SUMMARY:

• 6 Years of Experience in all phases of Software Development Life Cycle (SDLC).
• Experience in software development methodologies like - Agile (such as Scrum) and Waterfall.
• Expertise in Business Analysis, GAP Analysis, Data Analysis, Business Rules and developing and creating business process documents.
• Proficient in preparing Business Requirement Document (BRD), Software Requirement Specification (SRS), Functional Specifications, Use Cases, and User Manuals.
• Good knowledge of important and frequently used UML diagrams such as Use Case Diagrams, Activity Diagrams and Sequence Diagrams.
• Experience in using Joint Requirement Planning (JRP) and Joint Application Development (JAD) sessions for gathering requirements and brainstorming ideas.
• Strong background in developing data mapping, data profiling and identifying bottlenecks of sources, mappings, and targets.
• Sound knowledge of HIPAA 4010 to 5010 migration and ICD 9 to ICD 10 codes conversions and mapping.
• Knowledge of different modules within Healthcare Claims Adjudication Process (Membership process, Billing process and enrollment & Claims process).
• Excellent experience in EDI 837 - Claims processing and Encounters, EDI 834 - Benefit Enrollment and Maintenance, EDI 835 - Claim Payment/Advice.
• Ability to supervise and ensure testing is done with regards to requirements of the project.
• Strong understanding of data quality assurance processes and procedures.
• Created data flow diagrams, data mapping from Source to Stage and Stage to Target mapping documents.
• Analyzing and validating data from different data sources using various SQL queries.
• 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.
• Good knowledge of SQL Server Database and developing SQL queries in IBM AS400 for data driven test and back-end testing of the project.
• Created Test cases and Test scripts for System Integration Testing (SIT), User Acceptance Testing (UAT).
• Experience in using Quick Test Professional (QTP) testing for Client /Server, Web and Database Applications.
• Skilled in using change control and bug tracking tools like TFS and Quality Center for identifying, analyzing, assigning and documenting defects including version and change control.
• Experience with handling User Acceptance Tests (UAT).
• Attention to details and ability to prioritize tasks along with excellent project management and problem solving skills.
• Skilled at learning new concepts quickly, can work well under pressure and able to communicate ideas clearly and effectively.
• Excellent team player with an ability to perform individually, good interpersonal and analytical skills

TECHNICAL SKILLS:

OPERATING SYSTEM: Windows Server, Windows, UNIX, Linux, MAC, MS-DOS

TESTING TOOLS: HPQC, Load Runner, Quick Test pro

FRONT END TOOLS: Adobe Photoshop, MS Excel, MS Office, MS Project

LANGUAGES: C, C+ +, HTML, XML, UML

REQUIREMENT MANAGEMENT: Rational Requisite Pro, Caliber RM

MODELING TOOLS: MS Visio, Rational Rose, Caliber RDM

PROJECTMANAGEMENT TOOLS: MS Project, Share Point 2010, JIRA, Confluence, Primavera

BUG TRACKING TOOLS: Rational Clear Quest, Rational Clear Case

METHODOLOGIES (SDLC): Scrum, Agile, Rational Unified Process (RUP), Waterfall Model

DATABASE: Oracle, MS SQL Server, DB2, MS Access

PROFESSIONAL EXPERIENCE:

Confidential, Phoenix, AZ

Technical Business Analyst/ Scrum Master

Responsibilities:

• Educate team to transition from waterfall to agile methodology. Explain them difference between doing agile Vs being agile.
• Facilitated all the SCRUM ceremonies like Sprint Envisioning, Daily Stand-up, User stories Estimation and Sprint Retrospective.
• Make sure acceptance criteria in the user stories is clear and easy to understand so that team can develop the functionality efficiently
• Prepare Sprint review deck to report the status of the stories in the current sprint, velocity trend and sprint burn downs to the business stakeholders and other impacted teams.
• Conduct agile games for teams to gain knowledge in agile and actively participate in discussions.
• Conducted Joint Requirements planning sessions (JRP) as a facilitator to gather requirements from the Business User and conducted many Joint Application Development (JAD) and Joint Application Management (JAM) and conducted many Rapid application development (RAD) sessions.
• Collaborate with the Product Owner on project/roadmap planning, facilitated daily stand-up meetings, reviews, retrospectives, sprint and release planning, demos and other Scrum-related meetings.
• Coordinated cross-functional process development and identified opportunities and improve the process.
• Developed As-Is and To-Be Business Process Models for complex processes by analyzing the current processes, and gathering information from SME's.
• Involved in all phases of software development life cycle (SDLC) in agile framework.
• Used MS-Visio for Flow-Charting, Use Case process model and Architectural design of the application.
• Managed requirements and use cases with the help of Enterprise Architect.
• Used SQL, Toad, Data Warehousing and Data Cleansing for the arrangement of customer data.
• Queried database using Web focus and acted as a Liaison between end users and the data team (Business Intelligence Competency team).
• Performed analysis and data manipulation of source data from SQL Server and other data structures to support the business organization; these departments include planning, evaluation, programs, and administration.
• Continuously monitored the business process using the (BPMN) tools like Appian.
• Arranged sprint grooming, planning, daily scrum, sprint demo, and sprint retrospectives.
• Managed the product backlog with user stories through progressive refinement applying business prioritization, solution approach, and technical delivery considerations.
• Created, edited, and maintained SQL and DB2 queries and procedures using simple and complex forms for the production department.
• Reviewed Business Rules written for middle tier and validated XML schema for system data documentation including the requirement data document.
• Addressed reporting issues to the reporting team, tracked initial work items, bugs identified and any investigative issues in TFS to conclusion.
• Conducted walk through sessions to discuss certain issues with stakeholders, architectures and design & development teams and also performed GAP Analysis.
• Involved in loading data from XML files to Database.
• Documented all the aspects of Systems validation lifecycle in accordance with the FDA regulations, including Validation Plan and Protocol, Installation Qualification (IQ) Specifications, Operation Qualification (OQ) Specifications, Performance Qualification (PQ) Specification.
• Meticulously assessed data from various sources and generated conceptual and logical database designs using ERwin data modeling tool.
• Manage data validation processes to ensure compliance with CMS reporting requirements.
• Managed product backlog within JIRA and Tracked UAT issues/bugs and prepared reports.
• Regularly interacted with the Testing team for executing the Test Plans, providing Test Data, creating Test Cases, and resolving issues upon detection of bugs and collecting the Test Metrics.
• Assisted QA team with User Acceptance Testing, develop and maintain quality procedures ensuring that appropriate documentation is in place.

Environment: Office 365, SQL, MS Project, MS Visio, Unix, Rational Rose, Rational Requisite Pro, DB2, TFS, JIRA, Facets, XML, Windows, HP Load Runner, Agile, HP Quality Center.

Confidential, Nashville, TN

Business Analyst/ Scrum Master

Responsibilities:

• Utilized Agile/SCRUM methodologies to monitor steer and develop project objectives.
• Conducted user interviews, gathered requirements, analyzed the requirements using REI/HP ALM.
• Responsible for customer interface, requirements definition, general and detailed design, testing, maintenance and training programs and managed requirements using REI.
• Designed and developed Use Cases, Activity Diagrams, Sequence Diagrams, OOAD using UML and Business Process Modelling.
• Recommended solutions based on data analysis to increase business efficiency and/or improve existing processes.
• Conducted User Acceptance Testing (UAT) for projects, implementations, system fixes, and enhancements, etc.
• As a part of Pre-work, worked on estimating Level of Effort (LOE) and Binding Estimate.
• Used HP ALM tool for requirement management and Requirements Elicitation Integration(REI) tool during requirement elicitation sessions.
• Involved in the day-to-day implementation of the Rational Unified Process (RUP) methodology of application development with its various workflows, artifacts and activities.
• Used various elicitation techniques like brainstorming, Document Analysis, Prototyping, Requirements workshops to gather requirements from various stakeholders.
• Worked with Business Process Modelling (BPM) team to update/create new Knowledge Exchange (KE) business process flows to map the requirements for trackability purposes.
• Worked with trackability team to Identifying the defects in the Vbrd.
• Worked with multi-functional team on various projects, lead requirement elicitations sessions with the PM and business users and scope gathering sessions.
• Used JIRA for Project/Issue Management.
• Worked with Source Deliverable Repository (SDR) tool for approvals on the BRDs.
• Designed various mockup solutions for various projects.
• Used Microsoft Visio in designing the process flows and other visual representation which can be used to scope the project.
• Conducted walk through sessions of the BRD before the formal approval process.

Environment: Waterfall, Agile/Scrum, JIRA, HP ALM, REI (Requirement Elicitation Integration) MS Project, Facets, MS Visio, MS Office Suite, SQL Server, SharePoint.

Confidential, Portland, Oregon

Business Analyst

Responsibilities:

• Analyzed current business by understanding preset business rules and conditions.
• Conducted formal interviews and JAD sessions with business users and SME’s.
• Participated on the daily scrum meetings to make sure everything is going smooth and to add value by correcting the issues that arise while working in both Agile methodology as well as Waterfall methodology.
• Designed and developed product backlog, user stories, use cases diagrams, activity diagrams and sequence diagrams .
• Created Test plans and Test cases based on the business requirements
• Involved in Backend Testing to verify data integrity by using SQL .
• Created Data Flow Diagrams (DFDs), ER diagrams for data modeling and Web-page mock-ups using MS Visio for acceptance from end users .
• Defined project milestones, schedules, and monitored progress of the project using MS Project, updated plans as required and updated Salesforce database for analysis
• Analyzed and tested data Interface with external systems, manipulated, and updated with SQL .
• Wrote test cases for multiple EDI transactions including 837, 835, 276, 277 transactions.
• Conducted Gap Analysis to analyze the client’s applications programs to determine the impact of HIPAA final on EDI transaction set and defined the changes to bring the affected systems into HIPAA compliance.
• Gathered AS-IS and TO-BE information for gap analysis between systems, in order to capture the functionality of the application.
• Exposed and worked in Prior Authorization of Claims, w orked with FACETS Team for H IPAA Claims Validation and Verification Process (Pre-Adjudication).
• Assisted with user testing of systems and maintained quality procedures and ensured appropriate documentation is in place.
• Used SharePoint to upload the work in progress document, in order to share across the team.

Environment: MS Office (MS Word, MS Excel, MS PowerPoint), MS Visio, UML, Rational Requisite Pro, Rational

Clear Quest, Quality Center, SQL, SQL Server, Oracle.

Confidential, Fort Mill, SC

Business Analyst

Responsibilities:

• Leading and facilitating the process of capturing and documenting the business/systems requirements including functional and non-functional requirements, use case definitions, business process redesign as needed for new/updated/enhanced technologies.
• Translating high-level business requirements into functional specifications for the technical teams and managing changes to such specifications.
• Created Use Case Diagrams, Activity Diagrams, Sequence Diagrams and ER Diagrams in MS Visio. Conducted JAD sessions with management, SME, vendors, users and other stakeholders for open and pending issues.
• Scheduled meetings with developers and testers to collaborate resource allocation and project completion using MS Project.
• Gather complete and clear requirements through JIRA Cards for Epics and User Stories.
• Experience with filed order management and integration to metering systems.
• Participate in daily Scrum meetings to provide functional clarifications to developers.
• Using Visual Modeling Platform - Enterprise Architect to customize requirements documentation, linking requirements to the design and implementation details, and providing Requirements Traceability through the design, construction and implementation phases.
• Reviewing the system testing plan/results from requirements perspective and provide UAT support.
• Working with technical design team to clarify/refine/elaborate requirements as the technical implementation progresses and serve as a coordinator between business/customer and technical teams.
• Assisting Project Manager in developing project schedule/scope and creating various status reports.
• Writing, testing and executing SQL queries to access data from database.
• Analyzed and accurately identified business risk, baseline acceptance criteria and deliverables.

Environment: MS Visio, Enterprise Architect, SharePoint, JIRA, MS-Office (MS Excel, MS Word, MS PowerPoint), SQL queries, UAT, System Testing, ER Diagrams, JAR sessions.

Confidential

Business Analyst

Responsibilities:

• Utilized Agile and PMI methodologies to monitor steer and develop project objectives.
• Responsible for identifying business and technical problems and tracking them through the software implementation lifecycle process
• Involved in creating targeted questionnaires for SMEs to gather requirements
• Conducted JAD sessions with the client stakeholders and SMEs to ensure a complete understanding of the system requirements, business impacts, timelines and documented detailed business & technical specifications.
• Assisted in development of web enabled UI screens, mock-ups and reports
• All requirements are documented and validated with wire frames and prototypes.
• Document project related artifacts and send them for offsite review and store them in the project database.
• Successfully used Agile Method for gathering requirements and facilitated user stories workshop.
• Participating in the evaluation of change requests in terms of their feasibility, validity and project impact.
• Provide tasks based reports to the manager and evaluate team SLA (Service Level Agreements) on weekly and monthly basis.
• Assisted in writing SQL queries like select, Update, and Joins to retrieve desired information.
• Actively involved in walkthroughs and meetings with development team to discuss related issues.
• Performed manual and performance testing for the Test Cases and verified the working of new interface by using positive and negative data.
• UAT testing performed along with call center managers to make sure that application meets their requirements.
• Conduct weekly status meetings with UAT for discussing bugs and enhancements.

Environment: MS Word, MS Excel, MS PowerPoint, MS Visio, MS Project, SharePoint, RUP, UML, HIPAA.