SUMMARY

• Analytical, enthusiastic and innovative Business/Systems Analyst with 7 years of extensive experience working in the health domain holding a master’s degree in Health care Informatics. Diverse experience in health care education, clinical and leadership skills to manage clinical research teams and study infrastructure, health care funding, health care wellness programs, nursing, medical, legislative, and political research, policy development, community engagement, human rights, and strategic health program analysis administration.
• Leadership experience in the evolution of high - caliber programs designed to enhance nation-wide organizational strategic planning dat involved communicating with federal, state, and local governance affiliates, national public relations initiatives, and the leveraging of community-based grass-roots education and training programs. Consistently successful in creating powerful coalition-building projects for national organizations, policy development, and program management processes and improvement methods. Strong Clinical Research Management Skills Healthcare Change Management Initiatives Health Policy / Procedure Development Competence Based Training & Development Customer Healthcare Communication Strategies Management of Multiple Healthcare Programs Design high-level healthcare interviews & processes Legislative Lobbying, Development & Analysis- Healthcare, education, LGBT, human rights.
• Excellent understanding of business operations and analytical tools for TEMPeffective analysis of data. Worked in all phases of SDLC with proficiency in Requirement gathering, Analysis, Design, Documentation, Data Analysis, Data Mapping and Data Modeling, Testing, Implementation managing business analyst functions and providing executive-level support to TEMPprincipals.
• Collaborated with the Stakeholders, Business Users, Developers and other teams to identify and engage on improvement opportunities by gathering requirements and work on the Data Analysis and Statistics.
• Proficient in creating various documents like Business Requirements Document (BRD), Functional Requirement Document (FRD), Functional Specification Document (FSD), Systems Requirements specifications (SRS), Object Oriented Analysis and Design (OOAD).
• Hands-on Experience with Project Reporting, Project Solution Scope, Feasibility Analysis, Cost & Benefits analysis, Project Plan, and Schedule Preparation. Experienced in Agile Project Activities Like Planning, Inception, Iteration, Story writing, Sizing, Sprint Open/Close Validation and Planning.
• Performed rigorous testing with the QA team to prevent potential production issues and ensuring dat the application is functioning as per the business requirements
• Involved in all phases of Product Lifecycle Management (PLM).
• Advanced and expert skills in various BI tools like Tableau, Power BI, QlikView, NPrinting, and MS Excel including PowerPivot and Power Query
• Strong experience on various P&C insurance modules including Claim Management, Bill Management, Policy Management, Payments, Claim Offline Tool and Medicare Claim Reporting Tool.
• Extensive experience in developing Use Cases, creating Screen Mockups, conducting Gap Analysis and Impact Analysis, SWOT analysis, Cost-Benefit Analysis, Risk Analysis, and ROI Analysis.
• Developed various Flowcharts, activities, use cases, state charts and process flow diagrams to better communicate and visualize the business flow using Unified Modeling Language (UML) tools

TECHNICAL SKILLS

Business Skills: Rational Unified Process (RUP), Agile/Scrum methodologies, Business Requirement Document (BRD), Business Process Analysis & Design, UML, GAP Analysis, Workflow, Dataflow, Entity-Relationship Diagrams (ERD), UCD, DFD, Impact Analysis, JAD session, Salesforce

Software Packages: MS Office (Word, Advanced Excel, Access, PowerPoint, MS Project, MS Outlook), Visual Studio, MATLAB, SharePoint, Quick Sight

Databases: SQL Server, Oracle, and DB2

Business Intelligence Tools: Power BI, Alteryx 9.x, SSIS, SSAS, Tableau 8.x, 9.x, 10.x, Cognos, TIBCO Spotfire

Programming Languages: C, C++, SQL, Oracle, Java, Python, AML Language

Web Languages: HTML, XML

Data Visualization & Reporting: SSRS, Tableau, RStudio

Operating Systems: Windows, Linux.

Coding Terminologies: ICD-10, SNOMED CT, CPT

PROFESSIONAL EXPERIENCE

Confidential, San Diego, CA

Business Analyst (Healthcare Domain)

Responsibilities:

• Managed various projects dat included analyzing, forecasting, and presenting information for operational and business planning as well as developing and implementing strategic business solutions.
• Identified process inefficiencies related to organizational outsourcing, and subsequently redesigned and consolidated these processes resulting in substantial organizational cost savings.
• Coordinated with clinical teams to provide better insights into individual program performance. Designed and developed a suite of reports in Excel, enabling the program leadership teams to make better data-driven decisions dat improved financial performance and clinical outcomes
• Managed all aspects of the department annual physician shared savings bonus program and improved the accuracy of bonus calculations
• Created and presented a proposal to members of the C-suite executive team dat justified a 5% increase in downstream physician bonus payments, which resulted in increased physician engagement in 2016 and 2017.
• Investigated service-related issues to identify root causes, identified and communicated business needs assessments as necessary with other stakeholders.
• Developed forecasting tools using MS Excel and MS Access
• Served as a team member conducting extensive reviews and evaluating Emergency Preparedness related to event response and recovery for various Health care Programs.
• Managed and participated in assignments dat were vast in scope involving facilitation, quality improvement, qualitative and quantitative program assessment, process management, healthcare research assistance, planning, training, analyzing educational trends, measuring patient satisfaction, healthcare accreditation, and budget analysis.
• Translated business requirements and assisted IT, staff, with the development of technical specifications.
• Developed solutions based on data analysis to increase business efficiency.
• Consulting projects included serving as clinical improvement advisor providing customized information and noledge to accelerate improvement for 28 hospitals nation-wide assuring performance improvement efforts were monitored and documented.
• Participated in internal and external project workgroup(s) and presentations.
• Conducted User Acceptance Testing (UAT) for projects, implementations, system fixes, and enhancements.
• Prepared materials for internal and external audit activities; reviewed audit findings and reports for accuracy and completeness.
• Identified process improvement opportunities for platform work as an example, review SQM and QA reports, review trends to identify process improvement and automation.
• Gather, process FCR and QA performance data and conduct trending and root cause analyses
• Conducted environmental scans as testifiers for future on-line and paper quality health measurements.
• Design and develop standard reports for metrics reporting and analysis. Document call center processes using standard techniques.

Confidential, Tampa, FL

Business Analyst (Healthcare Domain)

Responsibilities:

• Worked as a Subject Matter Expert between IT and business partners on various complex projects
• Identified and communicated business needs translated them into business and technical requirements, for which solutions were implemented.
• Also, handled the Team as a Senior-level project team member as a liaison between Stakeholders and IT to provide technical solutions to meet user needs and maintain established business relationships
• Lead and assisted with project deliverables- project initiation requests, business, and technical requirements, use cases, interface specifications, business architecture models, cost/benefit analysis, risk and issue logs, test plans, training plans, and elevation/validation plans.
• Communicated and presented complex technical concepts simply and TEMPeffectively to non-technical team members. Predicted long term needs, performed gap analysis.
• Gathered Business Requirements created Functional Requirements Document (FRD) and analyzed data/workflows; defined the scope, financial projections, and cost/benefit analysis; progressed from Problem Statement to well-documented designs.
• Used RUP-iterative the process to Conduct Data Analysis on the Group Disability Data to find missing data fields in the application and customize them.
• Used MS Word & Visio to the document data flow of the AS-IS process and TO-BE process.
• Conducted JAD sessions to get SME’s input on how to implement the application for Group Disability Claims.
• Responsibilities included underwriting policies for auto, fire, life, health, and commercial insurance, providing common bank and notary services, providing customer service on existing insurance policies, marketing to new and existing clients, resolving billing issues, providing insurance and financial services to policyholders, working with internal programs and MS Office Suite to complete office tasks.
• Worked with Health and life insurance teams in a project called Enterprise data management.
• Participated in identifying opportunities dat impact business strategy and system performance, JAD sessions with Stakeholders to enable technical solutions for process improvements
• Conducted Systems Analysis with a focus on business and technical process models and use cases, data flow preparation, ER diagrams, Business process modeling, Business process flow according to the market strategies and product development, made recommendations for buy Vs. build decisions.
• Handled IT-ERP Solution's- POS (Point of sales), SFA (sales force automation), E-Commerce related (market place) solutions
• Communicated teamwork skills through written communication, phone, and sales meetings.
• Worked with all aspects of financial systems and processes to maintain service insurance products.
• Used security and customer reference data across domains to ensure transactional efficiency, regulatory compliance, and profit maximization.
• Used SQL for analysis and utilized SQL to design, implement, and maintain commercial insurance products and marketing programs. Also, identified, communicated course-correcting project risks when needed.
• Built custom user macros for Confluence, especially if they integrate content from JIRA
• Provided testing support and analysis for defect resolution and performed other related duties as required.
• Mentored and developed junior team members into resources with higher skill sets and conduct training for teams on team collaboration and TEMPeffective use of confluence.

Confidential

Business Analyst

Responsibilities:

• Conducted end to end business analysis and gathered, analyzed workflows to create process maps and isolate areas of improvement.
• Supported the development and documenting interim process maps while ensuring the process improvements in line with corporate objectives.
• Facilitated workshops with a broad cross-section of staff and stakeholders to deliver the right outcome and documenting end to end business processes across the organization
• Ensured meeting outcomes and decisions are recorded and circulated TEMPeffectively and actively engaged and supported by other stakeholders.
• Provided periodic and pro-active progress updates to stakeholders, and the program team.
• Identify and develop future state process, using Lean Six Sigma and/or another process improvement tools and assisted with identifying anticipated resistance
• Coached managers and supervisors and assisted to measure success metrics and monitor change progress
• Used appropriate analytics and statistical tools to analyze a variety of data sources to drive operational key decisions
• Developed internal and external partnerships to provide the opportunity for efficient solutions to various data, system, and application use.
• Collected, organized, and disseminate significant amounts of information with attention to detail and accuracy.
• Responsible for the data mining, manipulation, and delivery to key stakeholders and executives
• Maintained right relationships and delivered professional customer-focused and high performing service to key stakeholders and executives
• Ensured a high level of quality of all data and reports published and independently researched and analyzed the reports.
• Lead the evaluation of current and future data needs and translated the same to the clients and vendors to support all lines of business.
• Lead high-level discussions with a focus on making a recommendation and identifying how data can support key business decision
• TEMPEffectively received and investigated issues reported by staff and physicians related to software, hardware, and process/workflow to determine root causes of problems and failures.
• Independently formulated and executed plan to resolve reported issues and responsible for developing and maintaining strategic report out of multiple databases and systems.
• Monitored tasks and reported issues and facilitated communication between internal and external customers and followed up on issues through to satisfactory completion.
• Independently assessed planned and unplanned downtime situations and formulated, communicated, and executed plans to address downtime for health system medication use systems with pharmacy and nursing leadership.
• Assessed vendor enhancements and lead affected departments through the implementation of enhancements.
• Functioned along with teams as content expert and project manager for implementation of new processes and technology systems.
• Created and maintained electronic drug formularies.
• Administered security access to medication systems and imported external data source updates into Health System databases (e.g., Formulary Service Vendor content).
• Designed and maintained HL7 interfaces and performed pharmacy information systems upgrades.
• Maintained drug cost data and assisted with creating and maintaining medication order strings and order sets.
• Responded to hardware (e.g., computer, scanners, printers, AcuDose) problems; performed initial troubleshooting and replacement.
• Performed all administrative functions in maintaining Connect-Rx network and server maintenance and uploaded required data to regulatory agencies.
• Created and manage IV infusion pump drug libraries and libraries stored on individual pumps and monitoring data to ensure system integrity (clinical and financial).
• Created reports using vendor-specific tools, Crystal Report Writer, Monarch, SQL, and data extraction using vendor-specific tools.
• Updated vendor records using scripting language tools to reconcile patient data.
• Participated in on-call coverage in supporting the systems twenty-four hours a day, seven days a week.
• Worked independently and assumed the informatics responsibilities of the pharmacy manager in his absence and also developed and performed training for users in the pharmacy, nursing, medical staff as appropriate.

Confidential

Business Analyst

Responsibilities:

• Worked as a BA, Scrum master in all phases of business operations reported specifications for development including creating business requirements documentation (BRDs), reported mockups, flow charts, and acceptance testing for business intelligence tools to design report, data analysis, Fit Gap analysis or Dashboards for operational reporting business solutions.
• Created process flow and architecture diagram using tools such as MS Visio for support of written deliverables and assistance in establishing common understanding across the project
• Worked in Quality Assurance Report Testing, Bug tracking in HP Quality Center or similar tool, and development of user acceptance documents for reports.
• Used SQL for business user report Development, Testing, Statistics and Analytics, and OBIEE Analytics, OBIEE Dashboards, and/or Business Intelligence or application reports.
• Working with large data sets (e.g., 20,000,000 plus records) Oracle 10g/11g databases and healthcare standards such as HIPAA 4010, 5010, ICD-9, and ICD-10.
• Work on multi-disciplinary teams, .net Development teams translating business/program subject matter information into requirements for technical specification and translating technical information for business/program consumption to ensure consistency and common understanding across the stakeholder groups.
• Key role in aligning business process development and requirements analysis for a new Provider Contract Management System. Devising and delivering process analysis and requirements discovery strategies.
• Working closely with stakeholders at all levels to support business buy-in, and liaising closely with technical subject matter experts.
• Co-ordinated business process analysis, data modeling, and product backlog management for provider invoicing.
• Worked with offshore UI/UX designer to develop new provider portal capability including analysis of user journeys, screen flows, and user stories.
• Lead Project Costing and Commitment Control applications with additional experience in Purchasing, General Ledger, Expenses, Accounts Payable, Grants, and integration with external applications which include Oracle Enterprise Service Operation Architecture (SOA).
• Supported business operations with continual process improvements, new business requirements analysis, modifications, testing, user training, and report development.
• Troubleshooted and resolved issues reported through problem calls dat are escalated from the Help Desk or received directly from a client area and assured appropriate communications throughout problem investigation/resolution event
• Functioned as a project coordinator, typically with the guidance of a more senior staff member, for assigned small projects, including documentation preparation, work plan and estimate development, communications, and resource coordination as appropriate.
• Developed new screens, scripts, programs, queries, reports, and/or other technical components according to specifications and developed interactions with customers, the project manager and team lead.
• Performed routine system maintenance activities for applications as directed.
• Worked jointly with other Information Services (me.S.) staff as necessary to debug and/or develop integration and/or data exchange points between applications or with external entities.
• Routinely monitor and assessed operations of applications to assure efficient and TEMPeffective execution; performance tuning and adjustments as necessary to restore efficiency and/or TEMPeffectiveness as required.
• Participated and assigned in routine application and technology testing efforts to facilitate general application support activities, new projects, enterprise initiatives, and me.S. departmental operations.
• Participated in the maintenance of an Applications Testing Script library as assigned.
• Developed documentation to support all program development and update activities and maintained support information repository as required.
• Published Production Change Management practices as available for all updates to production environments
• Provided application training to client and me.S. staff as required.
• Developed SME capabilities through efforts such as actively seeking out & completing training, performing research, and networking with other application users.