SUMMARY

• Sr. Business Analyst professional with 8+ years of extensive experience in IT with Business/Systems Analyst, Gap Analysis, Risk Analysis and Quality testing of Web - based, Client/Server and N-tier applications on multi-platform. Experience in Property and Casualty (P&C) insurance including Auto, Home, and Umbrella, Health Care, Life insurance and Finance domains. Worked closely with project stakeholders, SMEs, and staff to understand the requirements and specifications for new applications along with re-engineering the existing applications.
• Demonstrated leadership in identifying and implementing appropriate technology solutions, application testing, Quality Assurance, specification gathering, team co-ordination, solving business problems, supporting company strategies while maintaining personal accountability.
• In-depth knowledge of all the phases within the Software Development Life Cycle (SDLC) such as Requirements, Analysis/Design, Development and Testing.
• Expertise in Agile, RUP, Scrum, Waterfall SDLC (Software Development Methodologies).
• Extensive experience in conducting Joint Application Development (JAD) sessions. Gather, synthesize and prioritize requirements using interviews, document analysis, requirements workshops, site visits, and surveys.
• Provided optimum service to policyholders, negotiated fair settlements and identified fraudulent claims.
• Worked in various healthcare areas like Enrolment, Benefits, Claims, Providers, Medicare and Medicaid.
• Experience in gathering Business and Functional Requirements, developing Use Cases, Business and Process modelling, capturing System Specs, designing Specification Templates and preparing Training/Knowledge Transfer manuals.
• Expertise in understanding and supporting the client with Project Planning, Project Coordination, Project Definition, Requirements Definition, Analysis, Design, Testing, System documentation and user training.
• Proficient in creating and transforming business requirements into Software Requirements Specification (SRS) using Rational Requisite-Pro and designing business models using UML diagrams such as Use case Diagrams, Activity Diagrams, Sequence Diagrams and Collaboration Diagrams in Rational Rose and MS Visio thereby helping the development and QA teams in understanding the requirements.
• (Fiserv)Customer Experience / Business Analysis manager with direct management of customer survey management, quality, integrated coaching, employee engagement and continuous improvement functions in a multi channel/site call center (1000+ fte) supporting tier 1 & 2 customer support functions.

TECHNICAL SKILLS

• Rational Unified Process
• UML
• Agile
• Waterfall
• SDLC
• MS Visio
• MS Office (Word
• Excel
• PowerPoint
• Project
• Outlook
• Access)
• MS SQL Server
• Rational Requisite Pro
• Rational Clear Quest
• HP Quality Center
• Test Director

PROFESSIONAL EXPERIENCE

Business / Data Analyst

Confidential, Minneapolis, MN

Responsibilities:

• Conducted a high level business analysis involving complex business requirements and processes.
• Conducted user interviews at both in-house and client locations. Gathered, analyzed and created an approved requirement list (ARL).
• Worked in close collaboration with the Project Manager and business users to gather, analyze and document the business requirements (BRD). Effectively communicated with both technical and non-technical users and produced project documentation.
• Participated in project planning and keeping management in alignment with scope and recommended resolutions for all assignment-specific issues.
• Partnered with internal business teams in defining business processes and associated system requirements.
• Performed gap analysis by identifying existing technologies, documenting enhancements to meet the end state requirements.
• Performed feasibility analysis for web mobile applications on multiple platforms.
• Designed and developed Use Cases, Workflow Diagrams, RACI charts and Project Schedule diagrams using MS Visio.
• Responsible for search engine optimization for the project (SEO and SEM).
• Coordinated with the development team and helped them understand the requirements. Worked with cross-browser problem areas with development team.
• Captured all the issues received from the stakeholders in an issues list and addressed the same in the respective meetings.
• Used internal request system to open, track and modify the bugs opened against each of the projects and worked on the analysis of the same.
• Conducted feasibility study by studying the current functionality and then identifying the gaps existing with regard to new functionality.
• Used power point presentations for conducting walkthroughs with the stakeholders and created end user manuals. expanded current survey process from 35,000 surveys to over 500,000 on annual basis and create a multi channel survey environment.
• Expanded analytical capabilities by incorporating speech and text analytics of unstructured customer verbatim to drive change within operational and product development groups.
• Business owner of NICE Interactions Management (call recording and call analytics) solutions
• Launched, mentored and supported enterprise shift to a integrated coaching model. Dramatically increased performance by aligning quality and enterprise success measurements. (FISERVE).
• Collaborate with data architects for data model management and version control.
• Conduct data model reviews with project team members.
• Capture technical metadata through data modeling tools.

Environment: Java, J2EE, SQL, XML, MS Office, MS Visio, MS Outlook, Windows XP

Sr. Business Analyst/QA

Confidential, Malvern, PA

Responsibilities:

• Involved in Business functionality review meetings and Use-Case Analysis.
• Validated HL7 ADT (Admit Discharge Transfer) and HL7 ORU (Observation Result Message) message types for various Hospital Information exchanges.
• Worked on Business Functionality, Use Case Specifications, Risk Analysis, Documentation and Build Verification.
• Mapped the requirements to test cases (Traceability matrix).
• Prepared and Processed the HL7 ADT and ORU messages through Core point and attain Clinical lab results and other data in Clinical Portal.
• Validated HIPAA ( Conversion) rules and HL7 Standards.
• Designed and implemented basic SQL queries for QA testing and report/data validation.
• Analyzed the System Requirements, Functional requirements and Business Requirement Documents.
• Performed Gap Analysis of client requirements, generated workflow process, flow charts and relevant artifacts.
• Created the As-Is Model and To-Be Model of the system and performed a complete GAP analysis to identify problems and inconsistencies with the business specification and the existing system.
• Applied an in-depth knowledge of healthcare systems and healthcare business for the development of complex processes and projects in hospital information exchange.
• Determined alternate methods, procedures, and changes in processing methods and practices.
• Extensively used HP Quality Center for mapping Requirements, test planning, executing test cases and tracking defects.
• Coordinated with the entire team acting as a scrum master to see team delivers highest quality of deliverable.
• Worked within a growing knowledge of HIPAA 837, 835, 834, 820, 270, 271, 276, 277, and 278, EDI, Privacy, Security, and Medicaid. Experienced with different life sciences disease codes.
• Performed Data mapping and data translation in HL7 version 2.2.
• Involved in the meeting with business Process Owners, SME (Subject Matter Experts) and store users for Requirement gathering in Definition Stage.
• Participated in manual testing and UAT with the development team and QA team.

Environment: Rational Requisite-Pro, UML, MS Project, HL7, Manual testing, Quality Center 10.0, Agile, Java, J2EE, IBM WebSphere, Web services, XML, Oracle 10g, SQL, TOAD, EDI X12 4010 & 5010, MS Office 2010, UNIX and Windows XP.

Sr. Business Analyst/Data Analyst

Confidential, Bloomington, IL

Responsibilities:

• Actively involved in Complete Business Requirement capture.
• Actively participated in designing RTM (Requirement Traceability Document) and SSD (Solution Specific Document).
• Created Business Requirement Document-BRD.
• Involved actively in Use Case Creation and Business Case Template.
• Completed the User Acceptance Testing along with the Test Team.
• Participated in Business Checkout and successfully completed Business Implementation.
• Coordinated with the entire team as a single point of contact in taking weekly status meetings and checked the status of the team creating a detail report and delivery to the project manager.
• Central point of contact for all Training Modules, Work flows, Business Process.
• Worked Closely with Subject Matter Consultants (SMC’s) to understand the Complete Business Process, Document the key Requirements, Data Elements of Unemployment Insurance.
• Involved in designing and developing Work Flow Diagrams, Data flow diagrams and Physical Data base design.
• Good Knowledge of HIPAA Compliance Lifecycle, HIPAA Insurance Regulations and Claims Processing, Medicaid & Medicare.
• Claims Transactions according to the HIPAA 5010 standards.
• Involved in Designing the Test Scenarios and Test Cases with the Test Team.
• Played a crucial role in interacting all necessary stakeholders to define functional requirements relative to the Life Health Claim System.
• Conducted JAD Sessions with various stakeholders to develop the structural design of the application enabling it to meet the required business standard.
• Identify all the gaps in requirements and track them to closure.
• Clarified client requirements, business needs and project scopes, via feedback sessions and client meetings, in collaboration with all stakeholders.
• Developed UML models for modeling static and dynamic aspects of Wealth management portal.
• Worked on mapping Confidential business requirements with FINEOS out of box system functionalities.

Environment: Lotus Notes, Rational Clear Case, MS Visio, MS Project, ICD-9, ICD-10, UML Rational Rose, Quality Center 10.0, Soap UI 3.0, Web services, Agile, SharePoint, Java, J2EE, WebSphere, Java Script, Eclipse, Hibernate, XML, Oracle 10g, SQL, TOAD, MS Office 2010, UNIX and Windows XP.

Sr. EDI Business Analyst

Confidential, Baton rouge, LA

Responsibilities:

• Reviewed technical documentation to understand the Business logic and technical aspects system.
• Gathering requirements from SME’s and Stakeholders in order to get a better understanding of client business processes.
• Developed test plans, status report for the management review for complete end-to-end testing for SOA.
• Responsible Forward Mapping and Backward Mapping analysis of ICD-9 & ICD-10 Conversion for CM (Diagnosis Codes) and PCS (Procedure Codes).
• Worked on agile methodology using Scrum.
• Articulated Business Requirements from User Interviews and then converted requirements to Business Requirement Documents (BRD) and System Requirement Specifications (SRS).
• Participated in JAD sessions for requirement gathering, analysis and design.
• Created transaction sets and mappings in various ANSI X12 EDI formats like X12 837, X12 835 (Remittance Advice), X12 834, X12 270/271, X12 276/277 and X12 278.
• Involved in maintaining Requirements Traceability Matrix (RTM) using Rational Requisite Pro.
• Involved in GAP analysis of 270 and 271 transactions from EDI X12 4010 to EDI X12 5010.
• Worked to build extensions for FACETS Members, Claims, and Billing and enrollment applications.
• Involved in migrating EDI X12 4010 transactions to EDI X12 5010 transactions.
• Experience in compliance testing of EDI X12 5010 level 1 and level2 messages.
• Created test scenarios for 5010 repository to ensure maximum test data coverage and to reduce burden of manually created ANSI test data.
• Validated claims status in NASCO model office.
• Checked HIPAA compliance using EDIFECS tool.
• Tested new developments of X12 837 claims, 835 payment files.
• Used Portico, Inspector (Initiate) to check provider and subscriber information.
• Mapping requirements with Test plan in Quality Center.
• Responsible for checking the error reports in NASCO model office.
• Interacted with the UAT team to solve issues related to the defects.
• Test results are documented using MS Word and maintained Excel sheets for personal tracking of the defects.

Environment: Rational Requisite Pro, MS Visio, Quality Center 9.0, Agile, Java, J2EE, Struts, IBM WebSphere, Web services, XML, XML Spy, Oracle 10g, SQL, SQL Developer, MS Office 2007, UNIX and Windows XP.

EDI Business Analyst/QA

Confidential, Salt Lake City, UT

Responsibilities:

• Analyzed, defined and designed the system requirements for the Medicare Independent Verification and Validation (IV&V).
• Responsible for maintaining HIPAA compliance.
• As a member of the Medicare IV&V team conducted an assessment of Medicare Part A claims processing system.
• Involved in building up a new Medicare insurance policy using Power Managed Health Services (MHS) for Private Fee for Service (PFFS).
• Improved process for payment of Medicare Secondary Payer claims through revised workflows.
• Updated and modified progress and resources allocation in MS project for the team.
• Designed and created GUI for the Electronic claims submission.
• Responsible for problem analysis, re-searching solutions and presenting recommendations.
• Worked with the 820 Medicare reconciliation applications.
• Created and maintained Gantt chart for project analysis.
• Regularly monitored and reported project status for review of upper management.
• Utilized EDI translation software to convert the files into a format that could be imported into the company's ERP.
• Involved in the development of test plans, test cases and expected results, and coordinated the tests with the QA team to verify implementation of new features and enhancements.
• Validated the reports and files according to HIPAA enforced standards.
• Apply new approaches and concepts to improve the productivity and efficiency of Facets testing.
• Worked with XML files created using XML schema.
• Created transaction sets and mappings in various ANSI X12 EDI formats like X12 837, X12 835, X12 834, X12 270/271, X12 276/277 and X12 278.
• Developed test cases and test scripts for system and UAT testing.
• Reported and tracked bugs using Quality Center and discussing about the bugs in the weekly status meetings.
• Developed and executed manual test scripts using test plan and test lab sections of Quality Center for System, Integration and Regression testing of the application and followed up until it resolves.
• Maintenance and updates of various files and documentation using Word, Excel and Access.

Environment: Manual testing, Quality Center 9.0, MS Project, Visual Studio Team System (VSTS) 2008, C#.Net, ASP.Net, XML, XML schema, MS SQL Server2005, SSIS, T-SQL, MS Office and Windows XP.

BA/QA Tester

Confidential, Chicago, IL

Responsibilities:

• Analyzed the business requirement documents, Functional specification documents to prepare Test cases and effort estimation.
• Acted as Scrum team member for the agile core process team applying Scrum principles.
• Performed Manual Testing, System Testing, Acceptance Testing, Functional testing and database testing for verifying application functionality.
• Performed functional testing, system testing, and integration testing and end-to-end testing.
• Created test cases in Quality Center and made sure all the functionalities are covered.
• Developed Test Evidences, Test summary Report documents and uploaded to Share Point.
• Performed Manual Testing for the entire application by executing the test scripts.
• Checked the integrity of the database by writing and executing several SQL Queries.
• Used Quality Center in reporting and tracking the defects.
• Created Requirements Traceability Matrix and tracked the testing progress through all the test cycles until the successful sign off.
• Created manual Test Cases in HP QC/HP ALM for various User Stories based on Release and Sprint Plan.
• Developed test plans and test cases for testing the various retail applications, in HP
• Quality Center.
• Created daily status reports and distributed with the stake holders and the project team.
• Positive and Negative Test scenarios were created and tested to test the functionality.
• Created test plan, test cases and test condition matrix for feature testing.
• Developed and executed manual test scripts using test plan and test lab sections of Quality Center for System testing, Integration testing and Regression testing of the application.
• Used Quality Center for test plan execution and defect tracking.
• Created SQL scripts to change data and validate service response.
• Responsible for preparing the user documentation and helping the users in UAT.
• Maintenance and updates of various files and documentation using Word, Excel and Access.

Environment: Quality Center 9.5, Manual testing, RUP, MS Visio, Agile, Java, J2EE, JBoss, Struts, Spring, AJAX, iBatis, XML, Oracle 10g, SQL, TOAD, MS Office 2007 and Windows XP.

Business Analyst/Data Analyst

Confidential, Chicago, IL

Responsibilities:

• Participates in the resolution of application problems pertinent to Investment Systems applications in collaboration, if required, with the support teams or third-party vendors.
• Document or define Investment System Application operational workflows.
• Participates in internal audits processes for Investment System Applications.
• Coordinates the development of application production schedules with business users.
• Gathered user and business requirements through open-ended discussions, brainstorming and prototyping. Assigned priorities to all of the requirements.
• Utilized Rational Unified Process (RUP) to configure and develop process, standards and procedures.
• Performed Gap analysis by identifying existing technologies, documenting the enhancements to meet the end state requirements.
• Designed and developed project document templates based on SDLC methodology.
• Facilitated JAD sessions with management, users and other stakeholders to define the project and to reduce the time frame required to complete deliverables.
• Used MS Project for updating management about the status with Gantt charts, and progress reports.
• Created manual Test Cases in HP QC/HP ALM for various User Stories based on Release and Sprint Plan.
• Developed test plans and test cases for testing the various retail applications, in HP
• Quality Center.
• Worked on AGILE methodology to provide accurate, qualitative and quantifiable data.
• Performed the As-Is and To-Be processes analysis, which helped to determine the gaps and also look in to the organizational change management and training initiatives needed at the later stages of the project.
• Translated the business needs into system requirements, communicating with the business on a broader scale and with an in-depth view.
• Prepared Business Requirement Document and then converted Business requirements into Functional Requirements specification.
• Conducted user interviews at both in-house and client locations, gathered requirements, analyzed the requirements, and managed it using Rational Requisite Pro.
• Analyzed business requirements and segregated them into Use Cases.
• Collaborate with data architects for data model management and version control.
• Conduct data model reviews with project team members.
• Capture technical metadata through data modeling tools.
• Created Use Case diagrams, Activity Diagrams, Sequence Diagrams, and OOD using Rational Rose according to UML methodology thus defining the Data Process Models.
• Created project prototype for better visualization and understanding of the software solution.
• Assisted the QA team in designing the test plan and test cases.
• Performed User Acceptance Testing (UAT).

Environment: Rational Requisite Pro, RUP,HP TOOLS Rational Rose-UML, MS Visio, MS Project, Test Director, Oracle 9i, SQL, PL/SQL, .Net, MS Office and Windows XP.