SUMMARY

• Over 7.5+ years of experience as a Business System Analyst including experience in System Analysis, System Design and Quality Assurance in Healthcare sector.
• Performed teh role of System Analyst and Project Lead in various projects, teh role includes Requirements gathering/Documentation, GAP/Technical analysis, Development, Testing and Implementation.
• Excellent knowledge in end to end Payer business processes especially claim processing systems like QNXT and its supporting systems, NASCO, Benefits, Medical Policy, Claim Check and System Configuration.
• Proactively communicate and collaborate with external and internal customers to analyze information needs and functional requirements and deliver teh following artifacts as needed: Functional requirements,BusinessRequirements Document, Use Cases, GUI, Screen and Interface designs
• Proficient in creating Business Requirements Documents (BRD), Functional Requirement Document (FRD), Use Cases, Business Systems Design and Requirements Traceability Matrix (RTM) using MS Visio and Rational Suite.
• Rich Experience in translating Business requirements into IT system requirements and also designing business models using MS Visio.
• Experience in facilitating Joint Application Development (JAD) sessions and interviewing Business users & SMEs, providing recommendations to resolve issues for various business/technical groups and defining strategic solutions to business problems in a multiple project environment.
• Experienced in change management, process improvement and customer relationship management.
• Active coordination with vendors for Issue resolution, estimation and design of Change Controls, Defect Tracking.
• Broad knowledge in creating User Acceptance Scenarios, Test Strategy, Test Plan, and reviewing teh detailed test plans for UAT.
• Excellent facilitation skills in conducting Walkthroughs, Brainstorming Sessions with Vendors and BRRB (Business Requirements Review Board)
• Very good understanding of SDLC (Software Development Life Cycle) and also involved in various phases like Requirements Analysis, Design, Build and Testing.
• Knowledge of Relational Database Management System (RDBMS), data warehouse, Extract Transform and Load (ETL)
• Strong team player with excellent interpersonal and communication skills. Self - motivated and focused individual with great attention to detail. Team builder with strong leadership qualities. Demonstrated initiative, drive and ability to manage multiple priorities.
• Self starter and quick learner who is comfortableworking in a fast paced environment with minimal supervision.
• Exceptional problem-solving, presentation, and people management skills.

TECHNICAL SKILLS

Programming Languages: C#, VB.Net, SQL SERVER 2000/ 2005, SAS

Configuration Management: Visual Source Safe, Microsoft Share Point

Health Care Products: QNXT, NASCO claim engines, Portico Provider Manager and Claim check.

QA Expertise: System Testing, Integration Testing, Regression Testing, END-END Testing

Tools: and Technologies: Visual Studio, Microsoft Office, Microsoft Access, Microsoft Visio, Clear QuestMonarch Pro

Operating Systems: Windows Server 2003, Windows 7/Vista/ XP

PROFESSIONAL EXPERIENCE

Confidential, New Jersey

Techno Functional Business Analyst

Responsibilities:

• Elicit, gather, and define features and requirements based on input from product managers, internal/external business community, and teh IT organization.
• As necessary, lead Joint Application Design and review sessions with external clients and internal stakeholders.
• Document features and requirements as user stories and acceptance criteria.
• Create screen mock-ups/wireframes showing UI functions and user workflow.
• Participate in feature kick-off meetings and stand-up meetings.
• Work with product managers to prioritize features based on business value.
• Translates business requirements into functional specifications for teh IT organization, manages changes to such specifications, and educates teh IT organization on teh direction of teh business.
• Develop business processes working with client stakeholders and policy experts.
• Use project management techniques to establish roles and responsibilities, monitor project and request status and workload, and ensure deliverables of high quality, effectiveness and timeliness.
• Responsible for overall success of user acceptance testing, including results verification and release.
• Facilitate knowledge sharing sessions and team collaboration. Coach, mentor, motivate and supervise project team members, and influence them to take positive action and accountability for their assigned work.

Confidential, New Jersey

Business System Analyst

Responsibilities:

• Requirement Consolidation, Creation of Business Requirements Document and Technical Requirements Documents.
• Facilitate meetings with business representatives, subject matter experts, analysts and developers.
• Prepared “AS IS” and “TO BE” business flow diagrams using modeling tools like MS Visio.
• Involved in teh analysis and review of message codes with SMEs by verification of online desk level and specifications to look for teh exact logic of teh condition codes to incorporate any changes in teh EOB or EOP messages going out to member or provider.
• Worked on implementing teh variable logic in teh NASCO processing system to be included in teh EOB and EOP vouchers for providing more clarity and specificity to members and providers.
• Preparation of quality documents (Risk Management Plan, Risks and Issue Log, Weekly Status Reports, Knowledge base).
• Analyze client operations to determine opportunities to streamline processes and automate where appropriate.
• Review of UAT test scenarios and test results.
• Involved in EPMO activities to make sure proper documentation, templates and standards are being followed.
• Used clear quest for all types of change requests, enhancements and defects logging.

Confidential, New Jersey

Business System Analyst

Responsibilities:

• Analysis of Various Work Orders for enhancement and fixes.
• Gatheird teh business requirements and prepared teh analyzed data/workflows for business users.
• Analysis of Business Requirement documents and preparation of technical requirement documents.
• Ensuring timely completion of all documents with good quality.
• Analyzed system requirements and developed detailed Test plan and Test cases for testing teh functionality.
• Responsible for meetings with users and stakeholders to identify problems, resolve issues and improve teh process to ensure a stable and accurate solution.
• Facilitated teh weekly meetings with teh review teams to continuously improve teh QA process for teh application development.
• Onsite- offshore co-ordination

Confidential, New Jersey

Business System Analyst

Responsibilities:

• Evaluating teh requirements.
• Co-ordination with teh Domain Experts, Business Analysts and CDG Group
• Involved in project estimation and scheduling.
• Identification of project deliverables as per teh project requirements.
• Designing teh Solution.
• Communication with teh Business Managers, Senior Project Managers- Attending Weekly Status Meeting, Demo of teh Solution, Requirement Gathering.
• Tracking of teh project schedule, defect tracking etc.
• Resolving technical bottle necks.
• Identifying reusable components and scope of automation.
• Providing Technical Support to teh team.
• Coordinating with teh SME to understand teh requirements and clarify queries and finalize prototype.
• Attending Weekly Status Meetings with various Business users for issue resolution and discussion
• Received exceptional engagement feedback from teh client for automation of teh recovery and analysis work and completing teh tasks well ahead of time.

Confidential, New Jersey

Module Lead/Business Analyst

Responsibilities:

• Production Support (Monitoring and analysis of Logs, Resolution to Service Tickets, identify and suggest enhancements depending upon teh above analysis).
• Provide regular updates on teh operations task to teh client manager/onsite coordinator
• Initiate teh documentation processes for teh Project.
• Tracking of teh Tickets and production issues to bring it to closure before teh SLA.
• Notify teh Onsite in case of any bottlenecks and issues.
• Understanding teh system and providing KT to team members.
• Understanding teh client process and following it judiciously.
• Allocation and task delegation of resources. Task Planning and Task Prioritization for achieving Project Milestones.
• Mentoring teh offshore team to handle even teh critical tasks independently.
• Prioritization of tasks.

Confidential, New Jersey

Business System Analyst/QA

Responsibilities:

• Analysis of teh Business Requirements Document and preparation of technical requirement documents.
• Analysis of procedure codes (CPT/ HCPCS).
• Coding teh procedure codes in teh system and also in teh appropriate service groups.
• Coding teh diagnosis codes in teh system and in teh appropriate benefit terms.
• Configuration of Benefit terms with respect to teh new CMS codes.
• Involved in functional testing for teh system supported functionalities.
• Participated in functional testing of QNXT 3.2, claims processing, members etc.
• Involved in Regression testing for teh QNXT migration from 2.0 to 3.2.
• Review of Test Data setup, Test Plan and Test Results.
• Involved in daily defect calls, tracking all teh defects and publishing teh test results to Business Management.
• Onsite- offshore co-ordination
• Task planning and allocation of resources.

Confidential, Atlanta

System Analyst/QA

Responsibilities:

• Requirements Gathering from teh client.
• Review of project deliverables.
• Client Communication- Attend Status updates meetings, highlight issues and risks,
• Prepare design documents
• Following project processes
• Test Planning and Scenario Design, Test case Development, Test Execution and Test Result analysis
• Involved in testing 4 different Applications and Reports
• Testing teh interfaces
• Maintaining Customer defect tracker and updating teh defect statistics.
• Onsite- offshore co-ordination