SUMMARY

• 7+ years as Business Systems Analyst in Healthcare and Public sector.
• Conducted project related presentations and provided reports to the higher management.
• Created data dictionary for benefit of developers and customers respectively and worked for Request for Proposal (RFP).
• Possess excellent business and technical writing skills required for documenting Business Requirements Document (BRD), Functional Requirements Document (FRD), and Technical Report.
• Documented Traceability to ensure all the features for the project has been captured and mapped back to the requirements in the BRD.
• Expertise in Business Analysis and various Software Development Life Cycle (SDLC) methodologies like Waterfall, Agile/SCRUM methodology.
• Developed detailed Requirements specifications through JAD sessions, interviews, on site meetings with business users &IT team.
• Proficient in creating and transforming business requirements into functional requirements by using Use cases diagrams, Activity diagram, Test Cases, Test Plans etc.
• Strong experience with analyzing business processes and documenting them using MS Visio, MS PowerPoint, MS Excel, and MS Project.
• Used Different tools like oracle SQL developer, PL - Sql developer and Toad to write Queries to extract and manipulate data to achieve desired results using select statements, sub-queries, Functions, links of multiple tables etc.
• Well Versed on HIPAA regulations and requirements.
• Skilled in Interviews, Joint Application Development Sessions (JAD) for requirements gathering, analysis and design with stakeholders, SME’s, Developers and system architects.
• Experience with claims process and adjudication in Medicaid.
• Excellent communication and analytical skills with problem solving capabilities to interface with stakeholders, business representatives and development teams.
• Broad knowledge of testing concepts and hands on experience writing test cases, test plans .
• Quick learner, reliable and confident working independently as well as in a team.
• Exceptional track record for meeting deadlines and submitting deliverables on time.
• Highly motivated team leader with excellent communication, presentation and inter-personal skills, always willing to work in challenging environments.

TECHNICAL SKILLS

Methodology: UML, Waterfall, Agile

Defect Tracking tools: Jira

Project Management: Microsoft Project, Microsoft Office

Languages: PowerBuilder, C, C++, SQL, PL-SQL, .NET

Tools: and Applications: MS Visio, MS Office, MS Project, Excel,, Jira, Oracle SQL Developer, Toad, PL-Sql Developer

PROFESSIONAL EXPERIENCE

Confidential - Augusta ME

Business Systems Analyst /Documentation Specialist

Responsibilities:

• Created and reviewed User stories and facilitated user story discussion within sprint teams and across groups.
• Developed and reviewed clear and testable acceptance criteria for all requirements.
• Conducted project related presentations and provided reports to the higher management.
• Created data dictionary for benefit of developers and customers respectively and worked for Request for Proposal (RFP).
• Developed Business workflow diagrams, use cases and scenarios.
• Supported backlog grooming and feature elaboration by understanding the business needs and acceptance criteria for each item in the product backlog.
• Managed requirements and artifacts in appropriate requirements management tools (Jira and Share point).
• Collaborated during the design, development and test project cycles.
• Participated in the interview process for various level of BA’s, serving as a mentor and resource for BA’s on other teams.
• Documented Technical report detailing procedures, outcomes and observations.
• Worked with relational databases utilizing SQL.
• Wrote queries using oracle SQL developer, PL-Sql developer to extract and manipulate data to achieve desired results using select statements, sub-queries, Functions, links of multiple tables etc.
• Processed data and developed reports for assigned projects including the use of SQL, Excel (Pivot tables, lookups, advanced formulas, regressions etc.) also with other business Intelligence tools.
• Wrote logical, comprehensive, concise reports, meeting minutes, correspondence communication effectively orally and in writing
• Developed Gap Analysis Document.
• Decomposed the code to identify the complex business rules.

Environment: PL SQL developer, Oracle SQL developer, MS office, C++, PL-SQL, PowerBuilder, JIRA, SharePoint.

Confidential, Frankfort KY

Business Systems Analyst

Responsibilities:

• Worked on the Interchange MMIS (Medicaid Management Information Systems) for HPE.
• Involved in Requirements Gathering from SMEs and Business Users State (Common Wealth of Kentucky) Department of Medicaid services.
• Worked for Request for Proposal (RFP).
• Used JAD sessions, brainstorming, and questionnaires, to derive ideas.
• Used Waterfall and Agile/Scrum methodology for the entire SDLC.
• Researched on the MMIS Business Process (Claims, Reference, and Encounters) and documented Business Requirement Document (BRD).
• Worked with ICD10 implementation testing, to support different levels of testing on ICD10, like Initial merge (Model office testing), System Integration Testing, Final Merge, ICD10 Regression Testing and Smoke test.
• Reviewed System Integration testing and took the responsibility as lead to Set up definitions and process for User Acceptance Test (UAT) and documented System Integration test cases for ICD10 Project
• Worked on MMIS modifications for CHFS Provider Portal .
• Worked as Test lead to support the impact analysis of Interchange due to DMS upgrading to IE11 in identifying both screen formatting problems and functional problems.
• Identified as is state to be state using a variety of applicable tools and techniques depending on the project and its complexity including use case diagrams, ERD diagrams, data flows and business process workflows
• Worked on data mapping for T-MSIS Conversion project as per the standards of Centers for Medicare and medicaid services.

Environment: Edifecs Test Management tool, Oracle SQL Developer, MS Office, and MS-Project, MS Visio, C++, UNIX, .net, PowerBuilder, Share Point, and Jira

Confidential, Overland Park, Kansas

Business Analyst

Responsibilities:

• Maintained and monitored project progress and status through MS Project.
• Analyzed HIPAA 5010 related to 837,835, 270, and 271 transactions and performed gap analysis between the 4010 and 5010.
• Experience in an outsourced healthcare insurance operations environment and understanding of MECT and MITA.
• Extracted the business requirements from the stakeholders keeping in mind their need for the application and documented them using Rational ReqPro.
• Implemented the entire agile methodology of application development with its various workflows, artifacts and activities.
• Analyzed business requirements, tested high level and low level Use Cases and Activity Diagrams / State Chart Diagrams using Rational Rose, thus defining the Data Process Models.
• Effective communication made possible between the developers and the end-clients to guarantee that development efforts were within the scope of the project and the development was as expected.
• Facilitated smooth transition of the project from the project environment to the live environment.
• Worked with QA lead in validating Test Plan and Test Scenarios.
• Used Confidential Quality Center for tracking Defects and tracing requirement functionality performances.
• Executed test cases manually. Compared and analyzed actual with expected results and reported all deviations to the appropriate individual(s) for resolution.
• Involved in automation testing using QTP.
• Involved in performance testing using Load runner.
• Assisted Business User during deployment in formulating User Acceptance Testing (UAT) for customized application and getting confirmation for product Release

Environment: MS Project, SQL, Agile, Rational Requisite Pro, Rational Rose, Microsoft Visio, QTP, Confidential Quality center, Load Runner, Rational Clear Quest, Windows, MS Office, XML, TOAD, Ultra Edit.

Confidential

Business Analyst

Responsibilities:

• Interaction with the business users and understanding business requirements for Admin System and Claims Application
• Line of Business involved - Life Insurance (Term, Whole Life, Universal Life, Variable Life) & Annuities
• Involved in Business requirement documentation, created user stories following Agile methodology
• Involved in Design, Development activities, Deployment and Configuration management
• UAT and Production support which is part of SDLC besides few Sprint level activities
• Performed business analysis techniques like Interface Analysis, Business Object Modelling, Data Analysis, Process Modelling and Problem Techniques
• Defect tracking through quality center