SUMMARY:

• Result - driven IT Professional with 7+ years of experience in business and technical requirements analysis, elicitation, modeling, verification, and methodology development.
• Proven communication, analytical, and problem-solving skills to help support the development process, and to ensure that project deliverables are met according to specifications.
• Expert in overseeing the design, development, and implementation of software and hardware solutions, systems, or products.
• Ability to create systematic and consistent requirements specifications in both technical and user-friendly language.
• Ability to apply statistical and other research methods into systems issues and products as required.
• Good knowledge of revenue cycle management (RCM) processes.
• Demonstrated project management skills and project management software skills, including the ability to provide oversight and guidance through all phases of the project life-cycle.
• Hands on experience in creating to-be Business Process Models, which defined the high-level business activities and processes and provided a foundation for the Use Case model. Experienced in conducting stakeholder analysis.
• Expertise in the development and interpretation of Business Requirement Document (BRD), Business Process Document, Functional Requirements Specifications (FRS), Use Case Specification (Business and Application), and entity relationship diagram (ERD), Use Case Models, Business Process Gap Analysis, Systems Design Specifications (SDS), Business Continuity Plans (BCP), and Requirements Traceability Matrix (RTM).
• Experience in implementing RUP methodology, Waterfall methodology, and Agile methodology using Scrum.
• Hands on experience in managing requirements using Requisite Pro and Doors.
• Extensively experience on Unified Modeling Language (UML) to graphically represent system's blueprints, business processes and; the as-is and to-be system functionality.
• Good knowledge on Sarbanes Oxley (SOX) Act, GAAP Accounting Principles as implemented through project management methodologies.
• Experience in user acceptance testing (UAT) of Web based, Client/Server applications and mobile platforms iOS and Android.
• Proven ability to deliver substantial productivity & Quality improvements through well managed on time projects.
• Expert in preparing Project Schedules and performing; Milestone Tracking and Resource Allocations using MS Project.

TECHNICAL SKILLS:

Requirements Management: Rational RequistePro, Rational DOORS, iRise, Team Foundation Server (TFS), JIRA

Change Management: Rational ClearQuest, Rational ClearCase, Remedy

UML: MS Visio, Rational Rose, Visual Paradigm

Database: Mainframe, DB2, MySQL, MS SQL Server, Oracle, MS Access

Office Tools: MS Word, MS Excel, MS Project, MS Outlook, MS SharePoint

Testing: Rational Robot, Mercury WinRunner, TestDirector

Languages: C, C#, JAVA

Others: Rational Requirements Composer (RRC), Rational Team Concert (RTC), Rational Quality Manager (RQM)

PROFESSIONAL EXPERIENCE:

Confidential, Worcester,MA

Sr. Business Analyst

Responsibilities:

• Collaborated with project managers and project sponsors to determine project scope and vision.
• Interviewed stakeholders, gathered and compiled user and technical requirements to convey to development teams throughout the SDLC.
• Regularly interacted with clients to understand current business processes and communicated issues and risks.
• Conducted iterative requirements sessions with the project team to define functional system requirements via workshops, use cases, scenarios, and other methods.
• Developed and utilized standard templates to accurately and concisely write requirement specifications.
• Translated conceptual user requirements into functional requirements in a clear manner that is comprehensible to developers/project team.
• Analyzed and verified requirements for completeness, consistency, comprehensibility, feasibility, and conformity to standards.
• Worked with stakeholders and project team to prioritize collected requirements.
• Managed and tracked the status of requirements throughout the project lifecycle; enforce and redefine as necessary.
• Manage and oversee payer and patient revenue cycle management (RCM) processes for various hospital accounts.
• Worked with team involved in investigating and fixing ASP.NET code, JAVA Script code and SQL statements.
• Established and enforced proper change request management procedures for all projects to ensure proper scope control.
• Establish metric and KPI (Key Performance Indicators) measurements to ensure targets are achieved.
• Facilitated User Acceptance Testing (UAT) with the stakeholders and the business users
• Assisted in testing the final application for usability, to verify whether all user requirements were catered to, by the application.

Environment: Windows 7, MS Visual Studio, Visual Studio Team System (VSTS), Windows Server 2012, IE 9/11, JIRA, Soarian, IDX, Allscripts, Meditech, Agile Scrum, JavaScript, MS-SQL, ASP.NET., SharePoint

Confidential, NJ

Sr. Business Analyst

Responsibilities:

• Consulted with IT management and business management on applying technology to business opportunities, planning, and implementation of cross-functional systems and applications.
• Provided subject matter expertise in areas including strategy/approach, requirements gathering, process modeling, use case development and other areas of expertise based on established business analysis tools and techniques like process flow diagrams, flowcharts, etc. in an Agile environment (Scaled Agile framework)
• Established and led quarterly coordination meetings with statewide Mobility Managers to find cross-region solutions.
• Lead planner for statewide Mobility Management Conference.
• Worked together with the Product Owner and Scrum Master to determine what set of product features from product backlog would be prioritized in each sprint, based on which quick prototypes and user stories were built. Also, participated in Sprint planning, Sprint kickoff, Daily Standups, etc.
• Worked together with IT team in the development, maintenance, and support of enterprise data warehouse system (EDW), application lifecycle management (ALM).
• Gathered, analyzed, documented and managed business and user requirements (both functional and non-functional) to effectively address the business needs through JAD sessions and interviews. Maintained the product backlog in VersionOne tool and SharePoint.
• Acquired domain expertise and analyst practice expertise to provide the most effective solutions to the business partners in the most efficient way possible while following HIPAA (Health Insurance) guidelines.
• Identified project interdependencies and communicated requirement/scope issues, and tracked the issues and project real-time progress in Quality Center.
• Defined and monitored all implementation tasks such as the production check-out process, including review of reports, data files and online screens to ensure technical solutions and API (Application Programming Interface) were compatible with the design specifications and business requirements; and filed all the records appropriately.
• Completed all supporting documentation on assigned projects, including creating and updating all project requirements documents (PRD), entity relationship diagram (ERD), user and technical procedures/manuals, operational support documentation and archival of all related project documentations.
• Gathered data and performed data analysis using SQL queries in DB Visualizer and addressed potential issues in production and recommended to IT the optimal systemic solutions.
• Acquired strong knowledge of health plans operations like eligibility and enrollment processing, claim adjudication including claim adjustments and denials, and benefits administering, and Facets software solution which was used for auto-adjudication of claims.
• Assisted in implementation of revenue cycle management (RCM) processes.
• Developed test cases and performed testing (UAT) to ensure requirements were met for system modifications or data extracts.
• Provided inputs to the regular status reports in collaboration with the Test Lead.

Environment: JAVA, Oracle, ICD-10, Agile, SAFe, JAD, SharePoint, JIRA, SQL, EDI 834, 835, 837,entity relationship diagram (ERD), Use case diagrams, MS Visio, Team Foundation Server (TFS), Rational Requirements Composer (RRC), Rational Team Concert (RTC), Rational Quality Manager (RQM)

Confidential,Madison,WI

Sr. Business Analyst

Responsibilities:

• Acted as a primary liaison between Business & the development team throughout all phases of SDLC.
• Assisted in data modeling, data mapping and produced the data definition documentation.
• Maintained documents as per Project Management Methodology (PMM) for children's health insurance program (CHIP)
• Engaged in different phases of SDLC of the project executing RUP methodology of iterative software development from Inception to Transition phase.
• Developed a Requirements Traceability Matrix recording the requirements through each stage of requirements gathering process.
• Analyzed and translated business requirements into system specifications utilizing UML and RUP methodology.
• Extracted the business requirements from the stakeholders keeping in mind their need for the application and documenting them.
• Conducted one on one and group interviews to understand Business Requirement and subsequent documentation.
• Involved user interface design by providing detailed functional requirements.
• Used Business Requirements to write Functional Specification documents.
• Conducted JAD Sessions to develop an architectural solution to ensure that the application meets business requirements to resolve any open issues, and manage change requests.
• Created Use Cases, Activity Diagrams, State Chart Diagrams, Sequence Diagrams, and Collaboration Diagrams thus defining the Data Process Model and Business Process Model using MS Visio and Business Process Model tools.
• Ensured that all artifacts are in compliance with corporate SDLC policies and CMS guidelines.
• Developed customized SQL reports and queries for management decision-making and operational management.
• Worked on documents for version controlling, to maintain up to date changes in the documents.
• Assisted in authoring test plans, test cases for various test scenarios and helped testing team to better understand the test scripts and UAT.

Environment: RSA, MS Office Word/Excel/PowerPoint/Outlook, MS Project, MS Visio, Windows, XP/Win 7, SharePoint, Power Designer

Confidential

Business Analyst

Responsibilities:

• Facilitated and documented the business process for clinical procedures through a series of interviews with stakeholder and medical representatives.
• Conducted group sessions to gather and document the functional and non-functional requirements with the SMEs and business units.
• Generated Requirement Specification Document and validated it with EMR standards HL7.
• Developed UML based use-cases to formulate Project Initiation Plan.
• Compiled the Vision Document and composed detailed Use Case Specification Documents in Rational Requisite Pro.
• Designed business transactions and procedures and documented the requirement enhancements using a Requirement Traceability Matrix in Rational Requisite Pro through test cases.
• Ensured the accuracy and consistency of the data during the data loading process.
• Represented the business units in the daily scrum meetings and provided the needed insight on the validation of the current progress.
• Carried out Cost-benefit (CB) analysis and Return-on-Investment (ROI) analysis and generated periodic status reports sent to Project Lead.
• Actively participated in unit testing, system testing and regression testing. Also, provided test cases for User Acceptance Testing (UAT).
• Conducted Root-cause Analysis for any defects and proposed improved design and use cases to avoid similar errors in next phase.

Environment: Windows, MS Office (MS Word, MS Excel, MS PowerPoint, MS Visio), MS Access, MS Project, Rational Rose, SQL, Rational ClearCase, Rational Requisite Pro, Agile