SUMMARY:

• Business System Analyst with 6+years of experience in health care, mortgage, banking and retail industries.
• Well versed with all phases of SDLC, experience in business process redesign, defining vision documents, interacting with stakeholders, understanding user requirements and articulating them into User Requirements Specifications (Use Cases) and User Stories.
• Strong knowledge of Software Development Life Cycle (SDLC) using various methodologies like Waterfall, Rational Unified Process (RUP), Incremental and Agile/Scrum.
• Well versed in Datasourse.
• Experience with different phases of SDLC, such as requirements gathering (Requisite Pro), Change Management (Clear Quest), Version Control (Clear Case), project planning (MS Project), and testing (QC).
• Excellent skills in writing Business requirements document, USE Case Specifications, Functional Specifications, Systems Design Specification (SDS), Systems Requirements Specification (SRS), User Story, Business Continuity Plan (BCP), and Workflows.
• Excellent skills in Unified Modeling Language (UML) diagrams, such as Use Case diagrams, Activity diagram, Context diagrams, and Sequence diagrams.
• Skills in Market Assessment, Business Process Modeling and Business Process Re - engineering
• Knowledge of Data Modeling, Data Mapping, Data Mining and Data Warehousing.
• Interacted regularly with the development team, database designer and the higher management to meet the deadlines of Project milestones.

TECHNICAL SKILLS:

Project Methodologies: SDLC, Agile, Rational Unified Process (RUP), Waterfall, Modified Waterfall and Incremental

Business Modeling Tools: Rational Rose, MS Visio, IBM DOORS, Documentum

Requirement/Change Management Tools: Rally, HP Quality Center, Rational Requisite Pro, Rational Clear case, Clear Quest, BMC Remedy, TFS (Team Foundation Server)

Operating Systems: MS Windows /XP/ Vista/HP-UNIX, LINUX, WebLogic

Databases: ORACLE, MS SQL Server, TOAD, MS Access

Project Management Tools: MS Office Suite, SharePoint, MS Project, Han soft

PROFESSIONAL EXPERIENCE:

Confidential

Senior Business system Analyst

Responsibilities:

• Actively conducting Agile and scrum meetings with the team members and discussing the business requirements
• Understanding the legacy applications, talking to Business Users, documenting the ‘As is’ process, creating Business Architecture Diagrams, Process Design Documents.
• Analyzing requirements for process workflow changes, changes to data model, data transformations required, Business Rules needs, new UI requirements and determining modifications required to the existing UI screens.
• Conducting sessions on elaboration items to ensure all risks are identified, prioritized, discussed, mitigated or workaround solution decided.
• Analyzing Reporting requirements, creating Report specifications for developers.
• Conducting user story discussion sessions with business users and developers to elicit requirements, create sub user stories, decide on the acceptance criteria.
• Showcase newly developed functionality to Business user, get feed back and signoff.
• Ensure newly developed functionality is as per the requirements.

Confidential, Dallas TX

Business System Analyst

Responsibilities:

• Responsible for gathering the functional requirements for the health benefit claims receiving and processing system.
• Participated in brainstorming sessions and walkthroughs with subject matter experts (SME).
• Developing Use Case Models, Activity Diagrams, State Diagrams and Data Flow Diagrams (DFD).
• Well versed in maintaining EHR records
• Developed SQL queries from scratch and updated data in the system
• Knowledge of health information and health care services regulatory environment including HIPAA, Medicaid/Medicare, CCHIT, EDI and XML.
• Strong HIPAA EDI 4010 and 5010 with ICD-9 and ICD-10, analysis & compliance experience from payers, providers and exchanges perspective, with primary focus on Coordination of benefits.
• Proficient in medical terminology and coding outpatient and inpatients diagnosis Experience in building applications for ICD and CPT Electronic Data Interchange.
• Experienced working with the centers for Medicare and Medicaid services (CMS), the Healthcare Common Procedure Coding System (HCPCS), Electronic Data Interchange (EDI), Medicare Part D Services, and State Pharmaceutical Assistance Program (SPAP) services.
• Medical Claims experience in Process Documentation,
• Analysis and Implementation in 835/837/834/270/271/277/997 (X12 Standards) processes of Medical Claims Industry from the Provider/Payer side.
• Experience in FACETS with various applications involving Sales & Enrollment, Claims Processing (Dental, Medical/Hospital), Customer Service and Billing areas.
• Experience in healthcare FACETS data model and configuration.
• Highly motivated team player with excellent communication, presentation and interpersonal skills, always willing to work in challenging and cross-platform environment.
• Proposed strategies to implement HIPAA 4010 in the new MMIS system & eventually move to HIPAA 5010.
• Involved in business analysis, coordinating between the team members according to the business requirements.
• Created and maintained procedures and documentation. Updated User Manuals.
• Identified various business processes and developed process flow diagrams for the business processes and validated the processes with SMEs.
• Worked with the project manager for planning and organizing the project activities, and in communicating with other business center managers and stakeholders of the project.
• Worked as a liaison between business users, testers and application development team so that all teams understand business needs and take them into consideration
• Performed testing of the health benefit claims receiving and processing system to ensure that the system adheres to project standards, performance criteria, and functional specifications
• Managed scope and deadlines.
• Gathered requirements, developed Process Model and detailed Business Policies.
• Worked with the project manager to estimate best/worst case scenarios, track progress with weekly estimates of remaining work to do, conducting informal meetings ad hoc and as needed.
• Resolved conflicts and negotiated changes in project priorities.
• Provided overall project management to multiple projects successfully completing them on-schedule and on-budget.
• Prepared the Business Workflow using MS-Visio with input, output, Pre and Post conditions
• Worked with the clients on the final signing process in the User Acceptance stages.
• Developed recommendations and designed solutions for process improvements.
• Provided guidance and recommendations on process improvements and “best practices”.

Environment: MS Word, MS Excel, Waterfall Methodology, MS Power Point, EDI, MS Project, Windows, Rational Requisite Pro, SQL server, Test Director, Visio, UML.

Confidential, Harrisburg, PA

Business System Analyst

Responsibilities:

• Analyzed the existing system through existing documents to get details on the functional and technical aspects of the system.
• Organized walkthrough, demonstration and wrote minutes of project meetings.
• Gathered requirements and created BRDs and User Story.
• Identified interface requirements and developed Interface Control Document/ Interface Design Document.
• Experience working with SAS.
• Created prototypes and gave presentation/demonstration on the application functionality and new interface implementation.
• Experienced working with the centers for Medicare and Medicaid services (CMS), the Healthcare Common Procedure Coding System (HCPCS), Electronic Data Interchange (EDI), Medicare Part D Services, and State Pharmaceutical Assistance Program (SPAP) services.
• Medical Claims experience in Process Documentation, Analysis and Implementation in 835/837/834/270/271/277/997 (X12 Standards) processes of Medical Claims Industry from the Provider/Payer side.
• Experience in FACETS with various applications involving Sales & Enrollment, Claims Processing (Dental, Medical/Hospital), Customer Service and Billing areas.
• Experience in healthcare FACETS data model and configuration.
• Highly motivated team player with excellent communication, presentation and interpersonal skills, always willing to work in challenging and cross-platform environment.
• Proposed strategies to implement HIPAA 4010 in the new MMIS system & eventually move to HIPAA 5010.
• Developed and updated System Context diagram, process flow diagram and mockups based upon the impact assessment and newly added functionality.
• Prepared RTM’s, conducted GAP analysis and maintained Risk/issue logs.
• Developed and updated System Context diagram and process flow diagram based upon the impact assessment and newly added functionality.
• Lead daily scrum meeting/DAT session and Sprint planning meeting. Created story cards for the DAT session.
• Created incident ticket and change request ticket for creating new roles and assigning grants using Remedy.
• Developed detail UAT Test plan and test cases, Entrance and Exit criteria for the application being tested and ensured that standard for documentation were followed.
• Conducted functionality, integration and targeted testing for each build and version. Documented the TC and logged UAT defect in QC.
• Wrote SQL queries for backend testing and validating dataflow and data in the tables.
• Created data mapping document and defined the data dictionary.
• Created user manuals for the application and updated the Service Level Agreements (SLAs).
• Conducted working sessions to gather and document high level business requirements and detailed level business requirements for different business units impacted by ICD10 such as EDI Claims Intake, Medical Management- Utilization Management, Case management and Provider Reimbursement- Provider Payment.

Environment: MS Office Suite, MS Project, Oracle, Visio, SharePoint, Agile, Quality Center, BMC Remedy, Clear Quest, Documentum, TOAD, DOORS.

Confidential, New Britain, CT

Business Systems Analyst

Responsibilities:

• Functioned as an internal client liaison on existing site design, provided business and technical expertise, performed usability tests while collaborating with Confidential ’s eBanking bank and documented new functions for the site redesign.
• Interfaced directly with business partner community to gather requirements for the balance alerts functionality on mobile application.
• Documented detailed business requirements, analyzed and proposed solutions to meet defined business requirements in collaboration with development and business partners
• Created and maintained formal documentation to describe the implemented system functions and solutions using narrative and visual tools including but not limited to as-is/to-be descriptions, process flows, screen flows, activity diagrams, data mappings, interface definitions (web services and flat files), sequence diagrams and context diagrams.
• Analyzed Voice of Customer reports and identified areas of the website that needed enhancements. Participated in discussions with the Internet banking team to understand the requirements.
• Documented new defects that have been identified and helped in the generation of new System Change Requests (SCRs) in production systems
• As part of a project team, supported test plan development, helped identify test data, and take part in the actual testing phase of the SDLC
• Provided second-tier production support for applications and systems in Confidential .
• Routed reports of problems from clients to the appropriate technical resource for resolution, and tracked issues through the HP Quality Center
• Consulted on issues of moderate technical complexity and routed more advanced questions to the right resources within the IT division
• Worked with project managers on medium and large projects to ensure that Project Management Life Cycle is followed and project deliverables are met

Environment: MS Office suite, SharePoint, Snagit, BMC Remedy, HP Quality Center, Crystal reports, TeaLeaf, Google Analytics, Asana, Win XP, Incremental/RUP Methodology.

Confidential, Providence, RI

Jr Business System Analyst

Responsibilities:

• Prepared and review complex financial analyses including transaction impact analysis.
• Build detailed financial models to evaluate performance under various operating scenarios and to analyze the impacts of different capital structures, portfolio rebalance and analysis, compliance and credit research.
• Acted as a liaison between investment bank brokers, wealth management team, industry experts, system users, client managers and software development team to gather requirements and document work flow and result of business analysis in to Business Requirement Document (BRD) that meets audit and SDLC standards.
• Constantly Partnered with project leads to ensure the team is providing solutions that meet established standards, procedures & practices, address issues, risk and mitigation plans.
• Assisted Project manager in maintaining and monitoring the progress and status of the project, providing high level estimate of efforts for analysis, implementation and support, estimating delivery schedule and resource allocation.
• Conducted JAD sessions to allow different stakeholders to communicate their perspectives, resolve any issues, come to an agreement and achieve goals.
• Performed feasibility and risk analysis to identify the business critical areas from the user perspective based on capital market risk in various securities and derivatives that enable investors to analyze and rebalance portfolio.
• Measured project performance on time and budget as per project plan
• Developed Use Case diagrams for every conceivable scenario, Activity diagrams, and UML diagrams in MS Visio.
• Performed requirement walkthroughs with the development and QA teams with the aim to develop testing strategies and test plan such that test cases reflects user needs.
• Documented and track defects, as well as produced detailed report.
• Worked extensively with client requirements to generate customized SQL reports.
• Defined and reviewed the data warehouse requirements with the business users for getting the right data from source system to reporting purpose.
• Provided remote and onsite support to end user during and post implementation.

Environment: MS Office, MS Visio, UML, Microsoft SQL Server, JAD.