SUMMARY

• 8 years of IT experience as a Business Analyst in SDLC: analysis, design, development, deployment, Gap Analysis, Quality Assurance of application software and product testing and implementation of projects for various business and health care organizations.
• Individual with strong analytical, coordinating, organizational and interpersonal skills to work in diverse work settings.
• Proven success as a business analyst through years providing a well - balanced understanding of business relationships and business requirements.
• Experience in gathering user requirements, preparing and analyzing Business Requirement Documents BRD, System Requirement Specification SRS, and propose changes as per various internal and external requirements gathered for process improvement.
• Demonstrated ability to work actively in different phases of SDLC in teams, fostered cooperation and collaboration among individuals in the work unit and helped team resolve conflicts constructively
• Experience in Requirements Gathering techniques to verify and validate business and system needs.
• Skilled in Use Cases and Unified Modeling Language UML for requirements gathering
• Performed GAP Analysis between AS IS and TO BE workflow models.
• Excellent team building and problem solving skills, documentation, user training and support in conjunction with strong management and background.
• Excellent communication, co-ordination and presentation skills
• Conducted Joint Application Development JAD sessions and interviewed Subject Matter Expert's SME's, asking detailed functionality aspects of business process and carefully updating the information to the requirements in an easily understandable format.
• Excellent knowledge of standard industry methodologies like Software Development Life Cycle SDLC, Iterative Software Development Life Cycle Process as per Rational Unified Process RUP, CMM Capability Maturity Models and Rational Tools used during various phases of RUP.
• Good knowledge of Business Process Modeling
• Completed 5010 ICD 10 Readiness Impact assessments for the upgrade of 4010A1 to 5010 HIPAA EDI x12 electronic transaction formats and for the upgrade of ICD 9 to ICD 10 Code Sets.
• Planned, organized implemented three HIPAA NPI National Provider Identifier projects
• Experience in testing and validation of the HIPAA EDI x12 transaction sets for claims 837P/I/D, 276/277, payments 820, 835, eligibility 270/271, 278 and enrollment 834 .
• HIPAA Final Security Rule - Completed gap analysis and implemented Administrative, Physical and Technical safeguards thru policies procedures to protect security of patient health information.

SKILL set:

• Business Modeling Tools: Rational Rose, Rational Requisite Pro, Microsoft Visio, MS Project, UML
• Defect Tracking Tools: Test Director, Rational Clear Quest, Rational Robot, PVCS
• Testing Tools: Rational Test Robot, Mercury Tools: Win-Runner
• Methodologies: Rational Unified Process RUP, Waterfall Method, Agile
• Microsoft Tools: MS Word, MS Excel, MS PowerPoint, MS Visio, MS Project
• Mainframe: COBOL, DB2, JCL, CICS, MVS
• Data warehousing Tools: Informatica, Business Objects
• Operating Systems: MS Windows, Sun Solaris, Linux, UNIX, HP UX
• Web Authoring: iRise Studio, HTML, XML, VB Script, Java Script, Front Page, Dreamweaver
• Databases: Oracle, DB2, MS Access, SQL Server

PROFESSIONAL EXPERIENCE

CONFIDENTAIL

Sr. Business Systems Analyst

CONFIDENTAIL is a global powerhouse in business and technology transformation. CONFIDENTAIL multinational corporation that provides information technology services and professional services. Currently, CSC is providing excellent I.T service to New York-Health Exchange NY-HX . I am playing a multi tasking role in the IT team as a Business Analyst on several functionalities on enrollment, document management, notice management, client communication, unified access management and static content areas in Healthcare domain. I am also involved in gathering High-level requirements with NY-HX groups.

Roles and responsibilities:

• Conducted JAD sessions with Program team and updated existing Requirement documents as per discussions.
• Assigned CQ's to Quality Analyst and DBA's for change in requirements and discuss with team for better understanding of requirements.
• Updating Training documents for demonstration of application and its components.
• Performed demonstration for the application under DEV and UAT environments.
• Conducted one to one meetings with Program to understand the current flow of business and its working conditions.
• Worked on Change Request CR that is leading the change control process for changes submitted for the Functional Design Document FDD after the document was submitted to Program.
• Worked with developing team to resolving issues and clarifying business requirements from the Program.
• Effectively elaborated the current process and gave a clear picture of the proposed process for the project and aggressively working towards timely completion of high priority tasks.
• Gathering requirements from Program for the future state of NY-Home page, various landing pages and other static contents on NY.Gov Portal.
• Prepared AS IS process flow on the current state of cross-track functionality for better understanding and gathering requirements on same.
• Disposed comments received from NY-HX on Functional Design Document FDD by changing the FDD as per recommendations and replying with the same.
• Prepared Comment Log tracker to keep record of changes made to FDD.
• Worked on Master spreadsheet for the static contents required on the NY-State of Health web page.
• Written User stories to support FDDs and got approval from Requirements Manager.
• Prepared Test Cases on the FDD to provide developing team with walk through of it and FDD for coding.
• Performed application's testing in SHOP Employer, Employee and Broker/Navigator and Individual's and Families.
• Performed Gap analysis by comparing my Master sheet with application by maintaining separate documents.
• Performed Smoke Testing of the above mentioned Applications too.
• Worked on IBM Cognos Navigator of NY State of Health for Oversight Reporting.
• Resolved Defects logged on FDDs by discussing with Testing and developing team.

Environment: MS Office, MS Visio, Microsoft SharePoint, IBM- Rational ClearQuest, IBM- Rational Team Concert RTC, IBM Cognos Connection, Oracle DB2 and IBM Lotus.

CONFIDENTAIL

Sr. Business Systems Analyst

CONFIDENTAIL is a leading healthcare company that improves the cost-effectiveness of healthcare focusing on patient care while reducing costs, improving efficiency, quality and profitability. I played a dynamic role in the IT team as a Business Analyst on several projects on enrollment, claims, finance, provider admin, and group admin business areas in healthcare domain. My recent project was the analysis of ICD 9 ICD 10 code set conversion. I was also involved in the high level requirements gathering with providers, clearing houses and employer groups for the EDI transactions of the HIPAA ASC X 12 conversion. After successful completion of ICD and HIPPA conversion also played role as a Requirements Manger on Employer Portal. The project was gathering high-level requirements with business and SME's for the Employer Portal.

Roles and responsibilities:

• Gathered requirements from claims business area for the auto-termination project, prepared process flows and diagrams for the manual to automated conversion project and as Requirements Manager gathered requirements from billing business area for the Employer Portal project, prepared process flows and diagrams for the current flow on billing functionality project.
• Performed gap analysis for HIPAA 4010/4010A 5010 conversion Involved in the documentation of HIPAA 5010 changes to EDI 837 transaction.
• Performed gap analysis of ICD 9 to ICD 10 conversion for procedure and diagnosis codes in accordance with the HIPAA compliant.
• Effectively elaborated the current process and gave a clear picture of the proposed process for the projects in the organization and aggressively worked towards timely completion of high priority tasks.
• Vendor management Worked as a facilitator for testing efforts and new requirements between the healthcare company and its various vendors.
• Change management Led the change control process for changes submitted for the BRD after the document was submitted to IT department to delight customers and mitigate developers.
• Facilitate defective JAD sessions to coordinate architect, SA, developers and testers to deliver exceptional solution to customer and documented decisions for the future reference.
• Worked with IT team to resolve issues and clarify business requirements from the business owners.
• Documented the UAT plan for the project and worked with the UAT Team to ensure every acceptance criteria for the requirements has been included in the UAT task plan.
• Worked with the UAT and QA teams to conduct an assessment and determine how effective UAT and QA guidelines can help the company achieve timely completion of projects.
• Maintained the traceability matrix table to uniquely trace the identified business requirements of general design to testing as proof that requirements requested have been developed into a solution and tested. to understand the current flow of business and its working conditions.
• Effectively elaborated the current process and gave a clear picture of the proposed process for the project in the organization and aggressively worked towards timely completion of high priority tasks.
• Adapted change in role and gain an understanding of how to facilitate requirements gathering in a much more compartmentalized manner as outlined by the SOA architect and the business process engineer.
• Worked with the Enterprise and SOA architects to fully define the interactions between business functions and, perhaps, to capture the usability models.
• Conducted JAR sessions with business for gathering high-level requirements and understand the current architecture of the Portal.
• Conducted one to one meetings with SME's of billing area
• Gathered requirements from SME's of billing area for the future state of billing functionality on Employers Portal.
• Prepared AS IS process flow on the current state of billing functionality for better understand and gathering requirements on same.
• Documented the requirements in the Project Requirement Document PRD for the project and worked with the Project Manager to ensure every requirement has been included in the PRD.
• Maintained the requirement matrix table to uniquely trace the business requirements gathered during meetings with business and SME's in general design to test as proof that requirements requested have been covered in the PRD.
• Worked on iRise Studio for constructing the demo on the Employer Portal by adding features and presented to business about the new look to Employers Portal.

Environment: MUMPS, MS Office, MS Visio, CMMI, Rational Enterprise Suite Requisite Pro, Rose, ClearCase, ClearQuest, SQL, Oracle, iRise Studio, Microsoft SharePoint, and VM Ware installation.

CONFIDENTAIL

Business Analyst

CONFIDENTAIL provides medical billing services to healthcare providers and Web-based claims processing software for IPAs and health plans. I played an active role as a Business analyst in the IT team of Global in implementing new Phoenix patient management system. Global used Phoenix web based patient management system to replace their legacy application.

Roles and responsibilities:

• Developed the Functional Requirements Document FRDs for all the modules based on interviews and workshops with the customers.
• Compared the Functional Requirements Document with the Business Requirements and Rules. Obtained Business Owner sign-off for the documents.
• Developed the business process model using use case diagrams, activity diagrams and process flow diagrams using MS Visio.
• Visited business user facility Memorial Herman hospital, to observe the legacy application and gathered requirements for the new application.
• Developed Use Cases for the main modules and describe the requirements to the developers.
• Held regular status meetings on behalf of the Project Manager to keep track of the progress.
• Conducted JAD sessions with the Architect, testers and developers to leverage the expertise of both sides to meet the deadlines and deliver quality product.
• Created and maintained the Requirements Traceability Matrix to keep track of each requirement and its testing.
• Worked on Oracle FLEXCUBE - Insurance applications, like submitting/filling and processing claims, handling claim adjustments, billings with insurance appraisers, managing relationships with customers, Exchanging data, Managing users accounts, Administration of the system.
• Work further on FLEXCUBE by consulting and designing services, analysis, consulting, IT strategies, implementation services and deployments, systems and network maintenance support and outsourcing.
• Converted the lead and yield 3 records: an account record, a contact record, and an opportunity record
• Led the team in developing test plan for Project Phoenix.
• Worked on developing the test cases for key modules including Patient Registration, Appointments management and Patient Financials.
• Engaged in making the transition to SOA mindset, to drill down and analyze the requirements for the service contract and vocabulary for each service to adapt SOA design or software design methodology.
• Played a hands-on role in developing UAT and in handing over the product to the client.

Environment: SharePoint, Rational Enterprise Suite RequisitePro, ClearCase, ClearQuest and Rose, and MS Office.

CONFIDENTAIL

Business Analyst

CONFIDENTAIL is dedicated to the development, installation and support of healthcare information systems. Its enterprise-wide application, INTERACTANT, is a fully integrated clinical and financial information system. I played an active role as a Business analyst in the IT team in gathering and documenting requirements as well as coordinating meetings.

Roles and responsibilities:

• Involved in gathering and documenting the requirements that were critical to the business process as well as using those requirements to design software solution using a Use Case approach.
• Worked with SME's in revenue cycle management to collect the Business process requirements, documented them in Business Requirement Document BRD and performed Business Process Re-engineering.
• Conducted Functional Requirement reviews and walkthroughs with the designers, developers and stakeholders.
• Involved in creating and reviewing of Functional Specifications and created a Functional Requirement Document.
• Created and maintained Narrative Use Cases Business Use Cases, System Use Cases and modeled Use Case Diagrams, Activity Diagrams, Data Flow Diagrams using MS Visio.
• Worked on Oracle FLEXCUBE- by Consulting and designing services, Analysis, Consulting, IT strategies, Implementation services and deployments, Systems and network maintenance support and Outsourcing.
• Worked with HIPAA compliant ASC 837 formats for both professional claims and institutional claims.
• Matched the requirements for programs such as Medicare and Medicaid, which are part of the Social Security Act.
• Helped developers with the following list of HIPAA-EDI Transaction Code sets:
• 837 Claims and Encounters professional, institutional and dental
• Analyzed forms and successfully crosswalk details to corresponding ANSI ASC X12 formats

Environment: UML, Clear Case 4.2, Clear Quest 6.0, Crystal Reports, SQL, MS Office and MS Visio.

CONFIDENTAIL

Business Analyst

CONFIDENTAIL is a leading solar company in the CONFIDENTAIL manufacturing and distributing crystalline silicon solar cells. I played a dynamic role as a Business Analyst in the IT team to upgrade their data management system in order to deliver new functionalities for sale forecast, order fulfillment and material management divisions.

Roles and Responsibilities:

• Requirements gathering in Order Fulfillment, BOM Management, Minimizing Backlogs and Monitoring Inventory levels in the total Supply Chain process for Sun Power's Solar Panel Projects across USA.
• Managing a Schedule Plan by doing the weekly Supply and Demand Analysis in support to the Project's delivery requirement according to materials availability extracting reports from Oracle ERP, Discoverer Reports, Sales Force and OBIEE system.
• Gather demand data from global business units and region to synthesize information using complex analyses, and delivers correct demand signals to Buyers and Procurement Teams while maintaining a lean inventory level by analyzing Financial Reports.
• Working with the NAC Planning Team in developing and documenting supply and demand management practices as well as actively teaming up with the IT and SSO teams to identify gaps, develop, train and drive Process Improvements within the supply chain. Initiated a project to track issues related to demand signal and supply resulting an improved communication between the BU's.
• Communicate requirements and provides regular feedback to the team and cross functional BU's about Inventory on hand that helps prevent shortages and affects customer deliveries. Deal with RMA's from Projects with finance and accounting team.
• Managing high visibility 5 Million project with total responsibility just within 3 months in the role and gained exposure and access to the Procurement, Demand Planning and S OP Processes.
• Initiated developed an interactive webpage for within the Sun Power intranet which will act as the information portal for the business unit.

Environment: AS Inventory, Oracle, MS Office, MS Visio, Rational Rose and SQL

CONFIDENTAIL

Business Systems Analyst for Operation management

Provide support for CONFIDENTAIL Application through delivery of new functionality, issues resolution, bug fixes with SAP Support, Business analysis for upgrade projects and liaison for business to IS. Scope of modules included Purchasing, Inventory, Planning, Work-in-Process, Bill of Materials, Costing, Engineering, Quality, Order Management, Human Resource and Sys-Admin. Partial responsibility to assist the project manager in developing high-level solution designs, presentations for Senior Management and detailed project plans. I was fully responsible for all SAP activities at Select Comfort to include database administrator DBA, functional lead for all installed applications and application development.

Roles and Responsibilities:

• Responsible for gaining a good understanding of user needs and accurately representing them in a well-documented software functional specifications document.
• Gathered Business Requirements, interacted with the users, designers and developers, project manager and QA team to get a better understanding of the Business Processes.
• Documented the Business Requirements Document BRD and the Functional Specification Document FSD .
• Interacted with the End-Users by interviewing them, by preparing appropriate questionnaire to better understand end-user needs and the business process.
• Supported PL/SQL development for Contingency and Internal Audit Reports.
• Conducted walkthroughs and code reviews with developers, project managers and stakeholders and users to comprehend business workflow of applications.
• Followed a structured approach to organize requirements into logical groupings such as requirements for Customer, Client, Group, Member and Reporting to make sure that the critical requirements are not missed.
• Performed GAP analysis of 5010 EDI transaction using implementation guide to identify the changes in the segments and data elements.
• Created test cases for System Testing Development Environment, Integration Testing UAT and Production Post Implementation Review in Agile environment.
• Supported the testing team with Defect Management, Requirement Analysis and SQL development for back-end and regression testing and maintaining the Mercury Quality Center with the latest updates on the defects.
• Created and maintained data mapping document s in reference to the HIPAA transaction: 837
• Assisted Project Manager in setting realistic project expectations and assessing impact on the plans and organization using MS Project
• Used HIPAA 4010 transactions to support the analysis of current business processes and work with management to improve and implement enterprise solutions to ensure compliance and got involved in designing future state processes for HIPAA 5010 transaction processing EDI's 837,835, 270, and 271.
• Analyzed HIPAA 5010 related to 837,835, 270, and 271. Transactions and performed gap analysis between the 4010 and 5010.
• Extracted the business requirements from the stakeholders keeping in mind their need for the application and documented them using Rational Req Pro.
• Implemented the entire Rational Unified Process RUP methodology of application development with its various workflows, artifacts and activities.
• Analyzed business requirements, performed gap analysis and segregated them into high level and low level Use Cases and Activity Diagrams / State Chart Diagrams using Rational Rose, thus defining the Data Process Models. Worked on HL7 to provide framework to carry out transfer of electronic healthcare information
• Analyzed the detailed user needs, gathered requirements during inception phase, documented and delivered Functional Specification Documents FSD and assisted architecture analysis and design using UML and Rational tools
• Designed and developed Use Cases, Activity Diagrams, Sequence Diagrams using UML and Visio
• Identified, researched, investigated, analyzed, documented business processes and use case scenarios
• Performed gap analysis to identify and document the gaps between the existing system 4010 and new 5010 compliant system
• Functioned as a liaison between the business line, operations and the technical areas throughout the project cycle
• Participated in JAD sessions, product presentations and conducted interview sessions to collect information
• Used SQL queries for the retrieval and management of data
• Assisted the QA team in developing the test plan, test conditions and test cases to be used in testing based on business requirements, technical specifications and/or product knowledge
• Used Test Director with QA team for testing
• Interfaced with Subject matter experts to prepare the Business Process Re engineering BPR documents for the ongoing project

Environment: SAP ERP, Oracle, MS Office, SQL, NetWeaver.