SUMMARY:

• 20+ years of total IT experience and Subject Matter Expertise in Healthcare, Finance and Accounting, Banking, Insurance, Logistics and Taxation domains.
• Architected enterprise solution that included COTS product customizations, establishing interfaces between COTS products, developing ICDs (Interface Control Documents)
• Very good in articulating end to end business flows and architectural considerations for enterprise solutions. Very good in detailing business requirements and deriving technical requirements based on business requirements.
• Very good in client facing with written and verbal communications. Very good in making presentations, asking right questions and connecting dots to grasp customer vision and strategic move.
• Fluent in meeting deliverables with the help of structured technical writing, technical diagrams, meeting materials and coordination of deliverables.
• Very good in preparing right level of details for meetings, right level of abstractions or details for technically savvy vs business teams.
• Very good in guiding functional and technical teams.
• Captured business requirements in various formats including Business process modeling, Use Cases, User stories, High level and detailed business Specifications
• Strong Healthcare Insurance, Affordable Care Act (ACA) of Eligibility & Enrollment, Health Plan Management and integration systems leveraging Service Oriented Architecture, pertaining to HIX.
• Very effective in conducting requirements gathering meetings (JADS), organizing meeting agenda and flow of the meeting.
• Proficient in requirement elicitation, understanding and interpreting client’s business vision and strategic path towards business goal, very good in detailing work breakdown structure, proactive in identifying risks/delays to project delivery.
• Expert in communicating requirements to development and testing team.
• Strong experience in both Agile and Waterfall methodologies.
• Excellent, leadership, organizational and communication skills.

TECHNICAL SKILLS:

Operating Systems: Windows 7/NT/XP/2000/2003, Unix, MVS, OS2

Languages and frameworks: Java, XML, HTML/DHTML, PL/SQL, VC++,C#, VB, Coolgen, J2EE, .Net, Spring, Hibernate, MVC Model

Tools: MS Visual Studio, Toad, PL/SQL Developer, Eclipse, Rational ClearCase, Visual Source Safe, CVS, Subversion, Enterprise Architect, SOAPUI, Remedy, SOA Platform

Software Customization: Curam, Connecture, EXACT, Sun Identity Manager 8.0, Sun Access Manager 7.0, Oracle Identity Analytics 8.0. Informatica

Databases: Oracle 10g, MS - Access, SQL Server 2008, DB2Standards & Protocols: LDAP, TCP/IP, HTTP, HL7, MQ Series, HLLAPI,SOAP

Application Servers/Platform: Apache Tomcat, Microsoft IIS, WebSphere, Weblogic, Glassfish, FuseESB

PM/Requirement Tools: Clarity, JIRA, Confluence, MS-Project, Remedy, IRise, Balsamiq

PROFESSIONAL EXPERIENCE:

Confidential,Calverton,MD

Business Analyst/Data Analyst

Responsibilities:

• Designed user stories, supporting screenshots and documentation for Behavioral Health products.
• Develop as-is and to-be designs and descriptions.
• Developed detailed specifications for 270/271/834 transactions for interface with external pharmacy systems with behavioral product.
• Developed specifications for Integration with Medicaid, and Legacy systems.
• Demoing to the Stakeholders, the product enhancements, and sprint end demo’s.
• UAT support, Regression testing, Conversion testing and developing test cases for unit testing.
• Writing SQL to verify data loaded from Medicaid and Legacy systems.
• Designing Reports and developing specifications for Reports.
• Designing mockups using JustinMind.

Confidential,Calverton,MD

Solution Architect, Product Development

• As a Solution Architect, I am the ‘primary go to’ team member in bringing the ideas together and defining the product features by working with diverse group of stakeholders consisting of Management, Executives, and development team in developing a new product from conception to implementation.
• Articulated the findings from market research of existing products, new concepts, techniques and standards to facilitate critical thinking in defining the product road map.
• Developed business process models in Business Process Modeling Notation (BPMN 2.0) using Enterprise Architect.
• Developed POC for multiple Products and demoed it to existing clients.
• Co-ordination of all external and internal follow-ups in support of project requirements.
• Researched and defined the rules necessary for implementing various government funded benefit programs for TANF, SNAP, and Medicaid.
• Effective contributor in Design walkthroughs with architects.
• Designing mockups using Balsamiq.

Confidential,Linthicum Heights,MD

Integration Analyst

• Responsible for End to End Integration of multiple third party COTS products(CURAM, Connecture, Tivoli Identity Management, Financial Management) products to build the Health Insurance Exchange (HIX) @ Confidential and support Medicaid Modernization.
• Supervised product teams for the implementation of new features to bridge the gap in the existing products.
• Developed technical documents like System Design Document, Interface Control Document, Implementation plan, Configuration Management plan etc.
• Proficient in capturing project details with diagrams including, logical architecture diagrams, context diagrams, physical architectural diagrams, Sequence diagrams etc.
• As a lead analyst worked to define the interfaces between COTS products as well as implementing the external Interfaces. Very fluent in developing and implementing ICDs (Interface Control Documents)
• Analyzed number of existing products in market to determine the fit as one of the COTS for the Maryland HIX.
• As a data architect designed the audit logging of user activities to Hadoop database. Designed ETL steps using Informatica platform
• Analyzed number of existing products in market to determine the fit as one of the COTS for the Maryland HIX.
• Defined templates, formats, and layouts for notices and reports from JAD sessions with various stakeholders.
• Determined the requirements for notices and BI reports and developed the SQL necessary for its implementation.
• Developed business process models in Business Process Modeling Notation (BPMN 2.0) using Enterprise Architect.
• Analyzed and identified Enterprise Shared Services (ESS) including audit events, notifications, document management, and reporting systems, for transactions as part of the integration layer of MD HIX.
• Interacted with Technical Architects from product teams and Data modelers and Users to produce Business Service Documentation for developers.
• Explaining the rules and requirements to QA and analyzed the output of testing and bringing about the required modifications to the process.
• Defined use cases from requirements and helped convert them into Software specifications.
• Data mapping between multiple COTS like CURAM, CONNECTURE.
• Generation of Notices using CURAM, and identifying of various integration points with CURAM Intake process and Medicaid Eligibility determination modules.

Confidential, Jefferson City, MO

Business Analyst, FAMIS-TANF

• Conduced JAD sessions to define the project and understanding of customer requirements and translation of the same into application and operational requirements.
• Conducting User Acceptance Testing (UAT) and verifying performance.
• Development, Unit testing new Coolgen programs.

Confidential

Business Analyst

• Leading of Team of 5 Business Analysts.
• Conduced JAD sessions to define the project.
• Business Process Mapping Study of the system implemented at the Federal Level and preparation of the GAP Analysis document.
• Responsible for translating BRD into Functional Specifications and Test Plans.
• Prepared and Maintained Requirement Traceability Matrix RTM .
• Maintained documents for change request and implemented procedures for testing changes.
• Conducting User Acceptance Testing (UAT) and verifying performance.
• System study of the legacy system and preparation of the AS-IS documents.

Confidential

FICO Confidential / Business Analyst

• Solving of maintenance tickets in the area of FI (GL, AR, AP & AA) and Controlling (CCA, PCA & IO) issues and providing solutions to the queries raised by the end user.
• Analyzing the errors, researching for the cause of errors, providing corrective solutions, and suggesting for preventive actions to avoid recurrence.
• Providing functional specifications to the technical team for report changes and new Report requirements.
• Discussing the critical issues with end-users and working closely with technical and functional consultants of other modules to resolve the cross functional issues.
• Used LSMW program to update Vendor Open Items.
• Assisted in the preparation of the business blue print.

Confidential,Phoenix, AZ

Project Lead/Business Analyst

• Leading of Team of 10 people consisting of developers, Analysts, Quality Associates.
• Understand Project requirements and initiate Project Kick off meeting with Stakeholders.
• Prepare Project Schedule for offshore and conduct Weekly Status Meeting.
• Send Weekly status reports to Customer and Senior Management.
• Streamlined overall project delivery process in order to facilitate “Work-Life” balance among the team members.
• Onsite Interaction and Led the team designated for handling the Sarbanes-Oxley SoX audit.
• Documenting and communicate process learned during Project life cycle as best practice.
• Initial Defect Analysis using Remedy and assigning to appropriate developer.
• Monitor Remedy for tickets and meet and prevent Service Level breaches.

Confidential,Louisville, KY

Business Analyst/Cool Gen Developer

• Developing, Coding, Testing, maintenance of new and existing programs, including writing of EAB’s, JCL, Eztrieve’s, COBOL programs for Billing module
• Production and on call support 24 * 7.
• Gathering the requirements for implementation of Sarbanes-Oxley requirements and HIPAA changes.
• Writing Metavance interface specifications.
• Onshore - Offshore Team management, including assigning of Work to offshore.
• Conduct Weekly Status Meeting with Client.
• Contributed towards new business development initiatives & effective customer relationship management resulting in repeat and long-term business.
• Monitor Service Management tool Remedy for tickets and meet and prevent Service Level breaches.
• Work on defects created in Remedy, triaging, and prioritizing and assignment.