SUMMARY

• Over 10 years of professional experience as a Requirements Manager, EDI Analyst, Business Systems Analyst, Business Lead, Quality Analyst and Technical Writer in Health Care, Informational Technology (IT), Finance, Banking, and Insurance domains.
• Hands on experience in creating Use Cases, Sequence Diagrams, Collaboration diagrams, Activity Diagrams and Class Diagrams.
• Hands on experience in analyzing, testing, gathering and documenting requirements.
• Extensive experience with process modeling using UML, flow charts, Swim lanes, task diagrams, sequence, activity diagrams and Use Cases.
• Good Knowledge of RUP, Business Process Modeling, Business Re - Engineering, Business Intelligence and Business Architecture.
• Hands on experience on various SDLC methodologies such as agile, waterfall and iterative.
• Hands on experience working on SQL statements, data mapping and data warehouse (EDW).
• Proficient in Rational Suite including Rational Rose and Requisite Pro.
• Hands on experience on MS Visio, MS Project, MS Outlook, MS Power point, MS Excel (pivot tables and pivot charts), MS Word and MS Access.
• Hands on experience in creating RTM, Defect status report and Change requests form
• Develop Project Plans, Test plans, Project Scope, Gantt Charts and Project Charter.
• Performed GAP analysis, SWOT analysis, ROI analysis, Cost benefit analysis and User Acceptance Testing.
• Involved in the complete SDLC cycle; Requirements Analysis, Business Requirements Documents, Functional Specifications Document, System Design Documents, Requirements Traceability matrix, Develop and Testing.
• Good knowledge on industry standards such as Six Sigma, ISO 9000, PMBOK and CMM levels.
• Hands on experience on HIPAA standards, X12 transactions, ICD, ACA, EDI, CMS and MMIS
• Excellent communication, interpersonal and leadership skills.
• Masters in Business Administration - MBA degree Professional with extensive experience in the development, implementation and integration of strategies, utilizing quantitative and qualitative analytical skills.

TECHNICAL SKILLS

Methodologies: RUP, Agile, Waterfall, Six Sigma, CMM, UML, SDLC

Testing Tools: Rational Enterprise Suite, Test Director, SODA, HP Quality Centre, Silk, Snag-it, ALM.

Change Management Tools: Rational Clear Quest.

Business Modeling Tools: Rational Rose, Requisite Pro, Microsoft Visio, Requirements Composer

Version Control Systems: Rational Clear Case.

Project Management: Microsoft Project, Microsoft Office Suite, Lotus Notes, SharePoint, Clarity.

Databases: MS-Access, MySQL, DB2, Mainframes, Oracle, OLAP, OLTP

Programming Language: SQL, Java, Visual Basic, SAS

Business Intelligence: Informatica, Business Objects

Interface/Software tools: Facets, TIBCO, Tumbleweed(Axway)

PROFESSIONAL EXPERIENCE

Confidential, MD

Systems Analyst/ System Engineer

Responsibilities:

• Conduct JAD sessions and gather requirements from SSA
• Document Requirements and develop supporting artifacts
• Develop Technical Specifications for requirements and upload them to Requisite Pro
• Prepare Use Cases and swim lanes diagrams to document the requirement scenarios
• Write Technical Specifications for Requirements and upload them to Rational Requisite Pro
• Manage, update and upload use case requirements and specifications in Rational Requisite Pro
• Manage, create and update defects and change requests in HP ALM
• Serve as a SME to all the Quality Analysts and Technical Analysts
• Create use case requirements and diagrams as per meeting update
• Create Detailed System Specifications Document for Disability Case Processing System for Manage Contact Information and Manage Third Party Contact functionality.
• Prepare weekly status reports to document work progress and updates from the week
• Prepare System Requirements and Engineering Support Summary Report every 3 weeks for the supporting functionality.
• Manage Data Models and Data Dictionary with entity, table, attributes and column information.

Environment: Rational Requisite Pro, MS Project, MS Word, HP ALM, Visio, SharePoint

Confidential, Boston

Business Systems Analyst

Responsibilities:

• Worked on the Dental migration project to migrate dental information
• Identified all the impacted functional areas for Provider Operations, Recipient and Legal work streams
• Conducted JAD sessions to identify the requirements for Support Provider Network Strategy, Provider File PDM, and EDI claims work streams on the dental migration project.
• Document, finalize, and publish all meeting notes for the work streams
• Identify preliminary set of requirements based on meeting discussions.
• Facilitate requirements gathering sessions, develop, finalize and obtain leadership sign off of the BRD.
• Publish all work stream related documents to Worksite.
• Develop; finalize the work stream/project Traceability Matrix.
• Work with the Project Manager in conducting the work stream and project Gap Analysis.

Environment: MS Project, MS Word, HP ALM, Visio, Worksite, MS Office.

Confidential, DC

PMO Business Lead

Responsibilities:

• Co-ordinate with the Directors and document the current PMO processes
• Conduct JAD sessions and analyze the impacts of the clarity upgrade project
• Develop process flow diagrams, swim lane diagrams to support the PMO processes.
• Conduct one-one sessions with the SME’s, Directors and Project Managers to document the current functionalities and processes
• Prepare meeting minutes to capture the discussions and action
• Prepare project plans and schedule deliverable using Gantt charts
• Document the current AS-IS clarity process and functionalities supported at FEPOC
• Create Requirements to support the AS-IS process for PMO processes and clarity processes
• Prepare plans to document the project scope, resource allocation, finance allocation and delivery dates.
• Prepare and Facilitate PowerPoint presentations to the Directors and Managers
• Co-ordinate tasks and deliverables of multiple projects and develop documentation.

Environment: MS Project, MS Word, Clarity, Visio, SharePoint.

Confidential, MD

Requirement Manager, Business Lead

Responsibilities:

• Conduct review sessions and gap analysis for current and impacted systems
• Conduct, facilitate and drive JAD sessions with the stakeholders, developers and testers to gather disaster recovery requirements
• Elicit, update and document requirements for the disaster recovery
• Analyze and Document the requirements for Reinsurance, Risk Adjustment and Risk corridors program
• Develop and finalize the Project Requirements Document (PRD) with the stakeholders approval
• Conduct review sessions with the stakeholders, technical and testing group to discuss approved and updated requirements
• Perform requirement analysis and conduct sessions with cross functional groups to discuss project impacts and risks
• Conduct review sessions to revise the existing vendor agreements and contracts
• Worked with business users and the management to analyze the business process and made necessary changes to cater to their reporting needs.
• Perform ambiguity review on requirements to filter any ambiguous requirements which might impact the project and its auditions
• Upload, trace and maintain requirements into ALM during the SDLC lifecycle
• Create Requirements Traceability to track requirements; compliance, business, user, functional and non-functional requirements.
• Work, update and track Change Requests during and after the SDLC life cycle
• Develop Use Cases for various possible scenarios
• Create SOP’s and document business decisions for communication sent to the applicant/insurer.

Environment: ALM, EDGE SERVER, Health Insurance Casework System (HICS), Facets, TIBCO, Tumbleweed (Axway), MS Office, Wireframes.

Confidential, MD

Business Lead Analyst

Responsibilities:

• Prepare various Use Case models, Use Cases, UML diagrams, Use Case Diagrams and Business Process Flows and represent them throughout EDW development cycle.
• Perform systems and requirements analyses for the OEEAS (Office of Earnings, Enumeration and Administrative Systems) at the Social Security Agency (SSA).
• Load requirements information into Application Lifecycle Management (ALM) tool to develop, maintain and track the project documentation generated during the SDLC.
• Review, analyze and extract system information from technical and business documentation to develop functional and data requirements.
• Lead workgroup sessions to extract functional requirements and outline system processes from supporting project documentation.
• Served as liaison between the business and the EDW IT teams - Architecture teams, Data Integration, etc.
• Involved in data analysis and mapping for EDW project and big data foundational projects
• Conduct, analyze, review and document source to target data mapping for the legacy applications to feed EDW
• Recommend efficient approaches for process improvement.
• Peer review use-cases, requirements and meeting minutes.
• Conduct various JAD sessions with the clients, SME’s, Developers and Management staff.
• Prepare detailed status reports to deliver it to SSA clients.
• Prepare, rewrite and update multiple closeout year reports for final delivery to SSA clients.
• Provide recommendations surrounding improving processes, efficiency and practices

Environment: Application Lifecycle Management (ALM), Mainframes, Java, Microsoft Visio, Rational Software Architect, HP Quality Center, Microsoft Office, Share Point.

Confidential, Raleigh NC

Senior Business Analyst and Quality Analyst

Responsibilities:

• Analyzed and documented the incentive program business rules.
• Wrote complex SQL queries and involved in performing data mapping.
• Worked extensively on Claims and Adjudication of Claims
• Developed Business Requirement Document, Technical Specification Document, Detailed Design Document, Project Scope Document and Functional Specifications Document
• Identified and documented data sources and transformation rules required populating and maintaining data ware house content.
• Worked on ICD code conversions from ICD9 to ICD10
• Performed code analysis and documented the enhancements to meet the end state requirements for transactions
• Developed FRD, mapping and UI document for the organizations website.
• Developed RTM to trace and link requirements, design specifications, test requirements and code files.
• Worked on enrollments and renewals with good knowledge of end to end process
• Developed Gantt chart and Project Plan for planning and scheduling tasks along the SDLC lifecycle of the project.
• Review companion and implementation guides.
• Created, Tracked and reconciled reports from multiple documents/spreadsheets
• Documented the as-is process and developed user manuals.
• Developed Project Glossary, Project Scope Document, Business Requirement Document.
• Participated in user acceptance testing to ensure the requirements
• Performed mapping of data models, analyzed data content and tables.

Environment: Microsoft Word, Microsoft Excel, Microsoft Visio, IBM Mainframes, Clarity, SharePoint, Lotus Notes, MS Project, Silk, DB2, Edifices, Agile Methodology, RUP SQL, VLOOKUP, WebSphere Translation Extender (WTX), Design Studio, integration flows, and database interfaces, DB2 Database.

Confidential, Lincoln NE

Senior Business Analyst

Responsibilities:

• Documented the requirements and prepared various Business Requirement Documents.
• Worked on the Requirements Gathering phase for all the Health Care Transactions.
• Worked extensively on MS Access database and maintained and updated requirements
• Prepared Test Scripts and Test Scenarios to validate the requirements gathered.
• Performed Manual Testing to validate that all the requirements were met and implemented.
• Created Business Flow Diagrams, UML Activity diagrams and USE case diagrams.
• Worked on the various opportunities to be implemented along with the HIPAA 5010 project to better utilize the time and resources.
• Used Microsoft Visio to create various use case models, use cases and UML diagrams.
• Maintained Change Request forms and issues on the Access Database.
• Prepared User Manuals for better understanding of the application by its users.
• Organized in Joint Application Development (JAD) sessions, presentations and participated in interview sessions to collect information.
• Prepared Business Requirements and General System Design Documents and presented them to the clients.
• Trained New Employees on the project as their mentor/ new hire support for the first few weeks of new employees.
• Documented the Functional Specifications for all the Requirements as well as the Test Scripts on the Access Database.
• Review, analyze and extract system information from technical and business documentation to develop functional and data requirements
• Created test claims and EDI transactions to test HIPAA 5010 compliancy and did troubleshoot to resolve errors.

Environment: Microsoft Word, Microsoft Excel, Microsoft Visio, Access Database, Mainframes, Clarity, SharePoint, Lotus, Microsoft Office, MS Access

Confidential, MI

Financial Analyst

Responsibilities:

• Develop project plans, Gantt chart for planning and scheduling tasks along the SDLC lifecycle of the project.
• Prepare Business Requirement Documents (BRD), Function Specifications and any necessary documentation.
• Support User Acceptance Testing (UAT) and provide post production support to the users and assist in test case creation.
• Prepare Meeting presentations, gather and research the needed information for better facilitation
• Prepare process flow diagrams and step by step manuals
• Lead and facilitate JAD sessions with the business owners, technical and user groups
• Validate data in the General Ledger and verify accuracy with the actual data
• Prepare manuals and necessary mockups to support the requirements
• Create and monitor reports for CFO review on monthly, quarterly and annual basis
• Validate the General Ledger data against the actual report data
• Resolve data discrepancies and coordinate necessary adjustments to the actual data
• Manage reports and perform analysis to ensure accuracy
• Monitor and Coordinate any processing of reports to generate the needed information.
• Analyze reports and validate data in various reports generated
• Coordinate any data mismatches/discrepancies and resolve them
• Assist and Support the internal and external audit process conducted
• Validate, gather and provide necessary documentation to the PM when needed.
• Developed R TM to trace and link requirements, design specifications and test requirements

Environment: Business Objects, Oracle, SQL, SharePoint, MS Office, ALM, MS Word, MS Excel, MS PowerPoint, Clarity, Snag-it, Informatica.

Confidential, MI

Business Analyst

Responsibilities:

• Performed the following functions: entered, revised, uploaded, sorted, linked, maintained, organized, and updated all requirements, user stories, and documents in the government furnished collaboration and repository tool known as the Collaborative Application Lifecycle Tool (CALT).
• Monitored the defect tracking process, trouble shooting and generating of issues.
• Tracked and managed open issues and assists in planning for resolution for complex projects.
• Maintain communications with technical counterparts to adopt best practices and ensure integration of specific application architecture into overall enterprise technology strategy.
• Investigated software bugs and interfaced with developers to resolve technical issues.
• Monitored the defect tracking process, trouble shooting and generating of issues.
• Tracked and managed open issues and assists in planning for resolution for complex projects.
• Maintain communications with technical counterparts to adopt best practices and ensure integration of specific application architecture into overall enterprise technology strategy.
• Investigated software bugs and interfaced with developers to resolve technical issues.
• Hands on experience in creating RTM, Defect Status Report, Change Requests Form, Test Plans and Project Plans.
• Conducted various JAD sessions with the clients, SME’s, Developers and Management staff.
• Worked on Functional Requirements for GUI Screens and Interface Designs.
• Performed Regression Testing, Integration Testing, Smoke Testing, Black Box Testing, White box testing to validate that all the requirements were met and implemented.

Environment: Windows NT Server, Oracle, SQL Server, ASP, Java, Win Runner, Load Runner, Test Director.

Confidential

Responsibilities:

• Created and modified UI Pages - Worked on ASP.net Web Application.
• Worked onT-SQLandPL/SQLinSQL Server2005 andworked on Creating Tables.
• Worked onStored Procedures using SQL Server 2005
• Worked On WritingConstraints, Indexes, and Views.
• Worked on loading, updating and cleansing data.

Environment: ASP.net, C#, SQL Server 2005, Visual Studio 2005.