SUMMARY:

• Over 8 years of experience as a Business Analyst in diverse industry sectors including, Insurance, Mortgage and Banking.
• Experienced in gathering user requirements, analyzing and preparing Project Deliverables and proposed changes for process improvement.
• Used agile methodology for each iteration process in JIRA/Scrum environment by preparing user stories.
• Demonstrated ability to work actively in different phases of Software Development Life Cycle (SDLC) using Agile, Rational Unified Process (RUP) and Waterfall methodologies.
• Comprehensive understanding of teh Organizational Framework dat help to map teh AS - IS and TO-BE model using teh GAP Analysis and plan and monitor effective approach to build/buy solutions to teh business problems/needs/opportunities.
• Skilled at performing GAP analysis, SWOT analysis, Cost benefit analysis and Feasibility Analysis.
• Highly proficient in working with users and stakeholders to elicit, analyze, communicate and validate requirements using JAD, JAR, and Brainstorming sessions.
• Excellent Documentation skills to generate Business Requirement Document (BRD), Functional Specification Document (FSD), Technical Design Document and Project Charter.
• Experience with Project Management tools and techniques.
• Excellent knowledge of various requirement elicitation techniques.
• Extensive use of teh BABOK guidelines and practices.
• Extensive knowledge of UML modeling, Drawing Sequence Diagrams, Flow diagram and Activity diagram using tools such as Microsoft Visio and Rational Rose.
• Experience in Creating Test Plan, Test Case, Test Procedures and Test Metrics.
• Experience in GUI, Functionality, System, Integration, Database and Performance Testing.
• Experience in teh management of Resource Planning Models.
• Ability to perform Data Mapping and Data Migration.
• Expert in testing and debugging GUI and Multi-Applications environment and automated testing using Quick Test Pro 6.5/8.0 on Windows and UNIX Environment.
• Involved in in conversion and migration from PeoplesoftHRMSto OracleHRMS.
• Involved in teh customization of HR and Benefits as per teh business requirements using Peoplesoft HRMS.
• Experienced in managing Change Request in various phases of SDLC.
• Experienced in Application Development, Web 2.0, E-Commerce, GUI, Infrastructure and Operations.
• Managed E-Commerce websites using Web2.0 open source technology such as XHTML, AJAX, PHP, MySQL, and CSS2.
• Experience with test case management tools, such as JIRA.
• Effective Project Scope Change Management and Configuration Change Management.
• Engaged in task allocation and issue tracking, user story management/ and requirement traceability using JIRA.
• Facilitated JAD sessions for Requirement Analysis, Risk analysis, adaptability and Feasibility Studies with various stakeholders to identify business critical and high-risk areas of teh application.
• Allocated resources from SME groups, coordinated interactions with customers and users for Problem Analysis, identifying business risks and rules, and documenting business requirements.
• Experience with MS Dynamics CRM applications. Expertise
• Experienced with Business System Analysis, Project Management, SDLC Methodologies and Modeling Techniques.
• Worked with current industry standards, such as HIPAA, Six Sigma and Capability Maturity Model (CMM).
• Expertise in EDI and HIPAA Testing Privacy with multiple claim transactions such as 837, 835, 834, 270, 271, 276, 277.
• Extensive knowledge of Medical Management Information Systems (MMIS), and National Provider Identification (NPI)
• Hardware, Firmware and Software designs for teh Internet of Things and connected devices.
• Experienced in GAP Analysis of HIPAA and ICD 9 to ICD 10 with particular attention to qualifier, length and required field and situational rules.
• Experienced in working with various software development life cycles, such as, waterfall, Agile/Scrum, and RUP (Rational Unified Process).
• Create team specific Agile process flow inJIRAto move tasks from one activity to another
• Extensive experience in gathering Business and Functional Requirements, Business Scope & Vision Document, developing Business Requirement document, Functional specification document, communication plan, Use Cases, conducting Gap Analysis and Risk Analysis.
• Experienced in conducting JAD sessions and Interviews, adept in implementing requirements, creating project status reports and presentations.
• Create and/or update content withinSharePointpublishing sites.
• Extensive experience in E-filling applications and E- payments.
• Strong experience in working in web-based application development environment.
• Expertise in creating Test plans, Test scripts, Test cases, for manual and automated testing.
• Experience creating Traceability matrix to better manage teh requirement gathering process and keeping track of teh milestones.
• Experience working in a help/Support desk environment.
• Extensive Healthcare insurance knowledge.
• Knowledge of Oracle and experience writing SQL queries.
• Performed User Acceptance Testing (UAT) with business users.
• Gained extensive experience with HL7 for various interfaces.
• Highly motivated, creative and illustrated positive and productive team environments with integrative thinking skills which was used to problem solving and making sound decisions.
• Knowledge and implementation experience of Quality Assurance, Testing Principals, and Configuration and Change Management Disciplines.

TECHNICAL SKILLS:

Business/Modeling Tools: MS Project, MS Visio, MS Excel, MS Word, MS PowerPoint, Rational Rose

Requirements Management Tools: Rational Requisite Pro, Confidential Rational Doors

Databases: SQL Server, Sybase, MS Access, Oracle

SDLC Methodologies: Rational Unified Process (RUP), Agile Scrum, Waterfall, Iterative

Operating Systems: Windows 95/98/2k/NT/XP/Vista/Window 7

Web Technologies: Java, JSP, VB Script, VB 6.0

Testing Tools: Quality Center (QC), Quick Test Professional (QTP), Load Runner, Rational Test Manager, Rational Clear Quest

PROFESSIONAL EXPERIENCE:

Confidential, Atlanta, GA

Business Systems Analyst/EDI Testing Analyst

Responsibilities:

• Highly involved in creation of Business Case, and Project Charter.
• Analysed teh business needs of clients and stakeholders to help identify business problems and propose solutions.
• InternetofThingsbusiness, implementing complex wireless data solutions for global and domestic.
• Prepared and analysed AS IS and TO BE in teh existing architecture and performed Gap Analysis.
• Created Workflow scenarios, designed new process flows, documented teh Business Process and various Business Scenarios/activities of teh business from teh conceptual to procedural level.
• Conducted various elicitation techniques using interview, market research, and brainstorming sessions.
• Schedule weekly calls with clients and based on dat prepared Meeting minutes.
• Coordinate with client and manage their business needs.
• Used JIRA for allotting task and issue tracking, user story management and requirement traceability.
• Acted as teh primary liaison between teh client departments and teh Information systems department and interacted with internal as well as external clients, to collect requirements and business process information, documented them in Business Requirement Document (BRD) post analysis of teh business requirements by analysing teh Risks associated and strategies used to assess and mitigate them.
• Interacted with Subject Matter Experts (SME’s) of different divisions (Information Technology, Risk and Operations) and established a business analysis and design methodology around Rational Unified Process (RUP).
• Created and executed test scripts inHPQualityCenterfor defect tracking and effectively communicated teh defects to teh developer team.
• Created out of teh box workflow usingSharePointdesigner.
• Facilitated collection of User Requirements and Business Requirements from Business User Group such as to document Business/User/Functional/Technical Requirement Specification using MS Word and MS Visio dat provided appropriate scope of work for technical team to develop prototype and overall system.
• Shared SRS with developers and testers.
• Prepared Pictorial Use Cases Diagram, Sipoc Diagram, Swim Lane Diagram, and High-level Process Flow Diagram using MS Visio and MS Word. In addition, has strong exposure and ability to analyse Activity Diagrams, Sequence Diagrams.
• Created Change Requests records in Rational Clear Case for making changes in teh Business Document.
• Implemented Software Quality Assurance development policies, test procedures and testing methodologies, wrote Test Plans per Business Specifications and design documents.
• Helped in creating test cases for teh system. Develop and Implement test cases on teh GUI interfaces to ensure dat requirements were met.
• Exposed to entire Defect Life Cycle from opening a defect to closing a defect.
• Implementation of system enhancements and conversions which included developing detailed documentation for and testing.
• Exposure to SQL scripting.
• Exposure to J2EE environment for User Interface.

Environment: Business Object, GEM’s, Quality center, MS Word, MS Excel, and MS Visio, Windows, Quick Test Pro, Crystal Reports, Sybase, Oracle, SQL Server, SAS, SQL, XML,.NET, ASP.NET, Java Scripts.

Confidential, Sunnyvale, CA

Business Analyst

Responsibilities:

• Interacted withstakeholdersto get a better understanding of clientbusiness processesandgathered requirements by creating Business requirement document (BRD) and Functional requirement documents (FRD).
• me defined teh Business process for teh group legal consolidation close processIFRS, Solvency 3 & EEV regulations.
• Organized and facilitatedmeetingswith themanagementanddevelopment teams by conducting JAD sessions.
• Experienced with business intelligence tools such as Cognos products, Crystal Reports.
• Gathered requirement for new Facets claim processing system prospective of Allscripts and updates, mapping of some fields from our database to Facets and tested all teh outcomes of Mapping.
• Conducted requirement gathering sessions with teh purpose of creating and defining theBusiness Requirement Document(BRD) and theFunctional Requirement Document(FRD) usingRationalRequisite Pro.
• Conductedfunctional requirement reviewsandwalkthroughswith teh designers, developers, and stakeholders.
• Experienced in E-filling applications for teh transactions.
• Designed strategy for up gradation of system and implementing User interfaces (UI) to be 5010 compliant.
• Involved inRequirement Scopingand analyzing high priority requirement for implementation.
• Utilized RAD(Rapid application development) to configure and develop processes, standards, and procedures and to perform System analysis and organizational review of existing QA processes.
• Conductedsign-off meetingswith IT teams to lock down teh requirements.
• Created high-levelUse Casesfrom Business Requirements and createdUML diagramslikeUse CaseandActivitydiagrams usingMS-Visio.
• Tracked stakeholder requested enhancements and changes usingRequirement Traceability Matrix(RTM).
• Involved ingapandfeasibility analysisfor teh design and architecture of teh new application.
• ExecutedSQL queriesto test teh database for records dat detect and submit functional acknowledgement and remittance advice in teh claims application.
• Knowledge and implementation experience of Quality Assurance, Testing Principals, and Configuration and Change Management Disciplines.
• Involved with teh Quality Assurance Team to developTest planand driveTest Cases.
• Also developed a (UAT) User Acceptance Testing plan to guide a select group of key end-users in testing teh user interface and functionality of teh application.
• Involved in Regression testing of hardware/software environments patches, fixes.
• Mapped data sources to targets by teh use of Warehouse Builder Mapping Editor.
• Involved in support of System testing when performed on teh entire system in teh context of a Functional Requirement Specification (FRS) and System Requirement Specification (SRS).
• GatheredBusiness Requirements from theSubject Matter Experts (SMEs)and documented teh requirements in theBRD (Business Requirements Document).
• Planned and defined system requirements to create Use Cases, Data Flow Diagrams using MS Visio and wireframes for User Interface (UI) design using teh UML (Unified Modeling Language) methodologies.
• Utilized data flow diagrams, use case diagrams and process flow diagrams to represent information provided by teh Business Owners. Also, worked towards getting sign offs from business.
• Mapped process flows; assess as-is process through user interviews, data collection and analysis, design and evaluation of to-be process solutions.
• Maintained theTraceability Matrix tabletouniquelytrace theidentified business requirements togeneral designto testing as proof datrequirements requested havebeen developed into a solution and dat it TEMPhas been tested and tracked.
• Assisted teh QA (Quality Assurance) team in designing teh Test Plan and Test Cases for User Acceptance testing.
• Designed and developed Use Cases using UML and Business Process Modeling.

Environment: Rational Rose, Rational Requisite Pro, UML,MS Project, MS Visio, MSOffice, PL/SQL Developer, HTML, SQL, Windows XP

Confidential, NY

Business support Analyst

Responsibilities:

• Gathered/documented processes ensuring any systems interfacing with teh HIE project were properly prepared and up to date.
• Interviewed SMEs and Stakeholders to get a better understanding of client business processes and gather business requirements.
• Created use case scenarios and documented work flow and business process using Ms Visio.
• Performed Project Requirements Gathering, Requirements Analysis, Design, Development, Testing for teh ETL, Data warehousing and reporting modules of teh project.
• Analyzed and tested various Common Eligibility Outbound Interface Process and other Inbound/ Outbound Facets interfaces.
• Ensured data integrity and quality reporting to senior management. Acted as a liaison between business staff and technical staff to articulate needs, issues and concerns.
• Identify teh source tables from which teh Data Warehouse extracts data.
• Defined Functional Test Cases, documented, Executed test script in Facets system.
• Involved in managing Master Data (MDM) by removing duplicates, standardizing data (Mass Maintaining), incorporating rules to eliminate incorrect data from entering teh system in order to create an authoritative source of master data.
• Market Research of Mobile Medical platform based on Internet of Things.
• Created specifications for EDI HL7 (A28, A31, ADT) and X12 (837/835) transactions dat were transmitted between Claims Editor and Legacy Billing application and external Payers.
• Analyzed trading partner specifications and created EDI mapping guidelines. Healthcare system implementation including enterprise Electronic Medical Records (EMR) software.
• Produced Gap Analysis documents for HIPAA 5010 and ICD-10.
• Worked with Informatica to help develop better Data Warehouse and build Data Marts as per teh user requirements from Teradata data base.
• Teh system collects data from various departments, both finance and operational, merges it into a staging area, after cleansing it and then loads teh data into teh EDW in accord with various data warehousing and business guidelines.
• Developing data models and designing data warehouse in view of teh project requirements.
• Developed Report Models, Ad hoc reports and distributed reports in multiple formats using SQL Server Reporting Services (SSRS) in Business intelligence development studio (BIDS).
• Wrote and executed SQL queries within Confidential /DB2 mainframe database to retrieve test data and reports for ongoing teams, updating production data, and adding data to production tables.
• Worked on Conceptual, Logical and Physical modeling of tables using Erwin.
• Responsible for Data Manipulation and Data Validation using SQL queries in a MS SQL Server.
• Developed plan for data feeds and data mappings for integration between various systems, including XML, to followICD 10Code set andANSI X12 5010formats.
• Creating databases, tables, indexes, new logins and users in Teradata.
• Working within a growing environment of X 12 4010/5010 HIPAA Transaction Processing 837 me, P, D, 835, 834, 820, 270, 271, 276, 277, 278, EDI, Privacy, Security, and Medicaid.
• Reviewed EDI companion guides for all payers to ensure compliance, edit integrity and maintain up-to-date list of payer contacts.
• Ensured dat project requirements are properly tracked and documented. Used MS-Visio for flow-charting, Use- Case process model and architectural design of teh application.
• Assisted in monitoring ancillary data transactions and addressed problems with HL7 messages.

Confidential

Project Analyst

Responsibilities:

• Involved in creating and updating Business Requirement Documents (BRD), Functional Design Specifications (FRD),Gap Analysis Documents, Impact Analysis Documents and Spreadsheets.
• Developed Data Flow, Work Flow, Process Flow, and Entity Relationship Diagrams in MS Visio, and analyzed them to create “AS IS” and “TO BE” scenarios.
• Performed requirement analysis by gathering both functional and non functional requirements based on interactions with teh process owners & stake holders and document analysis, represented them in requirements traceability matrix (RTM) using Requisite Pro. Performed user interviews, JAD sessions.
• Utilized Agile Scrum to configure and develop processes, standards, and procedures and to perform System analysis.
• Prepared process flow diagrams, activity diagrams by using MS Visio for transactions like (837) and 277/277(Claim Status Request/Response) by interacting with system architects, developers etc.
• In-depth experience in creating X12 files in both 4010 and 5010 formats for different transactions.
• Worked extensively in validating theX12 EDI 837P/NIPS, 276/277’sand 820 and 834’stransactions to check for HIPAA Compliance through a compliance checker tool called Web sphere Transformation Extender.
• Experience working with claims processing system called MMIS (Medicaid Management Information System).
• Involved in SDLC (Software development life cycle) process for teh project.
• Performed functional testing of teh web based application MEDI (Medical Electronic Data Interchange).
• Workedwith businessanalysts, Test Leads andusers to set up a UAT Environment.
• Facilitated JAD sessions for Requirement Validation with Dept. of Health & Human Services (DHHS) to gather requirements for teh new MMIS.
• Created a Project Initiation Document (PID) to record Team Structure, Reporting Protocol, and Signoff Metrics.
• Incorporated and tested BCSBI and RBI rules and regulations into teh software.
• Created BRD and FRS for Loan Collection Modules including Sourcing, Behavioral Scoring, Repossession and Auction, Bucket Allocation, Stat-card, Legal Notice, Court Proceedings and Settlements.
• Prepared material to explain teh process and calculations and assisted teh development team throughout teh design and construction process of teh software.
• Predicted future process and analyzed and documented gaps in teh existing workflow.
• Conducted Fields Mapping by using data dictionary to align and interpret columns of teh database tables.
• Assisted BI team in designing SQL to make existing data ready for new system (format-wise and placement-wise).
• Participated in QA testing of teh software and defect logging using Bugzilla.
• Verified data migration by checking data fields, field formats, and comparing reports like loan disbursements for dis month, EMI reports, PDC/ECS reports, etc.
• Prepared daily dashboards, health reports, weekly progress reports and monthly status reports for teh project.
• Prepared material and trained business users nation-wide via phone, email and face-to-face.

Environment: .Net, Java, Agile, Mainframe, Rational Tools, Quality center, MS Word, MS Excel, and MS Visio, Bugzilla.

Confidential

Systems Analyst

Requirements:

• Highly involved in creation of Business Case, and Project Charter.
• Analyzed teh business needs of clients and stakeholders to help identify business problems and propose solutions.
• Prepared and analyzed AS IS and TO BE in teh existing architecture and performed Gap Analysis.
• Created Workflow scenarios, Designed new process flows, documented teh Business Process and various Business Scenarios/activities of teh business from teh conceptual to procedural level.
• Conducted various elicitation techniques using interview, market research, and brainstorming sessions.
• Schedule weekly calls with clients and based on dat prepared Meeting minutes.
• Coordinate with client and manage their business needs.
• Acted as teh primary liaison between teh client departments and teh Information systems department and interacted with internal as well as external clients, to collect requirements and business process information, documented them in Business Requirement Document (BRD) post analysis of teh business requirements by analysing teh Risks associated and strategies used to assess and mitigate them.
• Interacted with Subject Matter Experts (SME’s) of different divisions (Information Technology, Risk and Operations) and established a business analysis and design methodology around Rational Unified Process (RUP).
• Facilitated collection of User Requirements and Business Requirements from Business User Group such as to document Business/User/Functional/Technical Requirement Specification using MS Word and MS Visio dat provided appropriate scope of work for technical team to develop prototype and overall system.
• Shared SRS with developers and testers.
• Prepared Pictorial Use Cases Diagram, Sipoc Diagram, Swim Lane Diagram, and High-level Process flow Diagram using MS Visio and MS Word. In addition, has strong exposure and ability to analyse Activity Diagrams, Sequence Diagrams.
• Created Change Requests records in Rational Clear Case for making changes in teh Business Document.
• Implemented Software Quality Assurance development policies, test procedures and testing methodologies, wrote Test Plans according to Business Specifications and design documents.
• Helped in creating test cases for teh system. Develop and Implement test cases on teh GUI interfaces to ensure dat requirements were met.