SUMMARY:

• Resourceful Technical project manager skilled in streamlining & maintaining schedules to ensure maximum customer satisfaction & business revenue.
• Expertise in coordinating diverse teams & resources to complete objectives.
• Organized & detail oriented with proactive hardworking nature.
• Over 11 years of combined experience in the field of Project Management, Business Analysis, Data Analysis, Systems Analysis, Knowledge Transfer, IT Consulting, Functional Planning, Prioritization, System Integration, Requirements Analysis, Programming, Reverse engineering, Agile Scrum, ECM & using BPM methodology, JIRA, Applying Project Management concepts, Scheduling & Planning, Business Rules, Six sigma implementation Unit testing and Validation,
• E - Commerce, Compliance Reviews, Applying Security controls, Authentication / Authorization & HIPPA regulations, Workday Recruiting Modules, Workday HR & Finance modules, Workday HCM/HRIS, Risk management, Information Security, Audit & assessment, Policies & Governance and working with Java based web applications & testing in Quality center / ALM.
• Managed all phases of the software development lifecycle (SDLC) for dozens of custom solutions. Delivered industry-leading software that saved clients millions of dollars, shortened processes from weeks to minutes, captured #1 market share and generated up to $21M in annual revenues within year one of launch.
• Project-managed large-scale initiatives involving the transition of programs to new platforms and the merger of disparate systems from acquired client companies.
• Achieved seamless migrations and integrations that were transparent to client customers, accomplished with no unscheduled downtime and delivered by as much as $750K under budget.
• Experience in Gathering, Analysis & Management of Requirements, Project & Scope estimation and management, Business Re-Engineering, Change management, Functional Analysis, Systems Analysis and Design, QA, GAP analysis, Writing BRD’s, designing wireframes, Use case analysis and design, user support, problem solving, and Technical documentation.
• Experience in Commercial Off-the-Shelf (COTS) software system integration and implementation
• Worked extensively on UML Diagrams during inception phase using Visio, Rational Rose.
• Understanding & Experience working on Medicare, Medicaid & ACA solutions.
• Excellent Documentation skills using Rational Requisite Pro, Savion Processing tools for creating detailed functional specifications as well as process flows.
• Organized many Joint Application Developments (JAD) sessions and Joint Requirement Planning sessions (JRP), walk through, Interviews, Workshops and Rapid Application Development (RAD) sessions with end-user/clients/stake holders and the IT group.
• Provided cross-functional representation for our department regarding technical documentation, testing and quality concerns and release management with other departments in the company.
• Experience working on re-engineering applications along with following projects through complete SDLC RUP, Six Sigma, CMMI and Agile methodologies for COTS packaging, design and implementation.
• Experience with Medicare, Medicaid, and commercial insurances in HIPPA ANSI X12 formats including 277, 820, 834, 835, and 999.
• Experience in intimate familiarity with agile project life-cycles or agile methodologies, iterative processes, and traditional methodologies. Experience also includes producing highly complex business software using a wide array of practices and technologies
• Requirement Analysis with Use Case Diagrams, RMP, Class Diagrams, State Diagrams, Sequence and Collaboration diagrams, system prototypes, proof of concepts, requirements traceability, PRD, ER Diagram, Business Rules for Application Development during inception phase of the project.
• Good knowledge in Health Care Transactions, HIPAA X12 transactions (837, 835, 834,) Inbound and Outbound data testing, Institutional, Professional, Dental. Expertise in test process, test scenarios, test scripts, test case designing, and defect tracking.
• Experience with health care systems, Medicaid with prime focus on claims adjudication, provider, eligibility and prior authorization.
• Good knowledge in gathering requirements & testing HIPPA 837, 270, 276 transactions.
• Involved in Smoke Testing, Integration Testing, System Testing, Regression Testing, User Acceptance Testing ( UAT), GUI Testing, Performance and Database Testing, Production Validation and Audit.
• Worked on the ICD-9 transitions with knowledge on HIPPA 5010 versions.
• Experience in working with Prior- Authorization such as Inpatient, Outpatient, and Referral.
• Good knowledge on the Claim validation & claims processing with refilling of Prescriptions & error analysis/error handling.

EXPERTISE AREA:

• Change Controls
• Functional Design Specifications (FDS)
• Functional Requirements Document (FRD
• Requirements Management Plan
• User Requirements Specifications (URS)
• Design Qualifications (DQ)
• Requirements Traceability Matrix (RTM)
• Requirements Management Plan
• Interface Control Document(ICD
• Operational Qualification (OQ)
• Project Requirements Document
• Software Development Life Cycle (SDLC)
• Standard Operating Procedures (SOP)
• Service Level Agreements
• Proof of Concepts
• Prototyping
• Validation Master Plans (VMP).Certified BA
• SOP
• ICD
• Unemployment Benefits and Insurance Knowledge.

TECHNICAL SKILLS:

UML / BPM Tools: Rational Rose / Microsoft Visio / Savvion/IBM's Requisite tool, Doors, ALM,PEGA,FACETS

Version Tools: Clear Case/ Clear Quest /Version Manager/Merant Tracker

Databases: Oracle, DB2, MS Access, SQL Server.

Reporting Tools: Visual Basic 6.0, Win Runner, Load Runner, Siebel Analytics

Database Skills/Tools: Stored Procedures, Database Triggers, and Packages

Languages: SQL, PL / SQL, VB Script, Java Script, C, C++, HTML, XML, JSON

Front end tools: Microsoft front page, Microsoft Project, Microsoft Office, .Net, Visual Studio Foundation Server.

PROFESSIONAL EXPERIENCE:

Confidential, Chicago, IL

Sr. Analyst / Project Manager/Coordinator

Responsibilities:

• Reviewed Business Documents, Functional and technical specifications.
• Led teams across broad technical, financial and business disciplines. Focused teams on business objectives and tracked progress to ensure project milestones were completed on time, on budget and with the desired results.
• Mitigated risk factors through careful analysis of financial and statistical data. Anticipated and managed change effectively in rapidly evolving global business environments.
• Defined processes and tools best suited to each project. Moved between agile and waterfall approaches depending on project specifics and client goals, creating detailed project road maps, plans, schedules and work breakdown structures.
• Led the entire team to analyze, develop, implement & deploy value based care capitation settlement services for various programs & created Business Rules, Requirements Management Plan, Scheduling & Budgeting documents.
• Experience in working on clarity time sheets and integration, configuring workday module.
• Familiar end to end workday, work flow, analysis, and also familiar with using with core connectors, XML, XLST period.
• Worked closely with the design & development team in creating Proof of Concepts & Prototyping documentation.
• Developed Test Plan Document to cover all functionality testing.
• Wrote Test cases in spreadsheet and imported in the Application Life cycle management.
• Walkthrough Test cases in Test Case Review meeting to Business, Development and QA Team delivering Project requirement deliverables along with Requirements Plan & Requirements Management Plan.
• Performed Smoke Testing on new builds in Dev Environment.
• Performed Functional, Integration, and Regression Test using Parasoft SOA Test.
• Use MQ Explorer for communicating messaging formats.
• Performed SOA Web Services Testing using Parasoft SOA Test using MQ Explorer and XML files.
• Attended several meeting and providing feedback at DRB, Weekly Team meeting and walkthrough with BA and Developer when needed.
• Involved in Backend Testing and Front End, wrote SQL queries for backend in Oracle and Toad.
• Creating Automation Scripts (VBScript) in the sprints and stored them in the Test-Plan module of ALM. The tests were created to test for Back-end (oracle-DB2 integration testing) & Front End.
• Test/Action Parameters and Data-Sheets to create data-driven testing.
• Worked in Various Environments such as Dev, SIT, E2E and UAT.
• Validated the scenarios for Authorization field, Authorized Providers, Admitting physician, Procedure and Diagnosis Code, place and type of services using mapping documents logic for all components.
• Developed Test Cases using WSDL, Schema files which defines Web Service Request, Response, and methods/operations, End Point of web service to be tested.
• Validated the Auth Records in FEP Console Front End.
• Ensure system operations are in compliance with the industry regulations & standards by performing tasks such as reviewing sources about new regulations, reviewing existing industry guidelines, preparing reports, working closely with legal team to ensure the controls are in compliance with HIPPA regulations & standards & applying security controls up-to-date.
• Ensure privacy practices, security rules & compliance regulations are all applied accurately to any new applications to be developed & components that are already in production.
• Ensure all the HIPPA Transaction code sets are applied in compliance with the Health care transaction rule.
• Experience in creating Knowledge Transfer deliverables.
• Validated Web Services request and response xml using SOAPUI tool.
• Use Altova XML Spy, PS Pad and Ultra edit to mock up and edit the file.
• Daily attended status and defect meeting to track the projection of projects.
• Reported the defects using the ALM defect-tracking tool.

Environment: Application lifecycle Management, Parasoft SOA Test, MQ Explorer, Oracle SQL Developer, Toad, Altova XML Spy, PS PAD, Ultra Edit, MS Office, SharePoint

Confidential, Owings Mills, MD

Sr. BA/ Workday HCM Analyst

Responsibilities:

• Assist in Documenting business and functional requirements,
• Oversee multiple projects across all the phases of the development.
• Monitor workflow & make timeline adjustments as needed
• Work as part of an interdisciplinary team to achieve project milestones
• Develop status reports, cost estimates & resource plans.
• Business Rules, including data flow, business rules, and Use cases for automating the Staffing/Recruiting processing using Business process modeling (BPM) using Rational Requisite tools & RUP methodology.
• Hands on experience on Workday Recruiting & other various HR, HRIS / Finance components from Finance.
• Being able to source internal & eternal candidates on Workday Recruiting, collaborate on hiring decisions, socialize the recruiting efforts within the hiring managers & obtain real-time decisions.
• Manage & documented thorough end to end various several Workday HRIS Recruiting components such as Onboarding, Onboarding Orientation schedule, Candidate Management, Job sourcing, Open Requisition, Absence management, Travel, Expense management, Close & Manage Requisition, Candidate Referrals, Endorsements, Offer Management, Candidate Selection, off boarding, payroll management etc & involved with though Integration.
• Knowledgeable & hands on experience on Workday Integrations of various components such as EIB, Studio work, Core connector, XML, XLST.
• Generated full lifecycle reporting & real time metrics on various end to end Workday components to the upper management & involved with on-going maintenance, workday troubleshooting, and workday configuration.
• Through experience on integrating Workday Payroll process (part of recruiting module) to existing Clarity timesheets module.
• Working to streamline the Workday HR HCM/HRIS Invoice consolidation process from Time sheet submission/expense submission & Payment request submission.
• Composed vendor performance metrics, availability for Bartech as the Service Provider.
• Assisted in downsizing the finances by 10-20 % reduction in contingent labor spend by optimizing, streamlining & automating the staffing/recruiting process within Workday HRIS/HCM modules.
• Analyzed & provided an work flow on the entire financing reports for GBS&T Finance which includes the Workday HCM Contingent Worker Cost Projection, Invoicing, Accrual & other reports that includes balance sheet, income statement, open requisitions, costs spent, Absence management, Travel, Expense, Payroll. etc.
• Ability to understand how ECM will impact their current business processes and communicate that impact to the client.

Environment: Application life cycle Management, SDLC, Quality Center, QTP, MS SQL, MS Visio, IBM Rational Requisite Pro, Oracle SQL Developer, Toad, MS Office, Share Point.

Confidential, Baltimore, Maryland

Sr Functional /Requirements Analyst/Sr Test Lead

Responsibilities:

• Business & Systems Analysis, Functional analysis
• Responsible for leading development of functional business requirements, functional planning, and prioritization and helps users assess relative priorities for both business process and technology solutions using requirements management tool DOORS.
• Experienced in payer reimbursement for drug therapies specializing in oncology, nephrology, hematology, neurology, and dermatology in the retail, mail order, and specialty pharmacies as well as in various settings of care and analyze Medicare /Medicaid coverage.
• Specialized in the management and execution of continuous improvement initiatives and the implementation of various Customer Relationship Management (CRM) and call center technologies.
• Developed end to end integration of Pharmacy Reimbursement services focusing on Episode based payments; Patient centered care & also Shared savings.
• Responsible for coordinating end to end architecture for the Capitation models component of Reimbursement Services. Developing, driving, and maintaining the InTeleCenter® business architecture, including services framework, process architecture, and business capabilities and developing new Call center components which captures Patient statuses, shipment statuses against drug Orencia Subcutaneous.
• Capturing and storing various data elements in the In Tele Center received from various Specialty Pharmacies like Confidential / Confidential with case updates, shipment updates and being able to report the trending of the product shipment from Inception to the Shipment date.
• Leads the development of business requirements, developing business rules, functional designs, process maps, user test plans, and training materials associated with business process and technology solutions. Facilitates client involvement in User Acceptance Testing.
• Works collaboratively with peers to coordinate the overall delivery of technology solutions to business groups.
• Data Reporting and laying of three level architecture using Visual Studio Foundation Server.
• Interfaces with the application development test team to validate test results for new applications verifying that they meet the requirements of their business group.
• Planned and defined system requirements to Wire Frames with Use Case, Use Case Scenario and Use Case Narrative using the UML (Unified Modeling Language) methodologies using BPM & ECM model.

Environment: Quality Center, Six Sigma, IBM Rational Suite, Claims Processing, Prior Authorization, Claims Validation, Prescription Fillings, HIPP regulations.

Confidential, Arlington, VA

Sr Functional Analyst/Sr Requirements Analyst

Responsibilities:

• Coordinated with Customer to gather requirements & manage expectations.
• Set & adjusted project milestones.
• Led teams across broad technical, financial and business disciplines. Focused teams on business objectives and tracked progress to ensure project milestones were completed on time, on budget and with the desired results. Responsible for accumulating requirements from various user departments like the Zonal Divisional IT specialist, Project Manager in the form of JAD Sessions, functional planning, prioritizes tasks.
• Worked on Workday HRIS, HCM configuration, implementation & integrating Workday data from several modules.
• Generated Workday recruiting, Benefits, Absence management Onboarding, Expense, Payroll, Travel, off boarding statistical reports for the Finance business GBS HR.
• Thorough experience on Workday HCM Configuring, Functional Workday modules with data controls & protocols for the dataflow from Onboarding, Travel, Payroll, Absence, Maintenance, Configure Payroll Benefits, Holiday benefits, PTOs, Timesheets in clarity vs. Workday., Off boarding & etc.
• Responsible for documenting all the Business Requirements Document Specifications using MS Visio, MS Word and MS Excel and process flows via Savion and six sigma implementation using BPM model to alleviate bottlenecks in the business processes & simulate alternatives.
• Worked on optimizing the business operations by enabling business rules into process flows / models simulated in Savion tool & monitoring the real-time processes for any OLAP reporting for Workday HCM
• Directed the development of requirements for the re-engineering of a proprietary financial software COTS application from a mainframe environment to open client server system.
• Responsible for providing the enhancement solutions for the FAS re-engineering projects that are being implemented as a part of the future enhancement/implementation phase.
• Handled about 250 SCR(software change requests) and performed analysis and reverse engineering by resolving issues on all the federal requests submitted on applications in production across the country for all FAS operation centers( Atlanta, Boston, Chicago and SFO)
• Experience overseeing the applications built based on Dot Net, .Net to ensure requirements have been met & accordingly developed.
• Provide a complete migration solution from a client server application to Web Based application with enhanced features and functionality.
• Responsibilities also include socializing of the use cases with the users and reviewing the business rules documented in the use cases so the users can give a sign off on the application to be developed
• Responsible for solution development for the integration with the FAS applications which includes web services for the scheduling and re-assigning module using SPARX Enterprise Architecture.
• Workday HCM / HRIS experience in Integration, Configuration, maintenance, change control & change management using XML, XLST, EIB, Core connector etc.
• Implemented spring review & retrospect meetings for the implementation & design of the applications using ECM model & knowledge transfer sessions/deliverables.
• Specific responsibilities also include creation of Vision document, Project Management Plan, Security Plan, Future enhancements, Process flows, and Data flow diagrams.
• I’m responsible to architecture a high level map which includes Business Process Modeling, business cases & interviewing the stakeholders and analyzing the data.
• Developed Test scenarios, test plan, test conditions and test cases to be used in testing based on business requirements, technical specification and/ or product knowledge. Tested application and reported bugs to development teams.

Confidential, McLean, VA

Business Systems Analyst

Responsibilities:

• Accumulated system requirements from various departments like accounting, IS (Information Systems) through surveys and interviews, functional planning & prioritization.
• Conducted JAD sessions with management, SME, vendors, users and other stakeholders for open and pending issues.
• Designed and developed the Retail Portal Architecture (SOA) and documented technical and non-technical requirements, POC, & Scope estimation and management, Project Plan, Scheduling.
• Incorporated Rational Unified Process (RUP) to create Business Requirement Document Specifications using MS Visio, MS Word and MS Excel
• Developed few technical and functional specifications, use case diagrams and also Process flow diagrams, activity diagrams during inception phase and socialized these with the development folks for all the sub applications of Siebel like Order pro, Single View, nSap, High Jump.
• Created the Validation Test Plan, a Requirements Traceability Matrix and the Validation Summary Report and advised and assisted in the implementation of corrective action plans to address variances using BPM Model.
• Researched and developed client As new service strategy for delivering E-Business Planning to its existing clients and new prospects, including B2B model, CRM planning and deployment, rapid portal implementation services, and trading partner business integration strategy.
• Facilitated user acceptance testing and test strategies with Information Systems Group.
• Generated a BI report that shows the credit data in three dimensions: for a particular credit card, in a particular region (West) and by quarter.