SUMMARY

• Result - driven professional with 13 years of IT experience working on small to large-scale enterprise projects in a cross-functional and matrix environment within HealthCare and Finance domains.
• Over 6 years of experience in managing IT corporate initiatives and multi-year program implementations with focus on Web applications, Mobile applications and Vendor based systems with challenging schedules.
• Executed projects in a Global Delivery Model with Onsite/Offshore teams and multi-vendor environment. Experience in delivering multi-release and multi-year technology delivery programs.
• Intersection of management & IT systems knowledge, Data Analytics, Healthcare domain knowledge, statistics had allowed me to evaluate Healthcare utilization and quality holistically to gather unique insights.
• Exceptional Waterfall and Agile project management skills, including the ability to blend both approaches based on project needs.
• Experienced in managing Agile scrum team with developers, testers and DevOps team using Agile processes and practices.
• Provide strategic insight and advice to the leadership and business, identify additional innovation opportunities and ways to improve efficiency.
• Ability to clearly communicate technical and non-technical information to various levels of leadership and stakeholders with varying technical backgrounds and presentations to senior leadership
• Ability to handle multiple priorities, competing stakeholder needs, motivate others, and foster teamwork.
• Experienced in working with enterprise wide support teams to secure appropriate support for their projects, including contracts, subcontracts, security, recruiting, HR, and finance.
• Experienced in working with QA teams to complete test plan, test execution, defect prioritization.
• Repeatedly demonstrated sound decision-making and leadership skills in the past work experience to enhance operational effectiveness.
• Strong conceptual thinking, analytical, problem solving, relationship, negotiation, and persuasion and influence skills.
• Strong verbal and written communication skills; strong organizational and time management skills. To communicate effectively with technical and non-technical audiences, including executives and end users.

TECHNICAL SKILLS

Domains: Healthcare and Pharmacy Benefits Management Payer, Provider, and PBM

Workflow Tools: MS Visio, Rational Rose, Snag IT

BPM/CRM/EAI Tools: Pega Rules Process Commander, TIBCO, Salesforce

Operating Systems: UNIX AIX, Windows

Databases: Oracle, DB2, AWS-RDS, PostgreSQL, MySQL, MS Access, SQL Server

Service Management and Testing Tools: HPSD, HSPM, ServiceNow, HP ALM, LoadRunner

Healthcare and PBM Applications: FACETS, NASCO, Portico, RxClaims, EDI Transactions

ETL and Data Visualization: Informatica, MicroStrategy

Content Management Tools: AWS-S3, HP LiveSite, ParaSoft Virtualize

Agile: JIRA, CA Agile, Confluence

DevOps: Splunk, Dynatrace, AWS-EC2

Defect Tracking: Rational ClearQuest, HP ALM, JIRA

PROFESSIONAL EXPERIENCE

Confidential, MD

Project/Product Manager

Responsibilities:

• Played active role in IT Transformation and Enterprise transformation towards data-driven, efficient Agile development with increased engagement from business units.
• Planning and delivering projects with Agile project management frameworks, systems and software development life cycle processes, including scope, schedule, and risk identification, and management.
• Experienced with driving scrum meetings and sprint planning to provide sprint goals and new user stories, gave feedback during the sprint review took necessary actions during the sprint retrospective.
• Experienced in building and grooming product backlogs, defining acceptance criteria, and prioritizing backlogs
• Worked closely with clients across all levels of an organization to capture and prioritize business needs.
• Managed multiple projects and teams simultaneously to meet project milestones, schedules and scope.
• Defined and managed priorities for the team, including new features, improvement of the technical architecture, and bug fixes.
• Instrumental in building Member mobile app with many self-service features that brought down the CSR and tech support call volumes.
• Proactively suggested customer focused enhancements to the Mobile app by analyzing the member activity captured using audit tables.
• Navigated the project through the challenging phase of transition to single vendor which includes offshore and onsite teams.
• Monitor risk and control, compliance, audit and legal considerations. Building and maintaining excellent relationships with key business partners, including resolution of issues to the satisfaction of clients while maintaining business value
• Communicating project status and issues regularly to leadership and senior managers using slide decks and reporting dashboards.
• Acted as a single point of contact for business team for providing project status, issue resolution, scope management, budget management and delivery negotiation.
• Developed product roadmaps and translated business strategies into digital products. Prepared Project Charter for future projects and presented it to Executive Sponsors to obtain funding approvals. Created and managed project plan, schedule, budget, resources allocation.
• Monitor the overall cost, control, adherence to SLAs and consistently stay within budget for agreed scope.
• Establishing objective measures and providing constructive input to the performance evaluations of members of the team.
• Coaching for performance; assisting in the development and mentoring staff to help them achieve their goals and performance objectives.
• Assisting in the recruitment and selection of prospective team members; assimilation of new people into the organization, and managing team issues and problems in a constructive and professional manner.
• Assisted the testing team with business knowledge to effectively implement their test plan. Also participated in the SIT phase for the end to end application testing
• Prepared My Account Training Material and presented it to the Users to understand NEW Member Portal
• Provide product demos and presentations to both internal and external clients.
• Provided training teams with all necessary simulation flows using training tools like ParaSoft Virtualize.

Confidential, NJ

Senior Business Systems Analyst

Responsibilities:

• Understand the HEALTHCARE PROVIDER side data, business process and obtained knowledge pertaining to TRICARE South using System Manuals and SMEs
• Gather and document Business Requirements for multiple projects such as TRICARE PCM, TRICARE Search for ISET and TRICARE B2B/B2C
• Worked with software developers and cross-functional teams to translate technical data into functional requirements
• Serve as a liaison between the business community and the IT organization in order to provide feasible solution to implement TRICARE project
• Work with NDB team, ISET group and B2B/B2C team to brainstorm and review the entire interface requirements for each of the TRICARE projects
• Develop Process Flows for implementing TRICARE PCM and TRICARE B2B/B2Cusing MS Visio

Confidential, DC

Senior Business Analyst

Responsibilities:

• Work in concert with other members of the BACOE team to define and implement best practices in requirements elicitation, management, and traceability
• Monitor industry best practices through networking and published periodicals
• Gathered and documented Business Requirements based on PEGA format for Workflow Contract Generation, QA Audit and IACS Automation
• Worked with Benefit Focus team on board and review the entire interface requirements document
• Translate business requirements into functional specifications for the IT organization, manage changes to such specifications and educates the IT organization on the direction of the business
• Gathered information about the organization’s work processes, data elements, SLAs and information flows for CG, QA and IACS Automation
• Facilitate PEER Review sessions and walkthrough the BRD with the entire project team and the respective business areas for comments, feedback and approvals
• Escalate potential issues, provide status updates and resolves GAPS pertaining to Contract Generation Process and QA Auditing Process for the both Group and Individual Market Segments at CareFirst
• Facilitate UAT sessions with end users and train them on PEGA screens navigation
• Prepared End User Training Material and presented it to the Users to understand and use the New PEGA Application
• Understood the business process that included Sales processes, Rating methodology, Products, Group Renewals and Enrollment process in Facets
• Identified Use Cases from the requirements. Created UML Diagrams including Use Cases Diagrams, Activity Diagrams/State Chart Diagrams, Sequence Diagrams and Web Page Mock-Ups (wireframes) using MS-Visio thus defining the Business Process Model
• Involved in testing the ancillary mapping of products using QTP scripts and tracked the defects using Quality Center

Confidential, DC

Senior Business Analyst

Responsibilities:

• Document requirements and specifications that support the implementation of production fixes and/or system enhancements as needed
• Assist users with system issues by documenting, strategizing and ensuring resolution is complete
• Assist the users/stakeholders in the prioritization of work requests and initiatives and facilitate monthly status meeting
• Develop test strategy and test plans. Create Test scripts and scenarios. Execute system tests, following testing methodology defined by CareFirst
• Report and track defects - Coordinate between business and IT to ensure testing defects and issues are quickly resolved
• Clean-up of legacy system data in preparation for data conversion to new system. Run Business Objects reports for metrics or analysis and to identify quality issues.
• Document SOPs that are impacted by production fixes and/or enhancements and coordinate with Sales training to ensure Sales Resource Guide and other materials are updated
• Maintain current/updated version of the Broker Express User Guide
• Maintain training documentation that supports the Broker Express job function

Confidential, Boston, MA

Business Systems Analyst

Responsibilities:

• Responsible for collecting, understanding, and transmitting the business requirements for the project, and translating these into functional specifications and detailed test plans
• Extensively involved in writing Use cases and Work flow diagrams for effective plans
• Performed Gap Analysis, identified constraints in the existing system and suggested methods to overcome them
• Followed AGILE methodology for SDLC to meet the emergent state of the project and the rapidly changing requirements
• Acted as a liaison between the business, Subject Matter Experts and technical team
• Conducted User Acceptance Testing (UAT), Functional Testing, Integration testing and resolved the issues and defects identified using Rational ClearQuest