CAREER EXPERIENCE

• Strong Knowledgeable in PMI CAPM.
• Exposed in all phases of software development life cycle SDLC , including Gathering requirements, project planning, scheduling, testing, defect tracking, management and reporting.
• Experience in working with projects built using various SDLC methodologies Including Waterfall and Agile.
• Evaluated Market trends and gathered data from the Clients, Coworkers and Customers.
• Involved in strategic planning.
• Developed Project Management plan.
• Identified Stakeholders and determined their Expectations, influence and impact.
• Developed and Stakeholder register, Stakeholder expectations documents and managed stakeholder engagement.
• Worked closed with the marketing and the sales team and conducted Competitive market research.
• Possess excellent knowledge of Rational Unified Process RUP , Rational Requisite Pro, Rational Rose, Rational Clear Case, Rational Clear Quest and Microsoft Project with detailed perspective of different phases and disciples like Requirements, Analysis/Design and Development.
• Created business rules, business vision document, business glossary and implementation up to functional and technical specifications.
• Well versed on SIX Sigma and LEAN SIX SIGMA Processes
• Actively participated in data modeling and business modeling.
• Experience in facilitating Joint requirement planning JRP sessions with Business user groups, conducting Joint application development JAD Sessions with IT groups and conflict management with project team Members.
• Managed, communicated and gathered the requirements using Requirement traceability matrix RTM .
• Prepared Business requirements documents BRO , system requirement Specification SRS and Functional specifications.
• Experience in leading SCRUM teams as a SCRUM Master Defects tracking prioritized outstanding defects in reporting system. Co-ordinated between development team and the management team to resolve any conflicts/defects in terms of requirements.
• Experienced in the analysis and design applications using UML and design Patterns.
• Developed User Stories.
• Expertise in loading and maintaining the user stories and tracked the project status.
• Collaborated with design teams and vendors to communicate costing, timing and quality concerns.
• Provided product development plans, set scheduled and budgeted resources, monitored activities to drive progress.
• Good knowledge of SWOT, Gap analysis, Cost benefit analysis and risk analysis.
• Experience in using SQL Queries and MS Excel Hlookup, Vlookup, Macros, Pivot Tables, etc. for Data Validation and Data Integration
• Experience in various test management and defect tracking tools like Quality Center.
• Experience with test planning, test execution and test results analysis.
• Modeling the system using use case diagrams, class diagrams and state Diagrams.
• Maintained detailed and comprehensive records on testing activities, identified bugs and suggested fixes, created weekly bug reports for Development team.
• Good understanding of QA life cycle, defect management life cycle and Software development life cycle.
• Crafted user documentation, interacted with the users for user acceptance Testing.
• Proficient in working with testing tools and carrying out functionality testing, GUI testing, system testing, integration testing, and user acceptance testing of client/server, web based applications and web portal applications.
• Coordinated with the clients to communicate the process, test strategies and System enhancements.
• Strong analytical, time management and problem- solving skills.
• Possess strong communication and interpersonal skills. Can quickly master and Work on new concepts and applications with minimal supervision.

Domain Knowledge:

• Strong Healthcare Domain knowledge with implementation experience in EDI, X12transactions complying with HIPAA and HL7 standards and CMS Compliances/Regulations.
• Experience in creating and executing test scripts for premium calculations, claims limits and deductibles calculations.
• Expertise in ICD-9 to ICD 10 code change implementation.
• Good Knowledge of functionalities like Medicare Part A, B, C, and D , Medicaid, ACA, Bulk Billings and Insurance trends.
• Experience in developing and implementing EDI X12 transactions such as 834, 835, 837, 270, and 274.
• Developed and implemented HL7EDI transaction sets such as 270, 271, 276, 277, 278, 834, 835, and 837.
• Involved in the implementation of a replacement MMIS system and regulatory system.

TECHNICAL SKILLS

• Technology Tools: Microsoft Office - Word, Excel, Access, Project, Power Point, Visio,
• Microsoft Visual Studio, Share point
• Bug Tracking Tools: HP Quality Center/Test Director, Bugzilla, Microsoft Team
• Foundation Server
• Methodologies: Waterfall, Agile
• Languages: SQL, .Net, HTML, C, C , Visual Basic, VBScript
• Testing Tools: HP QTP, HP Quality Center
• Databases: SQL Server 2008/2005, MS Access
• Browsers: Internet Explorer, Chrome, Firefox, Safari
• Operating Systems: Windows 8.1/7/XP/2000/NT 4.0, LINUX, UNIX, DOS, OSX, iOS, Android
• Best Practices: BABOK, PMBOK, SCRUM Guide, SIX SIGMA

Confidential

Role: BUSINESS ANALYST,

Roles and Responsibilities:

• Coordinated with the third party company who is responsible for developing the Mobile app and the Company website.
• Followed Project life cycle for WIS and divided the project into functional phases.
• Determined planning team and roles and responsibilities.
• Developed Schedule for the project.
• Followed agile methodology with each sprint lasting for 14 days.
• Interviewed all the internal and external Stakeholders, including the CEO of the company for gathering the requirements.
• Developed Stakeholder register and Stakeholder expectations document.
• Gathered requirements for the WIS and Mobile app by conducting the JAD sessions and Coordinated with the Project management team and IT team.
• Involved in all the phases of the software development life cycle Methodologies throughout the project life cycle of WIS.
• Worked closely with the sales and marketing team to understand the Market dynamics and implement competitive pricing.
• Conducted market research and gathered data from the clients, co workers and gathered feedback from the customers which served as a valuable input in building Strategic plans.
• Compared the Project management plan with the organizations strategic objectives to determine the variances and if they warrant any correct actions.
• Supervized a team of five in the absense of the project manager.
• Prepared requirement documents for WIS based on the gathered requirements.
• Developed and maintained all operational and technical flows using Visio and power point.
• Designed User Interface for WIS and Mobile App.
• Created Process improvement plan.
• Developed the Workflow diagrams and activity diagrams.
• Maintain and consolidated critical customer data through CMS salesforce
• Made Project management plans and a realistic schedule for all the three projects.
• Created Mockups for User stories from the Business requirement document as a Software specification document for the IT team.
• Planned the Communications and Stakeholder engagement.
• Estimated Resource requirement.
• Created Change management plan.
• As a Scrum Master, interacted on a daily basis with the project manager and development team for WIS.
• Managed and customized Datasets.
• Analyzed and evaluated performance by measuring it against the Project management plan.
• Used TFS initially and Share point to load the User Stories, Bug Reports and track the project progress.
• Developed project status metrics for weekly evaluation of project status and Impact of change request on the time line.
• Developed Test Procedures for the internal and external Beta testers and recorded the results and made sure it is error and bug free.
• Used HP QC in reviewing the test case and test plans and ensuring they meet the User requirements.
• Wrote the test cases for the Website rigdata.com .
• Performed User Interface Testing UI for a Mobile app IOS and Android and the WIS.
• Involved in planning the product launch BETA and the commercial release
• Provided product support and trained the end users and the clients.
• Attended trade shows and organized events.
• Technical Environment: Microsoft Office MS Word, MS Excel, MS PowerPoint, MS Visio, MS Access , Agile Scrum , XML, VB.NET, UML, SQL, TFS, Share Point, Mobile- IOS, Android, HP QC

Confidential

Role: BUSINESS ANALYST,

Roles and responsibilities:-

• Worked with the individual sub-project managers to translate these into PRDs Product Requirement Documents for the development teams
• Experience with Claims Platforms NASCO
• Documented Requirement Traceability Matrix RTM for requirement elicitation and linkup to deliverables
• Conducted SWOT Analysis for better market understanding and fool proof project implementation
• Knowledge of pharmacy data claims, fees, eligibility, benefits, formulary and statistical analyses
• Serve as subject matter expert with respect to the annual benefit changes and rules associated with the Medicare Part D program
• Prepared Business Process Models that includes modeling of all the activities of the business from the conceptual to procedural level. Followed top down, leveled technique for building Business Process Models.
• Analyzed HIPAA 5010 related to 837,835, 834. Transactions and performed gap analysis between HIPAA 4010 and 5010.
• Responsible for designing future state processes for HIPAA 5010 transaction processing EDI's 837 and 835.
• Worked with Six Sigma methodology.
• Conduct Business Requirements meetings with clients to identify and document business requirements.
• Prepare Project Requirements Document and Design Information Systems Business Solution.
• Followed the SCRUM Project Management Agile Methodology for the entire SDLC.
• Worked on HIPAA, 5010, HL7 compliance and EDI transactions, ICD 9, ICD 10 Codes.
• Studied and analyzed requirements to be achieved and brainstormed to gather effective requirements for a quality product.
• Performed data analysis and Data mapping from source system to target system
• Created Functional Requirement Specification Document FSD , which included UML, Use case diagrams, Scenarios, activity, work Flow diagrams and data mapping, and Data modeling with MS VISIO.
• Performed Impact and Cost Benefit Analysis For Project
• Conducted Sprint planning meeting, daily scrum meeting, Sprint Review meeting and Sprint Retrospective meeting.
• Conducted workflow, process diagram and GAP GAP analyses to derive requirements for existing systems enhancements and transition into the new HIPAA 4010/ 5010.
• Worked on a regulatory report, make sure the system is in compliance with HIPAA and ACA
• Assisted with user testing of systems, developed and maintained quality procedures and ensured that appropriate documentation was in place.
• Extensively worked on the SharePoint application especially on the Intranet Portal, Extranet site and managing the enterprise content and document Management.
• Worked on the Data warehouse for the requirement gathering and updated to the SharePoint
• Created business rules, business vision document, business glossary and implementation up to functional and technical specifications.
• Participated in Design walk-through with end users to baseline the business architecture.
• Assist the business areas and technical teams to develop or update the test scenarios to ensure sufficient testing of ICD-10 impacted key system functions technical changes, as well as enterprise wide integration testing.
• Created data flow and sequence diagrams to describe how EDI Healthcare Transaction set 837 was used to submit health care billing information.
• Experience in Data Modeling and documentation of the database architecture
• Developing and executing test cases Change Control Requests CCRs and updating scope with new changes.
• Followed QMS business process to meet the end user requirement.
• Designed the Test Plan and Test Cases for all processes and Web Services.

Technical Environment: Microsoft Office MS Word, MS Excel, MS PowerPoint, MS Visio, MS Access ,Rational Requisite, RUP, XML, VB.NET, Oracle, RUP, UML, SQL, Test Director.

Confidential

Role: BUSINESS ANALYST Part Time CPT

Roles and Responsibilities:

• Developed initial requirements, assumptions, risks, constraints and existing agreements.
• Developed Projects Charters and business case.
• Created Scope statement and detailed requirements.
• Determined schedule and budget.
• Planned communications and stakeholder engagement.
• Followed agile methodology.
• Gathered requirements and prepared Business requirement documents BRD .
• Responsible for translating the BRD into functional specifications and test Plans.
• Coordinated with the business Users and developers.
• Conducted JAD sessions to define the project and reduce the time frame required to complete the deliverables.
• Developed and maintained all operational and technical flows using Visio.
• Defined Use cases from requirements and helped to convert them into Software specifications.
• Aided in workflow analysis and process design.
• Gathered Customers feedback.
• Trained and provided product support to the schedulers.
• Created Process improvement plan.
• Created UML diagrams such as use case diagrams, activity diagrams and Sequence diagrams.
• Communicated and interacted on a regular basis with the project manager and development team during different stages of the life cycle.
• Developed project status metrics for weekly evaluation of project status.
• Created WBS and estimated the cost, time and resources.
• Involved in all the phases of the software development life cycle Methodologies throughout the project life cycle.
• Involved in reviewing the test case and test plans and ensuring they meet the User requirements.
• Analyzed business requirements from testing perspective.
• Maintained Requirement traceability Matrix RTM .
• Created test scenarios for User Acceptance Testing UAT .
• Worked closely with the marketing team and organized events.

Technical Environment: Microsoft Office MS Word, MS Excel, MS PowerPoint, MS Visio, MS Access , Rational Requisite, RUP, XML, VB.NET, Oracle, UML, SQL, Test Director