SUMMARY:

8+ years’ success providing top - notch technical analysis across multiple industriesExperienced on working as Agile Business Analyst in Healthcare industry, banking. Have extensive experience working on various phases in the Software development lifecycle of the project. Have a good understanding of Agile and RUP processes. In these several years have worked on various service oriented, client/server and web based applications. Talent for identifying patterns, issues, troubleshooting, and recommending solutions. Expert researcher, analytic thinker, and problem solver; able to forge solid relationships with teams and accelerate project completion timelines and quality. Created test scripts for claims and successfully tested them.

TECHNICAL SKILLS:

• Software Development Life Cycle (SDLC).
• Waterfall, RAD, RUP and AGILE SCRUM. 
• Healthcare & Insurance
• Test Plan Design
• Research & Test Result Analysis
• Functional / End User Claims Testing
• Claims processor for 14 years
• Writing Requirements
• Medical Coding
• Process Redesign / Change Management
• Claims Parallel Testing
• Team Player and Mentor
• SQL,UML.

TECHNICAL SKILLS:

Defect Tracking Tools: JIRA, HP Quality Center, TFS.

Project Methodologies: Waterfall, Agile, Rational Unified Process (RUP)

Operating Systems: Windows 2000, Windows XP, Windows 7, UNIX.

BA Techniques: Gap Analysis, Impact and Risk Analysis, Feasibility Analysis, Work Breakdown Structure (WBS), Statement of Work (SOW).

Elicitation Techniques: JAD sessions, JRP Sessions, Brainstormingsessions, Interviews, Surveys/Questionnaires, Document Analysis, Observations.

Business Environment: Business Requirement Document (BRD), Business Functional Document (BFD), System Requirements Specification (SRS).

PROFESSIONAL EXPERIENCE:

Confidential, Greensburg, PA

SENIOR BUSINESS ANALYST

Responsibilities:

• Assisted project managers with the development of project schedules.
• Successfully used Agile/Scrum Method for gathering requirements and facilitated user stories workshop. Documented User Stories and facilitated Story Point discussions to analyze the level of effort on project specifications. 
• Working closely with the scrum teams and larger organization on how to get the most out of Agile/Scrum practices
• Working with the Scrum teams to commit to a sprint with a prioritized backlog, ensure stories are completed that were committed to in a given sprint
• Performed scope analysis, impact analysis and GAP analysis
• Conducted user interviews, gathered requirements, and analyzed the requirements.
• Worked with all levels of client staff in solution definition.
• Managing business requirements through Rational Unified Processes (RUP).
• Responsible for resolving issues related to financial module like AP, GL, FA and Sys Admin. Setups.
• Worked with ICD 9 & 10 encoding to verify the validity of incoming claims documented ICD 9 & 10 codes presently used by the system. 
• Plan new workflows and clinical IT solutions towards health care.
• Performed risk analysis of the requirements to identify key business areas for the project.
• Propose new table data models, existing table changes to support project requirements.
• Developed the requirements document and a preliminary design for the HIX web portal.
• Managed scope and change throughout the life cycle of the product.
• Delivered real time claims and customer support service by implementing facets.
• Analyzed set behavior and contribution to business performance, critical business metrics and tracking underlying business trends.
• Facets Product Configuration of new products and components including research, testing and trouble shooting in FACETs. 
• Skilled in using change control and bug tracking tool JIRA for identifying, analyzing, assigning and documenting defects including version and change control.
• Worked with the management for improving and giving new ideas for designing future processes of the HIPPA transactions dealing out with EDI’S 271, 276 and 270, 470, 835, 837, 834, HIPAA 4010, 5010, claim adjustments, claim processing from point of entry to finalizing, claim review, identifying claims processing problems, their source and providing alternative solutions using best practice model and principles and also well versed with ICD10, Facets.
• Firm understanding of HIPAA regulations and experienced working in all phases of healthcare insurance processing like defining Membership Eligibility and Enrollment and various Medical Claims processing.
• Effective management of clinical data using Electronic Medical Records (EMR) and Electronic Health Records (EHR).
• Created source to target mapping documents from staging area to Data Warehouse/Data Mart.
• Participated in the logical and physical design sessions and assisted in the development of design documents.
• Experience in using Quick Test Professional (QTP) testing for Client /Server, Web and Database Applications.
• Excellent experience in EDI 837 - Claims processing and Encounters, EDI 834 - Benefit Enrollment and Maintenance, EDI 835 - Claim Payment/Advice.
• Developed balanced scorecard for the entire site, estimated baseline and established Lean daily management system for Performance Improvement. 
• Designed new process flows for the existing system as well as for the enhanced portal.
• Conducted and led status report meetings with the business and the IT team on a weekly basis.
• Processing, reprising, accounting of funds and premium billing with the help of facets.
• Flexibility in adaption to a wide range of work environments.
• Guiding the teams towards continuous improvement.

Environment/Technology: Agile/Scrum, JIRA, Facets, QTP, HIPAA, EDI.

Confidential, Irving, TX

BUSINESS ANALYST

Responsibilities:

• Wrote SQL scripts for Data extraction and Data Processing like ETL for Healthcare IT domain.
• Report generation to display the processed data.
• Understand requirements, implementation of new algorithms and write Design documents.
• Written complex SQL queries to manage high volumes of data. 
• Design and implement data models and SQL tables with all considerations of Primary key, Foreign key, Unique key, indexes, constraints. 
• Writing Use cases, and Functional Requirements (FRD)
• Reviewed defect reporting and resolution in Mercury Quality Centre to track project progress against schedule.
• Wrote and executed system test plans, test cases and test data on MS Excel for the web-based application.
• Developed a/b testing for website pages, primarily with Google Analytics
• Used Google Analytics to produce monthly statistical reports  
• Performed functional, smoke, regression, usability, system and integration testing.
• Identified, organized, and documented the changing requirements for the application using Rational Requisite Pro.
• Engaged in system testing during User Acceptance Testing (UAT).
• Supported the assigned project manager with creating detailed project plans and assisting in developing, scheduling and tracking project timelines.
• Gathering and documenting the requirements that are critical to the business mission and using those requirements to design application software.
• Created use case scenarios and documented work flow and business process.
• Used Rational RequisitePro to document requirements, associated change requests with requirements and connected requirements with Use cases.
• Conducted JAD sessions to allow different stakeholders to communicate their perspectives with each other, resolve any issues and come to an agreement quickly.
• Involved in maintaining and managing different versions of Documents using Rational Clear Case.
• Conducted FRS and URS reviews and walkthroughs with the designers, developers and stakeholders
• Involved in Requirements Gathering from user groups and analyzed workflows and UI screen dynamics
• Involved in GAP analysis in the identification of business rules, business and system process flows, requirements and assumptions.
• Created Scope/Vision documents and prioritized all the business aspects.
• Participated in Daily Agile Scrum "Stand-up", Biweekly Sprint Planning and Retrospective Sessions and update the team on status of upcoming User Stories for project of changing the client's software maintenance structure of their various software products.
• Quantitative analysis of transactions/interactions between users via tableau.
• Training and mentoring all the new hires and current employees for any process development
• Analyzed and corrected data in Microsoft SQL Server database using SQL.
• Created traceability matrix to map Business, Functional, System requirements and test plans
• Extensively involved in implementing the Software Development Life Cycle phases from identifying requirements to conducting UAT
• Prepared the UML Use Cases using Rational Rose.
• Used MS Visio for flow-charting, process model and architectural design of the application.
• Ensured compliance, risk controls in accordance with regulatory reporting standards and policies; and address any issues.
• Documented business workflows textually as well as in UML diagrams according to RUP for the stakeholder review.
• Conducted JAD sessions to allow different stakeholders to communicate their perspectives with each other, resolve any issues and come to an agreement quickly.

Environment/ Technology: Rational Rose, JIRA, Rational Requisite Pro, UML, RUP, MS-Office, Visual Basic, Win Runner, Test Director, Google Analytics, Windows 2000, Java, J2EE, Oracle 9i, Citrix Meta frame Server, Pega and File Net.

Confidential, Central city, NE

Business Analyst

Responsibilities:

• Strength in gathering requirements with the deepest details and ensuring they are delivered as visualized. 
• Ability to dazzle and delight has been clear communication strategy and demystifying technology to enable solutions. 
• Experienced working in agile development teams; understand the roles and contribution expected for user stories and use cases. 
• Expert in unified modeling language (UML), business requirements document (BRD), software requirements specification (SRS), functional requirement documents (FRD), use cases, user stories, flowcharts, UAT and business reporting.
• Experienced in performing business process analysis to check the compatibility of the existing system infrastructure with the new business requirements and translating user expectations into detailed specifications by using various text formats & UML. 
• Expert in eliciting and analyzing business requirements from subject matter experts (SME) and communicating them to technical stakeholders for implementation. 
• Experienced in facilitating joint application development (JAD), rapid application development (RAD) and joint requirement planning (JRP) sessions. 
• Highly seasoned in interviewing key business users and geographically dispersed stakeholders on requirements. 
• Superior proficiency to extract, analyze and understand business requirements, gap analysis better goals and existing business processes. 
• Proficient in creating sequence diagrams, collaboration diagrams, activity diagrams, and class diagrams. 
• Possess excellent analytical problems solving skills using SQL, Advanced Excel and VBA.
• Proficient in SAS/SQL used to retrieve and update data in tables and in views that are based on those tables. 
• Exceptional Problem Solving and Sound Decision Making capabilities, along with the ability to resolve difficult situations.

Environment/Technology: RUP, Rational Requisite Pro, UML Use Cases, VB.NET, SQL Server, Rational Rose, XML, Use Case Documentation.

Confidential, Carmel, IN

Business Analyst

Responsibilities:

• Incorporate agile methodology and scrum techniques to manage requirements and enhance the evolving E-commerce & mobile applications. 
• Co-ordinated with documenting processes used agile methodology to write the Business Requirements documents and designed Functional specifications. 
• Prepared & analyzed AS IS&TO BE work flow scenario & performed GAP Analysis.
• Managing and preventing integration problems by using Continuous Integration / Continuous Delivery (CI/CD)
• Leading sprint-planning, providing high level estimates, prioritizing user stories & defects for the sprint, maintaining backlogs and release plans.
• Worked towards the development and awareness of quality management software using HP Quality Center.
• Managing business requirements through Rational Unified Processes (RUP).
• Helped in creating workflows using formal notation such as the business process modeling and notation (BPMN).
• Carried out analysis of data flow using Business Process Modeling Notation (BPMN) and followed the events of sending/receiving a message and the associated data flow in the business environment. 
• Developed graphic representations of business processes to define any changes.   
• Designed new process flow & documented business process. Designed various business scenario & activities of business from conceptual to procedural level.
• Worked extensively with Subject Matter Experts (SME's) in understanding, extracting the User & Business Requirements pertaining to clients & wrote functional specification documents & non-functional documents.
• Worked with the data management team by operating Statistical Analysis System (SAS).
• Authored Business Requirement Document (BRD) with project teams.
• Conducted JAD Sessions aimed at transferring knowledge pertaining to Team management site creation.
• Worked as a statistical data modeling.
• Worked closely with users, business supporters and technical supporters (QAs and Developers) to develop high quality Business Requirement Documentations and Functional Specification Documentations.
• Directly interacting with the stakeholders to elicit the requirements and translate them into technical user stories, user stories and acceptance criteria for teams and documenting them in tools like Wiki and Jira. 
• Identified and created all necessary business use cases from requirements, created UML Diagrams including use cases diagrams, activity diagrams, sequence diagrams, and class diagrams using Microsoft Visio.
• Maintained & kept track of Stakeholders' requests for enhancements and changes using Unified Change Management tools (UCM)
• Collaborated with QA team to develop Test Plan, Test Conditions & Test Cases to be used in testing based on business requirements, technical specifications & product knowledge & conducted UAT.
• Involved in Design Reviews & regular Management Reviews and was responsible for suggesting various Process up-gradation Programs for project requirements.

Environment/Technology: Windows XP, MS-SQL Server, UML, Waterfall Model, Agile Technology, Version One, HTML, MS Visio, MS Office (MS Word, MS Excel, MS Power Point), Jira.

Confidential

Business Analyst

Responsibilities:

• Extracted, discussed, and refined User and Business Process Requirements from SMEs. Also, co-authored User and Functional Requirements.
• Well versed with claim adjustments, claim processing from point of entry to finalizing, claim review, identifying claims processing problems, their source and providing corresponding solutions.
• Created and maintained Business Use cases and System Use cases, and Sequence diagrams throughout the SDLC.
• Was involved in managing the Daily Standup meetings and also ensured that quality standards were enforced as per the build-release schedule.
• Gathered and documented business requirements from Trading Partners, user groups and vendors via workshops, interviews and surveys.
• Interacted with healthcare clients to gather requirements, objectives, and input and output requirements.
• Wrote Test cases for all functions of the application in Test Plan module of HP ALM Quality Center.
• Developed test cases and scripts for front end testing.
• Worked on the continuous improvement of QA process by reviewing and evaluating existing practices with standard testing guidelines.
• Worked on Electronic health record system as a CRM web based application.
• Performed Content Management using MS SharePoint.
• Documented test cases during requirements gathering, analysis and design phases.
• Provided technical and procedural support for User Acceptance Testing (UAT)
• Prioritized and communicated open issues and project risk/mitigation plans to UAT teams.
• Assisted the QA team to develop testing strategies and prepare detailed test cases by analyzing technical requirements.
• Contributed to improvise training sessions for effective use of EHR features.

Environment/Technology: UAT, MS Share Point, CRM, EDI, EHR, Facets

Confidential

Jr. Business Analyst

Responsibilities:

• Experience of doing documentation on business requirements.
• Clarified client requirements, business needs and project objectives, via feedback sessions and client meetings, in collaboration with all stakeholders.
• Assigned Q.A. team members to develop test cases, browser requirements, functional analyses of online products, and worked with internal and external clients, content producers and stakeholders to conduct interim project reviews and final project weeks prior to launch.
• Developed test plans and test cases.
• Interacted with the developers on resolving the reported bugs and various technical issues.
• Gathered Business Requirements and wrote Business Requirements Document (BRD) by working with the client IT staff, project managers.
• Supported the Program Manager in balancing project goals and business needs
• Assisted the Account Management people in reviewing the account of the customers.
• Documented various workflow diagrams like AS-IS and TO-BE processes.
• Translated Business requirements to functional and technical language with the help of Use cases and UML diagrams for developers.

Environment: Project Plan, project scope, use cases, sequence diagrams, production plan, Business Requirements Document, UML.