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Sr. Business System Analyst/scrum Master Resume

Brentwood, TN

SUMMARY:

  • 8years of experience working as a Business Analyst, Business System Analyst, and Scrum Master in Healthcare, Insurance, Finance, and pharmaceuticals sectors in enhancing and developing projects. I have strong ethical values, team player with excellent analytical skills coupled with excellent communication, written and interpersonal skills, finding a solution to a problem in any situation is what I have learned working as a business analyst. I like to be point of contact for technical team in make them understand business requirements.
  • Experience in working with different SDLC methodologies such as Waterfall, Agile Scrum, Kanban, and Hybrid.
  • Well verse experience in developing professional relationships with business and technical stakeholders and coordinating with cross functional teams to achieve the business objective.
  • Strong skills in Structured Query Language (SQL) in retrieving, storing and processing data and in assisting the developers in creating Data Extracts.
  • Proven expertise documenting artifacts such as Project Vision Document, Functional requirement Document, Business Requirement Document, Use case specification, Requirement Traceability Matrix, and System Requirement Specification.
  • Hands - on experience as a certified Scrum Master and use of Rally & JIRA applications in Agile Environment.
  • Experience in facilitating scrum ceremonies such as Daily scrum meetings, Sprint planning, Sprint review, and Sprint retrospective and proactively involved in facilitating Scrum of Scrums to resolve dependency issues.
  • Experience maintaining Scrum Artifacts like Product Backlog, Sprint Backlog, Burn down chart and Burnup chart
  • Working knowledge on TriZetto to Facets application and advantages and applying it to the Healthcare plans.
  • Working knowledge on HIPPA (Health Insurance Portability and Accountability Act) compliance, ANSI X12 format, EDI (Electronic Data Interchange) Transaction (837, 835, 270, 271, 276, 277, and278).
  • Extensive knowledge on HIPPA 4010 to 5010, and ICD-9 to ICD-10 gap analysis and data mapping.
  • Strong knowledge on regulatory compliance such as Food and Drug Administration (FDA) under Title 21 for pre-clinical and clinical trials.
  • Experience in monitoring and generating reports using HEDIS for online medical review and in-patient details for various therapeutic areas
  • Strong practical experience in eliciting requirements using analysis techniques such as Interviewing, Questionnaires/Surveys, Document Analysis, Reverse Engineering, A/B testing, Interface Analysis and Requirements Workshop.
  • Ensured functional and non-functional implementation of business requirements and system requirements through User Acceptance Testing, writing Test Cases, and Test Plans.
  • Proficient in creating and maintaining artefacts such as Test Log, Test Reports, Defects log, and Project Management Plan, and Data Mapping documents.
  • Extensive experience in handling varied stakeholders, conflicts, creating stakeholder communication plan/matrix, tackling Change Requests, performing Impact, Risk, Root Cause, Interface and GAP Analysis.
  • Proficient in creating UML Modeling: Activity Diagrams, Sequence Diagrams, Use case Diagrams.
  • Hands on experience using tools such as JIRA, Rally, MS Project, Tableau, Balsamic, Office 365 Suite, etc.
  • Comprehensive knowledge in implementing applications using the Service Oriented Architecture (SOA), integrating Web Services and API’s .
  • Proficient cognizance of XML files, XML schemas, WSDL, SOAP, RESTful, JSON, Swagger, Web Services Security, authentication/authorization protocols etc.
  • Hands on experience supporting the clients during the User Acceptance Testing (UAT) and participated in functional and performance testing of RESTful and SOAP services .

TECHNICAL SKILLS:

Methodologies: Agile, Hybrid and Waterfall (Traditional)

Frameworks: Safe, Scrum, Kanban, TDD

Wireframe and Prototyping Tools: Balsamiq, Rational Rose, MS Visio, iRise

Modelling tools: MS Visio, Lucid chart, Erwin, Rational Modeler

BI Tools: Tableau, Crystal Reports

Agile Tools: JIRA, Rally, Clear Quest

PM Software: MS Project, Smartsheet

Languages: SQL

Web Technologies: HTML, CSS, JavaScript, XML, Web Services, API, SOAP, RESTful, AJAX, JSON, EXT JS, Angular JS

Testing Tools: HP QC, Selenium, SOAP UI, Postman, Rational Quality Manager

Protocols: HTTP, HTTPS, SOAP

Databases: SQL Server, Oracle, MySQL.

PROFESSIONAL EXPERIENCE:

Confidential, Brentwood, TN

Sr. Business system analyst/Scrum Master

Roles & Responsibilities

  • Facilitated requirement gathering sessions to elicit requirements from the business users and did Feasibility analysis for ROI.
  • Performed Gap analysis from the legacy application to Facets application. Document analysis to implement HMO plan.
  • Developed Business process model, Activity flow diagrams, and Use cases diagrams for gathering requirements.
  • Assisted the business in redesigning the application workflow by created a static and dynamic Prototypes for better understanding of system.
  • Designed deliverable documents like FRD and BRD by performing in detailed interaction with business users.
  • Implemented HIPPA compliance and HMO rules, criteria, and decision points
  • Worked on different EDI scenarios to implement in to the HMO and OAP plans.
  • Worked on EDI transactions: 270, 271, 834 and 820 to identify key data set elements for designated record set. Interacted with Claims, Payments and Enrollment hence analyzing and documenting related business processes.
  • Worked on HL7 standards for system to system interaction on exchanging health information.
  • Prepared RTM along with BRD and mapped each requirement meeting the test criteria for Test scenarios.
  • Worked with technical leads for SRS refining and shared technical requirement of business to development team to resolve impediments.
  • Worked with System Architect to implement SOA, Client-side, Server-side Validations.
  • Implemented SOAP and REST web services to generate reports and performed SLA requirements for exchange of services from provider, Medicaid and Medicare.
  • Facilitated UAT testing environment by providing test plans, test cases, test scenario, project scope and objective as well as excel spread sheet to track the test cases manually .
  • Extensively applied the best use of JIRA tool’s features in keeping the track of User Stories, Tasks and progress of the work through tracking the Velocity and Capacity of the team also constantly monitored Burn Down and Burn Up Charts for evaluation.
  • Worked with Product Owner on artefacts Such as Product Backlog, Spring Backlog, Sprint and Release Burnup/Burndown charts .
  • Assisted the development team by testing web API’s and web services using SOAP UI.
  • Played a pivotal role in setting up Acceptance Criteria, creating test plans, recording test result for all the user stories.
  • Helped in improving process efficiency and process enhancements through retrospective meetings .
  • Made sure user stories adhere the INVEST criteria and assisted the product owner in prioritizing the backlog item using MOSCOW technique.
  • Ensured the improvements from retrospectives are put into effect.

Environment: HTML, CSS, Webservices, Windows 10, Java, Angular JS, SOA, SOAP, REST API, Microservices, MS Visio, MS Excel, MS word, iRise, Jira, Rally, SOAP UI, Postman, SQL server.

Confidential, Harrisburg, PA

Scrum master

Roles & Responsibilities

  • Implemented HIPPA Privacy and Security rules for Implementing EHR, also interacted with CTS team for Authentication and Authorization.
  • Stepped up as a Scrum Master and worked with the product owner and self-organizing, cross functional team members.
  • Strong self-organization and self-management skills with emphasis over self-initiation and follow through.
  • Tracking project dependencies outside of the project team's control and escalating the issues as necessary.
  • Facilitated, coached, and guided the teams on values and principles of Agile and Scrum.
  • Managed and groomed Product backlog items from time to time.
  • Assisted product owner in converting high level requirements EPICS into small User Stories as well as tasks.
  • Facilitated the Sprint Planning meeting, Daily Scrum, Sprint Review and Sprint Retrospective meetings.
  • Used Rally to keep a track of user stories and track project progress through burndown and burnup charts.
  • Assisted team with making appropriate commitments through story selection, sizing and task definition.
  • Assisted the team on population health management program leveraging clinical data, insights and personalized programs.
  • Implemented HL7 standards for exchanging healthcare information between the systems.
  • Helped the product owner and team to effectively estimate and prioritize various tasks and sub-tasks associated with each user stories using Planning Poker and Bucket Sizing technique to avoid problems during sprint.
  • Made sure user stories adhere the INVEST criteria and assisted the product owner in prioritizing the backlog item using MOSCOW technique.
  • Played a pivotal role in setting up User Acceptance Criteria for user stories to be accepted by the business.
  • Responsible for resolving various impediments affecting the progress of the project with the help of product owner for improving the velocity of the project and help team members work in a faster manner.
  • Met goal of addressing and resolving issues within 24 hours and track and communicate team velocity.

Environment: Scrum, Agile, SQL server 2012, Rally, HL7 standards, Tableau, SOA, MS Excel, MS word.

Confidential, Foster city, CA

Business System Analyst

Roles & Responsibilities

  • Developed business process diagram, activity diagram, sequence diagram to understand the data flow between the provider and the Payer
  • Involved in cost benefit analysis and feasibility analysis for the design and architecture of the new application.
  • Performed requirement Scoping and analyzing high priority requirement for implementation.
  • Performed GAP analysis assessed As-Is processes through user interviews, data collection and analysis, design and evaluation of To-Be process solutions.
  • Validated 837 (Healthcare Claims), 835 (Healthcare Claims payment/ Remittance), 270/271 (Eligibility request/Response), 834 (Enrollment/Dis-enrollment to health plan) for health claims.
  • Created high-level Use Cases from Business Requirements and created UML diagrams like use case diagram and activity diagram m using MS Visio and UML for various stakeholders
  • Validated codes for billing process which included ICD-9 and ICD 10, codes and various modifiers where applicable in compliance with HIPAA 4010 and HIPAA 5010
  • Well versed with HIPAA, claim adjustments, claim processing from point of entry to finalizing, claim review, identifying claims processing problems, their source and providing corresponding solutions.
  • Ensure day-to-day EDI transmission, Reject tracking and Reconciliation.
  • Run EDI Reconciliation reports daily and document in MS Excel.
  • Created 'Business Glossary' to facilitate efficient understanding of business process amongst other teams.
  • Conducted JAD sessions during the various stages of upgrading the matching system and discuss the current system preference.
  • Coordinated in designing an architecture that was flexible, scalable, performance-oriented, and provided a sustainable cost of ownership.
  • Developed Requirements Tractability Matrix (RTM) using MS excel to trace each software design requirement to test case.

Environment: Agile (Scrum), SharePoint 2010, Rational Requisite Pro, Rational Quality Manager, Clear Quest, MS VISIO, Tableau, SOAP, UML, HPQC

Confidential

Business System Analyst

Roles & Responsibilities

  • Served as a liaison between the business and technical developers to define problems, enhancements, and solutions.
  • Conducted Gap Analysis for the system considering AS IS and TO BE features.
  • Facilitated Work sessions and Solution discussions across business units to understand reported problems and to drive acceptable solutions. Gathered requirements, developed Process Model and detailed Business Policies.
  • Created best-practice requirements deliverables, such as use cases, system process flows and context diagrams
  • Documented the FRDs and BRDs as per the business requirements, designed Use Cases diagrams and prepared the Workflow using use case scenarios with Input, Output, and Pre- and Post-conditions, refined system requirements.
  • Review Use Case History to identify existing requirements that support claimed functionality performance.
  • Designed wireframes and prototypes for the enhancement of the websites.
  • Worked with design team in Usability and Interface Design coding standards and procedures.
  • Created the Traceability Matrix to ensure that all the requirements are being tested and covered in the testing plan.
  • Facilitated the design and development of Business Rule Engines to support SOA architecture and web services.
  • Worked with System Architect to implement SOA, Client-side, Server-side Validations and Verbiages
  • Involved and facilitated UAT testing, provided project scope, test cases, test scenario and test description for testing team to perform the job efficiently.

Environment: s: SharePoint, HTML, CSS, JavaScript, XML, MS Visio, Asp.Net, Web Services, SOAP, HP QC, SOA, SoapUI, SQL.

Confidential

Business Analyst

Roles and Responsibilities

  • Assisted the business in redesigning the application workflow and created a TO-BE business process model by observing the inefficiencies in current-state workflow.
  • Performed document analysis and gap analysis, understanding current and future scope of the project.
  • Involved in creating Service Level Agreement (SLA) for web service between organization and external dependencies like FDA.
  • Designed interface formats for generating reports for investigation and review by crystal reports depending on the requirement.
  • Gathered requirements from business by developing static mockups, and dynamic prototypes using HTML and CSS.
  • Implemented SOAP Protocol in exchange of services from FDA.
  • Collaborated with technical team in specifying the web services and web methods used to interact with database.
  • Involved in creating Test cases, Test plans in integrating and automating application.
  • Conducted User Acceptance testing with the Business Stakeholders for review and final approvals of product.

ENVIRONMENT: HTML, CSS, Java, XML, SOAP, SOA, Windows XP, MS office, Balsamiq, SOAP UI, SharePoint, Crystal Reports, MY SQL.

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