SUMMARY

• 17 months of experience as a Project Manager/Scrum Master and in charge for end to end project Delivery under DevOps model.
• 5+ years of experience as Business Analyst in Health Insurance Domain.
• Worked in both Healthcare and Medicaid and Medicare Lines of Insurance Domain and over 4 years of experience managing the Pharmacy Benefit Manager (PBM) CVS Health.
• Acquired designation of Professional, Academy for Healthcare Management (PAHM).
• Strong analytical skills, ability to work in a team - oriented environment and excellent communication & interpersonal skills.

TECHNICAL SKILLS

• Microsoft office (MS Excel
• Visio
• PowerPoint & Word)
• Rational Requirements Composer (RRC)
• SSIS package
• Remedy 8.1
• Share Point
• SQL Server 2008
• DevOps
• Agile
• Scrum
• Analyst
• Auditing
• Developing business rules
• Client Management
• CVS
• Data Analysis
• Database
• Project Delivery
• Documentation
• Feasibility Study
• Microsoft office tools like PowerPoint
• Visio
• Word
• Excel
• Share Point
• Requirements gathering
• SDLC
• SQL

PROFESSIONAL EXPERIENCE

IT Project Manager/Scrum Master

Confidential, AZ

Responsibilities:

• Understanding business need from stakeholders on change requests on the existing implemented plans, engaging teams of BA, AD and QA to ensure successful delivery of project on weekly releases.
• Leading the team on successful implementations of new Medicaid plans and new Lines of Business for existing plans.
• Leading sprint planning, daily scrum calls and backlog grooming sessions.
• Prioritizing workload and aiding product owner to maintain product and sprint backlogs
• Experience in working a fast paced DevOps methodology through continuous integration, continuous testing and continuous delivery and leading the team for weekly releases.
• Experienced in working in both SDLC (waterfall) and AGILE model.
• Working on effort and cost estimation. Providing P2 and P4 estimates.
• Attending operations calls to go through different production issues pertaining to claims, eligibility and diagnosis.
• Ensuring resolution of production issues on daily basis by analyzing the root cause and engaging the right support and AD teams.
• Understanding high level business needs on a new change request and engaging BA, AD and QA teams to ensure project delivery.
• Responsible for managing both large and small projects at the same time.
• Managing end to end project delivery from both Medicaid and Pharmacy IT side on new plan implementation.
• Have been working closely with Aetna's PBM CVS health for over 4 years.
• Managing expectations of more than 25 business stakeholders at the same time including both CVS and Aetna stakeholders and managing more than 18 projects simultaneously.
• Preparing weekly status deck and presenting it to the client.

Senior Business Analyst

Confidential

Responsibilities:

• Gathering requirements from Aetna and CVS health business for large projects (state health plans) and small enhancements for weekly releases.
• Developing business rules to develop extraction logic for different types of files.
• Working on Source to Target Mapping (developing crosswalk rules) for file exchanges between State, Aetna and CVS.
• Documenting "AS IS" and "TO BE" processes.
• Preparation of user manuals, requirement specification documents, business rules, use cases and process flow Visio diagrams for different business needs. Preparation of FRD and performing FRD feasibility study. Facilitating JAD sessions with the development team.
• Gathering requirements, documentation, analysis, maintaining change and query tracker and managing requirements in Rational Requirements Composer tool.
• Preparing use cases and work flow Visio diagrams for different business scenarios.
• Analyzing test cases and scheduling UAT production check out calls with QA and business.
• Preparing Business Requirements Document (BRD).
• Preparing Requirements Traceability Matrices for weekly deployments.
• Raising Work Product Reviews after finalization of requirements.

Business Analyst

Confidential

Responsibilities:

• SFTP file transfer management in Medicaid and Medicare for Aetna Inc. Gathering requirements from various stakeholders of Aetna and CVS Health and managing them in Rational Requirements Composure prior to the implementation of a Medicaid plan.
• It also involves coordinating hundreds of file transfers between Aetna and CVS Health.
• Facilitating hundreds of file transfers by coordinating with both CVS Health and Aetna.
• SPOC for all file transfer related production issues and helping them resolve by coordinating with IT (Managed File Transfer) team.
• Discussion with technical team regarding the feasibility of automated file transfers through job run.
• User Acceptance Testing of file transfers prior to plan implementation.
• Preparing process documents and Job Aids & Checklists for better understanding of the process for the client.
• Preparing weekly status reports.

Business Analyst

Confidential

Responsibilities:

• It involved gathering of requirements from stakeholders after several requirements sessions, eliciting them in the requirements document and getting sign off from business.
• It also involved discussion with the technical team about the feasibility and scope of the deliverables.
• Handled requirements for a couple of JAVA based tools Plan Guide Marketing Material (PGMM) and Benefit Summary Report (BSR).
• Gathering requirements and preparing business requirements document (BRD), reviewing them with the business and getting sign off from them.
• Preparing business rule book with various business rules and user manuals.
• Maintaining change and query trackers and preparing requirements traceability matrix.
• Analyzing business needs and providing right solutions to client when needed.
• Discussion with the technical team on the feasibility and scope of the project deliverables.

Network Optimization Engineer/Escalation Manager/Auditor

Confidential

Responsibilities:

• Project involved gathering requirements from client by means of calls and filling up Access Service Request (ASR) forms, submitting to the vendors and finally following up with them to get the confirmation on the disconnection/installation of optical fibers on the scheduled due date to attain the most optimized network connection.
• Worked as an ASR writer for the initial 1.5 years where I was accountable for collecting requirements from various clients and filling up ASR forms with the collected information to submit it to the vendor.
• Following up with the vendor, escalating if needed in order to get confirmation on the requested order or making changes and resubmitting it if a query is received.
• Worked as an Auditor for 6 months where I was in charge of auditing the order forms of 4 other team members and guiding them on how to handle requirements and complete the forms with proper information.
• Worked as an Escalation Manager and lead for close to 2 years and managed a team of 6 members where I was in control of handling escalations and disputes raised by client and vendors.
• Worked with several American vendors like AT&T, Verizon, CenturyLink, QWEST etc.
• Trained new resources and made them well equipped with clear understanding of all the procedures and quality standards.