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Sr. Technical Business Systems Analyst Resume

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Arlington, VA

PROFESSIONAL SUMMARY:
Analytical, business user, oriented and innovative technical business systems advisor with Finance and IT Master Degrees. Over 11 years of experience in Business Analysis, developing and implementing innovative business processes and system solutions for healthcare, energy, e-commerce, manufacturing and finance organizations. Proficient in use case-driven RUP and Agile methodologies. Proficient in identifying business rules, preparing workflow charts, use cases, collaboration diagrams, testing scenarios and implementation guidelines. Excellent at meeting deadlines and submitting deliverables on time.

PROFESSIONAL EXPERIENCE:

Confidential, Arlington, VA 2012 to Present
Coordinated the data collection and support analytics activities for specific clients to ensure timely delivery of the opportunity assessment, interfacing with the client, UPMC and the Evolent team. Clients included MedStar Hospital Group,Piedmont Health, Cedars Sinai Medical Group, Christus Health and Baycare Health System.

  • Led the data discovery process for new clients while building internal capability.
  • Assisted with defining the standards and interfaces that Evolent will propose to clients during implementation Participate with Data Management and Technology Team in building a scalable data intake process using standard toolkits.
  • Assisted with defining standard data quality checks at appropriate stages to ensure all data meets requirements for analytics and reporting.
  • Assisted with documenting client specific data mapping needs, transformation rules, and any business rules related intelligence.
  • Identified opportunities to continuously improve the data discovery and onboarding process.
  • Provided specialized data and business knowledge to analytics and reporting development and enhancement projects.
  • Interfaced with internal and external entities to understand needs around data analytics and reporting.
  • Owned and driven the planning, tracking, scheduling, and releasing of all Evolent data warehouse solution releases.
  • Understood the deliverables of all functional areas (Development, Test, Sync/Build, Documentation, and Product Management)
  • Worked with the various stakeholders and senior management to plan, scope, and identify present and future datamart improvements.
  • Translated the various work items, dependencies, and information about available resources into an integrated project schedule
  • Driven planning and subsequent execution by monitoring progress in all cross-functional areas including milestones and schedules
  • Hosted weekly project status meetings, publish minutes, and manage action items
  • Conducted on-going meeting with various departments to track milestones and lower level Release activities Effectively communicated with Senior Management so that they are informed of all necessary information regarding the stages and phases of the various development tracks.

Confidential, Rockville, MD 2011-2012
Sr. Technical Business Systems Analyst / Core Systems Engineering

  • A business analyst position conducting IT Systems Assessments, creating Business Process Documentation using Microsoft Visio and Microsoft Word. Exhibited an attention to detail and excellent verbal/written communication skills. Demonstrated an ability to synthesize client requirements into technical specifications and to generate functional and technical requirements documentation. Lead Joint Application Design (JAD sessions) for small groups of users. Created User Guides/Manuals based on the final technical product specification.
  • Acted as a liaison between application development, client services, finance and billing teams for a new client and contract management system development project
  • Analyzed and captured existing functional, reporting, integration needs of business and created business requirements document, vision and scope documentation for multiple releases. Conducted walk thru sessions and obtained project stake holders signoff.
  • Translated business requirements into their functional components thru wireframes and use cases.
  • Created non-functional requirements document containing information to support system functionality including scalability, user access management, security and usability. Obtained agreement and sign off from business stakeholders.
  • Defined reporting attributes for client services operations, finance & billing reports and datawarehouse client reporting needs.
  • Created requirements for custom client (sold case) object in Salesforce including picklists, field dependencies, and custom formula fields with validations.
  • Defined custom workflow rules and approval process based on the client master business requirements in Sales force that updates fields, send notifications as per approval steps and actions.
  • Defined integration requirements and created field & entity maps between Salesforce and Client master application thru Salesforce web service APIs.
  • Defined synchronization requirements for integration with multiple claim adjudication engines thru web services, host integrator tools.
  • Produced traceability matrices to ensure requirements are covered against functions, attributes, wireframes and test scenarios thru SDLC.
  • Created master test plan including testing objectives, testing level & strategy and test cases to support testing efforts.
  • Performed project management duties in planview to meet management expectations including project plan maintanence, monitoring of the consumption of total hours spent, activity progress tracking and reporting, internal and external dependency management.
  • Provided weekly project status reports including key accomplishments, milestones reached, pending decisions, risks and dependencies to support enterprise PMO processes and policies.

Confidential, Alexandria, VA 2006-2011

Systems Analyst Advisor Sr. / Systems Delivery - Healthcare Reform Implementation 5/2010 - 4/2011

  • Analyzed all reform provisions to define the functional and technical impacts to the existing systems
  • Leveraged existing system architecture and data repositories to support new mandatory requirements
  • Proposed updates to existing system functionalities and data repositories, as necessary, to serve the key business needs of different stakeholders with careful consideration on upstream and downstream dependencies
  • Prepared high level solution overviews, impacts and technical requirements for group, benefit and enrollment functionalities of consumer driven health plans. (Removal of annual and lifetime limits provision, Grandfathering)
  • Conducted process analysis and walkthroughs of technical changes with downstream and upstream system SMEs to ensure different all scenarios and conditions have been covered across integrated systems with use cases

Technical Business Systems Analyst Sr. / eBusiness - Shared Technology Solutions Group 9/2009 - 5/2010

  • Facilitated architectural assessment of member portal release 10 by external teams (DSI, Microsoft) leveraged knowledge of these teams to identify areas that can be improved; outlined the solution advices, determined impacted layers and prepared remediation plans in planview to manage execution.
  • Effectively processed TSB (Technology Steering Board) Requests submitted to shared technology solutions team, brought them into a closure by managing external dependencies. Exceled at day to day execution.
  • Researched, found and facilitated technical solutions for these TSB requests which best fits the e-business objectives and team needs.
  • Articulated expectations of cross functional teams (MTM, CTO, TSB, OSB) from eBusiness domain to the development team, identified the changes needed in impacted areas to meet their process improvement needs and incorporated the related tasks into master project plan in planview.
  • Planned and facilitated end to end security assesment of new member portal by external teams (Microsoft and Internal Information Security Team). Acted as a bridge between development leads and security experts to review and understand the issues found and fixes needed. Prepared the remediation plan in planview and provided status to program management.
  • Prepared security guidelines in developing web applications to help prevent most of the known security risks under the supervision of security architects.
  • Prepared security enforcement flow including authorization steps thru each layer of MVC including content management system with application tech leads.
  • Managed a team of off-shore .NET developers and architects in the design and implementation of a two-tiered web-based test harness system that enables production support and MTM audit teams to validate member data being delivered to UI layer from source back end systems. Worked closely with MTM audit team to ensure meeting audit requirements.
  • Led gathering and assessment of environment configuration requirements from tech leads of multiple tiers for accomodating multi stream development of member portal across all environments from development to production fix.
  • Acted as a liasion between Microsoft and eBusiness development team for improving IIS and SQL server performance improvement initiative and adhoc basis technical support for issues involving Microsoft technologies.

Membership and Benefits Track Lead / SME, Incentive Rearchitecture Project 1/2009- 9/2009

  • Implementing a new incentive product line across all books of businesses with same level of flexibility and customizability on a consolidated centralized technical platform
  • Conduct walkthroughs with multiple teams to explain incentives domain, current process analysis across systems, dependencies and growth need comes with client migration.
  • Participate and and provide thought leadership in design discussions with architects, conveying knowledge of incentive rule adjudication, process flows and timeframe realities.
  • Provide and create detailed process oriented flow charts for multiple different incentive process models.
  • Communicate pros & cons and operational impacts of different incentive processing models to the business, technical project management, channel leads.
  • Lead meetings on high level design with product architects to develop new 360 health product benefit meta data model.
  • Develop technical solution approaches and proposals across integrated Wellpoint systems to meet business needs and strategic goals within the project.
  • Facilitate discussions and organized gathering technical responses within system experts for the system specific implementation requirements documentation
  • Work in conjunction with enterprise integration services (EIS) for realtime communication of benefit and eligibility information across source systems, rules engine, incentive vendors and disbursement systems.
  • Identify eligibility and benefit data elements necessary for each system to perform assigned process workflows
  • Work with information architects for enterprise level common file layouts and data definitions

Senior Technical Business System Analyst / SME, HSAPLUS & LQCO Project 3/2008-12/2008

  • Implemented a new hybrid line of business (HSAPLUS) across the CDHP portfolio also Embedding last quarter carry over logic into cdhp claim adjudication
  • Prepared functional and technical requirements across all modules of enterprise CDHP Adjudication system based on the high level business requirements.
  • Conducted walk throughs to ensure accuracy, completeness and clarification of functional specifications with each module's SMEs and architects. (eligibility, claim adjudication, member portal, call care browser for customer service, monthly health statements, pharmacy interface and datawarehouse extracts)
  • Implemented of new business rule validations thru the eligibility data exchange process and identified decision points and resolution steps of error occuring cases.
  • Facilitated meetings to clarify key issues by use cases to come up with clear functional specifications across tracks.
  • Provided status periodically to project management office about these issues, risks and decisions needed and made.
  • Managed and communicated changes to the custom extract layouts for new line of business including datawarehouse extracts, eligibility extracts for financial vendors, pharmacy vendors and incentive program vendors.
  • Provided expertise of new line of business to the operations for effective and complete implementation across enterprise to support product launch processes and policies.

Senior Technical Business System Analyst, Generation Consumer First Project 5/2006-2/2008

  • Integrating LITES CDHP engine with Wellpoint source membership and claim systems.
  • Facilitated 2 recurring weekly meetings between IT teams of different wellpoint systems to prepare common file layouts to sync up different business processes of integration. (Preparation of agenda items, facilitation of discussions, capturing and assignment of action items and follow ups for achievement of results)
  • Performed mapping tasks for new file layouts to extract layouts of existing downstream systems.
  • Prepared business requirements document for different levels of integration including client, group, product, subscriber and contract eligibility including use cases, end to end syncronization of different data flows and main requirements for datawarehouse.
  • Wrote test cases for eligibility implementation, performed user acceptance testing, data mapping/validation testing.
  • Provided ongoing support for claims team from eligibility, accumulators and benefit design perspective for medical and rx claim adjudication.
  • Performed data mapping and validation testing for medical claims for different eligibility scenarios.
  • Provided weekly status for the project milestones, key issues & risks, key decisions needed/made and key meetings for eligibility team.

Confidential, Atlanta, GA 05/2010 - 12/2010
ICD10 Data Conversion Advisor

  • Identified the business problems ICD10 migration is bringing and primary business drivers required for transition
  • Performed a preliminary analysis of ICD-9 to ICD-10 forward and backward mapping to classify, prioritize relationships.
  • Developed clear classification criteria's for assessing CMS GEM impacts against historic claim data
  • Analyzed complexity of mapping options against historic claim volume and provided a prioritized approach
  • Prepared functional requirements for a web based visualization application to display and map relationships so clinicians may understand and make reasonable mapping decisions

Confidential, Pittsburgh, PA 09/2005-03/2006
Senior Business Analyst

  • Commuincated with internal and external team members developing accurate data and system flow model.
  • Gathered, analyzed data producing first of kind reports with historical anlaysis trends for client ultimatly resulting in successfull software implementation.

Confidential, Istanbul, Turkey 09/2003 - 1/2004
Systems / Software Analyst

  • Conducted workflow and functional analysis providing process compatibility model.
  • Analysed two ERP systems determining best overall system based on integration, cost and timing.

Confidential, Istanbul, Turkey 06/2001-08/2003
Database Developer and Web Design

  • Conducted functional / content requirement walkthroughs, and of website company stakeholders.
  • Analyzed current process workflows designing effective relational database.

Confidential, Istanbul, Turkey 01/2000 -05/2001
Business Development Specialist

  • Analyzed workflows, business rules and web functions for Yahoo, AOL and Associated New Media Group.
  • Developed and configured colloboration models with e-retail clients for online shopping venue.

EDUCATION:
Master of Science in Software Engineering - Confidential, MA (Current Student)
Master of Science in Internet Information Systems- Confidential, Pittsburgh, PA
Master of Science in Financial Management - Confidential Istanbul, Turkey
Bachelor of Science in Industrial Engineering- Confidential, Istanbul, Turkey

TECHNICAL SKILLS:
System Analysis and Design:

  • Business Analysis Methodologies: SDLC, Rational Unified Process, Agile, UML
  • Extensive experience on unit System/Worflow Analysis
  • Functional Design, - Requirement Analysis
  • User Acceptance and UML Diagrams (especially Process Oriented System Flowcharts, Dataflow Diagrams and Context Diagrams)
  • Requirement Management Tools: Rational RequisitePro
  • Defect Tracking Tools : Rational ClearQuest, Test Director
  • Business Modeling Tools : MS Visio, Rational Rose
  • Change Management Tool : Rational ClearCase

Programming:

  • OOD in Java - Recursion, Classes/Objects, Data Abstraction, Exception/Event Handling, Inheritance, GUI development with Swing/JFC, Applets and Multithreading.
  • Microsoft Visual Basic.Net,
  • ASP.Net in Visual Studio.NET Environment
  • Ruby on Rails with MVC architecture

Web Design Development:

  • XTHML 1.0, HTML 4.0, CSS 2.1
  • Microsoft Sharepoint 2007, Frontpage 2003, Macromedia Dreamweaver
  • Adobe Photoshop 6.0 - 9.0, Adobe Illustrator 11.
  • Java Scripting

Microsoft:

  • Microsoft Project and Visio 2010
  • Microsoft Team Foundation Server in Visual Studio 2008
  • Microsoft SQL Server 2008 / 2012 with Analysis Services Knowledge
  • Microsoft 2000/XP/Vista/7 operating systems (Advanced knowledge)

Content Management Systems:
Setting up, installing and configuring following CMS tools;

  • Wordpress.org Blog (Customizing site features, administrative functions and adding extra functionality)
  • Social Go
  • Wikimedia
  • Wix
  • Moodle (Sections, Categories, Articles, Menus with extensions, plug ins and online store components)

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