SUMMARY

• Over 8 years of work experience as Business Analyst/ Business System Analyst/ Data Analyst in IT field in both Healthcare and Finance industry.
• Worked closely with project stakeholders, SMEs and testing staff to understanding the requirements and specifications for new applications along with re - engineering the existing applications.
• Excellent writing skills in preparing Business Requirements Documents (BRD), Software Requirements Specifications (SRS), Use case classifications
• System Design Specification (SDS), Inventory Management, Requirement Traceability Matrix(RTM) across the Deliverables of a project.
• Strong experience in all phases of Software Development Lifecycle (SDLC) using Waterfall, Agile/Scrum, RUP (Rational Unified Process) and Software Testing Life Cycle (STLC).
• Successfully created UML diagrams, Functional Requirement Specifications (FRS) and User Requirement Specification (URS) documents and implemented processes, procedures, guidelines and policies for the Development and QA Teams.
• Performing Gap Analysis, SWOT Analysis, RISK Analysis, and COST/BENEFIT Analysis.
• Proficient in gathering business and technical requirements from both formal and informal sessions through interviews, NetMeeting, questionnaire, video conferencing, JAD sessions and conference calls.
• Skillful in New Product Development (NPD) and its process involving Product Design and Market Research.
• Strong understanding of capital market instruments.
• Experienced working on Fixed Income, Equities, Equity Trading Cycle, Portfolio Analysis, Bonds and Bond Trading Cycle, Bond Pricing, Derivatives
• Portfolio Management, Wealth Management, Performance Management, Asset Management, Credit Management, Client reportingand implementing its benefits
• Experience in Secondary Mortgage Market, Mortgage Backed Securities, Debt Securities, Financing Structures, Retail Banking and Investment Banking
• Strong Experience in Claims Processing and Claims Scrubbing in HMO, PPO, Medicaid and Medicare.
• Worked on healthcare standards such as HIPPA 4010, 5010, DICOMM, CPT, ICD-9 and SOAP LO INC.
• Experience in working with HHS, CMS or Medicaid Programs, RHIOs, IHDNs.
• Experience in EDI (270,271,835,834,837) transactions.
• Possess excellent knowledge on, HIPAA Compliance, Healthcare Information Technology (HIT) Standards and NHIN.
• Expertise in ICD-9 to ICD-10 Conversion.
• Knowledge of Medicaid Information Technology Architecture MITA Service Oriented Architecture (SOA) and EBS.
• Working knowledge of healthcare Technology standards such as HL7, ANSI ASC X12, IHE XDS/XDM, HITSP, CCR (continuity of Care Record), CCD (Continuity of Care Document), Retirement Planning.
• Excellent interpersonal dexterity with proven ability to converse, liaise, negotiate and relate with a wide range of personalities from diverse socio-economic and cultural backgrounds.
• Expert level skills in MS Office products like MS Word, MS Excel, MS PowerPoint, and MS Visio.

TECHNICAL SKILLS

Business Skills: Waterfall, Agile, Requirements Gathering, Wireframes, Documentation, Process Flows & Use Case Diagrams

Operating Systems: Windows 95/98/00/XP/NT/Vista, MS Dos, UNIX, OS X

Languages: C, C++, Java, HTML, SQL

Tools: MS Office Suite, MS Project, MS FrontPage, MS PowerPoint, MS Word, MS Excel, MS Visio, Rational Rose, RequisitePro, ClearQuest, MS Outlook, ClearCase, iRise, DOORS, Hummingbird, DataFlux, MS Access, SAP Business Objects

Reporting Tools: Hyperion, Crystal Reports, Business Objects, Micro Strategy

Databases: TOAD, DB2, Oracle, SQL Server, SQL*PLUS

PROFESSIONAL EXPERIENCE

Confidential, Harrisburg, PA

Business System Analyst

Responsibilities:

• Worked closely and acted as liaison with business user, SMEs, Tech team, Development team, QA team to ensure business needs and prepare required document thought the project life cycle.
• Facilitated meetings, JAD sessions and roundtable discussions with business user in order to understand, identify and analyze their business process objectives and requirements.
• Performed GAP analysis to identify, analyze and documenting the gaps between the current and future state of the system.
• Created Business Requirement (BRD), System and Functional Specification (FSD), Use cases, Story Boards, Business process flows, work flow, user interface diagrams, database diagram and test cases.
• Created UML diagrams such as swim lane diagrams, use case diagrams, activity diagrams using PLANTUML.
• Worked with the client to assist in translating functional specifications into technical specifications.
• Interacted with Tech leads and developers to identify and analyze given information incorporated within the Design document.
• Prepared user documentation - process documents and training documents as needed for assisting in using the application.
• Created and assisted in executing test plans for project.
• Document process changes revisions and upgrades and maintained Requirement Traceability Matrix. (RTM)
• Used TFS visual studio for validating, tracking and testing of the Business Requirement, Functional Specification and code change and system testing.

Environment: SharePoint, SQL Server, Ctrix tool, Visual Studio 2015, MS (Excel, Word, Visio, Access, Wire frames, Project, Visual Studio, Access) Requisite Pro, DotNet Platform, SQL Platform, PlantUML.

Confidential, Minneapolis MN

Business System Analyst

Responsibilities:

• Interacting with the SME's and stakeholders to get a better understanding of client business processes and gather Business Requirements.
• Create requirement documentation; reviews with user representatives, recommend priorities and obtain user signoff.
• Worked with Tech leads and other technical cross functional teams preparing & documenting System Requirements
• Interacted with technical Architects to identify and analyze the given information, procedures and decision flows and evaluated existing procedures.
• Facilitated Joint Application Development (JAD) sessions for communicating and managing expectations with SME’s and to understand thoroughly the business process and the interface requirements, which need to be incorporated in the application.
• Created Use Cases, Use Case Diagrams and Process Flow diagrams using Microsoft Visio to support software development projects and verifies the accuracy of the specified business processes.
• Updating the ASM Document as per the changes done because of the project
• Maintaining and updating the Project Plan (Project Timeline) using Microsoft Project to check if the project is going as planned and/or making any changes depending upon the circumstances
• Created and maintained the Requirements Traceability Matrix (RTM).
• Worked as a liaison between the Project team, SME’s, Testing & Developing team
• Created and executed various the Test Cases Wrote Test Scripts, did part of Manual Testing
• Worked as a team with Developers and Process Analysts in preparing the requirements, writing workflows, process flows, and Interacted with system developers to resolve questions and discrepancies in BRD.

Environment: Windows XP/ 7, MS SQL Data Base, JAVA,MS Excel, MS Word, MS PowerPoint, MS Outlook, Share Point, MS Visio.

Confidential, Boston MA

Business System Analyst/ Data Analyst

Responsibilities:

• Worked closely with Business users, IT, SMEs and stakeholders to ensure business needs and views are properly represented throughout the lifecycle of the project
• Responsible for drafting and facilitating reviews and approvals of key project documentation with Goals, Objective and Scope Statements
• High-level and Detailed Business Requirements, Success Metrics, Business Cases, Process Models,, Use Cases, Test Cases/Scenarios etc.
• Served as a liaison between the internal/external business community and the IT organization in order to help facilitate the development of project business, user and functional/non-functional requirements
• Facilitated meetings and interview sessions with Business PMOs and Enterprise Program Managers EPMs and SMEs for review, edit and updated the documentation and for cross functional approvals.
• Participated in enterprise’s impact analysis for finance, training and operational readiness for ICD-10 implementation.
• Touched basis of different workstreams and participated in End to End E2E testing cycles.
• Communicated and interacted with both IT team and QA team to clarify and provide information on validating and testing the requirements specifications.
• Collect information related to ongoing application upgrade and their impact on ICD-10 implementation and to discuss the next steps for implementation.
• Created awareness within the departments regarding the need, impact, benefits and risks of ICD-10 code application.
• Developed Process flow diagrams and use cases and test cases using Visio and Power point and worked with Solution Architects to understand the workflow of the system.
• Executed check point meetings and sessions with whole program as well as different workstreams on weekly basis to review the status of whole program and to identify next steps.
• Conducted bi- weekly meetings with all BAs of different projects for knowledge sharing and to review basic status updates, deliverable processes, and dependency, risk, and issue overlaps etc.
• Performed GAP analysis and Impact analysis to see ICD-10 transition impacted health insurance systems and other applications.
• Created CRs (change requests) for Data Warehouse to start their ICD-10 implementation and testing for the systems and applications.
• Responsible for analysis, design, development, testing and implementation of enterprise content management system and business processes.
• Managing requirements in automated systems and also via manually maintained spreadsheets and databases and maintaining (or ensuring) traceability of requirements throughout the project lifecycle and to specific deliverables
• Supported EPMs to define project scope and to managing goals, project schedules and deadlines of deliverables for business needs.
• Participated in backward mapping and forward mapping for both ICD-9 and ICD-10.
• Working knowledge of SharePoint and At-task for sharing, uploading documents and schedules.
• Creative and aggressive self-starter with ability to handle ambiguity, Able to communicate effectively with Multifunctional Teams at all levels, capable delivering solutions under high pressure environment.

Environment: SharePoint, At Task, SQL Server, Rational Rose, Visual Studio 2008/2010, Windows 2003 Advanced Server, UNIX / Oracle Platform, TOAD, SQL developer, QTP,QA Complete, MS (Excel, Word, Visio, Access, Wire frames, Project, Visual Studio, Access) Requisite Pro.

Confidential, Dimondale MI

Business Analyst/Data Analyst

Responsibilities:

• Act as a liaison between the business team and technical team. Gathered documents and prepare BRDs.
• Developed and maintains all operational and technical flows using Vision and power point.
• Coordinated between test team, development and business team in clarifying the functionality issue and requirement specification.
• Analyzing the existing policies and procedures and providing the inputs to Executive Management Team to fit into the compass project goals.
• Conducting JAD sessions with different Business Users to develop new policies and procedures for the Service Catalogue, Charge Capture and Service Work list /Charge Router, Hospital billing, coding.
• 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
• Performing GAP analysis between Meditech and Saurian application for the Data Migration and Conversion.
• Helped the developing teams in mapping the data
• Clarified issues with developers during efforts to validate designs and functional specifications Environment.
• Analyzed and reviewed the System requirements/Test plans and documented Test cases for functional, GUI and backend testing
• Worked with the Medicare Centers and Medicaid Services (CMS) to provide quick, easy, and affordable access to the health care service of their choice. Created wireframes, mockup screens using MS Visio during elicitation of requirement.
• Knowledge of HIPAA 4010 and 5010, EDI, HIPAA transactions to support the analysis of current business process, Medicare Part A/Part B/Part D
• Worked on all standards of HIPAA transaction codes such as 270/271 (inquire/response health care benefits), 276/277 (claim status), 470 (benefit codes), 835 (payment or remittance advice), 837 (health care claim) and 834 (benefit enrollment).
• Identifying the impacts and training the users on new policies /procedures changes
• Developed Use cases, Test Cases for the Business users and QA team.
• Worked on Electronic health record system as a CRM web based application.
• Using ICD 9/ICD 10/ANSI/HL7 coding standards in Medicare and Medicaid domains of the healthcare systems and industry for both inpatients, outpatients, reimbursement methodology.
• Participated in Forward Mapping and Backward Mapping analysis of ICD 9 - ICD 10.
• Performing Impact analysis for readiness of ICD-10 conversion.
• Identifying the Security Risks in the application that being built and address them in the requirement document to avoid the security breaches.

Environment: MS office, power point, Agile/ Scrum,EDI Manager, QXI, QNXT Connect, MS word, Excel, UML, Sharepoint Microsoft Dynamics CRM, meditech, soarin,, Rational Clear Case, rational test manager.

Confidential, New York, NY

Business Analyst

Responsibilities:

• Responsible for the management of the software process from requirements gathering, documentation, management approval, client approval, development, to testing and final presentation to the client.
• Gathered user and business requirements through surveys, prototyping, observing from portfolio managers and user interface.
• Gathered Financial,Mortgage and online suite related requirements from clients and analyzed them
• Supported the Program Manager in balancing project goals and business needs.
• Facilitated pre-implementation/rollout workshops/Trainings with all relevant stakeholders.
• Scheduled meetings with developers, System Analysts (SA) and testers to collaborate resource allocation and project completion using MS Project.
• Created and reviewed Detailed Design Specification (DDS) and Functional System Design (FSD) documents for various mortgage and financial projects based on the information provided by the business.
• Involved in Data Analysis & Mapping to tracks all data elements used in the application from the user interface through different interfaces to the target databases in which they are stored.
• Analyzed user requirements, attended change request management (CRM) sessions to create, track and schedule change requests using rational tools.
• Worked with the business team to collect the business requirements, security and service level requirements and documented them.
• Analyzed set behavior and contribution to business performance, critical business metrics & tracking underlying business trends using Business Objects.
• Working with different IT & Business groups to understand and determine the Impacts to the Data Warehouse and/or Data Marts for different projects
• Participated in the logical and physical design sessions and developed design documents.
• Organized and Performed GUI testing, functional and regression testing and support for User Acceptance Testing (UAT).
• Worked with Finance, Fixed Income Trading System: Bloomberg Portfolio System and handled Corporate Bonds, Mortgage Backed Securities (MBS), Asset Backed Securities (ABS), Inflation-Linked Treasury Bonds (TIPS), Municipal Bonds, Warrants and Preferred Stock.

Environment: MS Visio, MS Excel, power point, ERWIN, SQL, PL/SQL, SQL Server 2005, SSRS, Crystal reports, DOORS, UML, RUP methodology, Erwin, Visual Studio 2005/2008, XML

Confidential, Chattanooga, TN

Business Analyst

Responsibilities:

• Worked as a liaison between technology and the business clients to improve business processes and support critical business strategies.
• Communicated and interacted on regular basis with the project manager and development team during the different stages of the product life cycle.
• Working Knowledge of SDLC and other methodologies in Service-Oriented Architecture (SOA)
• Created UML diagrams such as use case diagrams, activity diagrams and sequence diagrams.
• Conducted and lead status report meetings with the business and the IT team on a weekly basis.
• Expertise in writing and implementing Test scenarios, Test cases, System testing, Regression testing and execute and review test runs.
• Performed gap analysis between a client's requirements and the functionality within Microsoft Dynamics gather requirements, schedule vender demos for the products and gave industry best practices to the customer.
• Worked on Gathering and understanding client system requirements for CRM software selections.
• Responsible for Functional Specifications Document and signoff for all scheduled requirement deliverables
• Worked on Claims Processing and Claims Scrubbing in HMO,PPO, Medicaid and Medicare
• Collect information related to ongoing application upgrade and their impact on ICD-10 implementation
• Created awareness within the departments regarding the need, impact, benefits and risks of ICD-10 code application.
• Worked on HHSmandated that the entities migrate from the existingHIPAA4010 electronic transaction set to the new X12 5010 transaction
• Analysis for making system compliant with HIPAA. Involved in making the Medicare patient profiles being compliant with the HIPAA regulations.
• Management of patient profile transfer (PPT) reports created by data team by verifying the associated data
• Recommend tactic to implement HIPAA 4010 ( EDI X12 837,834,278,270) in the new System
• Worked on update record, delete record, crated new database, execute queries against database using SQL
• Experienced in admit discharge transfer (ADT), Arden syntax, patient demographics, RDE, ORU, ORM in HL7

Environment: MS office suite, HTML, MS SQL server, MS Visio, Microsoft Dynamics CRM, EDI ANSI X12/HIPAA, HL7, UML

Confidential

Business Analyst

Responsibilities:

• Gathered business requirements by conducting detailed interviews with business users, stakeholders, and Subject Matter Experts (SME’s)
• Communicated and interacted on a regular basis with the project manager and development team during different stages of the project
• Responsible for the designing the advance SQL queries, procedure, cursor, triggers, scripts. Reviewed and analyzed design documents for testability
• Analyzed Business Requirement Specification (BRS) and Software Requirement Specification (SRS) to design and develop test plan, test cases and test scripts for the application.
• Strong expertise in by Text-Enhance">Health Insurance Claim process, social services, Medicaid and banking.
• Well versed with HIPAA, Facets, claim adjustments, claim processing from point of entry to finalizing, claim review, identifying claims processing problems, their source and providing corresponding solutions.
• Involved in implementation of EDI Transactions ( 835,837)
• Performed integration testing to test the functionality of the modules
• Executed functional testing, regression testing and integration testing extensively
• Reviewed test plans written by other engineers and gave feedbacks for better understandability and suggestions to include new tests.
• Assisted in managing the application in its entire life cycle to include maintenance, bug fixing and enhancements
• Participated in weekly status meetings and defect status meetings.
• Working experience of retirement plan.
• Prepared Business Requirement Document and used Rational Requisite Pro to manage, analyze, and convert business requirements into functional specifications
• Developed use cases from requirements and created UML diagrams such as use case diagrams, activity diagrams, and sequence diagrams

Environment: User Acceptance Testing (UAT), Rational Unified Process (RUP), Rational Clear Quest, Joint Application Development (JAD), MS Access, Windows, MS Office