SUMMARY

• 7+ years of experience in business process analysis, business requirements modeling, data analysis and development of Web Based and Client/Server applications in diverse business domains of Payer, Provider, Service based industries, Sales, Marketing and Finance.
• Proficient in design of the project charter, developing project plans, work breakdown structure, gathering and converting User Requirements into Business Requirements and Functional Requirement Specifications (FRS) and design of Business Process flows, Use Cases, User Stories, Test Strategy, Implementation Plans to establish deadlines and managing multiple highly complex projects within a fast - paced, ever changing environment.
• Strong knowledge of managed Claims management process, Knowledge of Medicaid and Medicare Services, CDISC, SDTM, Pharmacovigilance, drug safety, Adverse event reporting, HL7 Interfaces, HIPAA, EDI 834, 835,837, Compliance issues, LOINC and SNOMED Mapping, MMIS, DICOM, PACS, ICD 9, ICD 10, Electronic Medical Records, EPIC, Siemens, Meditech.
• Strong experience with different Project Management Methodologies like Waterfall, Agile, Scrum, RUP.
• Solid understanding of Java, Dot Net, Web Services, Cache Databases, Relational Databases, Data warehousing, Data mining, Business Intelligence, Data visualization tools like Tableau, Crystal Reports, SAS to build trends and for reporting needs.
• Experience in conducting Joint Application Development (JAD) sessions and White Board Sessions with end-users, Subject Matter Expert (SMEs) team, Architects and design group development.
• Creative and aggressive self-starter with integrative thinking skills, capable of communicating creative ideas through graphical analysis charts and statistical data display.

TECHNICAL SKILLS

Project Management Tools: MS-Project, SharePoint, TFS, Jira, Version1, Confluence.

Business Process Modelling Tools: MS-Visio, Balsamiq, Zoho creator.

Project Methodologies: RUP, Agile, Waterfall.

Databases: SQL server, MS-Access, Oracle, Cache.

Analytics Tools: SAS, SPSS, Tableau, Crystal Reports.

PROFESSIONAL EXPERIENCE

Confidential, MA

Product Analyst/Scrum Master

Responsibilities:

• Analyze proposed enhancements to the existing MathWorks business and license models, supporting company's custom licensing and activation systems.
• Involved in migration of the features from grails app to java app; Designed MVP by utilizing material UI framework with reusable react components; Held discover sessions with business users, design of the UI prototypes, documenting user stories.
• Designed specifications for extract of data from legacy. Created conceptual model by leveraging existing data model; defined requirement for new API/creating new end points for APIs; specifications for solr documents for audit data.
• Identifiers the triggers, use cases for auditing, defined the data archival strategy based on the company policies, designed UI for viewing the audit history.
• Responsible for holding scrum ceremonies i.e., backlog grooming, story pointing, estimation/ planning, sprint retrospectives and reporting the project status to the management.

Environment: Java, React.js, Jira, Confluence, SQL Server, Solr, Backlog grooming, User Story, MS-Visio

Confidential

Technical Project Manager

Responsibilities:

• Involved in review of initial Medicaid Enterprise Certification Toolkit (MECT) Checklists against the Tracks of MMIS Replacement RFP requirements for compliance during procurement. Identify appropriate checklist to correlate to the MMIS Subsystems.
• Facilitate and mitigate scope management and scope creep. Manage, estimate and communicate change orders, defining project risk and opportunities, cross-functional communication and decision making.
• Implement new services and programs via MMIS for the Medicaid program by directly interfacing with the customer and the system engineers on a regular basis.
• Analyzed business needs and developed user stories, Data flow diagrams and complied them into Business design document (BDD), redesign of some modules utilizing the FHIR API, design of CMS reports.
• Working with developers to prepare TDD (Technical design Document) and participate in code reviews.
• Validated, documented and tested component programs in an efficient manner for inclusion in integrated reports.
• Co-ordinated QA activities, producing required deliverables and assuring compliance with the contract and MITA requirements.
• Oversee the testing activities and provide a final sign off on the product for deployment.

Environment: SAS, MS-Visio, XML, ETL, API, EDI, MS-Project, BRD, JIRA, Windows.

Confidential

Business Data Analyst

Responsibilities:

• Responsible for managing the integration components for application migration. Coordinated with the customer to gather requirements and manage expectations.
• Designed conceptual data model for Blue Quote plus Data Exchange and created an interim data model for SFDC objects (Account, Group, Product, Plan, opportunity, dashboard, price book, Reports) for updating the SG Sales System.
• Designed ETL processes to extract data from BQ+ and creation of web service to update RTMS.
• Customized page layouts for Salesforce standard and custom objects. Involved in Design and development of Workflows rules, triggers, validation rules and other customizations with Salesforce.
• Created and analyzed custom reports and dashboard for management and various business unit personnel to provide detail information on key performance indicators.
• Connected to various data sources via Tableau update the data feed by extract or live connections as required.
• Created Parameters, customized Calculations, Conditions and Filters for various analytical reports and dashboards in Tableau 10.01.
• Assists with integration of IAM systems with in-house and third-party applications for provisioning, identity authentication and developing connectors between IAM tools and system resources.
• Coordinated Informatica MDM Upgrade and defined requirements for new Match-Merge Rules, user exits, added new rules to the publication strategy, address doc and Informatica Data Director Enhancement.

Environment: Informatica MDM10.1, Oracle, Version1, MS-Project, Visio, Salesforce, Tableau.

Confidential, Westford, MA

Data Analyst

Responsibilities:

• Implemented an ODS that archives about 100,000 transactions monthly from interoperable health information exchange to enable user to check the progress of the dialysis patients.
• Articulated project goals and scope, translated business needs into technical terms, prepared detailed work breakdown structures (WBS) and instilled shared accountability for achieving project milestones.
• Designed effective, ongoing and sustainable conceptual data model for storing data from the CDA XML files and the feedback XML files. Designed BRD, DB tables for creating a data store for the files.
• Created source to target mappings from the CDA XML files to the Tables in NHSN Data Store. Created reports for CMS provider incentive programs using SAS.
• Involved in testing of all the ETL processes and BI reports.

Environment: Oracle, Informatica, SAS, CDA (Clinical Document Architecture), ETL, SQL, MS-VISIO.

Confidential, Wellesley, MA

Clinical Data Analyst

Responsibilities:

• Managed clinical informatics components focused on seamlessly delivering medication, immunization, and allergy related clinical data to the enterprise EMRs using service-oriented architecture principles.
• Coordination of all implementation tasks involving third party vendors as well as provide inputs to clients on system implementation. Followed a methodical Change Management Process.
• Designed the one-time flat file load requirements for migration of legacy repository to EPIC; HL7 specifications documents for sending the live immunization and allergy data to epic through ensemble interface engine and end to end data mapping from EMEDS to EPIC.
• Enhanced the web services used in PAML(Pre-admission Medication list), CDS(Clinical Decision Support) and Interaction Checks(Drug-Drug and Drug-Allergy), testing the monthly FDB loads to PEAR repository.
• Involved in troubleshooting of the issues with respect to parsing of the HL7 transactions through Ensemble Monitor Viewer and Epic Bridges. Configured the interface alerts and error work queues.
• Created SLAs for issue resolution, participated in on-call rotation during EPIC implementation, analysis and documentation of all new interface requests.
• Supported the end users during go-live by providing on-site support, working on issues, escalating appropriate issues.

Environment: Epic, MUMPS Database, SQL, SSRS, SSIS, Clarity, MEDITECH, Ensemble, EPIC Bridges, SOA.

Confidential, Austin, TX

Product Analyst

Responsibilities:

• Worked in the Product Development and Management (PDM) team to analyze development strategy and processes for new concepts.
• Conducted gap analysis of the existing system and identified the requirements for the system to comply.
• Responsible for creating the ICD9 to SNOMED data mappings and creating the new SNOMED Master table, NDC to Rx Norm Crosswalk by mapping the medications in the Multum table to the Rx Norm Code for CCDA generation, CPT to LOINC data mappings for lab results, vital signs etc.
• Implementing the BIC dashboard. Responsible for creating the triggers and the flow for the automated measures.
• Co-ordinated with the off-shores teams for resolving the queries and clarification on business details to the technical team, involved in design review, UAT.

Environment: MS SQL, Team Foundation Server.HL7, MS-Office, MS-Project 2010, Agile, SQL Server, MS-Visio.