SUMMARY:

• Business Process Analyst with over 8 years industry experience in business process modelling, data modelling, software requirement analysis, process flow and quality assurance skills using different methodologies , mainly OOA, OOAD and UML
• Strong knowledge of Healthcare industry including HIPAA with emphasis on Business Requirements and Functional Requirements.
• IBM Certified Associate Business Process Analyst - Cúram V6.0.5 specializing in solution analysis, JAD sessions, requirements management and functional design
• Comprehensive understanding of IBM Cúram Child Welfare Solution, Case Management, Provider Management, Outcome Planning, Assessments, Payment Generation and Financials Integration for Social & Human Services organizations
• Communicating change in requirements or scope as directed by the client to project team members and other stakeholders, lead UAT activities and acquire necessary sign offs for project roll out.
• Extensive knowledge of all phases of the software development life cycle (SDLC) and the iterative Rational Unified Process (RUP).
• Comprehensive understanding of key components of Cúram SPM such as Participant Management, Case Management, Temporal Evidence, System Administration, Financial Management, Provider Management, Outcome Management, Case Audits, Rules Management, Workflow Management, and Universal Access.
• Organized many Joint Application Developments ( JAD ) sessions and Joint Requirement Planning sessions ( JRP ), walkthrough, Interviews, Workshops and Rapid Application Development ( RAD ) sessions with end-user/clients/stake holders and the IT group.
• Design and review of various documents including the Software Requirement Specifications (SRS), Business requirements document (BRD), Use Case Specifications, Functional Specifications (FSD), Systems Design Specification (SDS), Requirement Traceability Matrix (RTM) and testing documents.
• Proficient in creating Risk Analysis documents, Risk Management Plan, User Requirement Specification, Functional Requirement Specification and Business Process Flows.
• Proficient in using UML in behavioural, structural and architectural modelling - in creating Use Case, State, Activity, Class and Sequence diagrams using Rational Rose.
• Used Microsoft Visio for Business Process Modelling and Data flow diagrams.
• Used ER w in 4.0 to capture data by creating Entity-Relationship and Use Case diagrams.
• Worked with Rational Suite of tools to create requirements documents (Rational Requisite Pro), visual data models (Rose), manage and track defects (Clear Quest).
• Well versed in project management tool ( MS Project) for status reporting, planning and resource allocation.
• Experience in conducting GAP analysis, User Acceptance Testing (UAT) . SWOT analysis, Cost benefit analysis and ROI analysis .
• Successful as a team player to work in conjunction with other DBA’s, testers, developers and other team members in validation and testing complex scenarios and projects and in the maintenance of Quality Standards in Projects especially with Test Director .
• Expertise in Analysis of Problem Severity, Defect tracking and reporting system.
• Strong communication, problem solving, organizational, interpersonal, and presentation skills.

TECHNICAL SKILLS:

Business Tools: Rational Suite (Requisite Pro, Rose, Clear Quest, Clear Case), MS Visio, MS Project, MS Access, MS Office Suite, Visual Paradigm, Doors Erwin Data Modeller 4x, Business Object (Crystal Reports)

Business Skills: Business Definition Requirements, Business Process Analysis, Gap Analysis, Use Case Modelling & Analysis, Business Environment and Market Research Analysis.

Methodologies: RUP, OOAD, UML & Business/Data Modeling

Testing Tools: Win Runner, Load Runner, Test Director, Quick Test Pro, PR Tracker

Operating Systems: Windows XP/95/98/NT/2000, Mac OS X, DOS, UNIX, Linux

Databases: Oracle 8i/9i; SQL Server 7.0 & 2000; Access 2000, MS SQL Server, DB2

Languages: UML, C, C++, HTML, Java, SQL, PL/SQL, ASP.NET

PROFESSIONAL EXPERIENCE:

Confidential, Little Rock, AR

Sr. Business Process Analyst

Responsibilities:

• Defined the Business requirements for grouping the MAGI eligible household members into a single group by using the Cúram Family Identifier.
• Performed business process analysis by creating use cases and process flow diagrams, validating Cúram out of the box features and mapping the business rules to those functionalities.
• Attended Cúram product features demos, Work with Cúram functional leads and discuss with business SMEs to elicit information required for creating functional requirement documents, Transition and handover functional requirements/configuration designs to development teams.
• Analysed the existing design and specific business rule logic will be applied in the new Family Identifier model.
• Drafted the proposed solution for MMIS Family Identifier for ARKids B Copay.
• Hands-on solution analysis and design using Versions 6 of the IBM Cúram Child Welfare Services solution
• Extensive experience in Cúram rules design, workflow design, evidence configurations, and IEG
• Experience in Child Welfare domain involving benefit delivery for children in care and foster parents
• Determine acceptance tests for user stories, defining “done” and conducting UAT
• Define and create UAT test scope and UAT test plan
• Develop UAT test scripts and facilitate UAT test cycles
• Use Cases, Business Process Flows, Gap Analysis, Functional Design, Prototyping techniques for Cúram
• Mapping and translation of business Requirements into Cúram OOTB solution features and functionality
• Configuration of Cúram Provider Management, Participant Management, Workflows, Workspace, Task
• Management, Financial Processing, Outcome Management and core Case Management functions
• Created Business Process Modeling and Internal Control Design documents for MMIS Family Identifier for ARKids B Copay.
• Created Use cases, activity report, logical components and deployment views to extract business process flows and workflows involved in the project. Carried out defect tracking using JIRA
• Involved in interactions with Subject Matter Expert, Project Manager, Developers, and the end-users in more than one JAD sessions. MS Project proved useful in coordinating activities with project manager and various other teams.
• Provided input to the development of business and functional requirements for implementing and customizing the State Medicaid policies for ABD, LTC, Spenddown and Alien emergency medical programs and Affordable Care Act regulations for Single Adult, Pregnant Woman, Family Caretaker Children and CHIP programs under IBM Cúram Social Program Management platform.
• Modelled the information and then came up with the requirements prioritization. Eliminated false requirements by screening out multiple versions of user input. Final prioritization was based on both, product and process requirements.
• Adequate experience in evaluating and assisting the mapping of business requirements to the Cúram base application, Cúram core customization such as rules orchestration, data mapping, UI design, UI validation and system test design.
• Provided clear and concise documentation regarding requirements management plans, functional requirements, supplemental requirements.
• Performed business process analysis by creating use cases and process flow diagrams, validating Cúram out of the box features and mapping the business rules to those functionalities; provide solution design techniques, design screen and storyboarding, quality assurance activities and test case development.
• Performed GAP analysis for the modules in production, conducted feasibility study and performed impact analysis for proposed enhancements.
• Used JIRA for bug tracking and defect management.

Environment: Windows XP/2000, Oracle, PL/SQL, MS-Project, MS-Office Suite, MS Visio, Rational Requisite Pro, UML, Clear Case, JIRA, MS Visual Source Safe

Sr. Business Process Analyst

Responsibilities:

• Defined a complete set of metrics report requirements including a framework that will meet the needs of regional and national business leaders
• Provided analytical data to enable management to make informed decisions to drive continuous revenue cycle improvements by realizing gains in operational efficiency, cost savings and member experience
• Created drill down from the high level summary metrics to the supporting detail in the current report format
• Process and data flow models for STD ( Short Term Disability ), LTD (Long Term ) and FMLA claims processes as well as interfaces to Human Resources.
• Performed workflow analysis toward automated disability claims process. Detailed comparison of two competing proposals, including HR interfaces. Facilitated requirements definition for new system.
• Completed the documentation of Claims Scenario’s for the source system
• Analysed the existing claims process and specific business rule logic will be applied in the ACP model.
• Identified performance indicators that provide reliable daily trend information as a primary input towards the monthly executive dashboard report
• Drafted the existing and known requested list of metrics to the Revenue Cycle process context map
• Analyzed and drafted a functional and technical features list for each vendor, thus identifying the best to send out a RFP Worked closely with the Enterprise Data Warehouse team and Business Intelligence Architecture team to understand repository objects that support the system requirement and process.
• Created a prototype presentation in Visio for the SCAL region, thus showing a pictorial representation on the various drill downs from the report to the metrics to the database.
• Identified and drafted the calculations used for various regions, using their source SQL’s for standardization purpose.
• Determine acceptance tests for user stories, defining “done” and conducting UAT
• Define and create UAT test scope and UAT test plan
• Develop UAT test scripts and facilitate UAT test cycles
• Created Use cases, activity report, logical components and deployment views to extract business process flows and workflows involved in the project. Carried out defect tracking using Clear Quest
• Involved in interactions with Subject Matter Expert, Project Manager, Developers, and the end-users in more than one JAD sessions. MS Project proved useful in coordinating activities with project manager and various other teams
• Modelled the information and then came up with the requirements prioritization. Eliminated false requirements by screening out multiple versions of user input. Final prioritization was based on both, product and process requirements.
• Established basic project lifecycles, milestones, and standardized processes for PlanView program management system.
• Provided clear and concise documentation regarding requirements management plans, functional requirements, supplemental requirements
• Performed GAP analysis for the modules in production, conducted feasibility study and performed impact analysis for proposed enhancements.
• Used Rational clear quest for defect management.

Environment: Windows XP/2000, Oracle, PL/SQL, MS-Project, MS-Office Suite, MS Visio, Rational Requisite Pro, UML, Clear Case, Clear Quest, MS Visual Source Safe

Sr. Business Process Analyst

Responsibilities:

• Responsible for writing Functional Requirement Specifications (FRS) and User Requirement Specification (URS).
• Analyzed Business Requirements and segregated them into high level and low level Use Cases, Activity Diagrams / State Chart Diagrams using Rational Rose according to UML methodology thus defining the Data Process Models.
• Understand the As Is system and develop the To Be system concept and also prepare the System Process Maps.
• Coordinated various kinds of User Acceptance Testing (UAT) including regression testing, system testing, integration testing, functional testing, alpha & beta testing.
• Was involved in providing full range of HMO, PPO, and POS benefit plans.
• HIPAA EDI transactions such as 835, 837 (P, D, I) 276, 277, 278.
• Involved in validation of CICS screens and data in DB2 database.
• Worked with NASCO teams to get current work flow for detailed business process.
• Experience in EDI automated first-pass claim adjudication, requiring thorough understanding of claim processing, both front and backend operations.
• Lead multiple project teams of technical professionals through all phases of the SDLC using technologies including Oracle, Erwin, Data Stage, Data Warehousing, WebSphere and Cognos .
• Involved in applications analysis, which involves claims processing in NASCO.
• Defined Functional Test Cases, documented, Executed test script in Facets system.
• Successfully conducted JAD sessions, which helped synchronize the different stakeholders on their objectives and helped the developers to have a clear-cut picture of the project.
• Used SoftTest software with pseudo code to ensure test cases covered all branches of project's code impacting the system. (The system is an IBM mainframe based system that contains the master set of customer information used to bill customers.)
• Created Process Flow diagrams, Use Case Diagrams, Class Diagrams and Interaction Diagrams using Microsoft Visio and Rational Rose.
• Wrote Test Cases and performed User Acceptance Testing (UAT), documented the in detail defects using the Defect Tracking report.
• Used Test Case distribution and development reports to track the progress of test case planning, implementation and execution results.
• Created Use cases, activity report, logical components and deployment views to extract business process flows and workflows involved in the project. Carried out defect tracking using Clear Quest
• Maintained proper communication with the developers ensuring that the modifications and requirements were addressed and also monitored these revisions.
• Involved in compatibility testing with other software programs, hardware, Operating systems and network environments.

Environment: Windows XP/2000, Oracle, PL/SQL, MS-Project, MS-Office Suite, MS Visio, Rational Requisite Pro, Clear Case, Clear Quest, MS Visual Source Safe, Test Director 7.6, Quick Test Pro (QTP)

Business Process Analyst

Responsibilities:

• Conducted user interviews, gathered requirements, analysed the requirements using RUP methodology and documented the requirements using Rational Requisite Pro.
• Worked with the SME’s (Financial Analysts, Risk Managers, and Project Managers) to define business critical needs and analyse the possible technical solutions.
• Created Business Requirement Document (BRD), Functional Requirement Specification (FRS) document, User Requirement Specification (URS) and Change Request (CR) document for system application development.
• Conducted joint requirements planning (JRP) sessions as a facilitator to gather requirements from the business area and to discuss different critical success factors of the project like Operational Feasibility Analysis, Technical Feasibility Analysis, Cost Benefit Analysis & etc.
• Developed budget planning report & timelines of the project by conducting walk-through sessions and meetings involving various leads from Development, QA and Technical Support teams.
• Authored various Use Cases and Activity diagrams, Sequence diagrams using Rational Requisite Pro and used UML methodology to define the Data Flow Diagrams (DFD).
• Performed GAP analysis for the modules in production, conducted feasibility study and performed impact analysis for proposed enhancements.
• Coordinated JAD session with system analysts, development team, project manager for application development and Pre-validation specifications.
• Gathered requirements from users of the Clear Quest (CQ) tool for any Enhancements or change requests for any defects.
• Developed and managed project plans, schedules, issues log created and business-technical conflicts.
• Coordinated various kinds of User Acceptance Testing (UAT) including regression testing, system testing, integration testing, functional testing, alpha & beta testing.
• Authored test plans, test cases for various test scenarios and helped testing team to better understand the test scripts. Assisted the IT team to develop service oriented architecture (SOA), and data warehouse system to utilize data mining for data analysis.
• Used Test Director which is a Mercury tool to help manage defects and issues log during the testing phase.
• Involved in the creating the User Interface Specification Document and User Training Manual as per project specification with the help of development team
• Participated in Bug-Review meetings with software developers, QA engineers, managers, and suggested enhancements and solution to the existing application problem from business perspectives.
• Worked as a User/Customer advocate and negotiated with user as well as the technical team and management staff to resolve any outstanding requirement conflict during the whole SDLC process.

Environment: Rational Suite (Rose, Requisite Pro), Windows XP/2000, SQL, XML, HTTP, MS-Project, MS-Office Suite, MS Visio, Win Runner, Load Runner, Test Director (Mercury Interactive), Java, Oracle

Business Process Analyst

Responsibilities:

• Liaison between the client and development team to support the client’s data analysis and reporting needs.
• Proficient in discussing and defining project, Gap Analysis with the clients from both a business and technical perspective
• Provide current market, economic and technical information and updates as well as external changes impacting trading activities to customers.
• Gather requirements for the listed options risk management system, specifically for index options risk management spreadsheet. Defining requirements for product control and risk management end of day feeds.
• Wrote functional requirements and non-functional requirements based upon the approved business requirements by following UML processes and standard procedures for developing use cases, use case diagrams, and other supporting documentation.
• Engaged in analysing requirements, identifying various individual logical components, expressing the system design through UML diagrams
• Worked on Rational Rose to develop the use cases, class diagrams and sequence diagrams.
• Worked on Requirement Change Management System in Rational Requisite Pro .
• Setting up document hierarchy and standards to define different level of requirement using Rational Requisite Pro .
• Documented Requirements for Management Reporting out of Clear Quest using Crystal Reports.
• Manage Scope and change throughout the SDLC process of the product.
• Analysed existing data and used tools available to successfully forecast the pricing models.
• Responsible for addressing, diagnosing, and resolving issues that arise on a day to day basis for the team. Also responsible for documenting the causes, analysis and final resolution to the issues/errors.
• Identified areas of risk exposure and loss techniques adopted.
• Developed detailed auditing and reporting of the current status and history of all components related to a product.
• Translated customer/clients requirements into new features and new services.
• Develop process improvement projects by gathering and analysing data.
• Define Key Process Areas for different Projects.

Environment: Rational Suite (Rose, Requisite Pro), Rational Unified Process (RUP), Windows XP/2000, Oracle, PL/SQL, MS-Project, MS-Office Suite, MS Visio, MS Word, MS Excel

Confidential, PA

Business Analyst

Responsibilities:

• Performed Requirement Gathering & Analysis by actively soliciting, analysing and negotiating customer requirements and prepared the requirements specification document for the application using MS Word.
• Identified opportunities for business process improvement through various meetings with business users and developers and initiated efforts to make improvements.
• Developed the project plan with assistance from the management, and included provisions for project scope changes and issues and initiated efforts to make improvements.
• Conducted project kick off meetings with team members to explain roles / responsibilities, relationships with other groups, deliverables, timelines, assignments and status reporting.
• Created RUP activity diagrams and sequence diagrams to analyse the requirements and recommend solutions.
• Prepared scenarios, Use Cases & UML State Diagram for scenarios using Rational Rose.
• Prepare presentation slides in MS Project, which was extensively used in different JAD sessions and to track progress.
• Assisted the technical team in translating application functionality into application architecture.
• Participated in the bug review meetings, updated requirement document as per business user feedback and changes in the functionality of the application.
• Clarified QA team issues and reviewed test plans and test scripts developed by QA team to make sure that all requirements will be covered in scripts and tested properly.
• Organized meetings to discuss outstanding issues with QA and developers.
• Wrote test scripts for User Acceptance Testing (UAT).

Environment: Rational Suite (Rose, Requisite Pro), Rational Unified Process (RUP), Windows NT/XP/2000, UML, UNIX, MS-Project, MS-Office Suite, MS Visio, Mercury, Win Runner, Test Director