SUMMARY

• Qualified professional with over Ten years of extensive experience in the field of Business Systems Analysis, working with the technical staff to implement management and staff's business requirements into the software application in the Healthcare Industry.
• Highly motivated team player with excellent communication, presentation and interpersonal skills, always willing to work in challenging and cross - platform environment.
• In-depth knowledge of creating use cases, functional design specifications, activity diagrams, logical, component and deployment views to extract business process flow.
• Strong understanding of project life cycle and SDLC methodologies including Waterfall and Agile.
• Well versed in writing queries/Scripts for Data Analysis and testing.
• Good knowledge of Workflows and Content Management Tools.
• Certified SAFe Agilest in PM/PO

TECHNICAL SKILLS

• MS Word, Excel, Visio, Project
• Rational Rose
• SharePoint
• UML, XML
• Oracle
• SAFe Agilest Certified
• Visual Basic
• Facets
• SQL Server, SSIS, SSRS
• JIRA, Bamboo, Bitbucket, Confluence
• Informatica qTest
• HP Quality Center/ALM
• Xpressions
• SDLC, Agile, Scrum, Waterfall

PROFESSIONAL EXPERIENCE

Confidential

Sr. Systems Analyst

Responsibilities:

• Used Agile/SCRUM & Kanban for managing the SDLC for project
• Gathered business requirements via RTM and created User Stories/EPICS in Jira.
• Developed systems that met user requirements by performing system analysis and database design.
• Translated business requirements into technical requirements
• Conducted meetings to analyze GAPS and make Enhancements
• Worked in various projects to support GBD Enrollment with ID Cards and Letters.
• Resolved issues effectively by providing support in System Integration Testing, Business Integration Testing and Production.
• Lead meetings with stakeholders to discuss LOE’s and estimates for all upcoming projects and tasks
• Analyzed testing impact of requirement changes and modifying test scenarios as needed adhering to the application development.
• Logged all defects in Jira during DEV and QA testing.
• Used Informatica to analyze code changes and run job workflows
• Executed SQL queries to test back-end data validation of DB2 database tables based on business requirement
• Used qTest to create/manage all Test cases that were linked to JIRA
• Used Informatica DVO to set up test cases for automation testing
• Used Bamboo to call the workflows to run the automation testing
• Used confluence to document and to keep track all of the changes that were updated to the systems
• Involved in configuration of FACETS Subscriber/Member application
• Created Test cases in Facets Front end when data would not be available for testing scenarios
• Expert in Health Care testing, FACETS product, EDI transactions.
• Scheduled all Stories/CNR’s to Production after approvals and verified logs after deployment.
• Worked on FACETS Data tables and have good knowledge on FACETS business rules.

Confidential

Sr. Business Systems Analyst

Responsibilities:

• Gathered user and business requirements through open-ended discussions, brainstorming and proto typing to achieve the following goals.
• Involved in configuration of FACETS Subscriber/Member application
• Worked on FACETS Data tables and created audit reports using queries. Manually loaded data in FACETS and have good knowledge on FACETS business rules.
• Prepared Future Process Models that includes modeling of all the activities of business from (a) Enrollment, Initial Billing and Payment and (b) Post Enrollment, Subsequent Billing and Payment
• Involved profoundly in the GAP Analysis organizations current systems capabilities and future system requirements for facilitating connectivity with the Exchange.
• Tested the changes for the front end screens in FACETS related to following modules, testing the FACETS batches (membership)
• Worked with Health Care Reform / Customer Service team to establish a dedicated Customer Service Model to address member needs at each point in the customer experience (pre enrollment, during enrollment, post-enrollment etc.).
• Worked on different EDI scenarios for batch processing and ensured day-to-day EDI transmission reject tracking and Reconciliation.
• Analyzed System Impact including MMIS Tables, Windows, Reports and Interfaces to external entities.
• Tested the ability to accept an 834 electronic application and validate complete transactions.
• Tested the ability to store Identification number received from the Exchange and create a unique identifier for members received through the Exchange.
• Worked with IT in developing a new capability that will allow tracking new HIX membership’s alignment across their consumption and utilization within organization’s plans/products
• Used Rational Clear Case to keep different versions of the documents and Rational Clear Quest to report bugs or defect.
• Assisted the UAT team in designing the test plan and test cases.
• Involved with reviewing defects reported from UAT efforts and analyzed for root cause and took actions based on the findings.

Confidential

Business System Analyst

Responsibilities:

• 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
• Major involvement in requirements elicitation, documentation and management process using Rational Requisite pro.
• Conducted JAD sessions with the stakeholder for requirement gathering that includes business presentations.
• Worked extensively through Agile development methodology by dividing the application into iterations
• Lead the impact analysis, scope lockdown, and requirements gathering phases of the company's transition from ICD-9 to ICD-10 and development phase management of transition from HIPAA 4010 to HIPAA 5010.
• Get the Facets Claim IDs from X12 in HTM, HP environment and verify them in TIBCO layer and Facets Claim Adjudication system.
• Particularly worked on UML modeling and Systems Documentation (Requirements, Functional Specs and System Design).
• Used Rational Rose 2003 and Rational Requisite Pro to make vision document.
• Identified Functional and Non-Functional requirements and Created Process Workflows.
• Did an impact analysis on the programs impacted by this change and list out the changes in the copybook.
• Contributed extensively in developing Use-case, Class and Sequence Diagrams.
• Involved in risk identification and mitigation and creating Risk Management Plan.