SUMMARY

• Qualified professional with over all 7+ years of extensive experience in the field of Business Analysis with Finance, Insurance and healthcare domain, working with the technical staff to implement management and staff's business requirements into the software application in those industries.
• Highly motivated team player with excellent communication, presentation and interpersonal skills, always willing to work in challenging and cross - platform environment.
• Performed Integration testing, System testing, Regression testing and Performance testing of Billing Center, Policy center and Payment manager in Guidewire application based on the business requirements using LISA.
• Proficient in Technical and Business Writing, Business Process Flow, Business Process Modeling, Business Analysis and Testing various methodologies.
• Experience with healthcare reform act Medicaid, MMIC and Curam in the health domain.
• Responsible for creating test scenarios, scripting test cases using testing tool and defect management for Policy Management Systems, Payables/Receivables and Claims processing.
• Expertise in Project Management i.e. Project Scoping, Planning, Estimating, Scheduling, Organizing, Directing, Controlling, Budgeting and Drafting Remedy Procedures.
• Experience in conducting GAP analysis, User Acceptance Testing (UAT). SWOT analysis, Cost benefit analysis and ROI analysis.
• Experience in production support and working around with defects and JIRA.
• Experience with defect prioritization and responsible for defect tracking until the requirement is analyzed and resolved.
• Extensive experience in assisting in gathering and documenting business requirements for theGuidewireClaim Center claims management system.
• Extensive knowledge of Healthcare rules and Health Insurance Portability and Accountability Act (HIPPA) standards, Electronic Data Interchange (EDI), implementation of HIPPA code sets, ICD-9, ICD-10 and Sunshine Act.
• Experienced with using SQL in Teradata for ETL of data.
• Strong experience in Data Warehouse Concepts,ETL.
• Experience in facilitating Joint Requirement Planning (JRP) sessions with Business User Groups, conducting Joint Application Development (JAD) sessions with IT Groups and Conflict Management with Project team members.
• Experience in implementing Microsoft Office SharePoint 2007.
• Insurance experience includes Personal Property Casualty and Commercial Automobile Product knowledge, Reinsurance for Commercial Property Casualty, Group and Life Insurance Systems, Auto Insurance and Crop Insurance.
• Strong understanding of project life cycle and SDLC methodologies including RUP, RAD, Waterfall and Agile.
• Developed a file of ACORD Forms used as the standards in all Property and Casualty markets, for both Personal and Commercial Lines of Business.
• Created UAT plans with several test cases for each project to ensure that the system runs smoothly after the proposed enhancements or changes have been made.
• Responsible to Track, Document, Capture, Manage and Communicate the Requirements using Requirement Traceability Matrix (RTM) which helped in controlling numerous artifacts produced by the teams across the deliverables for a project.
• Highly motivated team player with excellent Interpersonal and Customer Relational Skills, Proven Communication, Organizational, Analytical, Presentation Skills, and Leadership Qualities.

TECHNICAL SKILLS

Programming Languages: HTML, XML, SQL

Data Base: MS Access, Oracle (SQL Series)

Project Management: Microsoft Project, Microsoft Office

Operating Systems: MS-DOS, Windows95/98/NT/2000/XP, Apple McIntosh, Linux

Software: MS Office Suite (Word, Excel, Access, PowerPoint & Outlook), MS Visio, Rational Rose, Rational Requisite Pro, Adobe Acrobat, MS Office FrontPage, MS SharePoint

Processes/Technologies: Rational Unified Process (RUP), Waterfall, UML & Microsoft Office SharePoint 2007, Agile, Scrum.

Automation Tools: Requisite Pro, Win runner, Quality Center

PROFESSIONAL EXPERIENCE

Confidential, Madison, WI

Business/Data Analyst

Responsibilities:

• Worked with Guidewire Policycenter to create the policies and coverage.
• Elicited and gathered high-level requirements by conducting stakeholder meetings, interviews and discussions.
• Responsible for recording the rules and requirements based on the meeting with stakeholders into the user stories and being point of contact for development and test support.
• Responsible for developing Product Development Plan, Iteration Plan, Quality Assurance Plan, Risk List as described by the Rational Unified Process (RUP) methodology
• Worked with SQL queries for data manipulations and accuracy
• Prioritized business/system problems and conducted Risk and Impact analysis
• Helped business and technical people in prioritizing wish list and managing the small Change Requests
• Defined system scope and objectives and prepared BRD and FRD
• Used storyboarding technique and dashboard for building consensus on behavioral requirements among stakeholders
• Developed UML Use-Cases and Use-Case diagrams after assessing the status and scope of the project and understanding the business processes using Rational Rose
• Integrated Requisite Pro with Rational Rose to provide all teams visibility and maintained traceability among requirements, use cases and change requests
• Assisted Technical Team to develop System Requirement Document/Specification (SRS), along with the ideas to modify the blue print of the system to enhance its quality and performance
• Developed workflow, screen mock-ups, and conversion requirements for all transaction related activities
• Collaborated with development team in identifying User Interface (UI) prototype elements from user’s perspective
• Worked with development team in designing model to display real time data regarding quotes and prices
• Assisted in designing tests plans, test scenarios and test case for integration, regression and User Acceptance Testing (UAT) and verifying the confirmation criteria to improve overall quality of the application
• Used Microsoft Excel and Oracle for Data Analysis and Reporting
• Worked for production support and Used JIRA for assigning and raising an application bugs

Environment: Oracle, DB2, Green Plum, MS-Project, Visio, MS SharePoint, MSOffice Suite (Word, Excel, Access, PowerPoint, and Outlook), J2EE, RUP methodology, Rally, Photoshop, Rational Rose, Requisite Pro, JIRA.

Confidential, Frisco, TX

Business Analyst

Responsibilities:

• Interaction with operational staff at all levels in gathering requirements relating to application design.
• Interacted with Technical team in understanding Operational and Technical functions of the existing Payment Engine.
• Created high quality functional requirement specifications and supporting documents for business.
• Experience with Curam and Medicaid for the healthcare reform updates.
• Extensive use of MS Office tools like MS Access, MS Word, MS Excel, MS PowerPoint MS Project for data migration in to the CI System Knowledge Data Base in Microsoft SharePoint Designed and developed Use Cases, Activity Diagrams, Sequence Diagrams using EA Tool.
• Experience in EDI automated first-pass claim adjudication, requiring thorough understanding of claim processing, both front and backend operations.
• Tested HIPAA Gateway Application Interface for all inbound and outbound messages (Healthcare Eligibility 270 and 271, Healthcare Claim Status request 276 and 277, Healthcare Claim 837 and 835)
• Worked in HIPAA and HIPAA2 4010A1 as well as 5010 compliance lifecycle from GAP analysis, mapping, implementation.
• Produced Gap Analysis documents for HIPAA 5010 and ICD-10.
• Assisted in monitoring ancillary data transactions and addressed problems with HL7 messages.
• Performed requirements modeling and develop analysis diagrams, activity diagrams, sequence diagrams, state diagrams, data models, and use-case realizations using RUP tools in Agile.
• Worked with technical staff and business users to problem-solve and identify workable solutions.
• Established questionnaires and resource levelling required for implementing HIPAA 5010 and upgrading ICD-9 diagnosis codes to ICD-10 codes.
• Involved in HIPAA EDI transactions such as 835, 837 (P, D, I) 276, 277, 278.
• Conduct complex documentation and user needs analysis. Interface with team and staff to develop HL7 integration
• Developed the strategy for developing and implementing new EDI (HL7 and X12) interfaces and converting historical clinical and data.
• Worked on EDI transaction 835 to identify key data set elements for designated record set. Interacted with Claims, Payments and Enrollment hence analyzing and documenting related business processes.
• Involved in setting up different configuration environment for compatibility testing and manual testing.
• Extensively worked on test cases and with testing tools like TEST DIRECTOR, TOAD and ULTRA EDIT for validating EOB’s and 835 test scripts against output files, EOB PDF’s and Velocedi HTML files.
• Participated in the bug review meetings, updated requirement document as per business user feedback and changes in the functionality of the application.
• Involved in QA team issues and reviewed test plans and test scripts developed by QA team to make sure that all requirements will be covered in scripts and tested properly.

Environment: Windows 2000/XP, HL7, Microsoft Office SharePoint 2007, Curam, Agile, Rational Requisite Pro, MS Office, SQL Server 2005, Cobol, MS Project, MS FrontPage 2003, MS Access, EDI, Documentum 2.0.,UML.

Confidential, Lincoln, RI

Business Systems Analyst

Responsibilities:

• Worked on UAT testing and took signoff from the Commercial line of Property & Casualty business users.
• Writing new COBOL, DB2 programs to handle Claim centre messages (from front end via XML) processed in the Mainframe from the front-end system called Claim Centre (CC) using GUIDEWIRE working with SQL SERVER Data.
• Introduced Agile and RUP methodologies to reflect liquid nature of front-office improving time-to-market
• Collaborated in building a business analysis process model using Rational Rose, RequisitePro, and Visio.
• Conducted Joint Application Development (JAD) sessions with IT groups. Identified the Key Changes, and participated in Stakeholder Management to communicate effectively with them.
• Worked onGuidewire, extensively worked onGuidewirePolicy center &GuidewireClaim Center.
• UsedGuidewiresoftware to track the claims of the policyholders.
• Guidewirewas specifically used by the team to implement the enhancement to expedite the claim process for unregistered users.
• UsedGuidewireto upgrade the current Claim system to track the claim of the policyholders and third party applications.
• Involved with the testing team to check the augmentations done previously usingGuidewire.
• Performed Integration testing, System testing, Regression testing and Performance testing of Billing Center, Policy center and Payment manager in Guidewire application based on the business requirements using LISA.
• Extensively done manually executing the test cases to perform application functional testing of Guidewire PolicycenterandBilling center.
• Facilitate JAD sessions involving the management, development and user teams for clarifying requirements and facilitating better communication.
• Designed and developed Use Cases, Activity Diagrams, Sequence Diagrams, OOAD using UML and Business Process Modeling.
• Utilized Agile/ SCRUM and PMI methodologies to monitor steer and develop project objectives.
• Involved in mentoring specific projects in application of the new SDLC based on the Agile Unified Process, especially from the project management, requirements and architecture perspectives.
• Design and develop the data load process using XML Style sheets and ACORD.
• Designed and developed Use Cases, Activity Diagrams, Sequence Diagrams, OOD using UML
• Performed requirement analysis, went through all the use cases and issue logs.
• Worked extensively with MS Excel
• Provide customer service and support for Property & Casualty risk management needs

Environment: Windows, MS Office (MS Word, MS Excel, MS Powerpoint, MS Visio), .NET, Oracle, Crystal reports, Mainframes, Guidewire, Java, J2EE, RUP, UML, SQL, SWOT analysis, GAP Analysis, Win Runner.

Confidential - Detroit, MI

Business Analyst

Responsibilities:

• Understanding the current business process, defining scope of the project along with vision statement.
• Actively participated in gathering requirements from various SMEs, Financial Analysts, Risk Analysts and Portfolio Management via JAD/JAR sessions.
• Extracted the Business Requirements from the end users keeping in mind their need for the application and prepared Business Requirement Documents (BRD) using Rational RequisitePro.
• Defined and identified reference data, and provide strategy and process to harmonize Master Data creation and access across the enterprise.
• Involved in the creating the User Interface Specification Document and User Training Manual as per project specification with the help of development team
• Worked with data quality governance teams to ensure each work-stream and project within the Basel II framework adhered to strict data quality and maintenance standards.
• Created use-case scenarios and storyboards in MS Word and MS PowerPoint for better visualization of the application and managed them using Rational Requisite Pro.
• Used SDLC (System Development Life Cycle) methodologies like the RUP and the waterfall.
• Designed the UI of the application, prototyping and wire framing in MS Visio for better illustration of the application.
• Designed and developed Use Cases using UML and Business Process Modelling.
• Responsible for conducting GAP analysis between Basel II and I file generations for the Enterprise Risk Management/Security Finance team.
• Used MS Visio for Process modeling and Business Process flow diagrams.
• Developed multiple Functional Requirements definition (FRD) documents using the Microsoft standard structure and format (business sections only).
• Designed relational data tables to normalize large samples of master data to ensure its quality before conversion.
• Created test plans and scripts, facilitated user acceptance testing and tested strategies with developers and testing team.
• Designed and created Excel sheets to provide market analysis charts.

Environment: Microsoft Office Suite, MS Visio, MS Project, Windows XP, Dream Weaver, SQL, PLSQL, XML, VB, ASP, Crystal Reports, Adobe Photoshop, Mercury Test Director, Win Runner, Load Runner