SUMMARY 

• Over 8 years of IT experience as Business Analysis. Dynamic and Assertive team player with strong commitment. Possess excellent verbal and documentation skills complimenting a strong Business analysis background with excellent interpersonal and problem - solving skills.
• In-depth knowledge and experience in full SDLC with RUP, agile and waterfall methodologies.
• Excellent Domain Knowledge of Life Insurance, Term Insurance &Group Insurance Work Flows.
• Excellent Knowledge of Patient Centered Care and EMR Systems.
• Profound Understanding of the Clinical Analytics Solution and various Regulatory Provider Reports like Infection Prevention, NCQA, NDNQI etc.
• Functional experience in health Care Industry with vast knowledge on Medicare and Medicaid.
• Expertise in creating the companion guides on various EDI transactions.
• Expertise in Claims, Subscriber/Member, Plan/Product, Claims, Provider.
• Exceptional ability to maintain and build client relationships with business owners to identify, prioritize and document business requirements.
• Business process decomposition;
• AS-IS/TO-BE process modeling and re-engineering;
• User stories;
• Product Backlogs, Sprint Backlogs
• MDM, DWH & BI
• Areas of Business Knowledge include:
• Healthcare - EHR / EMR; HIPAA 5010; EDI, Health Care Insurance Claims, Labs (Clinical & AP), HL7.
• Insurance - Claims, EDI, HIPAA
• Extensive experience in Healthcare/Claims adjudication with knowledge of industry compliance standards like HIPAA and EDI X12 transactions (834, 837, 835, 270/271, 276/277)
• Proficient in all phases of Requirement Management, including gathering, analyzing, detailing, and tracking requirements.
• Expertise in DWH and RDBMS concepts and running SQL queries.

TECHNICAL SKILLS

Operating System: Microsoft Windows XP/2000/9x, LINUX

Programming Languages: C and SQL

Business Modeling Tools: MS Visio, BPMN

Agile Tools: JIRA Agile, RallyDev

Software Development Guidelines: Waterfall, Agile

Business Intelligence Tools: Cognos, Tableau and Business Objects

PROFESSIONAL EXPERIENCE

Sr. Scrum Analyst 

Responsibilities:

• Established RUP (Rational Unified Process) methodology and provided assistance in developing Use cases and project plans
• Prepared Business Process Models that included modeling of all the activities of business from conceptual to procedural level.
• Conducted JAD’s and walkthroughs with Content Managers and Product Managers.
• Analyzed and presented the Business with information on data anomalies, issues, input errors, field value ranges, data patterns, referential integrity gaps and the level of record incompleteness that is in the source systems.
• Gathered requirements and Business Rules for Reference Data repository with the LOINC Master Data.
• Used AGILE - Scrum methodology and worked in short SPRINTS to achieve goals.
• Devised and prioritized the Product Backlog by conducting requirement churning sessions with various Business / Product Teams.
• Mentored various teams on SCRUM methodology and helped the company transformation in to an Agile Development Shoppe.
• Participated in Scrums & Scrum of Scrums and discussed the open issues and statues.
• Participated in Agile Planning Sessions and as sumed the Product Owner role for the agile initiative.
• Created and explained the User Stories to the Scrum Team and helped them design the Tasks.
• Designed acceptance criteria for validating the output of each Sprint.
• Worked with Catalog management, Enterprise master Catalog, Global Data Synchronization modules of the InfoSphere MDM enterprise Edition.
• Developed detailed data mapping spreadsheets with Test Code and LOINC code mappings for various Labs within Quest.
• Assisted Data modelers in developing the Metadata for the Content Management system based on the Master Business Data.
• Reviewed Team Velocity on a frequent basis and advised Scrum Master at various stages.
• Participated in Sprint Planning and Sprint review meetings for Finalizing the Sprint Backlogs and Verifying the sprint outputs respectively
• P a rticipa ted in Business Demonstrations and Decisions for the Release of the Sprint Output to Production

Scrum Product Owner

Responsibilities:

• Supported the AVP of Data Sciences at Enterprise Information Technology Services in Various Data Initiatives for the Corporation.
• Contributed to various IT Strategy sessions for various Data initiatives and Project Management.
• Facilitated requirement gathering and brain storming sessions with Clinical Staff at Various HHC Facilities.
• Provided AS-IS and TO-BE process analyses, Gap analyses, Business Process modeling and decomposition;
• Designed Templates for Product Backlogs, User Stories and Clinical Validation Testing.
• Lead Agile Planning Sessions and as sumed the Product Owner role for the agile initiative.
• Developed the Epics and Themes for the Dashboard Requirements.
• Designed Mockups, Wireframes, Data Mapping Documents and Business Rules Documents for the Clinical Analytics Solution (CAS).
• Devised and prioritized the Product Backlog by conducting requirement churning sessions with various Business / Product Teams.
• Used AGILE - Scrum methodology and worked in short SPRINTS to achieve goals.
• Created and explained the User Stories to the Scrum Team and helped them design the Tasks.
• Designed acceptance criteria for validating the output of each Sprint.
• Participated in Sprint Planning and Sprint review meetings for Finalizing the Sprint Backlogs and Verifying the sprint outputs respectively

Confidential, PA MD 

Sr. BSA

Responsibilities:

• Participated in the requirement gathering discussion to identify all requirements in detail for membership.
• Prepared business requirement document (BRD) to provide details of each business requirement.
• Involved in Reporting GAP Analysis.
• Created mapping document and transformation rules from source to target tables.
• Prepared business requirement document (BRD) for Code Set Development for all subject areas.

Confidential,Newyork 

Business Analyst

Responsibilities:

• Participated in the requirement gathering discussion to identify all requirements in detail for membership.
• Prepared Business Process Flows, Feature Documents to provide details of each business requirement.
• Developed End to End User Case Scenarios to provide all the details for functionality required to the Dev team.
• Created mapping document and transformation rules from source to target tables.
• Created Test Case Strategy along with the QA Lead and assisted in development of the Test Plans and Test Scenarios for end to End and Regression testing of the New WFMS Application.

Confidential,NJ

Junior BSA

Responsibilities:

• Gathered requirements through a series of interview sessions and group meetings with the identified users and developers to design, build and release the EMR Interface Engine.
• Conducted Joint Application Development (JAD) sessions with stakeholders throughout the Project to resolve open issues.
• Performed HL7 standards analysis and documented the enhancements to meet the end state requirements.
• Produced Visuals for the application using Axure tool and created Use Cases, State diagrams, Sequence Diagrams and Activity Diagrams.
• Designed HL7 mapping and UI document for the Website.
• Created UI mock ups and PoC’s for the Public facing user interface and the adverse event Reporting form.
• Worked with Scrum QA team to go over the various test scenarios for different types XML Elements and Data Fields in the WebServices.
• Created the UAT document and conducted the UAT testing and Smoke Testing for the Release.