SUMMARY:

• Over 8+ years of experience as a Business Systems Analyst with successful delivery of multiple projects with a detailed and thorough understanding of multiple domains include Healthcare, Banking & Insurance and Telecommunications sectors.
• Extensive experience in gathering and defining the Business Requirements (BRD): Translating them into technical specifications and functional requirements (FRS) by using various Elicitation methods.
• Thorough understanding of Software Development Life Cycle (SDLC) and Software Development Methodology (SDM), process methodologies like AGILE, RUP, UML, SCRUM, feasibility analysis, gap analysis, scope and impact analysis of the software systems throughout the different phases of SDLC.
• Good knowledge and understanding of different modules within Healthcare (Membership, billing, enrollment, claims, capitation, providers).
• Experience working with HIPAA compliance and Healthcare systems
• Medicare and Medicaid Systems and Healthcare/ Medical claims processing systems.
• Experience in conducting JAD sessions, project meetings, reviews, walk through and customer interviews.
• Expertise in Document Management, File Management
• Process/Information integration by using MS SharePoint.
• Expertise in developing Workflows, Process flows and Data flow diagrams.
• Extensive experience in data element mappings and performing data integration through Data Mapping tools.
• Developed Use Case Diagrams, Class Diagrams, Sequence Diagrams, System Context Diagrams, Collaboration Diagrams, State Diagrams and Activity diagrams using UML to make users and developers understand the system.
• Experience with Relational Database Management Systems.
• Extensively worked on defining Testing Methodology, Test Plans, Test Scripts, Test Strategy, Integrated System Testing (IST), UAT and Post Production Validations.
• Maintaining the Requirements Traceability Matrix (RTM) across deliverables of a project.
• Experience in understanding business issues and prepare an “end - to-end” business solution.
• Experience in conducting data testing within ETL (Extracting, Transforming, and Loading) process testing cycle.

Business Analysis Tools: RUP, Rational Rose, Rational Requisite Pro, MS Visio, HP QC

Change Management / Testing Tools: Rational Clear Quest, Rational Clear Case, Test Director, Quality Center, Load Runner, QTP

Databases: Oracle 10g/9i/8i, MS Access 2000/2007, MS SQL Server 2008/2005/2000

Methodologies: SDLC, STLC, AGILE(Scrum), RUP, UML, SWOT, Cost/Benefit Analysis

Office Tools: Microsoft Office (MS Excel, MS Word, MS Power Point, MS Project, MS Outlook, MS Dynamics AX), MS SharePoint, Lotus Notes, MS Visio

Languages: HTML, SQL Plus, XML, C, C++, C#, Java

Operating Systems: Windows, UNIX, Linux

Process Modeling Languages: Use Cases and UML

Documentation: BRD, Functional Requirements Document, Non-functional Requirements/ Supplementary Specification, Use Cases, Business Rules, Glossary, Data Elements, Test Cases, Requirements Traceability Matrix (RTM), Business Process Maps/Flows- AS-IS (current) and TO-BE (future), Defect logging, User Stories, Product Backlog, wireframes and prototypes, Report Specification documents (RSD), UAT test case documents.

PROFESSIONAL EXPERIENCE 

Confidential, St Louis, MO

Business Analyst/ Testing Coordinator

Responsibilities:

• Defines and documents customer business functions and processes. Consults with functional unit management and personnel to identify, define and document business needs and objectives, current operational procedures, problems, input and output requirements, and levels of systems access. 
• Acts as a liaison between departmental end-users, technical analysts, and information technology analysts, consultants in the analysis, design, configuration, testing and maintenance of case management systems to ensure optimal operational performance. 
• Analyzes the feasibility of, and develops requirements for, new systems and enhancements to existing systems; ensures the system design fits the needs of the users. 
• Participate in Agile and Scrum methodologies. Provide UX design and user stories that represent the technical modifications necessary for API realization and infrastructure build outs to support Black flag that meet the business requirements.
• Participate in design reviews to ensure adherence to the organization’s standards, and requirements traceability matrix maintenance.
• Create application test data as needed to validate assigned requirements in support of API realization testing activities, where applicable.
• Provides support during the SIT, end-to-end, and user acceptance testing for software inconsistencies between the deliverable and the design specifications.
• Define and document major milestones and corresponding dates. Document project phases for each work component, factory, application and their dependencies to the project and manage, control project costs, schedule technical performance of the project team.
• To prepare Executive Summary dashboards and Power Point and PDF files for the status updates of the projects.
• Working closely with the Release Management on the deployments for the code fixes.
• Creating Remedy and JIRA tickets for the major blockers that needs escalations.
• Working closely with the developers and the Architects for the defects resolution and maintain the updates on HPQC ALM.
• Working with the QAs on the test execution and the smoke tests post the deployments.
• Working with the Test Data Management team on the data required for test execution.
• Coordinating with the offshore teams on the test implementations.
• Working closely with the Business on the Change Requests development, processing and implementation.
• Experience working with Clarity Project and Portfolio Management tool.

Confidential, Madison, WI

Senior Business Analyst

Responsibilities:

• To gather business requirements through interviews, surveys, prototyping and observations of account managers and UI (User Interface) of the existing Portal system.
• Preparation of BRDs (Business Requirements Documents), FRDs (Functional Requirements Documents) and High Level Logical Data Models; supporting documents containing essential business elements, detailed definitions and descriptions to analyze and document business data requirements.
• Following and implementing IIBA protocols, standards and methodologies in given projects.
• Thorough knowledge and understanding of various life insurance products offered i.e. Term and Permanent (whole, universal, variable and survivorship) to create and enhance web applications.
• To conduct data mapping for several applications in the services domain of the company.
• To create UML Diagrams like Use Case Diagrams, Sequence Diagrams, Activity Diagrams and Process Flow diagrams to elaborate the new processes using Rational Rose software inclusive of RequisitePro.
• To conduct JAD sessions with management, SMEs (Subject Matter Experts), developers, users and other stakeholders for open and pending issues to develop specifications.
• To create prototypes, UIs and wireframes via iRise Studio for various stakeholders during the project phases and create tables, reports to use SQL for data analysis and assist in data warehousing for various applications.
• To create and manage project templates, use case project templates, requirement types and traceability relationships in Rational RequisitePro.
• To implement change management strategies and conduct impact analysis as and when needed.
• To collaborate with Quality Assurance Analysts in Rational ClearQuest to track defects and Rational ClearCase to maintain consistency in the builds.

Confidential, Nashville, TN

Business System Analyst 

Responsibilities:

• Worked on Member Management, Eligibility, Claims, and Provider modules within FACETS.
• Conducted extensive analysis on migration and conversion of Provider and Member data, Group configurations, premium billing, benefit set-ups, fee schedules, provider pricing, capitation set-ups, etc from Legacy system to FACETS. 
• Clarified QA team issues and reviewed test plans and test scripts developed by development team and QA team to make sure all requirements have been covered in scripts and tested properly. 
• Used MS SQL Manager Studio 2008 to query the MS SQL database. 
• Involved in documenting the business process by identifying the requirements and also involved in writing the system requirements. 
• Worked in creating interfaces for various external vendors and created Technical Specifications for the 835 and 837 I and P files with their changed and new contents to create 5010 complaint files.
• Facilitated Joint Application Development (JAD) sessions with all IT group members for communicating & managing expectations and to discuss various means for integrations with current system using an adoption through execution strategy.
• Created workflow diagrams, process flow and data flow diagrams. Assisted team with Data Mapping and Data Extracting Strategies for data migration. 
• Analyzing the business needs for the reports and documenting the requirements in SSRS forms. 
• Analyzed EDI ANSI X12 file mapping and reported in analysis spreadsheet. Performed validation of 837 (P, I) & 835 format files.
• Effectively communicated user acceptance test results between users and development team and provided recommendations for change control requests (CCR).