Test cases & test data sets for system testing.
• Gained understanding on internal controls as a part of SOX compliance.
• Involved in defining the templates for reports for SOX compliance.
• Independently prepared UAT test plans, test conditions, test cases and developed user training manuals.
• Conducted User Acceptance Tests and maintained all defects in test director.
• Developed the training schedules, documents and trained the users.

Environment: MS Projects, MS Visio, MS Office Suite, UML, Windows 2000, SQL, Rational Rose

Confidential, Worcester, MA

Business Analyst

Responsibilities:

• Analyzed the Plan Data Database using SQL Server. Surveyed and examined the current documentation.
• Gathered and documented business requirements from SMEs, user groups and vendors via workshops, interviews and JAD sessions.
• Co-coordinating with the team to analyze the 834, 835 and 820 EDI Transactions for dual eligibility Project (FTC).
• Prepared the Functional requirement for the automation of 834 and 820.
• Analyzed the level of HIPPA Validations for the EDI transactions. Worked with the Solution architect on the approach to correct the current errors in the HIPPA validation.
• Using Process flows and Use Case diagrams to demonstrate AS IS and TO BE state.
• Worked in close collaboration with the Project Manage and IT team.
• Created and gathered requirements for the Vendor. Helped PaySpan to create Data Mapping document for the EFT, 835 and Remittance Advise sheet.
• Gathered and documented requirements for EFT Project for PaySpan (Third Party Vendor).
• Coordinating with the QA team to create UAT test cases.
• Participated on cross-functional teams developing new or enhanced systems processes, procedures and policies.
• Provided project status reporting, updating of project information, effort & resource estimating.
• Effectively established and maintained working relationships with peers and constituents.
• Produced various artifacts Functional Requirement Specifications (FRS) and User Requirement Specification (URS).
• As a point person responsible for resolving business rules/conflict resolution for the development team.

Environment: Waterfall, Requisite Pro, MS Access, MS Visio, MS office, MS word, MS excel, SQL.

Confidential, Austin, TX

Business System Analyst

Responsibilities:

• Gained understanding of HIPAA 4010 versus 5010 and ICD-9 versus new ICD-10 code sets. Studied and analyzed the conversion information provided by the CMS (Centers for Medicare & Medicaid Services).
• Prepared Business requirement document (BRD) using Rational RequisitePro.
• Performed gap analysis for 4010 to 5010 Upgradation.
• Worked on EDI transactions 276 (claim inquiry), 277 (claim response), 837 (Institutional and Professional claims) and 834 (enrollment).
• Went through the companion guide of the organization to understand the 837 and 834 segments used by the organization to identify the ones that need to be changed.
• Worked with the SMEs to convey the modifications that need to be made and the processes and systems affected by the same.
• Extensively used SQL queries to retrieve data for testing and analytics.
• Interpreted the ICD-9 to ICD-10 and reverse translation logic; fully understanding the GEM (General Equivalence Mappings) for ICD-10 CM and ICD-10 PCS.
• Understood complete claims processing cycle from the payer/provider perspective and the processes impacted by the conversion to ICD-10.
• Performed impact assessment for complete application inventory using Microfocus - a tool for impact analysis and application remediation; worked with the business team to identify business challenges, risks, opportunities and corresponding mitigations.
• Assisted the development team with the design and implementation of the ICD-9 to ICD-10 GEM crosswalk tool. Executed manual test cases to confirm the logic was implemented as desired.
• Participated in weekly meetings and walkthrough's for project updates to detect bottlenecks and devised plans to handle the bottlenecks.
• Facilitated the overall management of the project by collaborating with the team, providing weekly status reports and delivering presentations.
• Analyzed ICD-10 project readiness and recommended best practices for ICD-10 transition based on research conducted.
• Worked with the team to create a project road map/blueprint ensuring effective remediation of all applications that participate in the ICD-10 transactions

Environment: COBOL, GEM, MS Visio, Rational Rose, MS Office, SQL, Oracle, PowerPoint, MS Word, MS Excel, SQL, PL/SQL, ETL, ERWIN, UNIX, Windows

Confidential, Dallas, TX

Business Systems Analyst

Responsibilities:

• Facilitated and Managed JAD sessions with Business Directors, IT Directors, Business & IT Project managers, Developers and Testing Teams and other SMEs.
• As a Business analyst, effectively communicated the project goals, requirements and deliverables through clear, concise and comprehensive SOWT presentation to the key project stakeholders.
• Controlled procurement, sourcing, contract and resource management functions for high risk projects.
• Gathered requirements and created deliverables such as Project Charters, BRDs, FSDs, and Use-Cases.
• Identified success criteria including both leading and trailing measurement of budget/forecast, schedule, financial returns and business success criteria for all projects.
• Enhanced client satisfaction and drove a reduction in costs due to missed deadlines by developing an automated early warning, notification, and escalation system for key critical client processes, which met client and infrastructure needs.
• Extensive use of EXCEL to run and analyze the result data set.
• Validated technical designs created by developers against functional specifications
• Facilitated, coordinated & participated with other teams in approving the project plan.
• Constantly communicated with the off shore team through web conferencing; also responsible for documenting their efforts and progress.
• Effectively coordinated with the plan owners to update the project plans with any impact due to a change request.
• Extensive use of Excel, PowerPoint, Visio, and other MS Office products was required.

Environment: MS Office 2010, MS Visio, Mainframe, SQL, Rational Requisite Pro, Rational Rose, Rational ClearCase, Rational ClearQuest, RUP Methodology, Windows