PROFESSIONAL SUMMARY:

• Retail, Vendor/supply chain management, insurance, banking and fashion industry Confidential . Proven track record of providing solutions for high - priority business goals and strategic senior management decisions.
• Proficient decision-making, leadership, presentation, communication, problem-solving and analytical skills with ability to interact at all levels.
• Hands on experience with in-depth understanding of Business Requirement gathering, Business Process Modeling (BPM), Use Case development, Wire framing and Prototyping to help the business in designing their software models.
• Actively used Joint Application Development (JAD) sessions, interviews, focus groups and other elicitation methods to converge early toward acceptable design and feasible solution for the developers.
• Strong experience working in key phases of the Software Development Life Cycle(SDLC) in different methodologies - Waterfall, RUP, RAD, AGILE, Scrum.
• Own and document project artifacts (e.g. Business Requirements Documents (BRD), Functional Requirement Specifications (FRS), Software Requirement Specifications (SRS), etc.) capturing viewpoints of stakeholders and transforming business requirements into technical specifications.
• Well acquainted with Workflows and Unified Modeling Language (UML) diagrams such as, Use case diagrams, Activity Diagrams, State, Collaboration / Sequence Diagrams.
• Expert in Tracking and managing the requirements using Requirement Traceability Matrix (RTM) that links and controls numerous artifacts produced by several teams across the project.
• Determined eligibility benefits of customers with EDI Health Care Eligibility/Benefit Inquiry(270) and other EDI X12 transactions 837(Claim for Institutional, Professional and Dental Claims), 835(Claim Payment), 276-277 (Claim Status), 834 (Enrollment), 270/271 (Member Eligibility)
• Well versed in ICD 9, ICD 10 CM/PCS code set transitions and mapping as per HIPAA guidelines.
• Knowledge of the state’s electronic Medicaid eligibility verification system & the Medicaid & Medicare welfare systems and their role in claim processing as per Affordable Care Act (ACA).
• Worked with various RDBMS like Oracle, SQL Server, Sybase tools with experience in extracting, transforming and loading (ETL) data from spreadsheets, database tables and other sources.
• Experience in designing schemas, ER diagrams, creating databases, data mapping and executing queries using SQL.
• Assisted QA team in generating test plans, test scenarios, test cases, and managed complete defect tracking life cycle using various defect tracking tools.
• Expertise in Functional Testing to ensure a quality product and rich experience in conducting User Acceptance Testing (UAT) to guarantee all the business requirements have been fulfilled.
• Excellent Communication and interpersonal skills, capable of acting as the arbiter between client and developer with respect to project implementation.
• Expertise in handling workload for multiple projects simultaneously with compelling multi-tasking and organizational ability for optimization of resources in budgetary constraints.

TECHNICAL SKILLS:

Business Modeling Tools & Project tracking tools: Axure Pro, MS Visio, MS Office Suite, Enterprise Architect, Balsamiq, Informatica, Power center, MS Project, Planview, Primavera

Methodologies: Agile, Scrum, RUP, Waterfall

Requirement Management Tools: Rational Requisite Pro, SharePoint

Applications/Environments: MS Office Suite, Crystal Reports, Oracle, SQL Server, Oracle Work Flow, Windows, Unix, Linux

Languages: HTML,XML, SQL, JAVA/J2EE in multiple IDE’s, ASP.Net, C++

Defect Management Tools: JIRA, RALLY, Bugzilla, SharePoint, HP Quality Center, Microsoft Team Foundation Server (TFS), Clear Quest, Team Track

WORK EXPERIENCE:

Confidential, NJ

Sr. Business Analyst/Product Owner

Responsibilities:

• As a Product Owner, presented new business solutions to stakeholders before initiating the project.
• Conducted GAP Analysis by creating “AS-Is” and “TO-Be” process flows and system analysis to increase operational efficiency determine if solutions meet the high-level business requirements.
• Analyzed impact of proposed solution across the business. Developed proposed statement of work (SOW) ensuring solution meets the defined technological needs and specifications.
• Facilitate JAD sessions with the business group to gather, analyze and document business requirements and business rules.
• Decompose Business Requirements into Functional, Non-Functional and Reporting requirements.
• Create Requirement Traceability Matrix (RTM) to trace the requirements and to make sure the project requirements are fulfilled.
• Document the Business Requirement Document (BRD) and the Requirement traceability matrix.
• Created UML Models such as wireframes, Use Case Diagrams, Activity Diagrams and Flow Diagrams using MS Visio and online UML tools.
• Implement the Agile Software Development methodology for SDLC, for tracking defects and managing the project. Participated in the Sprint Planning, Sprint Review, Sprint retrospective, Daily Stand up meetings and all related SCRUM ceremonies.
• Design the User stories, facilitated story point discussions and managed them in Microsoft TFS (Team Foundation Server).
• Ensure complete test coverage through test cases and scripts, managed test execution during Integration, System, Regression. Designed and executed the UAT scripts.
• Involved in writing user manuals and conducting user trainings sessions.
• Responsible for release of three important work streams. This involved coordinating with teams, documenting all issues, risks and seek a resolution so that the go live happened smoothly.
• Measure/track/report project/product effectiveness and made recommendations based on findings. Utilize negotiation skills to evaluate priorities and resolve conflicts.

Environment: XML/XSD, Web Services, RestAPI’s, SQL, Java Script, Oracle, Microsoft TFS, HP Quality Center. MS SQL Server, JIRA, Snag it, MS Office (Word, Excel, PowerPoint, Access), MS Visio, SharePoint

Confidential

Sr. Business Analyst/ Project Coordinator

Responsibilities:

• Liaison between business units and development team. Conferred with stakeholders to determine user needs, operational requirements, proposed enhancements and translate them into business requirement documents (BRDs) / Technical Requirement Documents (TRDs) for both Waterfall and Agile methodologies.
• The CMS audit team provided detailed lists on the application’s required fields that were mandatory field checks for the records and needed to be present while auditing.
• Analyzed and discussed the business and functional requirements for the application under construction with new fields, enhancements and modifications made.
• Conducted thorough analysis of system’s existing ETL work flows and proposed enhancement to improve efficiency.
• Prepared data flow (DFDs) and sequence diagrams for current and future state. Reviewed and prioritized product roadmap items based on business need.
• Facilitated Joint Application Development (JAD) sessions with all group members for communicating & managing expectations and to discuss various means for integrations with current system using an adoption through execution strategy.
• Conducted Gap Analysis on the AS-IS and TO-BE business processes and technology; and identified potential pitfalls, risks, and issues.
• Identified all necessary Business and system Use Cases from requirements, created UML diagrams including Use Case Diagrams, Activity Diagrams, and Sequence diagrams using Microsoft Visio.
• Understood the Business Logic, HIPPA 5010 compliance requirements and test-objectives and assisted the team to develop Test plans, Test cases, Use Case Scenarios.
• Provided SDLC Methodology for developing the applications that were used by the field executives to completely rely on automate payments posting for Medicare, Medicaid and commercial payers by using electronic payments or by phone.
• Prepared Release Documentation for delivery to the client; performed post-production check out.
• Provided operational and production support to stakeholders. Suggested recommendations for integrating systems and business process optimization, by eliminating inefficiencies and redundancies and reducing cycle time.
• Interacted regularly with the core product team and extended sub-teams to manage expectations and ensured effective project communications so that go live happened smoothly.

Environment: MS Office (MS Word, MS Excel, MS PowerPoint, MS Visio), .NET, Microsoft TFS, SharePoint, Oracle, Trizetto QNXT, SQL Clear Quest, MS Project/Plan view

Confidential, NJ/FL

Sr. Business System Analyst

Responsibilities:

• Interacted closely with end-users and SMEs from Underwriting & Claims teams to understand and gather the business needs and requirements
• Performed SWOT and GAP analysis for new functionality requirements and worked as per HIPAA rules and regulations to draft business rules and claim process.
• Joined in system requirements walkthrough sessions with business owner/stakeholders/SMEs as well as design/development teams
• Used business process modeling (BPM) to streamline the existing channels through which customers contact Molina (phone, web, email, through doctors, pharmacies, etc.)
• Involved in business requirement gathering, analysis and creating functional specifications for the portal enhancements.
• Actively participated in all the Agile scrum ceremonies such as sprint planning meetings, sprint estimation meetings, daily scrum meetings, sprint demos and retrospective meetings.
• Extensively worked with business domain experts and external interfaces teams to gather the requirements related to insurance policies, coverage, claim management and tracking processes.
• Created functional specifications documents for new Benefit Programs, Eligibility Rules and Event Rules and Eligibility Configuration fields for electronic connections.
• Created Use Case document that contained the Use Case defining role of users receiving claims, processing claims and adjudicating claims. Also created UML diagrams to validate EDI claim process as per HIPAA compliance.
• Responsible for validating & functional testing of HIPAA 834, 835, 836 and 837 Transactions (incoming/outgoing data from EDI interfaces). Analyzed and identified gaps/issues in claims, encounters and remittance advice process flow.
• Conducted user acceptance testing (UAT) to ensure system designed for checking member eligibility, provider enrollment, member enrollment for Medicaid and Medicare claims.
• Worked with business area SMEs/analysts to develop and finalize test plans.
• Worked closely with user experience team for creation of wireframes and prototyping for web portal
• Provided executives with analytics and decision-support tools used as the basis for reorganization,

Environment: MS Project, MS Office (Word, Excel, Power Point), MS Visio, SharePoint, Power designer, JIRA, Java J2EE technologies with Oracle database.

Confidential, NJ

Sr. Business Analyst

Responsibilities:

• Played a key role in a comprehensive project to implement Confidential and document processes and procedures to serve as a roadmap for implementation in internal procurement groups.
• Prepared BRD and FRD using UML and flowchart diagrams and writing up complex use cases.
• Creating User Interface, Mock screens and training manual for all internal users and clients
• Created, monitored, and reviewed the entire procurement process including creating of RFI, RFP Writing, RFQ sourcing templates and Contract, design and process sourcing events in Confidential Sourcing tool, Purchase Requests, Purchase orders and Supplier Contracting and enablement and implementation of the tool.
• Developed training materials/documentation and conducted internal training classes, designed and executed automated messaging system and trained Suppliers in responding to Confidential events.
• Implemented the Confidential Sourcing and contract module, replacing the manual Purchase Requisition process with the online tool, decreasing approval and processing time, enhancing tracking capability and establishing standardized processes across business domains.
• Worked with the Supply Chain departments to analyze design and recommend solution for procurement processes using the tool
• Lead the implementation and rollout of new applications and system enhancements and log enhancement requests and software defects.
• Interacted effectively with customers, developers and IT peers to ensure the successful delivery and implementation of modifications into the production environment.
• Managed sourcing and procurement process in the system and various other tools to update email templates and supplier questionnaire in the online system.
• Wrote test cases, Project Plan, GUI Design, Business Process Reengineering, use case development and documentation.

Environment: MS office (Word, Excel, Power Point, Outlook), MS Visio, SAP, Oracle, Windows XP/Windows 7, Rally, SharePoint, Waterfall methodology

Confidential, NY/Boston

Data Analyst

Responsibilities:

• Responsible for requirement collection and analysis, design deliverables, approving technical designs, assisting development integration teams to deploy Oracle RPAS (retail predictive application server) planning suite, Oracle RDF (retail demand forecasting) and Oracle RMS (retail merchandise system) applications.
• Gathered requirements from key stakeholders, customers, and subject matter experts to define the scope and requirements of Confidential system needs.
• Conducted review sessions for communicating with the all project directors and stakeholders and created process workflows, functional specifications and project initiation artifacts for both solution and interface specific requirements.
• Prepared detailed functional and non-functional design document for new business requirements. Create data conversion and interface specifications and build test cases/scenarios to ensure quality of the end solution.
• Defined data and process requirements for each planned integration, successful implementation and continued operations (disaster plan and procedures) in the event of system interruption.
• Managed an interface tracker representing all the data transfers taking place across Enterprise Data Warehouse (EDW), Master Data Management (MDM), Legacy Systems, RPAS and RMS systems and produce technical documentation for the support and execution of all the operational interfaces.
• Co-ordinated and help QA teams to develop and execute the overall test strategy and testing approach documents for each go-live releases.
• Monitored version control and defect tracking activities using HP Quality Center.
• Triaged change requests (CR’s) and provided estimates based on complexity.

Environment: MS office (Word, Excel, Power Point, Outlook), MS Visio, SAP PLM, Oracle, Windows, Share Point, AS 400, Adobe Acrobat XI Pro, HP Quality Center, Rational Rose, RPAS & RMS, Waterfall