SUMMARY

• Professional in strategic planning and execution of business modules; adept at cultivating, managing and leveraging client relationship; master in developing new market channels and building strong relationships with client leading in industry.

• Project Management.
• Policy Development.
• Policy Administration.
• Employee Relations.
• Business Scope Analysis.
• Benefit Programs.
• Contract Negotiations.
• Retail Business Management.
• Business strategy development.
• Business Analysis.
• Leadership & Team management.
• Complaint Resolution.
• Communications and Customer Relations.
• Product Management.
• Time Management.
• Policy Negotiation.

TECHNICAL SKILLS

Methodologies: Agile, Waterfall, Business Process Design, Use Case Analysis, Business Change, Requirements Documentation

Business Analysis: Workshop Facilitation, Requirements Gathering, Stakeholder Analysis, Process Analysis

Stakeholder Engagement, UML, Use case diagrams, high and low level requirementsCustomer Journeys, technical requirements and non - functional requirements.:

Tools: MS Word, MS Excel, MS Visio, Enterprise Architect, BPMN, JIRA

Packages: MS office, MS Visio, Enterprise Architect, Quality Center, Caliber, Autosys, MS Outlook, Oracle

SDLC: Waterfall model, Iterative Model, Agile, Prototype (User Interface), CRM Systems

PROFESSIONAL EXPERIENCE

Confidential, Woodland Hills, CA.

• Performing business process and systems analysis with a focus on data, analysis models and diagrams in support of building out current state and future state views.
• Analyzed IT and Process Gaps on the identified Current state for all channels and transactions.
• Extracted the Business Requirements from the client and end users keeping in mind their need for the application (Internet, Claims, Provider, and Recipient) and documented it for the developers following the HIPAA Guidelines
• Worked specifically on gap analysis and mapping
• Conducted detailed and comprehensive business analysis by working with the client IT staff, senior SME tellers, supervisors, and end-users, in order to identify system and operational requirements and potential improvements.
• Organized JAD session with management, senior management executives, and other stakeholders for open and pending issues on the development of the project.
• Also involved in developing WBS, Compliance document and Cost Benefit Analysis document.
• Played a key role in the planning, User Accepted Testing (UAT), and implementation of system enhancements and conversions.
• Worked closely with the Project Manager to define project goals, objectives, constraints and risks.
• Implemented the claim management system following the HIPAA guidelines of state and federal government ensuring HIPAA Compliance in claim adjustments, claim processing from point of entry to finalizing, claim review, identifying claims processing problems, their source and providing alternative solutions
• Conducted Root Cause Analysis (RCA) during the Inception and Elaboration Phases of RUP as well as conducted Process and System based RCA.
• Arranged JAD sessions with the client team and the development team to produce detailed business requirements.
• Experience with HIPAA 4010 EDI transaction codes such as 270/271(inquire/response health care benefits), 276/277(Claim status), 834(Benefit enrolment), 835(Payment, 837(Health care claim).

Confidential . Glen Allen, VA .

Sr. Business Analyst.(Team Lead)

• Identified the process flaws in the existing system and recommended business process improvements through automation in the new system after analyzing and documenting as-is system and to-be system.
• Conducted detail business and process due-diligence in order to develop the functional requirement specification documents.
• Performed customer segmentation to determine the high frequency high value customers and target marketing strategies based on the analysis.
• Administered CRM application for Sales, Marketing, and Support departments. Involved in creating multiple analytical reports, with varying degrees of complexity.
• Experience with applications such as Order Manager, Warehouse Management System.
• Coordinate marketing Events.
• Implemented google analytics data tracking campaigns to maximize efficiency and effectiveness.
• Maintained a routine Interaction with stakeholders and facilitated communication between the business, procurement and the IT department.
• Facilitated development of questionnaires and interviews for SME's and business users in order to gather requirements while working in agile environment.
• Participated in JAD sessions for requirements elicitations with various stakeholders, developers, QA and management to identify critical success factors of application.
• Planned and carried all activities while working as a liaison between business users and developers to submit requirements and change requests.
• Collaborated with project managers, Marketing, and sales team members to gather data for marketing, sales, and distribution projects.
• Implemented google analytics data tracking campaigns for effective email and digital marketing, deployed by Microsoft dynamics.
• Maintain strong knowledge of the functional capabilities across the enterprise and work closely with business segments and technology teams to translate strategic goals into delivery-focused change initiative.
• Contribute to the development of project controls work processes, tools, and procedures included in the project controls system.
• Initiate project kick off with project management team.
• Coordinate marketing Events.
• Implemented google analytics data tracking campaigns to maximize efficiency and effectiveness.
• Track and triaged development related tickets
• Maintained good coordination with the QA or technical team to bring stability in the project.
• Extensively experienced for organizing and documenting requirements, preparing narrative use cases, writing business documents and reports in Pre- Testing phase.
• Maintain requirement documents, UML diagrams, meeting notes on Confluence
• Performed requirement walkthroughs with the Development and QA teams with the aim to develop testing strategies and test plans such that test cases reflect user needs.
• Gathered business requirements and documented them.
• Worked with IT team, Excel and other tools to organize the data on File Servers for proper naming conventions, Folder creations, granting Permissions to various folders.

Confidential, San Diego, CA.

Business Analyst.

• Involved in gathering, documenting and verifying business requirements.
• Worked closely with stakeholders and SME’s for requirements gathering.
• Identified end-to-end requirements for all systems and business units that may be impacted by the project.
• Verified various transactions according to HIPAA rules (834) and EDI X12 standard.
• Strong understanding of Healthcare EDI transaction like 834 and 820.
• Analyze
• Stay current with changing technical protocols and Healthcare regulations regarding data exchange.
• Perform routine and ad hoc analysis of various facets of EDI processing including but not limited to system performance, turnaround times, data mapping, and claim volumes.
• Ensure compliance with HIPAA regulations and requirements
• Involved in preparing several Use Cases, Business Process Flows, and Activity Diagrams using Microsoft Visio.
• Worked on requirements of the 835 HIPAA projects, 276/277, 278, 837, 834 and HIPAA EDI Transactions across enterprise.
• Tested the ANSI X12 Version 4010 / EDI transactions (HIPAA) like 270, 271, 276, 277 P, 837I, 837D, 835 remittances, 834 enrollment)
• Worked on EDI transactions: 270, 271, 834, 820, 835, and 837 (P.I.D) to identify key data set elements for designated record set. Interacted with Claims, Payments and Enrollment hence analyzing and documenting related business processes.
• Responsible for interacting with client for requirements gathering, analyzing requirements, and creating detailed specifications.
• Involved in gap analysis for ICD 9 to ICD 10.
• Analyzed user and data issues related to Medicaid eligibility determination system.
• Involved in testing the Member Enrollment, Eligibility Enquiry, Eligibility Response, Claim Status Enquiry, Claim Status Response and conversion of Financial Claims.
• Re-engineering and capturing of EDI transactions with legacy systems Enrollment -834, Eligibility Transaction (270/271), Claims (837), Claim Status Request and Response (276/277), Remittance (835) .
• Worked closely with the development team to communicate client requirements business rules

Confidential . Houston, TX. .

Business Analyst

• Interacted with the business to gather requirements and analyzed the feasibility of their needs by coordinating with the project manager and technical lead.
• Maintain strong knowledge of the functional capabilities across the enterprise and work closely with business segments and technology teams to translate strategic goals into delivery-focused change initiative.
• Leads and assists on transportation development efforts to improve productivity and profitability through existing process improvements and implementations of new technology solutions
• Identified, researched, investigated, analyzed defined opportunities for business process improvement, documented business processes and initiated efforts to make improvements.
• Administered CRM application for Sales, Marketing, and Support departments. Involved in creating multiple analytical reports, with varying degrees of complexity.
• Manage the day to day shipment of freight for multiple freight classes, including LTL, TL, intermodal, and bulk liquid.
• Follows specifications given for projects of collecting data and reporting on it.
• Responsible for adhering to project plans and reports on project status to management.
• Administered complex sales, campaigns and marketing apps on Salesforce.com platform for 4000 users with different time zone and currency.
• Worked on WMS using 3PL Central.
• Participated as part of the Supply Chain, Merchandising, & Warehouse Committee to present monthly releases based on ITIL process.
• Implemented SOAP based Web Services to provide some functionality for the third party clients.
• Worked with teams and business partners to identify practical solutions through existing and/or new business systems technology, responsible for the administration and ongoing support of the application in cooperation with the business and areas of IT.
• Worked closely with the User Acceptance Test Coordinator, Project Manager and Business System Analysts to understand business processes and developed concrete UAT cases.
• Coordinate and conducted regular team meetings to facilitate team goals and develop vision and strategy for building the Data Integration/Data Warehouse team.
• Used and administered Sales force CRM, in a support capacity logging tickets, and running adhoc reports for performance related metrics and lead management.
• Responsible for performing administrative functions in Sales force CRM such as create/modify pick lists and lookup fields.

Confidential

Business Analyst.

• Facilitated development of questionnaires and interviews for SME's and business users in order to gather requirements while working in agile environment.
• Conducted brainstorming sessions with the business users and SMEs to elicit requirements and worked with business analyst in the creation of, BRD, Functional and Non-Functional requirements documents taking into consideration Supply chain process in SAP business One.
• Initiate project kick off with project management team.
• Identified the process flaws in the existing system and recommended business process improvements through automation in the new system after analyzing and documenting as-is system and to-be system.
• Conducted detail business and process due-diligence in order to develop the functional requirement specification documents.
• Working with the Product Development team, Marketing teams, and Agents to learn the functionality and scope of the application(WMS)
• Worked on Transportation Management system to contribute with warehouse management methodologies.
• Experience with applications such as Order Manager, Warehouse Management System.
• Participated in JAD sessions for requirements elicitations with various stakeholders, developers, QA and management to identify critical success factors of application.
• Planned and carried all activities while working as a liaison between business users and developers to submit requirements and change requests.
• Worked with teams and business partners to identify practical solutions through existing and/or new business systems technology, responsible for the administration and ongoing support of the application in cooperation with the business and areas of IT.
• Track and triaged development related tickets in
• Extensively experienced for organizing and documenting requirements, preparing narrative use cases, writing business documents and reports in Pre- Testing phase.
• Maintain requirement documents, UML diagrams, meeting notes on Confluence
• Performed requirement walkthroughs with the Development and QA teams with the aim to develop testing strategies and test plans such that test cases reflect user needs.
• Gathered business requirements and documented them.
• Worked with IT team, used SQL, Excel and other tools to organize the data on File Servers for proper naming conventions, Folder creations, granting Permissions to various folders.

Confidential

Business Analyst.

• Defined the timeline for gathering business requirements and functional requirements.
• Managing requirement gathering process from all the engineers, scoopers, fielders, project coordinators, project managers, program managers.
• Managed the annual employee compensation planning activities; year-end merit review cycle, special adjustments, and the semiannual bonus cycles
• Determined salaries and adjustments for new and existing jobs; reviewed job descriptions to align position with external market data and internal employees
• Acted as project manager for team of eight during full cycle implementation of web-based performance evaluation system
• Prepared annual executive compensation benchmark information
• Managed automobile expense reimbursement program
• Coordinated training of HR colleagues to assist them in navigating through new Kronos HR system
• Supported department in HR related projects
• Consulted with leadership regarding findings from annual and ad hoc market analysis of jobs and compensation practices to ensure competitiveness in hiring and retaining associates
• Member of the Incentive Center of Excellence leadership team responsible for facilitating team meetings and reviewing new sales incentive plans to ensure adherence to the Company's philosophy
• Led the job classification, evaluation, and titling process
• Project manager for the annual focal merit review
• Communicated regularly with HR Business Partners and leaders on compensation program changes
• Provided compensation consultation and advice to leadership and human resource professionals during the integration of new and revised compensation programs
• Researched trends in compensation programs and practices and developed recommendations to remain competitive in the market
• Developed compensation processes and guidelines for human resource professionals to follow
• Managed the merit increase process
• Followed emerging compensation issues and trends to be proactive with recommendations for change and to ensure compliance with federal and state employment laws and regulations
• Trained less experienced compensation staff and human resource professionals
• Worked closely with stakeholders and SME’s for requirements gathering.
• Conducting JAD sessions with the management, vendors, end users, engineers, and other stakeholders.
• Developing documentation for functional requirements, business rules, constraints, of major engineering processes.
• Developed UI simulations/mockups for clients to have a better understanding of the final product.

Confidential

Business Analyst

• Involved in preparing several Use Cases, Business Process Flows, and Activity Diagrams using Microsoft Visio.
• Designed the process flow diagrams for flow of information and report creation process.
• Worked with a cross functional team including Sales and Marketing.
• Worked with the account managers, managements, and report requestors to gather requirements, get report requests.
• Involved in preparing several Use Cases, Business Process Flows, and Activity Diagrams using Microsoft Visio.
• Prepared Need Analysis Documents of the requirements gathered through JAD sessions.
• Documented all the changes in the initial templates and was responsible for Release Management.
• Reviewed Requirements & deliverables for delivery timeline.
• Used MS Visio to create Flow diagrams and Use Case Diagrams for eligibility.
• Created presentations explaining the entire report development process, while drawing a comparison between the legacy & the new report.
• Coordinated with the developer, on day-to-day basis, during the development process.
• Worked on Report Re-engineering Project and made enhancements Worked closely with the development team to communicate client requirements.
• Responsible for reporting status ensuring accurate coverage of requirements and business rules.
• Performed Migration and Validation per SDLC standards. Interacted with the Test Team and reviewed Test Plans and Cases.
• Worked in testing the professional, institutional claims processing and adjudication and validate data with facets.
• Interacting with other teams through walkthroughs, teleconferences, meetings, etc. to resolve various issues.
• Wrote test cases and test scripts for the User Acceptance testing.

Confidential

Business Analyst.

• Gathering Business Requirements, developing Use-Cases and preparing business models (BPM).
• Maintaining training manuals for engineers in coordination with project managers.
• Working in coordination with the technology and the business clients including telecom engineers working on ICEL projects.
• Managing requirement gathering process from all the engineers, scoopers, fielders, project coordinators, project managers, program managers of ICEL.
• Conducting JAD sessions with the management, vendors, end users, engineers, and other stakeholders.
• Developing documentation for functional requirements, business rules, constraints, of major engineering processes.
• Databases, web-based systems, and object-oriented design.
• Implementing and monitoring Individual Development Plans for engineers on total performance, including quality and productivity.
• Using Unified Modeling Language (UML) diagrams, flow charts, swim lane flowcharts, and diagrams through Visio in process flow.
• Maintaining all project documentation on JIRA.
• Developed UI simulations/mockups for clients to have a better understanding of the final product.

C ORE SKILL s

• Key relationship building & interpersonal skills.
• Advance problem-solving abilities.
• Time management skills.
• Strong initiative on responsibility & self-driven.
• Team-oriented professional.
• Pro-active and ability to perform multiple tasks.

• Good skills in MS Excel and Word with the ability to learn additional programs as needed
• High level of integrity and discretion.