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It Business Analyst/business System Analyst Resume

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Virginia Beach, VA

SUMMARY

  • Over 9 years of experience as Business Analyst/UAT tester with emphasis on domain logic, identifying implementation requirements and resolving solutions to business processes based on complex software projects, dat includes system development module, business process improvement, tactical planning and policy improvement.
  • Expertise in Software Development Life Cycle (SDLC) including Waterfall, Agile (Scrum), and RUP methodology.
  • Proficient in creating and renovating Business Requirement Documents (BRD), Functional Specification Documents (FSD), and converting business requirement into Software Requirement Specifications (SRS) using MS Word/Templates and Rational Requisite Pro following BPMN.
  • Excellent analytical and problem solving skills in designing, developing, and implementing business innovative business processes using new approaches and technology.
  • Experienced in GAP Analysis, Cost Benefit Analysis, organizing, facilitating and coordinating many Joint Application developments (JAD), Joint Requirement Planning sessions (JRP), and Rapid Application Development (RAD) sessions, weekly meetings, conference calls and other regular project meetings.
  • Worked closely with stakeholders and SMEs to fulfill teh project goals and objectives as well as able to manage multiple initiatives, projects and deadlines on time.
  • Goal - oriented professional with excellent interpersonal skills with verbal and written communication, presentation skills and flexibility in adapting wide range of work environments by inculcating new relevant skills with ease in a time sensitive frame.
  • Experienced in creating Data Flow Diagrams (DFD), Use Cases, Class Diagram, Activity Diagrams, Sequence Diagram, and UML Modeling methodology using tools such as Rational Rose and MS Visio.
  • Familiarity with White-Box and Black-Box testing techniques such as Load Testing, Regression Testing, Unit Testing, System Testing, Quality Center and Performance Testing.
  • Developed test scenarios and implemented test plans for system testing and user acceptance testing (UAT).
  • Involved closely with teh Developer and Testing team during defect resolution phase.
  • Excellent understanding of HIPAA standards (4010 and 5010), HIPAA code sets ICD-9, ICD 10 and HL7.
  • Experience in Process Documentation, Analysis and Implementation in 835, 837IPD, 834, 270/271, 276/277, 999/TA1(X12 Standards) processes of Medical Claims Industry from teh Provider/ Payer side.
  • Captured allHIPAA-relatedEDI datain teh repository usingFACETS and supported integrated EDI batch processing and real-time EDI usingFACETS.
  • Proficient understanding of Medicare Part A, Part B, Part C and Part D products and procedures managed care concepts (Medicaid and Medicare) and experienced in determining teh membership eligibility, billing experience within life and disability in health plans.
  • Extensive noledge of Medicaid Management Information Systems (MMIS)/ Replacement Medicaid Management Information System (RMMIS), Medical Information Technology Architecture (MITA).
  • Comprised with Health Insurance Exchange, products develop and successfully release of private HIX and public HIX under Obama Care (PPACA).
  • Experience in RENAISSANCE BILLING SYSTEM which is an integrated web based P&C Insurance billing system.
  • Familiar with RDBMS tools like oracle (TOAD), DB2, IBM Mainframe and MS SQL Server with very Strong SQL skills (writing queries and verifying data). Solid understanding of databases, data ware house, OLTP, OLAP, Data Modeling, Business Intelligent tools like Business Objects.

TECHNICAL SKILLS

Business Skills: Business Process Analysis and Design, Requirement Gathering Use Case Modeling JAD/JRP Sessions Gap Analysis, Impact Analysis.

Methodology: RUP, Agile, Scrum and Waterfall, SDLC, UML, OOAD, JAD, GUI, UAT, RTM.

Business Modeling and Change Management Tools: UML, MS Visio, Rational Rose, Smart Draw, SharePoint, Documentum, Requisite Pro, Clear Quest, ALM.

Language/Standards: JAVA, SQL, PL/ SQL, HTML and XML, HTTP, HIPAA 4010/5010, ICD9/10, ANSIX12, CPT, CMS form.

Applications: MS office suite, Adobe suite, IBM Lotus Notes, Lotus Symphony, IBM Same time, Domino Designer, IBM Blue Pages, communicator, Kick start, Network installation manager, IBM smart cloud meetings.

Testing Tools: HP Quality Center, Win Runner, Load Runner, JIRA, Quick Test Pro, RMT.

Health Care: ANSI X12, HIPAA, EDI, Enrollment/Claims/Benefits/Remittance, FACETS.

BI Tools: Cognos 8.4/8.3/8.2/ 8.1 and Microstrategy, OBIE, Business Objects (Designer, Dashboard), Informatica, Crystal Report.

Database/RDBMS: Oracle 10g/9i/8i/DB2, TOAD, MS SQL Server, Teradata, Sybase.

Operating System: UNIX, Windows XP/ NT/2000/ 95, MS-DOS.

Microsoft Office tools: MS Office (Package), MS Project, MS Front Page, Visio, Excel, Word, Outlook, PowerPoint.

PROFESSIONAL EXPERIENCE

Confidential, Virginia Beach, VA

IT Business Analyst/Business System Analyst

Responsibilities:

  • Work on Business Requirement and functional requirement dat were implemented and analysis throughJADsession.
  • Worked with Developer teams to verify teh Business requirement document and Vendor logic.
  • Worked on detailed plans involving teh update and conversion to various internal tables, extensions, back end technical considerations and internal and external interfaces.
  • Submit, modify, and track change requests in Rational Clear Quest.
  • Used Migration tools as well as UI bypass in Toad and MS-SQL to perform teh migration of teh Fee Schedules.
  • Checked teh documentation in Gatekeeper and approve it for teh migration in teh Facets system.
  • Validate teh Puma load performance in FSS table created.
  • Used Pivot tables, formulas and relational tools to show teh relation between teh tables in Excel for teh upload purposes.
  • Conducted requirement analysis techniques such as Business Process Automation, Business Process Improvement, and Business Process Re-engineering.
  • Served as to do teh IT BA testing for various types of Provider Data and SSRS reports for Medicare Blue Market in Provider Tables of FACETS via MS SQL server.
  • Involve in verifying Inclusion Report, Exclusion Report, and Health Plan files using advance MS SQL joins in Facets Tables and Data Mart.
  • PerformedDefect TrackingandProject TrackingusingZephyr and Jira - Change Notification Request (CNR).
  • Involved in teh peek review ofTest Plans, Test Caseswith theBA/QA teamto verify implementation of new features and enhancements on Dev, QA, and Prod.
  • Experience inSQL Server Integration Services (SSIS), SQL Server Analysis Services (SSAS)andSQL Server Reporting Services (SSRS).
  • Work closely with development team to work through issues/defects and resolution with teh development.
  • Work closely with development team to ensure business requirements are accurate and clearly understood.
  • Worked on utilizing SQL and SSRS (SQL Server Reporting Services) for teh products.
  • Participating in requirements reviews, designing reviews, and changing control activities.
  • Creating test plans, test requirements, test scenarios, and test data for use during teh testing phases of teh software development lifecycle, for existing software systems/products (HMO/PPO/SNP/SEL) with various markets.
  • Ensuring dat test plans and scenarios fully exercise every aspect of teh product - HMO, PPO, SNP, SEL.
  • Worked for production support and looked into defects and met with developers for requirement analysis and code reviews.
  • Producing and presenting formal test plans and leading teh testing effort for assigned projects.
  • Documenting and reporting issues discovered during testing, with follow ups for resolution with teh Developers.
  • Working as part of Agile Scrum Development Team, conducting and TEMPeffectively participating in sprint planning, task estimates, task sequencing, task assignments, sprint reviews and retrospectives.
  • Experience in databases; include Access/Excel/MS SQL, responsible for monitoring data with reports made via SSRS and SQL Server 2008/2012 data warehouse and Facets Application.
  • Other duties, as assigned.

Environment: Agile/Scrum, Share Point, MS Visio, Use Case Analysis, MS-SQL Server, Facets, Microsoft Office Suite, test Director, Zephyr, Access, PowerPoint, MS Project, MS Word, MS Excel, Jira, Toad, Clear Quest, Migration Tool, Gatekeeper, PUMA, Rational Robot tools.

Confidential, Warwick, Rhode Island

Sr. Business System Analyst

Responsibilities:

  • Analyze and collect business requirements by teh requirement planning and define Scope by identifying System interfaces and created teh Statement of work (SOW/BDD).
  • Performed requirement analysis, went through all teh use cases and issue logs.
  • Extensive Healthcare/Health insurance domain noledge including Plans implementation and its guidelines and changes necessary for MMIS due to SSA data updates of teh beneficiary and other factors.
  • Performimpact analysis and work with trading partners, clients, management, technical and non-technical business teamto createrequirements,use cases, user story, and system validation artifacts and testing documentation.
  • Identify Use Cases from teh requirements and create UML Diagrams including Use Cases, Activity/State Charts, Sequence diagrams, Data Flow Diagrams and ER Diagrams using MS-Visio thus defining teh Business Process Model and Data Process Model.
  • Test claim billing processes as well as healthcare processes such as enrollment, eligibility, andclaims-to-remittance adjudication processes for teh demonstration.
  • Work with Medicare/Medicaid entities to validatehealthcare processes, including end-to-end claims processing, payment processes and eligibility.
  • Work with enrollment/claims EDI transactions and file formats (834, 837, 835, 270, and 271), familiarity and experience with data mapping desired.
  • Develop Test plans and mapped them to requirements with QA team.
  • Evaluate and test teh new and modified software application to verify dat programs function according to both technical and business requirements.
  • Develop, execute and validate user acceptance test plans (UAT) and implementation support.
  • Performed GAP Analysis to figure out wat we have and wat we ought to have, for teh better-off.
  • Develop project schedules, conduct project status meetings and manage resources during all phases of teh SDLC.
  • Worked in RDBMS tools like oracle (TOAD) and MS SQL Server with SQL skills (writing queries and verifying data). Solid understanding of databases, data ware house, OLTP, OLAP, and Data Modeling.
  • Create and maintain teh Requirements Traceability Matrix (RTM) and mapped teh developed Test Cases to teh requirements to ensure dat teh requirements were fully tested and implemented according to teh specifications.
  • Requirements were gatheird through interactions and meetings and periodic walkthroughs with SME’s.
  • Interacted with Developers and Users in resolving risk factors and defect tracking/maintenance.
  • Experience with conducting assessments and impact/gap analysis concerning State Medical Management Information System (MMIS).
  • Work as information distributer for teh Enrollment Brokers as necessary for demonstration process.

Environment: Share Point 2010, MS Visio 2010, Rational Rose, GAP Analysis, UML, Use Case Analysis, SQL Server, Microsoft Office Suite, Quality Center, JSP, Java Script, XML, HTML, Agile/Scrum/Extreme Programming, test Director, MMIS, Biz-Talk.

Confidential, Phoenix, AZ

Lead Business System Analyst

Responsibilities:

  • Responsible in providing Business Requirement Document (BRD) and Functional Requirement Document (FRD).
  • Analyzed inpatient and/or outpatient medical records using International Classification of Diseases, Ninth Revision (ICD-9/10) and Update ICD-9 and CPT code changes.
  • Maintained reimbursement summaries from third parties and compare with clinic fees, Updated reimbursement regulations, Notified Business Manager of significant changes, conduct periodic medical record audits to ensure documentation is consistent with billing.
  • Well-defined and produced inclusive, accurate conversions ofICD-9 codes into equivalentICD-10 codes with teh option to adjust system application for ICD-10 specificity.
  • Assisted with teh User Interface (UI)prototypes to capture and validate requirements and spike solutions to teh occurring problem.
  • Expertise in SAP Business Objects Analysis, gaining insight business data and make intelligent decisions dat improves corporate performance.
  • Performed performance tuning of Informatica Mappings, sessions for Informatica 8.x workflows, transformations and cache optimization for loading, creating teh batches and optimizing batches to load in teh production environment.
  • Tested claim billing processes as well as other healthcare processes such as enrollment, eligibility, andclaims-to-remittance adjudication processes.
  • Performedproviderimpact analysis and work with trading partners, clients, management, technical and non-technical personnelto createrequirements,use cases and system validation artifacts and testing documentation, medical coding testing.
  • Worked with providers and Medicare/Medicaid entities to validatehealthcare processes, including end-to-end claims processing, payment processes and eligibility where special focus on procedure and diagnosis coding.
  • Created technical documentation,reviews, analysis, and evaluations ofbusiness systemsfor end user needs, including Companion Guides,business process reengineering,GAP analysisandmedical forms processing andworkflows.
  • Worked on Unit Testing, trading Partners for connectivity issues, liaisonbetween client and corporate staff.
  • Worked onClaims and Remittanceprojects, including syntax and business rulesfor HIPAA4010and 5010validation for loops, segments, elements, qualifiers and code sets.
  • Created EDI Export and Import processes and worked with EDI Trading Partners, Payers/Vendors.
  • Used SDLC (System Development Life Cycle) methodologies using Agile and RUP.
  • Created Testcases, testplan and Companion Guide from stage to production.
  • Performed UAT testing for ICD10 and legacy testing for HIPAA 4010 and 5010 projects for HIPAA requirements and compliance mandates.
  • Performed Unit testing documentation developed using Excel and created Artifacts and listing for UAT validation,and writing and validating Use Case Documents.
  • Managed financial Processingwhich serves as primary lead for corporate financial systems, including accounting processes for accounts receivable and accounts payable systems. Manage financial spread sheets and vendor accounts. Spearhead collection processes and manage accounts receivable personnel.
  • Complete noledge in Medicaid and Commercial entities which include claims, enrolment testing, as well as NPI and medical coding and ICD-9 EDI testing.
  • Captured allHIPAA-relatedEDI datain teh repository usingFACETS and supported integrated EDI batch processing and real-time EDI usingFACETS.

Environment: Share Point 2010, MS Visio 2010, Rational Rose, GAP Analysis, UML, Use Case Analysis, SQL Server, Microsoft Office Suite, Quality Center, JSP, Java Script, XML, HTML, Agile, and Scrum Master, test Director, Rational Unified Process (RUP), MS Access, and DB2.

Confidential, Baltimore, MD

Sr. Business Systems Analyst

Responsibilities:

  • Analyzed and collected business requirements identified system interfaces and created teh requirements specification documents.
  • Identified Use Cases from teh requirements and created UML Diagrams including Use Cases, Activity/State Charts, Sequence diagrams, Data Flow Diagrams and ER Diagrams using Rational Rose and MS-Visio thus defining teh Business Process Model and Data Process Model.
  • Performed requirement analysis by gathering both functional and non-functional requirements based on interactions with teh users, stakeholders, document analysis, user interviews, and documented those requirements in teh BRD.
  • Consistently utilized MS-Project for planning and project tracking purposes.
  • Developed Test plans and mapped them to requirements with QA team.
  • Developed and updated Requirements Traceability Matrix (RTM) using Rational Rose, mapped teh developed Test Cases to teh requirements to ensure dat teh requirements were fully tested and implemented according to teh specifications.
  • Evaluated and tested teh new and modified software application to verify dat programs function according to both technical and business requirements.
  • Used teh Rational Unified Process (RUP) methodology for teh project.
  • Developed, executed and validated user acceptance test plans (UAT) and implementation support.
  • Performed GAP Analysis to figure out wat we have and wat we ought to have, to be better-off.
  • Developed project schedules, conducted project status meetings and managed resources during all phases of teh SDLC.
  • Created and maintained teh Requirements Traceability Matrix (RTM).
  • Part of Health Insurance Exchange (HIX) product team and experience in handling Private and Public Exchange solution.
  • Requirements were gatheird through interactions and meetings and periodic walkthroughs with SME’s.
  • Interacted with Developers and Users in resolving risk factors and other issues.
  • Experience with conducting assessments and impact/gap analysis concerning State Medical Management Information System (MMIS).
  • Involved in teh testing of web portal of MMIS System.

Environment: MS Visio, SQL, Java, Windows 2000/2003, MS Project, MS Word, MS Excel, Rational Requisite Pro, ALM, Rational Rose, and RUP, Share Point, Quality Center.

Confidential, Charlotte, NC

Sr. Business Analyst/UAT Tester

Responsibilities:

  • Conducted analysis studies dat serve as input to teh strategic planning, goal setting, and approach to achieving teh goals.
  • Involved in gap analysis workshops to facilitate teh proper requirements strategy and defined existing business process (BPM-Business Process Modeling) and identified teh gap (Gap Analysis) between teh existing and improved business process.
  • Worked closely with Business Users to gather requirements for streamlining teh Claims Processing System. Prepared business requirements documents (BRD) and converted it to functional requirements (FRD).
  • Experience in RENAISSANCE BILLING SYSTEM which is an integrated web based P&C Insurance billing system. This application with Insurance billing modules like Account / Policy Billing, Third Party (Agency) Billing, List/Group Billing was a complete billing system for P&C Insurances.
  • Analyze and define system requirements for IVR applications to meet business requirements.
  • Involved in claims and record data mapping and data modeling with technical teams.
  • Facilitated teh administration of increasingly complex benefit plans and regulations.
  • Provided an outstanding platform for data exchange between client and vendors.
  • Explained teh solution model, analyzed functional requirements, prepared Use cases, defined user profiles, defined supplementary requirements, defined assumptions and prepared traceability matrix and validated requirements.
  • Conducted Joint application development (JAD) sessions by convening project sponsors, end-user representatives, SME’s. Also, used Brain storming, Document analysis, and user task analysis for various reporting types like CLUE (Comprehensive loss underwriting exchange, Change Report, Claim Count, Claim summaries).
  • Interacted with teh SMEs and stakeholders to get a better understanding of client business processes and gather business requirements.
  • Prepared and maintained Requirement Traceability Matrix (RTM) in Rational Requisite Pro.
  • Assisted in locking bugs, in order to meet specific requirements and deadlines for successful execution of teh project.
  • Createduse cases, process flow models, data flow diagrams and logical flow diagramsusingUMLfor various integrations.
  • Prepared diagrams using Rational Rose and developed test plans, test cases to analyze and match results.
  • Gatheird requirements from teh end-users and acted as a liaison between teh end-users and teh development team and QA team.
  • CreatedUATtest strategies,including regressionandintegrationtesting, wrote test scripts,end-to-end testingscenarios and test plans, managed testing, defect reporting and change requests.
  • Assisted Quality Assurance (QA) Analysts in creation of various tests by using Quality center.
  • Followed teh Agile methodology during teh entire SDLC.
  • Assured dat all artifacts are in compliance with corporate SDLC policies and guidelines.

Environment: Visual Basic, Oracle 11i, MS-Project, MS-Visio Windows 2000 Server, Windows 2000, Rational Tools, HP Quality Center, Dot Net Framework, Java, Agile with XP.

Confidential, Franklin Lakes, NJ

Sr. Business System Analyst/ UAT Tester

Responsibilities:

  • Involved in gathering, analyzing and documenting business requirement and data specification.
  • Involved in constructing an integrated IVR CRM application to provide system access to real time customer data and information.
  • Worked with teh compliance and audit team to make sure we were following correct HIPAA guidelines/protocols throughout teh project lifecycle.
  • Included in selection committee for teh selection of a code mapping tool.
  • Created and reviewed business requirements, functional specifications, project schedules and documentations.
  • Created use case models, analysis models, implementation models, authorized use cases, use case diagram, behavior diagrams (sequence diagrams, activity diagram) based on UML methodology using Rational Software Modeler and MS Visio.
  • Conducted Joint Application Development (JAD) and interview sessions to elicit requirements from teh users and subject matter experts.
  • Prepared and maintained requirements traceability matrix (RTM) throughout teh project lifecycle.
  • Documented teh UAT plan for teh project and worked with teh UAT Team to ensure every acceptance criteria for teh requirements has been included in teh UAT task plan.
  • Involved in designing and developing Data Models and Data Marts dat support teh Business Intelligence Data Warehouse.
  • Involved in SWOT analysis of project plan.
  • Performed Gap Analysis to identify teh gap between teh optimized allocation and integration of teh inputs, and teh current level of allocations.
  • Created diagrams using Rational Rose and developed test plans, test cases to analyze and match results.
  • Reproduced, verified and validated issues documented in a defect tracking system and wrote tractability matrices based on use cases and business requirements (BRDs).
  • Extensive experience with Business Process Management (BPM) system.
  • Involved in UAT sessions to test and validate teh system with stakeholders.
  • Analyzed teh test results from QA teams using Performance Studio Analysis to create various scenarios.
  • Prepared schedule work flow, following agile methodology in SDLC.
  • Included in selection committee for teh selection of code mapping tool.

Environment:, UML, Windows XP, Business Objects, Informatics, MS Project 2000, MS Word, MS Excel, MS Visio, SharePoint, Agile, and waterfall.

Confidential, Boston, MA

Business Analyst

Responsibilities:

  • Conducted User interviews, gatheird requirements and analyzed teh requirements using Rational Unified Process (RUP) methodology and managed teh requirements using Rational Requisite Pro.
  • Created Business Requirement Document (BRD), Functional Requirement Specification (FRS) document and Change Request (CR) document for system application development.
  • Conducted Joint application development/ Joint requirement planning (JAD/JRP) sessions acting as a facilitator to gather requirements from teh business area and to discuss different critical success factors of teh project like Operational Feasibility Analysis, Technical Feasibility Analysis and Cost Benefits Analysis.
  • Authored various UML diagrams such as Use Cases and activity diagrams using MS Visio and defined teh Data Flow Diagrams (DFD)
  • Performed GAP analysis for teh modules in production, conducted feasibility study and performed impact analysis for proposed enhancements.
  • Coordinated JAD session with system analysts, developer’s team, project manager for application development and Pre- validation specifications.
  • Coordinated/ Assisted in different testing such as User Acceptance Testing (UAT), system testing, Integration testing and functional testing.
  • Authored test plans, test cases for various test scenarios and helped testing team to better understand teh scripts, and live environment constraints.
  • Used Mercury Quality Center to manager defects and issues log during teh testing phase.
  • Worked as a User/Customer advocate and negotiated with user as well as teh technical team and management staff to resolve any outstanding requirement conflict during teh whole SDLC process.

Environment: MS Visio, MS Project, My SQL database, Windows, MS Visio, MS Project, MS Access, Rational Requisite Pro, Mercury Quality Center, Agile, and waterfall.

Confidential, San Francisco, CA

Business Analyst/Web Analyst/UAT Tester

Responsibilities:

  • Gatheringand updatingrequirements for new web interfaces, handling defects and security audits.
  • Coordinated work plan between project manager and client with Microsoft Project, implemented and managed migrationprocess and developer fixes, retested fixes, scheduled and tracked progress for team members of project through completion.
  • Was part of teh security audit team in designing Integration security architecture tounderstand each of teh interfaces being developed.
  • Worked in cross-functional agile development teams with teammates who were developers, quality-assurance specialists, and business analysts. Also responsible for working through usability design, mockup-generation, and full-scale interactive design.
  • Performed integration testing, product testing, data driven testing, and User Acceptance Testing (UAT).
  • Enhanced web applications by search engine optimization, performance tuning and load balancing forwebapplications.

Environment: Rational Rose, Rational Requisite Pro, Quality Center 8.2,DB/SQL, MS Project, MS Visio, Rational Clear Quest, XML, JAVA, Microsoft SQL Server.

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