SUMMARY

• 8 years of experience in business process and software development life cycle, including analysis, design, development, testing and implementation of software applications in Health Care, Financial domain as business analyst.
• Expertise and Strong knowledge of ISO, Six Sigma standards.
• In depth knowledge and understanding about Business Requirement gathering, Business Process flow, Business Process Modeling and Analysis, design documentation.
• Experience in all phases of the Software Development Life Cycle (SDLC) including Requirement gathering, Design, Development, Testing and Deployment.
• Done requirement gathering by conducting formal interviews, surveys, questionnaire, and joint application development (JAD) sessions with the subject matter experts (SME’s) and stakeholders of the projects.
• Well versed with Joint Application Development method (JAD), Rational Unified Process (RUP), have knowledge of Rapid Application development and Agile Application development methods.
• Expertise in Analysis and Review of Software and Business Requirement Documents.
• Experienced in performing Business Process Reengineering/Gap Analysis to check the compatibility of the existing system infrastructure with the new business requirements.
• Experienced working in Medicare and Medicaid projects.
• Managed complex business initiatives to balance requirements for functionality, efficiency and quality.
• Excellent knowledge of Health Insurance Portability and Accountability Act (HIPAA) transaction, code set rules such as 837 - Institutional, 837-Professional, 835-Claim Payment/Remittance Advise, 270/271-Eligibility Benefit Inquiry/Response, 276/277-Claim Status Inquiry/Response Transactions and testing in Client Server systems and Mainframe Applications, EDI 834, ICD9-ICD10.
• Exceptional Problem Solving and Sound Decision Making capabilities, along with the ability to resolve difficult situations.
• Experienced with Rational tools like Rational Req Pro, Clear quest, Clear Case, JIRA, Rational Rose, and ICUE (Integrated Clinical User Experience).
• Extensive expertise in databases like Oracle, SQL.
• Exceptional Documentation Skills for writing Use Cases and Functional Requirement Documents.
• Expertise in creating Use Case diagrams, Activity diagrams, Data Flow Diagrams (DFD), Sequence diagrams, State diagrams based on UML Methodology and business process flow diagrams using MS Visio/Enterprise Architect/Rational Rose.
• Good Knowledge of Test Plan, Test Scripts and Test Cases for Functional, System, Integration, UAT, and Regression Testing based on the Design Document and User Requirement Document for the Functional, Security, and Performance Testing.
• Excellent communication and presentation skills. .
• Professional with extensive experience in the development, implementation and integration of strategies within a team oriented environment, utilizing quantitative and qualitative analytical skills.

TECHNICAL SKILLS

Project Methodologies: Rational Unified Process (RUP), UML, Agile

Operating Systems: Win 98/XP/Vista/Windows 7, UNIX, LINUX, Mac.

Databases: Oracle, MS SQL server, MS Access, IBM DB2

Languages: C, C++, Java, SQL, HTML, XML, C#, VB, ASP, .Net

Tools: MS Office Word, Excel, Access, Power point, Project, Visio, Front Office, Rational Rose, Software Modelenr, Business Modeler, Doors, PROLOG, Clear case, Clear quest, Win Runner, Load Runner, Web Sphere, Team Test, HP Quality Centre, Ultra Edit, MMIS,TOAD and Test Director.

Industry Standards: HIPAA, ISO, SOX, Six Sigma, CMM, HL7.

PROFESSIONAL EXPERIENCE

Confidential, Minneapolis, MN

Business System Analyst

Responsibilities:

• Conducted one on one requirement gathering sessions for Legacy work flow applications with end business users
• Prepared detailed descriptive documents for the LWF application, which is further used by the testers, developers and business users.
• Worked on various Change Requests (CR’s) to support the existing production functionality.
• Act as a liaison between the Information Technology (IT) teams and business.
• Prepared Functional and Non-Functional Requirement (FNFR) document for multiple CR’s, which is further used by the testers.
• Implemented new artifacts for account payable feed to ensure change management and communication across impacted areas was successfully identified and managed.
• Facilitated and coordinated user feedback from actual end users from the design and development of the UI/UX prototypes during the initial phases of LWF applications.
• Extensively usedRapid SQL to write validation queriesand to work on data analysis
• Documented the current system implemented and maintained record, productivity, efficiency of the system, noted any changes required to the existing system to help define the requirements needed for the new system.
• UsedToad to write SQL queriesagainst the database for data validation processes
• Involved in various projects related to Data Modeling, System/Data Analysis, Design and Development for both OLTP and Data warehousing environments.
• Involved with vendor management team to learn the process for transfer and exchange application and created a system requirement document.
• Strong experience with Scrum methodology and well versed in writing user stories.
• Co-ordinated and worked with offshore development teams as well as on-shore development teams during the development stage of the project. Managed change requests and implemented solutions to make the development process more efficient.
• Actively participated in Business Analysis, Requirements gathering determining scope, project timelines and project milestones for High Five project, which is a new life insurance product.

Environment: Agile, MS office, ALIP, onbase, MS Visio, Clear Quest, Share point and Windows

Confidential, Fargo, ND

Business Analyst

Responsibilities:

• Responsible for conducting meetings and taking meeting minutes with other DME contractors. The purpose of the meetings was to gather requirements on the various CR (change request) and TDL (Technical direction letter) raised by CMS.
• Prepare a monthly status report of the applicable and non-applicable CR’s and TDL.
• Send a Business Analysis Report to all DME contractors, based on the conclusion of Core meetings and artifacts.
• Responsible of doing standard testing release in UAT every quarter, by following the SDLC methodology to see the results of the Change Request on VMS (VIPs Medicare System) and uploading the test case result in the Database.
• Organize group meetings with other business analyst and managers to prepare the cost impact sheet.
• Proficient in using Agile/Scrum methodologies, performed roles of Scrum Master following sprint/standup sessions and used Excel extensively to write user stories, analyzed the Iteration Burn Down charts and reviewed defects.
• Hands on experience creating SAM (system action memo) to resolve any issue raised by teams within DME
• Documented numerous test case documents and Impact analysis report for various teams issuing the SAM’s.
• Involved in Endeavor testing to check the eligibility of the Provider and suppliers.
• Responsible for development, implementation and oversight of the organization's privacy and security directives related to patient health information as mandated by HIPAA/HITECH Federal regulations.

Environment: Agile, MS office, VMS, onbase, MS Visio, Share point and Windows

Confidential, Franklin, MA

Business Analyst

Responsibilities:

• Interfaced with the client as part of the Requirements Engineering team to finalize the project scope.
• Assisted the PM in developing Use Cases and project plans and also managed changes to the scope of the project.
• Conducted user interviews, gathered Requirements, analyzed the Requirements and managed changes using Rational Suite.
• Conducted interviews with end-users to collect requirement and business process information.
• Developed business process models in RUP to document existing and future business processes.
• Experienced in leading requirement-gathering efforts and analysis for application development projects involving Agile, Rational Unified Process (RUP), and Waterfall processes.
• Performed extensive Requirement Analysis including data analysis and gap analysis.
• Designed and developed project document templates based on SDLC methodology.
• Participated in various stages of data and requirement analysis for project needs.
• Identified internal and external system requirements, design and configuration set-up, created User Documentation and conducted training classes.
• Developed business requirement specification documents as well as high-level project plan.
• Involved in technical writing, which included analysis, review and approval of the trading system documentation.
• Experience with Data Analysis using Oracle data base as a backend and TOAD as the querying interface.
• Participated in JAD sessions with relevant business Units to optimize workflow.
• Assumed ownership of Use Case Diagrams, Use Case narratives and other various artifacts.
• Assisted PM by maintaining artifacts and portions of the project binder.
• Documented and delivered Functional Specification Document to the project team.
• Assisted the Project Manager to develop both high-level and detailed application architecture to meet user requests and business needs.
• Involved in writing training manual.
• Performed task decomposition, delegated tasks and monitored project milestones using MS Project.
• Assisted the PM in performing Risk Assessment, Management and Mitigation.

Environment: Agile, MS Project, SQL, ICUE, eVisor, MS Visio, Share point, Toad, Windows, HP Quality center and XML

Confidential, Phoenix, Arizona

Business Integration Analyst

Responsibilities:

• Involved in the Analysis, Design and Development of the Interfaces.
• Worked with SharePoint site to maintain, modify and manage the documents and the templates.
• Involved in Analysis and multiple Testing of the workflows, also involved in Design and Development Review.
• Working on HL7 integration projects for Meditech, Cerner Clinical System, Medhost, Mobil MD, GE Muse and various other third party clinical applications for multiple hospital facilities in USA.
• Understanding the quality processes carried out in a CMM Level - 5 organization
• Prepare Quality documents like Requirement, LLD, test cases, etc.
• Responsible for Final delivery to the client
• Responsibility includes solving the day-to-day problem encountered by the end use during testing.
• Responsible for file processing for EDI 7transition
• Managing and reporting the queries in the EDW data ware house.
• To analyze and evaluate new interfaces to be created for MFT and WBI framework.
• To convert project specifications and meeting discussion with Application Analyst into Technical Specification document which is further shared with offshore team for their design and coding purpose.
• Established and maintained comprehensive data model documentation including detailed descriptions of business entities, attributes, and data relationships.
• Design and develop the data load process using XML style sheet.
• To resolve queries received by offshore counterparts by discussing the queries with Application Analyst and stakeholders.
• Successfully used Agile/Scrum Method for gathering requirements and facilitated user stories workshop. Documented User Stories and facilitated Story Point discussions to analyze the level of effort on project specifications
• To raise ticket in Remedy tool and follow complete cycle for the change that needs to be done in Production.
• UseTOADto write SQL queries and review view code delivered by the offshore development team
• To receive approval from Project Manager, team involved in UAT by representing ticket the internal and external Change Meeting.
• Proficient inICD-9-CM and ICD -10-CM coding and claims processing.
• Working on ICD-9 to ICD-10 crosswalk using the GEM tool.
• To perform UAT in staging/test server and Roll out in Production involving end users
• To perform Validation and Verification of the messages with the End Users after Roll out is performed.
• Review and assessment of new applications, systems, and employees to assure they meet security policies and HIPAA/HITECH compliance.
• Provided Warranty Support to the migrated interfaces for a period of one month which was done on rotation.

Environment: MS Project, SharePoint, SQL, IBM Web Sphere, IBM Toolkit, Putty, Rfhutic, GEM, WinVi32, XML, WinSCP, Interface Explorer, Beyond Compare 2, Eclipse and Edit plus 2

Confidential, Boston, Massachusetts

Business Analyst

Responsibilities:

• Led Technology Information JAD Sessions (20+ participants) and follow-up on group tasks
• Was responsible for creating and reviewing business requirements, functional specifications, project schedules, documentation and test plans.
• Worked with production staff to identify and map detailed current processes, identify gaps and failure points, perform root cause analysis and develop functional requirements that supported overall strategy, goals and objectives.
• Interacted with Business users and vendors to design a new SOA-based system that would cater to an ever-increasing market need for interchangeable service modules.
• Documented SOA Systems Integration specifications and performed detailed Data Modeling (using Toad Data modeler).
• Implemented SOA Governance principles in the areas of data modeling, user authentication and messaging formats across integrated systems.
• Lead client facilitation meetings to gather requirements (Inception phase), there after assisted tech leads in Analysis & Design of architecture using OOAD approach using UML & Rational Unified Process.
• Implemented Traceability Matrix and User Requirement Specification Document (URS) and verified the functionality coverage.
• Acted as a resource in understanding how IS systems carried out business functions and assisted in ensuring timely and effective implementation.
• Good experience in analysis and requirement-gathering and eliciting efforts for application development projects involving Agile and Waterfall processes and creating Use Case Models, Activity Diagrams and State Chart diagrams.
• Heavily involved in Business Process Modeling (BPM) and created As-Is and To Be business processes to visually identify the gaps.
• Developed timelines for project delivery, and managed projects and resources to successful completion.
• Involved in developing the test strategy and helped in developing QA Test plans for Functional, Integration and System Testing.
• Used Test Director to maintain test cases and test scripts.
• Involved in User Acceptance Testing (UAT).
• Used SQL in data analysis
• Involved in ACH and other electronic transactions
• Involved in creating wireframes for GUIs

Environment: MS Project, Share Point, SQL, Rational Unified Process (RUP), Rational Requisite Pro, Rational Rose, Microsoft Visio, QTP, HP Quality centre, JIRA, Load Runner, Rational Clear Quest, Windows, MS Office, XML, TOAD, Ultra Edit.

Confidential, Sacramento CA

Business Analyst

Responsibilities:

• Fully responsible for requirements gathering and documentation.
• Created use case narratives to record Subscription business rules.
• Analyzed the business rules for the international user subscription and impact of localization.
• Provided technical Expertise on the use of Rational Clear Case and Requisite pro, which were used for Data archiving and Requirements Management.
• Defect Tracking with Clear Quest, Configuration Management with Clear Case.
• Involved in preparing test plan, test script and test cases based of functional requirements using Rational Test Manager.
• Executed test cases and saved result.
• Responsible for processing Medicare claims and COB claims.
• Responsible for checking Medicare eligibility and verifying claim payment
• Responsible for gap analysis in changing old MMIS and Involved in testing new MMIS
• Attended Facet’s training and discussion session.
• Understood the various aspects of company’s most important data warehouses- EDW and EDS.
• Managed the privacy and security environments of healthcare data that was governed by HIPAA and other government mandates.
• Maintained a record of recommendations, communications, activities, and schedules to monitor the progress of project in real time using MS Project.
• Worked with Business users to come up with Reporting Requirements. Reports were developed in Cognos.
• Produced various artifacts e.g. Functional Requirement Specifications (FRS) and Wireframes.
• As a point person responsible for resolving business rules/conflict resolution for the development team.
• As member of system architecture team designed and reviewed user interface.
• Developed Business case and assessed the ROI.

Environment: RUP, Rational Requisite Pro, JIRA, Rational Clear Quest, MS office, Visio, Project, Share Point, Clear Quest, Clear Case, Windows XP, HP Quality Center, Test Manager.

Confidential, Miramar, FL

Business Analyst

Responsibilities:

• Analyzed User Requirement Document, System Requirement Document, Technical Requirement Specification and Functional Requirement Specification (FRS).
• Designed the architecture of (LMS) Lead Management System and the database structure for seamless client communications and rewards management using UML methodologies.
• Followed the UML based methods using Microsoft Visio to create: Use Cases Diagrams, Activity Diagrams, State Chart Diagrams, Sequence Diagrams and Collaboration Diagrams.
• Supported web design and user-interface layout for public and internal web based solutions.
• Review requirements and understand technical recommendations and constraints, and develop comprehensive and accurate functional specifications; Data Mapping, and process flows.
• Very well experienced using Microsoft Office Suite 2007 - Word, Access and giving presentations using PowerPoint and handling complex data using Excel (Macros, VBA and Pivot Tables).
• Performed Data Analysis of existing data through SQL and experience with EDI & ETL.
• 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.
• Used the guidelines and artifacts of the Rational Unified Process (RUP) to strategize the Implementation of RUP effort in different iterations and phases of the Software Development Life Cycle.
• Business process workflow diagrams using IBM business process modeler
• Creating process models, data flow diagrams, AS IS diagrams and Activity diagrams using Visio.
• Developed several detail and summary reports including line and pie charts, trend analysis reports and sub-reports according to business requirements using SQL Server Reporting Services (SSRS).
• Used different Webservice concepts like XML to transfer and transform data between applications
• Migrated Data from MS Excel to SQL Server Reporting Service Using DTS and SQL loader utilities.
• Coordinated activities with project manager and various other teams using MS Project.
• Created domain XML schema (XSD) for use in services, and messaging/integration.
• Facilitated JAR sessions in the elaboration phase in order to elicit Functional Requirements

Environment: Rational Enterprise Suite (Rose, RequisitePro, ClearCase, ClearQuest), XML, Visual Basic, SQL, XSD, SQL Server.

Confidential, Minneapolis, MN

Business Analyst

Responsibilities:

• Analyzed current business process flow by understanding preset business rules and conditions.
• Conducted formal interviews, Live Meetings and JAD sessions with business users Subject Matter Experts (SME’s)
• Designed and developed Use Cases, Activity Diagrams and Sequence Diagrams using UML.
• Involved in Backend Testing to verify data integrity by using SQL.
• Documented, organized and tracked the requirements using Rational Requisite Pro.
• Created Data Flow Diagrams (DFDs), ER diagrams for data modeling and Web-page mock-ups using MS Visio for acceptance from end users.
• Defined project milestones, schedules, and monitored progress using MS-Project and updated plans as required.
• Analyzed and tested Data Interface needs with external systems.
• Analyzed, manipulated and updated Database using SQL.
• Gap Analysis: Analyzed the client’s applications programs to determine the impact of the HIPAA rule on EDI Transaction Set and Code List implementation and defined the changes to bring the affected systems into HIPAA compliance.
• Assisted with user testing of systems and maintained quality procedures and ensured appropriate documentation is in place.
• Maintained Requirement Traceability Matrix (RTM) and Utilized Clear Quest for change requests and defect tracking.
• Claim validation and Pend/Denied Claims Analysis for the Health plans Medicaid programs.
• Worked closely with the technical team to look up for the best possible solution on requirements by keeping business needs and technical constraints in mind.
• Updating, transferring and sharing Files using FTP between Windows and UNIX machines.

Environment: UML, MS Word, Share Point, Rational Requisite Pro, Rational Clear Quest, Quality Center, SQL, FTP, TelNet