SUMMARY

• Over 14.5 years of experience in Business Analysis and Software Development
• Experienced in Scope Management, Project Status Reporting, Cost Benefit Analysis, Feasibility Analysis, Impact Analysis, Gap Analysis, Conference Room Pilot presentation, Change Management, Vendor Management, JAD Sessions, Staff Mentoring, dashboard meetings, project status reporting to the business owners, User Training and preparation of User Training Documents
• Experienced in Application Integration, Up - gradation, Revised Architecture, Enhancement, customization, Development and Interfaces projects
• Experienced in Disaster Recovery Plan (Business Continuity Plan) implementation and management, CMMI5 Process Implementation, Project Planning and Project management
• Experience creating various requirements and project documents like Project Charter, Project Definition Document (PDD), Business Requirement Document, Functional Requirement Document, Software Requirement Specification, Software Requirement Approach, Use Case Document, High Level Design Document, Detailed Design Document, test strategy, test cases and traceability matrix
• Expertise in designing prototype of the User Interface and mock interface files (delimited files, HL7 files, XML etc.)
• In depth knowledge and experience working with Oracle Service Contracts, Inventory, AR, AP, HRMS, OAB, Siebel CRM, Finacle (Banking Product), SCC Laboratory Information Management Systems (LIMS) and Financial Applications
• Strong exposure to FTP, SAN, SWIFT, ATM, PoS, Sales Order, Inventory, Shipping, Service Contracts, Invoices, Invoice Payments, Interfaces, EDI, HL7, XML, WebMethods, BizTalk, ACH Payment, Charges, Reporting, Workflow, Interfaces, Business Intelligence, various healthcare plans, enrollment processes & cycle, healthcare related acts like, HIPAA, COBRA etc.

TECHNICAL SKILLS

Industries: Healthcare (Medicaid, Medicare, Private Insurance), Biotechnology, Life Sciences, Banking, Finance

Project Management Tools: MS Project, Visual SourceSafe, Visio, Rational Rose, Rational Requisite Composer, Test Director, Quality Center, Visual Studio, MS Visual Sourcesafe, Lotus Notes, MS SharePoint, Livelink, Teamforge, Rational ClearQuest, Peregrine, Clarity, RADAR, JIRA, Confluence, ALM, CA Unicenter

Project Management Methodologies: Waterfall, Scrum, Agile Development, Lean

Documents: Project/Program Management Documents, Operational Documents, Requirements Documents, Processes Flow Chart, Executive Status Report Presentations, RFR

Processes: CMMI5, Six Sigma

Programming Languages: PL/SQL, SQL, JSP, VB, HTML, XML, HL7

Databases and other tools: SQL Server, Oracle, SQL, Stored Procedures, Access, Toad,HOBS Query Tool, SQL Navigator, SQL Plus, MS sql Server,MS BizTalk, Cloverleaf, Informatica, SoapUI, webMethods, Jenkins, Finacle

Technical Competencies: Scalable Systems, Distributed System Architecture, SOA, Multi Layered Architecture, Cloud Based System Design, Continuous Integration, Continuous Delivery, Database Schema, MDM

Healthcare Competencies: HIPAA, ACA, Enrollment, EDI, HL7 Standards, HIX, PPO,HMO, Medicaid, EHR, EMR, Claims Processing, Billing, HIPAA 4010/5010, X12, EDI Codes 834/837/835/270/271/276/277/820 , ICD-9, ICD-10, FDA 21 CFR Part 11 Compliance

ERP Systems: Oracle Service Contracts, Install Base, Inventory, AP, AR, HRMS (OAB), Discoverer, AIMS, Siebel CRM

PROFESSIONAL EXPERIENCE

Confidential, Quincy, MA

BA Lead/Product Owner

Responsibilities:

• Created Business Process Models and conducted pre-JAD sessions with stakeholders for documenting high level business requirements related to Medicaid and private insurance eligibility.
• Led JAD sessions and documented requirements for Medicaid eligibility, premium billing, premium assistance, interface between eligibility system and billing system, time clock expiration, daily data extract, DW reports, and other related functional areas.
• Performed gap analysis and documented gaps between hcentive product and State of MA requirements.
• Documented gaps between planned requirements for the release and functionalities delivered for each release.
• Lead UAT team and collaborated with SMEs for test plan and test scripts approvals.
• Documented and managed change requests and change control process.
• Documented federal regulations relevant for the HIX/IES project.
• Collaborated with different application teams for onboarding process to move their application to Oracle IAM.
• Assisted application teams to complete the onboarding template including identifying roles entitlements owners and approvers.
• Created and reviewed onboarding templates to ensure business rules are followed.
• Collaborated with PMO team to raise issues with onboarding process.
• Worked with release team for enhancements requests by various application teams.
• Created dashboard report for onboarding status and shared with stakeholders.
• Collaborated with stakeholders and project teams from 4 different state agencies (EOHHS, Confidential, EOTSS, Connector), System Integrator (Optum), Software Vendor (hCentive), and IV&V vendor (BerryDunn).
• Collaborated with cross functional business teams from four state agencies to document requirements for various projects.
• Collaborated with cross functional team to identify impediments and conflicts, find solution and escalated when needed.
• Collaborated with PMO team for tracking various project deliveries, and Operational Readiness.
• Worked with UI Team to develop functional scenarios, screen mockups, etc.
• Created and managed product Backlog, sprint backlog, and re-prioritized functionalities based on evolving business needs.
• Led daily scrum meetings, sprint planning meetings and sprint retrospective meetings.
• Defined and continuous reviewed project development and communication processes, change control processes, deliverables review process, and quality assurance review processes for improvements.
• Created corrective action plan for delays and informed project sponsors.
• Proactively assessed, engaged and managed members from the other team to achieve the goals and targets of the project.
• Ensured project readiness for quarterly HIPAA and other security regulations audit performed by CMS.

Confidential, Lexington, MA

Scrum Master/Product Owner

Responsibilities:

• Led a team of SMEs to define user stories for new portal features for login password, audit logs, account provisioning, account administration, global search and test provisioning.
• Proposed new organization permission hierarchy for enhanced security, roles and permissions and documented interface requirements from new portal to salesforce.
• Interviewed Product Managers, Customer Support Team, User Experience Team and Gomez Clients for existing issues with the legacy system and vision of the new Portal.
• Conducted walkthrough of the new portal features with Gomez clients for the feedback.
• Collaborated with stakeholders to maintain product backlog and sprint backlog items.
• Facilitated daily scrum meetings, worked with cross functional team to resolve issues and impediments, and created burndown charts.
• Created test plan and traceability matrix.
• Led sprint planning meeting and sprint retrospective meetings.

Confidential, Westborough, MA

Lead BA

Responsibilities:

• Collaborated with vendor and cross functional business team to manage requirements, change requests, UAT, and other functional efforts to help business connect with the development team.
• Led Change Management Group for the additional and revised requirements.
• Led a team of business analysts to document requirements for client setup, test setup (AP, Flow, Cyto, Biochem and Molecular), EDI profile setup, transmission type and mode at BizTalk and Cloverleaf server, Siebel CRM and Xifin.
• Gathered customization and setup requirements for SCC (LIMS) and Web Methods for the XML routing.
• Managed interface team and documented requirements between LIMS, Oracle Apps (Siebel CRM, AP, AR), and Xifin.
• Managed billing team that documented and configured bill codes of different “Lab Tests” (AP, Flow, Bio-Chemical and Cytogenetic tests) from in SCC for SCC-Xifin interfacing.
• Documented various standard and customized “Lab test” report templates, XML output and transformation map from XML to HL7 for bills, claims and reports at BizTalk and Cloverleaf.
• Documented IQ, PQ, or OQ validation requirements and processes and ensured that the project team followed it.
• Documented and tested interface and configuration requirement between LIMS and Oracle Apps AP and AR modules.
• Created Traceability matrix, Test strategy, Test Plan and managed requirements and testing activities with testing team, business team, web methods team, development team and SOFT vendor team
• Managed a team for documenting Data warehouse ETL and report requirements for Medical Affairs and Marketing team.
• Managed a team of business analysts and testers for testing of the Electronic Client interfaces by interface data flow (XML and HL7) between Client, BizTalk, Cloverleaf, FUSION, SCC, Web Services and the End Client.
• Proposed the usage of Beyond Compare tool to minimize the testing efforts and errors.

Confidential, Hopkinton, MA

Sr. Oracle Consultant

Responsibilities:

• Facilitated sessions with business users, defined and documented business and functional requirements for Oracle Apps Service Contracts, Install Base, AP and AR.
• Documented business processes and performed configuration for different clients in Oracle Apps Service Contracts module.
• Defined locations, customers, approval groups, lookup codes and control options approval procedures for Service Contracts module; Setup the clients at Siebel CRM and tested the same.
• Documented functional test conditions, Test strategy/Scripts and tested the interface data flow between Catalyst, Install Base, AP, AR and Contracts modules of Oracle Apps and assisted Business Owners in UAT.
• Documented and tested issues related to invoices.
• Guided the team to perform functional and regression testing.
• Created Extracts for various data and report requirements for performing testing and fixing the accounts differences between AP and AR module.
• Created complex sql queries help the team extracting the data for day-to-day testing for enhancement/fixes.
• Prepared reports in form of Pivot tables using formulas like Vlookup, concatenate, trim, left etc, to analyze the issues.

Confidential, Minneapolis, MN

Senior Business Systems Consultant

Responsibilities:

• Documented migration plan for business-critical files and applications (Lotus Notes, Paybase, PFW etc.) from existing location to another location to enable disaster recovery, which ensures business continuity in case of disaster.
• Performed analysis on the business integration, up-gradation and revised architecture for the applications migrated.
• Planned for the maintenance of the Current Application Systems while managing the migration and hardware set up of the same application to the new location with the multiple lines of businesses, migration team and IBM.
• Coordinated with Change Management team for engaging vendors for hardware setup and extra storage allocation.

Confidential

Banking Business Analyst

Responsibilities:

• Documented banking processes of Confidential in the Requirements Specifications and Approach (RSA) documents using use case scenario and UML use case diagrams and then mapped with the banking processes followed in Finacle Software.
• Performed gap analysis for interfaces (modules of Finacle to interact with other banking softwares) of Payment Systems (ACH), PoS, Corporate and Retail customer's charges, Corporate and Retail customer bank statements and Loans, to find out the gaps in the Finacle product as per the Bank’s requirement.
• Facilitated requirements sessions with the business team to confirm requirements.
• Interacted with business users and aided them in defining the automated process, for the Payments System which was manual process before implementation of Finacle, by making flow diagrams on Visio and user interface prototype on MS FrontPage.
• Defined High level design documents, which were used by developers to do programming and customize the Finacle.
• Created prototype using MS Frontpage for the UI of Finacle CRM module of the software based on the enhancement requirements.
• Documented and tested Datawarehouse data mapping, ETL and report requirements.
• Defined functional test cases and performed user acceptance testing (UAT).
• Demonstrated all the modules in the Conference Room Pilot (CRP) presentation, to Confidential bank users and business owners.
• Planned and implemented processes, like Quality Assurance checks, Version Control for the documents etc., to achieve CMMI5 level certification for the project.

Confidential

ERP Analyst/Developer

Responsibilities:

• Analyzed and documented enhancement requirements of HOBS system, based on the issues related to the various Health Insurance plans/policies (HIPAA, COBRA etc.) and Annual Enrollment process.
• Managed the configuration activities of the OAB system.
• Analyzed issues with the business logic of the application based on the new health insurance plans and the interface with HRMS module.
• Implemented processes, like Quality Assurance checks, Version Control for the documents and deliverables etc., to maintain the project at CMMI5 level.

Confidential

Design Engineer

Responsibilities:

• Documented requirements for the up gradation of the legacy software to design pipeline system for the housing complexes
• Presented different design options with cost benefit analysis report to executive committee.
• Designed drainage system for a township and a golf course.