PROFESSIONAL SUMMARY:

• Over 6 years of consistent experience in various SDLC methodologies: AGILE, Scrum, Extreme Programming, Waterfall, and RUP working as Business Analyst.
• Experience in all phases of software development life cycle (SDLC), including Requirement gathering and documentation, Analysis and Design, Quality Assurance, Testing and End user support working as Business Analyst mainly in Healthcare and Banking sector.
• Experience in developing detailed functional specs through JAD sessions, interviews, on site meetings with business users and development team.
• Conducted User Acceptance Testing (UAT) and verification of performance, reliability and fault tolerance issues for web based and client/server applications.
• Documentation: BRD (Business Requirement Document), FRD (Functional Requirement Document) and Non - functional Requirement Document.
• Extensively worked with HTML, creating and developing websites.
• Experience with PMO techniques such as Rational Unified Process (RUP), Agile & Waterfall life cycle.
• Have extensive knowledge in Insurance products like HMO, PPO, POS, HIPAA and Regulations.
• Worked on requirement change management to upgrade integration process of revised warehouse system and involved in planning, analysis, UX design, development and testing.
• In depth knowledge of Requirements Traceability Matrix (RTM).
• Extensive experience in developing use cases, creating screen mock ups, conducting GAP analysis, SWOT Analysis, Report Requirement Specification and Risk Analysis.
• Strong knowledge of EDI Claims, member enrollment, Eligibility as well as ICD9 and ICD10 conversion.
• Experience working in web environments with web services tools like SOAP UI, GUI, XML, etc.
• Experience using SOAP UI for validating the Real Time Request and Response transactions like 270/271 and 276/277, and also validating if the claim is in the database.
• Experienced in various Healthcare areas like Enrollment, Benefits, Claims, Medicare, and implementation of HIPAA key EDI (ANSI X12) transactions.
• Well versed experience in all EDI transactions like 834, 820, 837 P, 835, 27x and conversion of 4010 to 5010.
• Good Knowledge of Medicare, Medicaid, claim process and Pharmacy Benefit Management (PBM).
• Writing Manuals (training material for business users and Deployment guides).
• Working experience in a cross-functional team environment/different geographical locations teams.
• Experience with health care Systems: FACETS.
• Experience with various Mortgage Business Units like Loan Acquisition/Origination, Commercial Lending, Servicing, Capital Markets, Debt Asset Management, Credit Risk and Bond Derivatives, etc. 
• Negotiate with Business Analyst, Project Managers, IT Directors, and Developers during the entire system development life cycle and made sure the business requirements are met in cost effective manner.
• Responsible for daily maintenance, set up of users, running of reports, report creation and training within the JIRA  system for several companies.
• Expert in organizing and managing all phases of the application testing process using HP ALM/Quality Center.

TECHNICAL SKILLS:

Methodologies: Rational Unified Process (RUP), Agile (Scrum), DOORS, Rational Requisite Pro, SDLC, Product Life Cycle Management, SWOT Analysis, GAP Analysis, RAD, Cost Effect Analysis, Use Cases, Workflow diagrams

Business Tools: Rational Rose, MS Visio,

Tracking Tools: Rational Rose, ClearQuest2002, BugZilla, HP ALM/Quality Center, JIRA

Operating Systems: Windows 9x/NT/2000/XP, UNIX

Databases: Oracle 11g/9i/8, SQL Server 2010, MS Access 2013

Quality Assurance: Software Application Testing Life Cycle, Knowledge of automation tools, Test Director, HP ALM/Quality Center

Business Applications: MS Office 2013 (Word, Excel, PowerPoint, Outlook), Adobe Acrobat, MS Visio, MS Project, Data warehouse, Business Objects, Micro Strategy Business Intelligence,

Environments: Java, SQL, HTML.

WORK EXPERIENCE:

Confidential, Silver Spring, MD

Business System Analyst

Responsibilities:

• Worked with a cross functional and diverse team of business users and developers to enable accurate communication of requirements and ensure consensus.
• Conducted interviews with the Business Users for requirement elicitation and gathering, interviewed SMEs (Subject Matter Experts) and ensured that contributors and all key stakeholders were motivated to complete assigned tasks.
• Produced client information metric reports utilizing various tools, including: Business Objects, MS Excel, MS Access, and PowerPoint to organize and present data.
• Created Use Cases that defined the role of users who receive claims, users who process claims, and users who adjudicate claims. Used MS Visio to develop UML diagrams
• Coordinate with Health Exchange HIX program staff and other stakeholders to define and develop requirements for correspondence generation across various business lines.
• Kept abreast of legislation and industry trends related to Patient Protection and Affordable Care Act (PPACA), Medicare and Medicaid.
• Facilitated & conducted JAD sessions for requirement gathering, requirement review, and requirement approval.
• Implemented Agile approach for requirement gathering continuously prioritized requirements as per needs.
• Involved in creating various SQL, stored procedures, views, functions and temporary tables for data input into crystal reports.
• Worked on FACETS for claims processing.
• Involved in preparing several Use Cases, Business Process Flows, and Activity Diagrams using Microsoft Visio, Context diagram and Event Response Table. Worked on requirements of the 835 HIPAA projects, 276/277, 837, and HIPAA EDI Transactions across enterprise.
• Developed, coordinated and gave support to Information Technology Division on all operational requirements of FACETS claims processing system and production management.
• Wrote Test Cases and design test steps according to the requirements specifications in Excel.
• Conducted walk through with Business analysts and business owners get the test case sign off.
• Created and documented performance testing plan and approach for enterprise wide projects.
• Worked closely with test management team to establish performance testing criteria
• Worked in testing the Professional, Institutional Claims processing and adjudication and validate data with FACETS.

Environment: Agile, ANSI X12 834,837,270,271 EDI transactions, MS Access, Oracle, HTML, XML, SOAP UI, TOAD, WSDL,MS Office, MS Project, MS Visio, HP ALM.

Confidential, VA

Business System Analyst

Responsibilities:

• Gathered and documented business requirements by interviewing business users.
• Conducted user interviews at both in-house and client locations, gathering and analyzing requirements using Requisite Pro and Requisite Web
• Extensively used Agile Methodology in the process of the project management based on SDLC.
• Designed and developed Use Cases, Activity Diagrams, Sequence Diagrams, Object Oriented Design (OOD) using UML
• Gathered and documented Business Requirements, created Functional specifications and translated them into Software Requirement Specifications.
• Performed Gap analysis by identifying existing technologies, documenting the enhancements to meet the end state requirements
• Was responsible for checking member eligibility, provider enrollment, member enrollment for Medicaid and Medicare claims.
• Developed test cases and test scripts and assisted Quality Assurance activities, with system integration testing and user acceptance testing (UAT), developing and maintaining quality procedures and ensuring that appropriate documentation is in place.
• Was responsible for the full HIPAA compliance lifecycle from gap analysis, mapping, implementation and testing for processing of Medicaid Claims.
• Involved in claim adjudication process of FACETS application.
• Was responsible for working with the State to review and modify process flows to increase productivity and effectively utilize FACETS features not provided by the legacy systems.
• Was responsible to meet the information demands of our business users by delivering timely, accurate, meaningful and standardized data and reporting.

Environment: MS Office suite, including Word, Excel, Visio, Power Point, Project, Outlook and Access, SQL, Agile-SCRUM, JIRA, Java, UML diagram

Confidential, Winston, NC

Responsibilities:

• Facilitated meetings with SMEs, end users, technical team to determine User Requirements and Goals, thus converting User Requirements into Business Requirements document and Functional Requirement document.
• Gathered Business requirements, analyzed data/ workflows, validated, and created the high level requirement documents and functional requirement documents (FRD) using MS word and Excel.
• Brainstorm and gathered requirements from the business for the Risk Weighted Average (RWA) component of the B for various Lines of Business including Treasury (Derivative Instruments like Interest Rate Swaps, Fixed Income Instruments like US Treasuries, Bonds, Inflation Linked Bonds, CDO, CMO, ABS, MBS etc.), Retail Mortgage products, Deposits, Commercial Products (Leases, Asset Based Lending etc.)
• Created  JIRA  Workflows for multiple projects as per business needs.
• Provided support for the organization at whatever point there was an issue with JIRA.
• Validated the various business processes with a committee of Subject Matter Experts (SME's) like Residential Lending Servicers, compliance, Underwriters, etc., to ensure the rules and guidelines have been met. 
• Interacted with SMEs, business users for verifying requirements through approval processes to convey business needs to Line of business management and technical team.
• Facilitated and managed meeting sessions with committee of SMEs from various business areas including Mortgage Servicing, Loan Monitoring and Asset Management.
• Created business diagrams using BPMN and flow diagrams to illustrate business processes and presented this documentation to stakeholders and business users.
• Functioned as a liaison between line of business users and technical team throughout the project lifecycle.
• Analyzed and verified the integrity and reliability of the Loss Data, Exposure Data and Risk rating calculations in the Lending Repository.
• Analyzed business requirement document, attended Change Request meeting to document Change request form and implemented procedures to test changes involving business system analyst, developers and Quality Assurance analyst team.
• Retail, lending, and operational regulatory compliance audit and monitoring reviews
• Coordinated with BSA in order to manage and update the missing parameters of requirements using HP ALM (Application Life Cycle management).
• Created Decision Document to address out of scope criteria needed for business requirements and verified through approval process consulting with business sponsors, compliance, management of line of business and technical team.
• Participated in test cases reviews to make sure that all the requirements have been covered and accurately tested.
• Participated with Defect lifecycle management team, attended weekly defect reports meeting reports and created daily Defect reports using HP ALM (Application Life Cycle Management).

Environment: Agile, Windows, PL SQL, HP ALM, JIRA, Toad, UNIX, MS OFFICE (Word, Excel, Access, PowerPoint, Project).