SUMMARY

• Over nine years of experience as a Senior Business Analyst in various domains like: healthcare, insurance, e - commerce and retail. Last five years I was directly working in Health care domain as well as performing project manager’s responsibilities.
• Experience in all phases of software deployment life cycle (Agile and RUP) including application demos, requirement analysis, business analysis, design and construction phases of application development, change management, ongoing support
• Experience in conducting JAD sessions, Scrum session, Brainstorming sessions and Focus Groups
• Experience in conducting GAP Analysis, Feasibility Analysis and ROI, Impact Analysis, SWOT analysis, Cost Benefit Analysis, Risk Analysis and Business Process Engineering by using Business Analysis tools.
• Proficient in Technical and Business Writing, Business Process Flow, Business Process Modeling, Business Analysis and Testing various methodologies.
• Expertise in Project Management i.e. Project Scoping, Planning, Estimating, Scheduling, Organizing, Directing, Controlling, Budgeting and Drafting Remedy Procedures.
• Experience in facilitating Joint Requirement Planning (JRP) sessions with Business User Groups, conducting Joint Application Development (JAD) sessions with IT Groups and Conflict Management with Project team members.
• In depth knowledge Rational Unified Process (RUP) methodology, Agile Scrum and Waterfall Software Development Life Cycle (SDLC) processes.
• Competent in Creating Unified Modeling Language (UML) diagrams such as Use Case Diagrams, Activity Diagrams, Class Diagrams, sequence Diagrams, logical and physical diagrams, context diagrams, cause and effect diagrams, decomposition diagrams and many more
• Extensive experience in developing Use Cases, business process modeling, creating Screen Mockups, proto types and wire frames.
• Facilitated Change Management across entire process from Project conceptualization to Testing through Project Delivery, Software Development and Implementation Management in diverse Business and Technical Environments.
• Experienced in User experience (UX) definition and User Interface (UI) design.
• Responsible to Track, Document, Capture, Manage and Communicate the Requirements using Requirement Traceability Matrix (RTM) which helped in controlling numerous artifacts produced by the teams across the deliverables for a project
• Involved in Test Planning, Test Preparation, Test Execution, Issue Resolution and Report Generation to assure that all aspects of a Project are in Compliance with the Business Requirements.
• Strong experience in conducting User Acceptance Testing (UAT) and documentation of Test Cases. Expertise in designing and developing Test Plans and Test Scripts.
• Interface with clients from Operations, Marketing, Sales, Technologies, and Outside Vendors and act as their customer interface point as the lead of the Projects.
• Highly motivated team player with excellent Interpersonal and Customer Relational Skills, Proven Communication, Organizational, Analytical, Presentation Skills, and Leadership Qualities.
• Experienced in ICD 9 to 10, EDI Transaction, HIPAA 4010/5010, Affordable Care Act, Health Care Claim Submission, Health Care Claim Adjudication, Rx Claim, E-Prescription, E-Lab, PBM (Pharmacy Benefit Management), HIE (Health Information Exchange), HIX (Health Insurance Exchange), Medicare (Part A, B, C, D), Medicaid, EMR (Electronic Medical Record), Revenue Cycle Management and Different Health Insurance Plan and Benefits.

TECHNICAL SKILLS

Platforms: Windows 2000/XP/NT, Linux, Windows Vista and 7Programming Languages C++, Java1.4/J2EE, HTML, COBOL, XML, PHP

Databases: Oracle 8.1/9i, 10g, MS SQL, IBM DB2

Content/Change Management Tools: MS Share Point, Rational Clear Case

Modeling & Analysis Tools: Rational Rose, MS Visio, Rational Requisite Pro, Caliber RM

Web Development/Design Tools: Flash, Adobe Creative Suite, Balsamiq, iRise Studio

Testing Tools: Rational Clear Quest, HPQC, Load Runner, Rational Test Manager

Project Management Tools: MS Project, Rational Team Concert

Office Tools: MS Word, PowerPoint, Excel, Outlook

PROFESSIONAL EXPERIENCE

Confidential, Deerfield, IL

Sr Business Analyst

Responsibilities:

• Responsible for creating project score document for Pharma and Operation on the basis of report list from Business people where focusing on what are the areas we are the reports are in scope and I need to analyze.
• Conduct gap analysis and mapping each report from Cognos report studio for collecting and documenting various areas of the reports such as: tables, columns, filters, logics, calculations etc.
• Create Master list of report analysis so the whole team can identify the analysis and which also help architect to get some information in report level.
• Responsible for creating summary of all report analysis as well as identify ICD9, HIPAA impacted reports so the project team can get all the information in once.
• Creating work packages and task list to assign various tasks to internal team members so I can report to my project manager and program manager about deliverables.
• Maintain traceability matrix for track all report areas so I can provide information and status of each report area. Also responsible for provide weekly status report to project manager regarding whole week’s deliverables and action plan for coming week.
• Responsible for scheduling meeting and creating agenda for business meetings to finalize the report list for Pharma and Operations as well as gather and documenting high level business requirement.
• Create Business Requirement Document (BRD) and get sign-off by the business
• Start working on Pharma and Operation report grouping and Iidentify what are the common elements in each group.
• Create Report grouping list and ICD 9 impacted report list and sent to architect as well as prepare Techno Functional Specification Document for each report groups.
• Developed Activity Diagrams, logical and physical diagrams, Sequence Diagrams, low level business process flow and decomposition diagram for use cases as well as created different wire frames, mockups and prototypes for newly added reports or rebuild reports with few changes.
• Involve in Cognos Frame Work Manager Analysis to identify what are the data base tables and columns associate with each individual reports as well as document every processes for verification and future use.
• Communicated with developers and QAs to make them understand the functionality of the report as well as involved in creating test scenarios along with test steps on the basis of each report.
• Managed offshore vendor team who was responsible for development. I was responsible to communicate with them and monitor them about their assigned tasks.
• Used Share Point for upload, edit and delete new and existing document to the team members.

Environment: RUP, Microsoft Office Suite, Cognos, MS SQL 2008, HPQC, MS Share Point, MS Visio 2008.

Confidential, Franklin Lakes, NJ

Sr. Business and Solution Analyst

Responsibilities:

• Conducted gap analysis, create project charter and LOE (Level of Effort) to identify the budget of the project and request for approval.
• Conducted JAD session with business people, stakeholders, SMEs, developing team as well as QA teams to gather high level requirement and in the mean time discuss with Dev team and QA team about the requirements’ feasibilities according to the system.
• Created work packages, task lists and schedule meetings with different group such as Business side, development side, QA and core project team to begin with HLR (High Level Requirement) gathering and HLD (High Level Design) session.
• Gathered and reviewed HLR (High Level Requirements) and DLR (Detail Level Requirements) and send to business people for approval as well as Included context diagram, activity diagram, high and low level business process flow as well as decomposition diagram to make clear understanding about the proposed business processes as well as interface system.
• Create and propose new business process model and process improvement logic and ideas.
• Created and reviewed HLD (High Level Design) and DLD (Detail Level Design) included logical and physical diagrams, sequence diagrams by using MS Visio and send to technical people for approval.
• Scheduled weekly meeting with core project team and discuss about different problems (if there is any) and on the basis of identified problem, we find out the appropriate solution.
• Created and maintained PTR (Project Traceability Matrix) so find out what is the current phase, delivery date, extended delivery date, issues related project and various follow up.
• Created different Experienced in User experience (UX) definition and User Interface (UI) design for different projects as well as mockups, prototypes and wire frames.
• Created change request to change management department if there is any requirement include or exclude.
• Collected different screen shorts and created new ware frames, mockups and prototypes for the project and introduce those wire frames to the team as well as business and technical team to develop those wire frames into the web services.
• Communicate with developers and QAs to collect information about their release schedule and make them understand about various artifacts.
• Managed offshore developing team for several project as well as create budgeting on the basis of their effort, did meetings, solved issues if there any.
• Used Share Point for upload, edit and delete new and existing document to the team members.
• Worked on Medicare and Medicaid clams for PBM. Identified different Medicare and Medicaid plans and procedures for claim adjudication and provide various claim process as well as focused on ICD 9 to 10 conversion, HIPAA, other Drug claims and adjudication.

Environment: Agile Scrum, Microsoft Office Suite, Smart Draw, MS SQL 2008, HPQC, MS Share Point, MS Visio, MS Office, MS Project

Confidential, Lincolnshire, IL

Sr Business Analyst

Responsibilities:

• Involved in preparing project scope document which focus on what are the areas we are going to develop and also mentioned the risks, assumption, dependences and limitation of the document.
• Identified various interfacing system of two EMR and created context diagram and spreadsheet with various information about these interfacing system to make understand stakeholders about the two EMR of Walgreens.
• Involved in different JAD sessions with stakeholders, system owners, architect and developers to present project scope document and gathered high level business requirements as well as analyzed the Requirements and managed changes using Rational Suite.
• Involved in creating project plan on the basis of available information and release schedule of other system owners.
• Created work package and task lists for completion of different artifacts.
• Developed business process models in RUP to document existing and future business processes as well as created Use Cases, page specification and Technical Interface Specification document and conducted meeting for getting feedback from system owners and architect for different artifacts and make correction if needed.
• Developed Activity Diagrams, logical and physical diagrams, Sequence Diagrams, low level business process flow and decomposition diagram for use cases as well as created different wire frames, mockups and prototypes for new web based business processes by which end users and customers can do their operations.
• Created different Experienced in User experience (UX) definition and User Interface (UI) design for project.
• Communicated with developers and QAs to collect information about their release schedule and make them understand about various artifacts.
• Managed offshore vendor team who was responsible for development of website and another offshore team who was dealing with all pharmacy claims. I was responsible to communicate with them and monitor them about their assigned tasks.
• Developed training materials for train users about new features of the projects.
• Used Share Point for upload, edit and delete new and existing document to the team members.
• Created e-prescription process for Medicare and Medicaid patients and enhanced those processes for claim adjudication.
• Created gap analysis about ICD 9 to 10 conversion process and also involved in data mapping for conversion.

Environment: RUP, Microsoft Office Suite, Case Completes, MS SQL 2008, HPQC, MS Share Point, MS Visio 2008, Balsamic.

Confidential, Waltham, MA

Sr Business Analyst

Responsibilities:

• Prepared scope of the project and developed new business process along with process mapping and user task analysis. I also evaluated documentation analysis and business process analysis to identify the problem with existing system and find out new and advance way to develop business process which was able to make the process more accurate.
• Garnered information and knowledge on ICD 9-10 and HIPAA 4010/5010 as well as Developed the transaction process more accurate and real time regarding 837 including HIPAA compliance and also integrated the system with HL7 process.
• Used Electronic Medical Record (EMR) to extract useful information regarding patients for claim submission to the insurance company.
• Conducted JAD session with different teams like business side and technical side to identify and gathered high level requirements and evaluated the priority level on the basis of meeting discussions and comments on requirements.
• Developed a vision plan that defined the primary goals and objectives of the project. Analyze user stories and segregated them into high level and low level.
• Prepared product backlog working with product owner and other SME as well as prioritized user stories and assigned to different sprints. Facilitated daily stand ups and managed task board with user stories and board as well as Prepared and tracked burn down charts and velocity charts for timely delivery of projects.
• Utilized corporation developed Agile SDLC methodology used scrum work pro and Microsoft office software to perform required job functions.
• Experience in designing and defining User Interface requirements and visual patterns by creating wire frames, screen mockups and story boards.
• Strong understanding about user interface (UI) and user experience (UX) design principles and users centered methodology.
• Developed user guides, provides user training, and supports the user in development of work processes.
• Supported UAT to evaluate the system performance and also developed system plan to quality center, review design, view test cases.
• Worked with offshore underwriter team who was actually verifying the healthcare claims before submission to different insurance company.
• Maintained Change and Traceability Matrix throughout the project keeping track of the scope, timelines and budget of the project as well as collaborated with development team to determine the security access and its tracking to ensure privacy of End users.
• Wrote various SQL queries to create, update, modify tables, create reports and retrieve information from the database.
• Creating application specific test plans and test case to support User Acceptance Testing (UAT).
• Provided weekly status updates to project stakeholders on the progress of project development activities.
• Worked with developing team to create advance claim submission process for Medicare and Medicaid patients as well as EDI transaction such as: 837 (P, I, D), 835, and 276/277.

Environment: Agile, MS Project, MS SQL 2008, Windows 2000/XP, HPQC, HTML, MS Visio, MS Share Point.

Confidential, Windsor, CT

Sr Business Analyst

Responsibilities:

• Assessed the current status of business process modeling (BPM) and developed project Developing processes, standards, and strategies for development of BPMs. Educating and training team members in effective BPM development as well as developing processes, standards, and strategies for development of “rules” and also educating and training team members in effective “rule” development.
• Created resource plans and negotiate scope with development and business units where I had to developed system requirements developed document current and future state plans and proposals and also what the system will do.
• Identified analyzed, defined, and documented detailed requirements to support projects and associated business objectives as well as experienced with common web delivery platform and in depth data analysis.
• Developed a vision plan that defined the primary goals and objectives of the project. Invited business and technical teams to gathered requirements by following JAD session process.
• Analyze user stories and separate them into high level and low level and prepared product backlog working with product owner and other SME as well as prioritized user stories and assigned to different sprints.
• Facilitated daily scrum meetings and managed task board with user stories and board and also prepared and tracked burn down charts and velocity charts for timely delivery of projects.
• Gathered end users’ or customers’ feedback according to the system and conducted retrospective meeting for continuous improvement if needed according to end users or customers.
• Created different Experienced in User experience (UX) definition and User Interface (UI) design for project as well as mockups, prototypes and wire frames.
• Conducted workflow analysis and GAP analysis to understand the shortcomings of the existing process and evaluated the benefits of the new system.
• Assisted development team in preparing wire frames for validating designs by the stakeholders.
• Employed Rational Clear Quest for effective Change Management and bug tracking during the testing lifecycle.
• Involved in User Acceptance Testing.
• Created wire frames to develop existing member enrollment and different plans which is offered by the company as well as for account creation for new customers via web based system.
• Worked in Medicare and Medicaid member enrollment process by which they can easily get access t their profile and charges as well as created new advance Medicare and Medicaid claim adjudication process as well as as well as EDI transaction such as: 834, 835, 270, 271, 276/277 etc

Environment: Agile, MS Office 2007, MS Project, Rational Requisite Pro, MS Visio 2007, MS SQL Server 2007, MS Share Point, HPQC.

Confidential ., Manard, MA

Business Analyst

Responsibilities:

• Interfaced with the client as part of the Requirements gathering team to finalize the project scope.
• Facilitated daily meetings and gathered Business Requirements.
• Conducted user interviews, gathered Requirements, analyzed the Requirements and managed changes using Rational Suite
• Assisted the PM in developing Use Cases and project plans and also managed changes to the scope of the project.
• Designed and developed Use Cases, Activity Diagrams, and Sequence Diagrams, process flow diagram using UML tools as well as created wire frames, mockups by using MS Visio.
• Developed business requirement specification documents as well as high-level project plan.
• Developed business process models in RUP to document existing and future business processes as well as performed extensive Requirement Analysis including data analysis and gap analysis.
• Documented and delivered Functional Specification Document to the project team.
• Created different Experienced in User experience (UX) definition and User Interface (UI) design for project as well as mockups, prototypes and wire frames.
• Participated in the logical and physical design sessions, assisted and developed high and low level design documents
• Involved in user testing of systems, developed and maintained quality procedures, and ensured that appropriate documentations were in place
• Functioned as the primary liaison between the business line, operations, and the technical areas throughout the project life cycle.
• Performed task decomposition, delegated tasks and monitored project milestones using MS Project.

Environment: RUP, Microsoft Office Suite, Google Analytics, MS SQL 2008, HPQC, MS CRM, Requisite Pro, Wire frames, MS Share Point, MS Visio 2008.

Confidential, Menomonee, WI

Business Analyst

Responsibilities:

• Worked with the business users to define business requirements and analyze the possible technical solutions.
• Conducted workflow, process diagram and gap analyses to derive requirements for existing systems enhancements
• Build dashboard for decision making based on past sales trend and market research analysis.
• Analyzed the Business and System Requirements of the application as well as Provide ad-hoc reporting and analysis.
• Worked with Front-end and Back-end systems.
• Performed User Acceptance Testing (UAT) for various web based and database related applications.
• Interacting with the development and testing teams to improve overall quality of the software.
• Developed Use case, Functional, Object diagrams using Rational Rose.
• Created different Experienced in User experience (UX) definition and User Interface (UI) design project as well as mockups, prototypes and wire frames.
• Analyzed user problems, including automated and manual business processes and identified, researched, investigated, defined and documented business processes
• Assisted the PM in performing Risk Assessment, Management and Mitigation.
• Worked extensively with Mercury quality center
• Worked extensively with the QA team for designing Test Plan and Test Cases for the User Acceptance Testing.
• Verified the Business Scenarios on new builds to allow extended testing by the QA team.

Environment: RUP, MS office 2003, MS Visio, MS Project, MS Share Point, Rational Test Manager, Data Stage, Mercury quality center, MS CRM.

Confidential, Chicago, IL

Business Analyst

Responsibilities:

• Educating and training team members in effective BPM development as well as developing processes, standards, and strategies for development of “rules” and also educating and training team members in effective “rule” development.
• Developed a vision plan that defined the primary goals and objectives of the project.
• Analyze user stories and separate them into high level and low level.
• Prepared product backlog working with product owner and other SME.
• Prioritize user stories and assigned to different sprints.
• Facilitated daily scrum meetings and managed task board with user stories and board.
• Prepared and tracked burn down charts and velocity charts for timely delivery of projects.
• Gathered end users’ or customers’ feedback according to the system and conducted retrospective meeting for continuous improvement if needed according to end users or customers.
• Created different Experienced in User experience (UX) definition and User Interface (UI) design for project as well as mockups, prototypes and wire frames.
• Conducted UAT to evaluate the system performance.
• Prepared scope of the project and developed new business process along with process mapping and user task analysis.
• Developed the transaction process more accurate and real time regarding 837 transaction including HIPAA compliance.
• Documented Current State vs. Future State for a Referral Web Portal. Created process flow diagrams describing provider and member access to the web portals.

Environment: Agile, MS Visio, Word, Excel, PowerPoint, Rational Rose, Requisite Pro, Clear Quest, MS SQL Server, HPQC.