SUMMARY:

• Business Analyst/Project Manager with 7 years of experience in the field of Information Technology, specializing in Business Analysis.
• Strong domain expertise in Health Care and IT Services.
• Strong Business Intelligence with the ability to understand operational aspects of product line and manage projects from a business perspective and ability to conceptualize creative and innovative solutions for new product development.
• Worked closely with various stakeholders, SMEs and staff to understand and document Business, Functional and Software requirements.
• Creative execution of many projects from scratch to deploy phases across diverse domains.
• Experience in conducting GAP Analysis, SWOT Analysis and Cost benefit analysis.
• Experience in Project Management, Project Schedule, Project Tracking and Team Management. Submit Risks, Issues, Dependencies documents, Project status.
• Strong analytical, and problem - solving skills with particular emphasis on clear, detailed business requirements and functional specifications, as well as reports for management.
• Direct responsibilities include experience with planning, organizing, and change management.
• Team player, result-oriented, fast learner, excellent communication skills with strong research capability, excellent documentation and interpersonal skills.
• Possess excellent Analytical skills and Technical skills in gathering business requirements from business stakeholders and converting them into Functional requirements, Use case document, User Interface Specification, Technical Design Test case document and User manuals.
• Adept enhanced knowledge of industries standard SDLC methodologies and having extensive experience working on all the phases of Waterfall, Agile, RAD and RUP including Joint application development (JAD), Joint requirement planning (JRP).
• Comprehensive knowledge of Software Development Methodologies (SDLC) such as Waterfall, RUP and AGILE, SCRUM.
• Expert in tracing requirements throughout the development process and verifying adherence Requirement Traceability Matrix (RTM).
• Organized many Joint Application Developments (JAD) sessions, scrum meetings, walkthroughs, Interviews, Workshops and Rapid Application Development (RAD) sessions with end-user/clients/stake holders and the IT group. Led SCRUM sessions for SPRINT Planning. Conducted Requirement Gathering Sessions and interviewed subject matter experts.
• Strong experience in conducting User Acceptance Testing (UAT) and documentation of test cases.
• Excellent business writing skills essential for producing various business documents such as Business Requirements Document (BRD), Functional Requirements Document (FRD), and Non-Functional Requirements Document (NFRD), Business Process Documents, Business Flow Documents, User Training Manuals, User Interface Specifications.
• Worked in creating and reviewing Test Procedures, Test plans for quality assurance, analyzing bugs, interacting with team member in fixing errors.
• In-depth knowledge of Medicaid and Medicare claims processing along with extensive knowledge on CMS, MITA, MMIS, Electronic Medical Health Record (EMR/EHR), Facets and Pharmacy Benefit Management (PBM).
• Expertise in Pharma Domain supporting projects for Clinical development, Regulatory and Safety, Manufacturing, and Sales and Marketing portfolios
• Deployed UML models in different projects by way of activity diagram, use case diagrams and sequence diagrams using MS Visio.

TECHNICAL SKILLS:

Operating Systems: Windows 2000/XP/Vista/8/8.1

Tools: Microsoft Office

Methodologies: RUP, SDLC, RAD, Agile Development, SCRUM

Industry Standards: HIPAA, ICD codes, Medicaid and Medicare, US FDA Regulations, Facets.

Requirement Management Tools: UML, IBM Rational Requisite Pro, Power Designer

Project Management: Microsoft Office (MS Word, MS Excel, MS PowerPoint, MS Outlook), Microsoft Visio.

PROFESSIONAL EXPERIENCE:

Confidential, TX

Business Analyst

Responsibilities:

• Created documentation for functional and non-functional requirement.
• Utilized the Agile methodology of iterative Software Development Life Cycle (SDLC).
• Responsible for gathering requirements which included brainstorming and meetings with the stakeholders and created requirement specification artifact.
• Gathered user stories and created product Backlog for the new system to be implemented.
• Created and maintained the Workflow plans and artifacts. Ensured proper completion of projects tasks and deliverables.
• Resolved conflicts between development and implementation teams. User Acceptance Testing (UAT) testing was performed to ensure proper compliance of goals was met.
• Provided active support with variety of project management, special projects cooperate initiatives that had significant impact on organization and its business operations.
• Involved in project management activities like assigning tasks to the team and approving the timesheets.
• Followed structured approach of gathering and formalizing business requirements expressed by managers, process owners and operational users of the information system.
• Worked extensively on Gap Analysis.
• Utilized MS Visio to draw Use Case diagrams and Process flow mapping to capture tt he requirements so that the development team and stake holders can understand the business process.
• Coordinated with the application team and Quality Analysts in the creation of test plans, User Acceptance Test scripts and Regression test cases (for upgrade).
• Extensively involved in the implementation of New Electronic Medical Health Record Management System (EMHR) and verified that new system is compliant with HIPAA.
• Analyzed existing Business units, Business process, System Application and there Interfaces with their capability through open-ended discussions, brainstorming sessions, and prototyping, prioritizing them and converting them as system requirements that must be included while developing the software.
• Gathered Business requirements. Interacted with the End users, Designers and Developers, Project Manager to get a better understanding of the Business Processes.
• Conducted JAD sessions between the business users, Developers, testers & Subject Matter Experts to resolve bottlenecks.
• Interact with the Subject Matter Experts (SME’s) to gather information about the health care enrolment, billing and health care claims processing and checked if they are processed correctly or not.
• Working knowledge of 837-EDI (Electronic Data Interchange).

Environment: MS Office, Microsoft Visio, Agile, Microsoft Project, Microsoft Share Point, UMLJAD, GAP.

Confidential, Oklahoma City, OK

Business System Analyst

Responsibilities:

• Worked on Traditional Waterfall methodology and responsible for creating BRD’s and FRD’s.
• Served as Communication Bridge between non-technical users and technical solution developers.
• Analyzing business needs, creating and developing new functionalities to meet real time data integration that facilitated decision making.
• Responsible for functional and organizational goal implementation.
• Designed Business Requirement Documents (BRD) and Functional Requirement Documents (FRD).
• Working knowledge of 837-EDI (Electronic Data Interchange).
• Identifying business needs, evaluated business and technical alternatives, recommended solutions and participated in their implementation.
• Coordinated business initiatives including brainstorming on new functionality for current systems to collect business requirements and business process information.
• Interaction with Subject Matter Expert’s (SME’s), Business users, Architects, Data Modelers to gather business processrequirements and to translate them into functional specifications and technical specifications respectively.
• Conducted JAD sessions for communicating with all Project directors and stakeholders.
• Created process Workflows, Functional specifications and project initiation artifacts.
• Facilitated pre-planned meetings, demos and daily stand ups.
• Assist in defining implementation and deployment tasks for the new platform as per requirement.
• Prepared Data Models that involved a set of diagrams and supporting documents that contained essential business elements, detailed definitions and descriptions of the relationships between that data elements to analyze and document business data requirements.
• Provided technical assistance in identifying, evaluating, and developing systems and procedures that are cost effective and meet business requirements.
• Worked with user groups to provide training, resolve questions, assess user needs and recommend changes.
• Performed UAT, created Test Scenarios/Plans and developed Test Cases for testing the products in order to verify that client/vendor requirements are incorporated in to the system design.
• Co-ordinate with internal and external sources by defining requirements towards operational efficiency.

Environment: Waterfall, UAT, GAD (Gap Analysis Document), Microsoft Office Professional (Outlook, Word, Excel, Visio, Access)

Confidential

Business Analyst

Responsibilities:

• Assisted the project manager in project management activities like defining scope, timelines and work plans using MS-Project.
• Utilized Agile methodology and documented the artifacts throughout various phases.
• Assisted the scrum master in planning the iterations, scrum sessions and standup meeting.
• Conducted Joint Requirement Planning (JRP) with management, Subject Matter Expert’s (SME) users and other key members to develop specifications for HIPAA 5010 implementation.
• Gathered user stories for each sprint and Developed and maintained the product backlog with tracking the progress pertaining to all the user stories.
• Tracked and maintained stakeholders request enhancements and changes using Requirement traceability matrix (RTM) on MS Excel.
• Understood the process for implementing 5010 HIPAA transactions and identified the new segments changes required with the minimum changes to the existing system.
• Performed White Box and Black Box testing.
• Worked on Facets to validate the membership data and claims data.
• Designed business models throughUML diagrams such as Use case diagrams and process flow by using Rational Rosethereby helping development team in understanding the functionality.
• Created test scenarios, test plans and developed test cases for testing the products in order to verify that client requirements are incorporated in to the system design and performed UAT.
• Provided training and prepared training materials like Quick reference guides and manuals.

Environment: Agile, UML, SQL, MS office, Black Box and White Box Testing.

Confidential, Milwaukee, WI

Business Analyst

Responsibilities:

• Involved in interview sessions with end-users to gather information about business processes.
• Actively worked on Business requirement gathering, analysis and Data Analysis.
• Conducted JAD sessions and developed various strategies to distribute the work in team.
• Created “As-Is Business Models” to understand the existing claim settlement process flow through interacting with SMEs, underwriters and Finance department and created “To-Be” Business Models.
• Worked extensively on GAP analysis of 4010 and 5010 using ‘Tracer’ tool.
• Reviewed documents (policies, manuals, business processes, systems documents, banners, bulletins) from various divisions. Analyzed and performed Impact Analysis to determine areas impacted by HIPAA 5010 and ICD-10 related data.
• Developed and maintained the product backlog with tracking the progress pertaining to all the user stories.
• Responsible for the reviews for Functional Specs to development team and QA team.
• Transactions involved were Enrollment (834), 835, 837I/P for HIPAA 5010.
• Working knowledge of 837-EDI (Electronic Data Interchange).
• Mapped ICD codes and prepared final result summary documents with reports.
• Designed and developed use cases, activity diagrams and sequence diagrams.
• Worked intensively with Medicare & Medicaid claims.
• Performed Regression Testing to ensure the product integrity.
• Reviewed Test specifications, Test cases and performed Manual Testing.
• Performed User Acceptance testing, developed Test logs and opened/closed as and when the issue is fixed and Quality checked with the assumed company data with all the possible Test Scenarios.

Environment: Agile, UML, SQL, MS Office, MS-Project, Test Director, MS Visio.

Confidential, New York, NY

Business Analyst

Responsibilities:

• Studied the documents in place and interviewed user groups to gather requirements and prepared Business Requirement Documents (BRD).
• Prioritized requirement deliverables documented in requirement document to meet the crucial deadlines to complete the project according to schedule.
• Conducted JAD sessions to help different stakeholders to communicate their perspectives with each other and resolve any issues.
• Guided QA Testers in writing Test Cases and Test Scenarios.
• Assisted with product evaluation, product customization and system integration.
• Designed the navigation flow and user interface for the full-featured reporting functionality.
• Performed User Acceptance Testing (UAT) and Black Box Testing.
• Trained the users groups to use the new functionalities of the developed system.
• Assisted Project Manager to keep track of the activities in the project using MS Project
• Developed UML Diagrams such as Use Case Diagram, Activity Diagram, Class Diagram, and Sequence Diagram to interact with developers.
• Prepared Business Requirement Documents (BRD) and further decomposed business requirements to create Functional Requirement Document (FRD).
• Defined roles and responsibilities of participants in the business process.
• Created workflow diagrams, swim lanes, process flow, and reviewed Test cases, Test Plans and Test Scripts.
• Facilitated JAD (Joint Application Development) sessions, JRP (Joint Requirement Planning) Sessions, workshops and requirement elicitation sessions with the Business Stakeholders, Subject Matter Expert’s, IT Groups and reporting related Business Requirements prior to formulating new policies.
• Developed Test Plan and Test cases to perform UAT test with the end user.
• Assisted with data training to ensure that the end users fully understand all the components of the system.

Environment: MS Office Suite (Word, PowerPoint, Excel), Waterfall methodology, MS Visio, UML, Share point

Confidential

Business Analyst

Responsibilities:

• Gathered requirements by conducting stakeholder meetings, interviews and discussions.
• Loaded data from large flat file into oracle databases.
• Involved in interview sessions with end-users to gather information about business processes.
• Actively performed business requirement gathering analysis and data analysis.
• Managed projects that included maintaining project schedules, managing resources and providing solutions ensure project activity is in accordance with project plan and standards.
• Coordinated and managed the development and delivery of written specifications in order to capture business process requirements.
• Attended daily SCRUM and guided QA and Developer regarding the defects, Technical Specification Documents and Mapping Documents.
• Provided all standard quarterly reports including data analysis and graphs.
• Conducted Joint Requirements Planning (JRP) sessions with management, SME’s (Subject Matter Expertise) users and other key members for open and pending issues to develop specifications.
• Participated for the creation ofBusiness Process Workflow Diagramswith Stakeholders.
• Involved in throughout the business SolutionDevelopment Life Cycle(SDLC).
• Conducted meetings with business users andSMEsto identify and gather various functional andnon-functionalrequirements.
• UtilizedRational Unified Process (RUP)to configure and develop process, standards and procedures to create Business requirement Document (BRD).
• ConductedGAP analysisof the different reports that are being presented to clients to accommodate their requirements for the new enhancements.
• Created artifacts such asUse Cases, Activity Diagrams, and Sequence Diagramsusing MS Visio.
• Came up with change enabling ideas and lead initiatives and executing the same.
• Understand the various stages of aclaim life cycleand utilize the knowledge in meeting client goals.
• Ensure timely approval of data loads and timely escalation of data issues.
• Identify all possible automation opportunities on the project and get the reports automated.
• ConductedJADsessions during the various stages of upgrading the matching system and discuss the current system preference.
• Developed Requirements Tractability Matrix (RTM) using MS excel to trace each software design requirement to test case.
• ReviewedSystem Test Plans,wrote test scripts and worked with business folks to validate and execute the test scripts.

Environment: Designed Use Cases, Use Case diagrams, Activity diagrams, Sequence diagrams in UML methodology using MS Visio.