Lead Business Systems Analyst Resume
Irvine, CA
SUMMARY:
- Accomplished IT professional with multi - dimensional skills and experience handling business critical functions. Excellent in handling roles of Program Manager, Information Architect, Business Systems Analyst, Project Manager.
- Drive organizational growth thru innovation, collaboration, strategic insights, operational improvements.
- Wide industry experience spanning Healthcare, Banking, Insurance, B2C e-commerce, Hi-Tech.
- Currently focusing on Healthcare IT and Interoperability issues to promote Digital Health.
- With prolific Healthcare IT background, looking to play a lead role in a healthcare organization contributing to a new paradigm of success taking direct responsibility in meeting management goals.
- Techno-Business leader with track record of forming Entrepreneurial vision and delivering strategic and tactical results.
- Enterprise level Information Architect and Product Engineering experience.
- Hands-on-Technical skills to handle Business Systems Analyst and Solution Architecting roles.
- Proven Program and Project Manager (PMI-PMP certified).
- Master’s Degree in Electronics Engineering from world renowned IIT Madras.
- Extensive Healthcare Industry experience. Understand the modus of operandi of Provider, Payer, Medicare, Pharmacy Benefits managers, Labs and Clearing houses. Handled EHR implementations, RCM management, Workflow automation.
- Proficient in Healthcare Interoperability issues, HiE, CCDA data exchange, Outcome based, managed care bundled payments, CQM reporting, data sharing between HMO, ACO, IPA, PHM, PCMH, SNF for capitation & actuarial analytics.
- Expert in ECM, content capture, metadata indexing, data discovery from unstructured records for Big Data analytics.
- Proponent of aligning Enterprise Architectures to deliver business goals. Excellent in planning Business Strategy Roadmaps.
- IT Strategist for Digital Transformation and to enable 360° Customer view and Engagement thru integrated applications.
- Big Four ( Confidential ) experience as a Senior Management Consultant providing strategic advisory services and solution selling.
- Managed highly secured AWS, VDI-BYOD-PaaS infrastructure projects and HIPAA complaint Information Security projects.
- Excellent in planning new initiatives, managed large project teams, acted as team coach and growth teamster.
- Have good communication skills to articulate technology strategies to stakeholders.
- Always peruse Big-Picture goals while maintaining unflinching focus on accomplishing goals with hands-on approach.
TECHNICAL SKILLS:
Health IT: EHRs, HiE, CMS, HIPAA, HL7, FHIR, RESTful APIs, E-Clinical Works, AllScripts, EPIC, MyChart, Care Everywhere, NextGen Mirth Connect, SureScripts, Emdeon, Health insurance HMO-ACO-IPA actuarial & capitation fee analytics.
Frameworks / DevOps Tools: ASP.NET MVC Framework, JVM Spring MVC, C++, Java Script, CSS, PHP, MySQL, AngularJS, Eclipse IDE, Visual Studio 2015, OAuth-2, SAML, JASON, RESTful APIs.
Information Architect: Extensive experience in architecting and developing mission critical applications. Focused on end-to-end application integration for automation. Good in EAI, SOA, MSA (Microservices Architecture), SaaS, Digital Transformation, modernizing applications with new Web APIs to improve customer engagement.
Business Systems Analyst: Excellent in conducting business process analysis, business intelligent gathering, BI tools- QlikView & Tableau, planning process improvement, leading enterprise wide business transformation projects.
PMP Certified Project Manager: Good in estimating project resources, time and budgets. Knowledgeable in Agile, SDLC methodologies. Routinely used CA-Clarity, Oracle-Primavera, MS-Project, Asana, Jira.
Enterprise Content Management: Proven SME in ECM & WCM. Good in FileNet, KOFAX-KTM, SharePoint, OpenText.
Infrastructure and Networks: Infrastructure planning, capacity sizing, server virtualization, Docker containers, disaster recovery planning. Experience in AWS S3, EC2, Citrix BYOD VDI XenServer, setting up MPLS links and offshore ODCs.
Strategic Business Consulting: Business transformation roadmaps, restructuring, outsourcing, vendor selection, negotiations, deliverables & QoS-SLA governance.
Modeling & UI Design: Balsamiq, InVision, Visio Visual Designer, Confidential Process Designer.
PROFESSIONAL EXPERIENCE:
Confidential, Irvine, CA
Lead Business Systems Analyst
Responsibilities:
- Conducted market and business analysis for Confidential, a Healthcare startup focused on aggregating Patient’s Health information from disparate EHRs using HIE, Blue Button CCDA import and creating unified Personal Health Records (PHR) management portal.
- Patients can share their records (PHR) with new Hospitals and Doctors when needed. PHR also provides data for Clinical Trails and to Managed Care Providers (HMO-ACO-IPA) for capitation fee actuarial analysis.
- Researched the modus of operandi of Healthcare Provider, Payer, CMS (Medicare), Pharmacy Benefits Managers, Labs, Clearinghouses and their current state of software integration and the scope to avoid Silos.
- Reviewed ACA mandated health insurance regulation & compliance, ACO operations, Outcome based payment models, bundled payments and CQM, MACRA reporting requirements while identifying Data Integration required.
- Established interoperable data requirements for tracking IPA, ACO Capitation fee and Managed Care - Bundled Payments for Care Improvement (BPCI) involving SNF, LTAC operations.
- Analyzed EHR workflows, revenue cycle management (RCM) for architecting best fit EHR and applications integration.
- Evaluated build vs buy, use of off-the shelf software, level of useful ‘out-of-the box’ functionality and customizing overheads, use of APIs and Open source adoption.
- Used AWS-S3, EC2, VPC to lower application hosting cost and HIPAA compliance secured hosting infrastructure cost.
- Architected Confidential solution framework to aggregate Patient’s all prior Health records from disparate EHRs using HIE’s RLS service and utilizing RESTful APIs, HL7.
- Transformed (ETL) aggregated records into actionable data and stored in MU compliant, interoperable EHR database.
- Developed B2C ‘PHR-Personal Health Records Management’ portal and B2B layer that serves Hospitals, Doctors and sends raw data to IPA, ACO, PHM, Big-Data companies.
- Lead team to develop full-fledged SaaS application that uses Microservices Architecture (MSA) and Docker.
- Developed a POC to exchange 24000+ patients’ complete medical records with clinical, practice codes and longitudinal data allowing seamless data interchange from one EHR to another EHR.
Technologies, Systems integration & Tools: Ambulatory EHR, HiE, CCDA, E-Clinical Works, AllScripts, EPIC, Care Everywhere, NextGen Mirth Connect, SureScripts, Emdeon, esMD, TriZetto QNXT CCA, Carequality & eHealth, Commonwell Alliance, IHE interoperability framework. Eclipse IDE, JavaScript, C++, .NET, AngularJS, PHP, MySQL, AWS-S3-EC2, HL7, FHIR, RESTful APIs.
Confidential, Denver, CO
Principal Information Architect
Responsibilities:
- Advised clients to create information architectures that support seamless information access across the enterprises.
- Evangelized the need for 360°degree view of patient / customers that involved tracking all interactions and social activities across Horizon Technologies (Mobile, Cloud, Social Media) and creating Rich Data Store for each customer.
- Facilitated best integrated Information Architectures that collect data from multiple platforms, wearable devices, delivery channels like mobile, web, social media, blogs, e-mails, instant messaging, etc.
- For RTD Denver Metro, assessed their current state ECM systems and content governance procedures. Recommended optimized future state ECM platform to maximize business value and seamless information access across the enterprise. Established digital file storage & life cycle policies on local and network drives and lowered storage requirement.
- For a tire manufacturer, reviewed their existing SAP driven business management applications and provided strategic consulting to create an integrated information architecture to link SAP SD, MM, FICO modules and a B2C web portal to accelerate sell-thru, product registration, RMA, inventory re-balancing logistics to avoid back orders.
Confidential, Los Angeles, CA
Group Technology Manager
Responsibilities:
- Lead Strategic Business Transformation and Outsourcing initiatives
- Handled Enterprise Applications Portfolio Management functions for performance management.
- Analyzed infrastructure and applications performance to sunset or move to low cost BPO vendors.
- Reviewed enterprise wide licensing of various products and user utilization to reduce operating cost.
- Conducted data storage review on local and network drives, purged redundant files, reduced new storage requirement.
- Helped to migrate several business applications and process to four leading BPO / KPO vendor’s offshore delivery centers (ODC) under Managed Service contracts.
- Set up four ODCs to accommodate over 750 FTEs using highly secured MPLS networks and Citrix XenApp VDI terminals.
- Configured Bank’s business applications to run on VDI servers and from remote ODCs that involved latency and performance fine tuning, identity management, user authentication, role based permissions, HA, DR setup.
- Involved in vendor selection, defining SLA, QoS, info-security, ODC operational governance. Built excellent cross functional matrix teams for seamless delivery management.
Confidential, Irvine, CA
Executive Director, Solution Architect, Technical Project Manager
Responsibilities:
- Managed ECM / EHR implementation projects. Lead document imaging, indexing unstructured health records and applications integration teams.
- Lead infrastructure modernization, Cloud, SaaS, VDI-BYOD, projects for performance, cost reduction & risks mitigation.
- Handled RFP proposals and contract negotiations while providing outsourcing support to clients.
- Conducted business process reviews, requirement gathering, business impact & risk analysis, project estimation, resource planning, concept selling to stakeholders. Developed work breakdown structure. Written BRD, FRD, SRS, SDD documents.
- Handled user story authoring, sprint planning, prioritizing backlogs and defining acceptance criteria.
- Lead a team to develop a Web-Portal for diabetes to get professional help. Registered patients were linked to an MD to get personalized advice and continued monitoring of patient progress using Continua compliant medical devices.
- Guided the architecture of a Healthcare content publishing tool to support CPOE - OrderSets for Zynx Healthcare which analyzed data from PubMed, CINAHL, First-Databank.
- Architected a solution to support 50+ regional and mobile scanning crew handling medical records discovery subpoena service. Scanned records are securely transmitted to central office for creating HIPAA compliant legal health records.
- Involved in converting and migrating several thousand old paper based medical records into NextGen, Allscripts, and into custom built PMS / RCM applications.
- Managed enterprise wide ECM / BPM implementation project for NetApp. Lead a team of BA, SA, infrastructure and off-shore developers.
Confidential, Irvine, CA
Senior Managing Consultant
Responsibilities:
- Provided industry advisory services for implementing BPM & ECM centric CoE platforms for Banking, Healthcare, Automotive clients.
- Handled business process analysis, lead teams architecting agile BPM & ECM solutions, RFP preparation, evangelizing best-fit solutions, jumpstarts, outlining solution strategy, use case reviews, gap analysis, product selection, deployment strategy & implementation roadmap planning.
- For a Healthcare provider, implemented an automated content capture and management (ECM - EMR) platform.
- For a Global Auto maker, implemented an ECM platform to manage legal / litigation related documents that specifically tracks defects, customer complainants, legal discovery, case file documents. Involved in infrastructure planning with high availability and disaster recovery (HA/DR).
- Reviewed two large banks BPM & ECM centric CoE platforms and advised architectural changes to the ECM Content Capture platform for process efficiency improvement and cost optimization.
- Recommended KOFAX transaction driven Distributed capture technologies to minimize using on-site and off-shore indexing & validation teams, while promoting use of e-forms for paperless workflow.
- Involved in analyzing State Government and Public Departments RFPs, writing proposals, developing candidate architectures, product recommendation for ECM, BPM solutions.
Confidential, Orange County, CA
Solutions Architect
Responsibilities:
- Served as a Solution Architect and lead over 15 fixed cost, custom specific application development projects with total SDLC responsibility. Written SDD, SRS documents. Responded to several RFPs.
- Managed over 50 members providing professional services to Fortune clients in the areas of E-Business (B2C & B2B), Application integration (EAI) involving ECM, EMR, CRM, ERP and Call Center solutions
- Setup an India BPO Offshore Development Center and managed distributed development teams.
- Delivered $30+ million worth of software services.
