SUMMARY

• More than 10 years of experience in IT which includes experience as a Project Manager and Business Analyst in Healthcare, Sales, Transportation and Financial Services domain.
• Employed the iterative Software Development Lifecycle (SDLC) principles of Rational Unified Process (RUP) to develop and manage various software development applications.
• Highly effective in managing end to end projects as well as gathering requirements from project stakeholders, analyzing, modeling and communicating them to development and QA personnel.
• Possess outstanding analytical and problem - solving skills and an in-depth knowledge of Requirement Management, Modeling and Project Management tools to perform comprehensive Business and Risk Analysis.
• Adept at interacting with managerial and technical project stakeholders using excellent communication, teamwork and interpersonal skills.
• Good management, time and resource allocation skills
• Expertise in PM documentation such as Charter, Financial spreadsheets, Project Plan, Baseline deliverable, Risk and Issue logs, Kickoff Presentations, Project Checkbook and Vendor management and contracts
• Worked closely with the Project Management Office (PMO) to escalate issue as it deems necessary and schedule Stage Gate Reviews
• In Depth understanding of the AS-IS and TO-BE business processes and experience in converting these requirements into technical specifications for preparing test plans.
• Experience in participating in User Acceptance Testing (UAT) and documenting test results.
• Strong expertise in HL7 Conceptual Standards (HL7 RIM), Document Standards (HL7 CDA), Application Standards (CCOW) and Messaging Standards knowledge of relational database modeling, experience producing Entity-Relationship diagrams
• Experience in Data Modeling, Data Mapping, Data Migration and Data Warehouse
• Experience in performing Gap analysis and Impact analysis (Feasibility analysis, Risk analysis).
• Experience with Trizetto FACET
• Elicitation techniques like interviewing, questionnaires, brainstorming, focus groups, prototyping, cost/benefit analysis and risk analysis. Leading JAD sessions to reduce time spent in moving information between stakeholders and team members.
• In-depth knowledge of creating Use cases, activity, logical, Sequence and Robustness Diagrams to extract business process workflows, thereby helping development and quality assurance in understanding the requirements.
• Conduct frequent and ongoing unit and individual claim quality reviews (CQR's) to assure high quality claim service and manage total claim cost.
• Experience in the Healthcare Insurance industry in various areas like enrollment, membership and claims Processing involving Medicaid and Medicare
• Interacting with the Team members and stakeholders to give them a better understanding of business processes and HIPAA compliance
• Experience with EDI - HL7 transactions
• Working knowledge with ANSI ASC X12 EDI transactions at the nomenclature level.
• Familiarity with 5010 Guidelines
• Expert in MMIS(Medicare Management Information Systems)
• In-depth knowledge of creating Use cases, activity, logical, Sequence and Robustness to extract business process workflows, thereby helping development and quality assurance in understanding the requirements.
• Expertise in appropriate utilization of Claim resources by team members, including, case management services, medical cost control, Special Claim Investigator, recovery, experts and other outside vendors, to manage total claim costs.
• Experience in the documentation of specifications, creating step-by step technical and user manuals with illustrations, designing and implementing new processes and technology.
• Supported Project Control Activities such as Status Reporting, Progress Tracking, Project deliverable reviews, Change and Issue Control.
• Conduct Feasibility, Adaptability study and risk analysis to identify the business critical and high-risk areas for Change Management and Configuration Management.
• Defining functional requirements for various systems/modules to deliver solution for stakeholders business needs.
• Expertise in Electronic Data Integration (EDI) including management of user’s credentials.
• Established scope of the project at the start.
• Developed and implemented plans and procedures to verify that scope is achieved and maintained.
• Identified potential risks, mitigated large risks and planed a strategy to deal with smaller risks.
• Managed procurement and delivery of materials, equipment, and services needed for the project through planning, solicitation, source selection, and contract administration.
• Experienced in estimating project costs, developing and controlling the project budget
• Monitor the project to detect and resolve problems Analyzing current/proposed business processes and functionality enhancement requests to work out various scenarios that system must handle.
• Working as a liaison between business users, IT designers and developers to clarify questions and processing issues related to system requirements.
• Development and management of detailed project plans to include, resources, tasks, requirements, milestones, and review points.
• Expert at applying the UML methodology in IT analysis. Writing business use cases, activity diagrams, state-chart diagrams and sequence diagrams.
• Experience with managing and delivering per service level agreements.
• Expert at preparing Reporting Specifications and Mock reports in Rational Requisite Pro.
• Experience in all stages of Software Development Life Cycle (SDLC) and Project Life Cycle Risk Analysis Model, Iterative Software Development Life Cycle Process as per Rational Unified Process (RUP) and Rational Tools used during various phases of RUP.
• Excel at capturing interface requirements in web based applications, client server projects, N-tier architectures.
• Ability to organize, document and track test performance, changes and defects using the MR tool- ClearQuest and archive change request in Clear Case.
• Expert at enterprise business process modeling tools like MS Visio, MS Project, Rational Rose, Rational ClearQuest, Requisite Pro.
• Team player with outstanding analytical, interpersonal and communication skills.

TECHNICAL SKILLS

Business Analyst Tools: Rational Enterprise Suite: Rational Rose, Rational Requisite Pro, MQC, Microsoft Office Suite - Visio and Project.

Operating Systems: Windows XP/95/98/2000, Unix, Linux, Mac OSX.

Databases: Oracle 11i, Microsoft Access, SQL.

Web Technologies: HTML, DHTML, XML (Schema’s, DTD, files), JavaScript, VB Script.

Tools: & Package: Microsoft Office Suite, Test Director, Crystal Reports.

Programming Skills: Visual Basic, C++.

Networking: TCP/IP, FTP.

ERP Systems: SAP, Siebel, Trizetto Facets

Version Control Tool: Rational Clear Case, SVN, CVS.

PROFESSIONAL EXPERIENCE

Project Manager

Confidential

Responsibilities:

• Facilitated development of mission and vision for organization.
• Facilitated the development of measurable objectives and strategies to address business and organizational needs.
• Completed and implemented “First Pass” quality training program that educated management team on importance of effective processes and improved process performance in all businesses. Adopted worldwide
• Forecasted, budgeted, hired and retained top talent with training, coaching, mentoring and promotion that maximized individuals’ performance.
• Established project business that required detailed assessment of customer requirements, schedules, risks, acceptance and pricing
• Analyzed the Business Concept to understand the customer needs. Worked with various functional groups to understand the underlying concepts
• Conducted regular day-to-day communication with the business and technical teams and worked with the project team to tailor the system to fit the company’s requirements
• Worked closely with the vendor to define the systems requirements and created the statement of Work (SOW) for the Vendor Management Office (VMO) to start negotiation with the vendor and sign the Master Agreement
• Coordinated on-shore and off-shore efforts and held a weekly team meeting to provide updates and assign tasks to the project resources from the project plan
• Worked with the IT security and IT compliance to get sign-offs on the risk consideration checklist before moving to design
• Worked on the system design for FX Front Office, FX Middle Office and FX Back Office to automate the FX Process end to end
• Thoroughly and clearly defined the business and functional requirements meeting with the business facilitating JAD sessions
• Worked very closely with traders to determine the business and functional requirements
• Documented the business need to very meticulous level of details
• Modeled end-to-end business process to help conduct GAP Analysis for the proposed TO-BE model for implementation.
• Proactively communicated requirements to the technical team for provisioning a precise and clear solution in the design phase
• Prepared Request for Proposals, organized Vendor demos and played a critical role in vendor selection for third party application adoption and implementation.
• Conducted and documented cost benefit analysis of design solutions alternatives
• Designed and documented the client on-boarding process to ensure client’s log ins are created, client’s accounts are created, the client has moved through the initiation processes of KYC (Know Your Customer), CIF establishment (Client Identification Number), CIP (Compliance Check), CAR (Credit Approval Request) where client trading limits has been set and approved, and that the client is ready to trade
• Analyzed and documented the support model with the appropriate levels of escalation among two external vendors, two legacy systems, and two legacy vendors
• Documented legal and marketing requirements to make sure the bank’s privacy policies, disclaimers and terms and conditions are on the white label solution
• Coordinated between vendor management, security, compliance, business and IT to ensure a well streamlined project by escalating the necessary issues and risks and working with them on mitigating risks and prioritizing tasks
• Conducted User Acceptance Testing, Regression testing, Unit Testing, functional testing using different tools such as MQC, Rational Suite, etc…
• Experienced with writing test cases and test case scenarios based on business use cases and system’s requirements

Project Manager

Confidential

Responsibilities:

• Led planning, scheduling, budgeting, driving and reporting activities for Project initiatives within the IT Development applications & Systems infrastructure space.
• Managed the efforts of Contracts, Finance, Risk Management, Subcontracts Management and Procurement
• Managed delivery orders, invoices, internal QA for deliverables, subcontractor tasking / orders, and invoices.
• Supported Project Management Reviews, both internally and with the customer and generated change proposals as needed
• Led creation of structured business plans, metrics and Balanced Scorecards (BSC) that measured performance. Provided root-cause analysis if off track
• Interfaced with business at all levels to understand requirements and facilitate implementation of these in technology solutions.
• Authored, reviewed and executed validated documents such as IQ, OQ, PQ, MQ, URS (User Requirements Specifications), FS (Functional Requirements), SDS, TM (Trace Matrix), VSR, Validation Plan, Release memos etc. Documented Project Charter, Project Plan, WBS, Risk Management Plan, Cost Budget tracking spreadsheets, Project closeout documents and Change controls for GxP and IT changes, upgrades etc.
• Implemented enterprise wide SDLC & Computer System Validation guidelines for requirements, specifications, installation, risk assessment, testing, SOP (Standard Operating Procedures), Work Instructions, Best practices, Communication plans and Training Plans, User training, and system release.
• Played catalyst role in testing these applications in Development and Validation environment and implementing them in Production environment at Go-Live.
• Worked with multiple concurrent projects & ensure customer satisfaction
• Worked with Microsoft Project Server, Visio, Excel and PowerPoint.
• Directly reported to Associate Director in resource allocation and management across initiatives and operations.
• Managed mission critical IT application projects for various departments conforming to FDA and EMEA standards with best customer satisfaction
• Analyzed the Business Concept to understand the customer needs. Worked with various functional groups to understand the underlying concepts.
• Reviewed and helped documenting Business Requirement Documents and Use Cases to formulate the AS-IS and TO-BE document.
• Conducted the GAP analysis and risk analysis and presented the issues and concerns at the JAD session to all the stakeholders. Documented the proceedings of the JAD session.
• Acted as liaison between the senior management and different teams with effective presentations to achieve best results.
• Involved in different phases of Test effort like Smoke/Sanity Testing, Functional Testing, Regression Testing and UAT.
• Prepared Business Process Models that includes modelling of all the activities of the business from the conceptual to procedural level
• Conducted extensive technical analysis of existing technologies and present challenges in the key area.
• Conducted market research with practitioners of medicine, bio-medical engineering, diagnostics and researchers

Project Manager/Senior Business Analyst

Confidential

Responsibilities:

• Revitalized Project Management Office (PMO) oversight and critical support for project portfolio
• Forecasted, budgeted, hired and retained top talent with training, coaching, mentoring and promotion that maximized individuals’ performance
• Managed delivery orders, invoices, internal QA for deliverables, subcontractor tasking / orders, and invoices
• Supported Project Control Activities such as Status Reporting, Progress Tracking, Project deliverable reviews, Change and Issue Control.
• Conduct Feasibility, Adaptability study and risk analysis to identify the business critical and high-risk areas for Change Management and Configuration Management
• Facilitated (JAD) Joint Application Development sessions to identify business rules and requirements and then documented them in a format that can be reviewed and understood by both business people and technical people.
• Created targeted Questionnaires for SMEs to gather requirements.
• Followed Rational Unified Process (RUP) methodology for creating artifacts.
• Provided primary liaison between business/operations/vendors and development
• Studied and analyzed competitor’s applications and brainstormed to gather effective requirements for a quality product.
• Designed and implemented a variety of enhancements for executive platform for international clients system replacing several proprietary legacy databases
• Participated in Design walk-through with SMEs to baseline the business architecture.
• Used MS Visio to carry out the business modeling and object modeling effort to develop the business architecture for the application for rapid and controlled Application development.
• Created Business Requirements and converted them into System Requirement Specifications.
• Identified and attempted to control undesirable project outcomes proactively
• Involved in Requirement Scoping and analyzing high priority requirements for implementation
• Coordinate development of the Project Plan, execution of the Plan, and the change control process to ensure all aspects of the project are working together.

Senior Business/Functional Analyst

Confidential

Responsibilities:

• Gathered Business and System Requirements from stakeholders to model the business process models for the AS-IS products across multiple platforms
• Elicited Functional Requirements to model the functionality of the flows with extensive gathering of data requirements, domain requirements, interface requirements from a backend standpoint as well as a front-end standpoint
• Created Business Requirement and Functional Requirement documents as well as Domain Requirement documents for each process in the system
• Tailored and implemented a suitable SDLC for Valista’s agile environment and established strategies for requirement gathering, documentations, templates and tools
• Conducted frequent requirement gathering sessions with on-shore and off-shore teams to ensure full coverage of business rules and business requirements
• Conducted training sessions for stakeholders and new hires to educate them about the newly approved and followed methodologies for software development and business process modelling including RUP
• Worked closely with the Product Management and Product Development teams
• Conducted extensive impact and GAP analysis sessions with team members and management to evaluate the current processes and expose enhancements to be made in the TO-BE models
• Performed process level forecasting and baseline tracking on individual project plans and schedule
• Created processes and templates to track project deliverables, dependencies and cost
• Designed and implemented Disaster recovery procedures
• Facilitated project Gate Reviews and Post Activity reviews
• Facilitated project plan walkthroughs with project managers
• Performed duties of project manager for small to medium size projects
• Created and published project metric reports
• Created logical and physical data models for each process describing the Input/Output values of each business and functional activity in the diagrams
• Worked closely with Lead Architects and Lead Developers to convey the requirements presenting detailed business models and descriptive Use Cases and Use Case Diagrams using UML and BPMN
• Helped the technical team execute the models in Eclipse IDE on the JBOSS server by identifying the Partner Links and Partner Link Types between the model and external domains and interfaces where the language used was jPDL (Java Process Definition Language) and XML
• Helped the technical team execute the models using BPEL (Business Process Execution Language). This initiative was adopted in the purpose of moving away from code dependency to SOA (Service Oriented Architecture)
• Worked closely with the QA team to ensure full test coverage and provide updates on feature changes and enhancements
• Evaluated several “Business Process Modeling” tools including (IBM PBM, Visual Paradigm, Visio, Eclipse, Intalio Designer and iGrafx). Ensured that the evaluation included tests to execute Business Process Models and generate the right code accordingly, comprehensiveness of the BPA solution, Return on Investment, Improved Knowledge Management of processes, Strategic Modelling ability, Risk management, Knowledge sharing and collaboration across functional groups.
• Collected requirements for EDI applications for integrating third party solutions with in house solutions for B2B and B2C applications.
• Helped establish a Requirement Management and Requirement Traceability strategy across various teams (Business to Business (B2B) and Business to Corporation (B2C))
• Conducted JAD Sessions to present several prototypes and to elicit missing requirements in the models for sign-off
• Conducted risk analysis sessions of the current products and identified areas of improvement and enhancements throughout the various platforms and services offered by Valista
• Conducted forecasting analysis based on the market’s agility and competitors’ performance
• Responsible for keeping track of requirement changes and applied change management and configuration management tactics to avoid scope creep and meet the B2B and B2C requirements in a timely manner within the client’s expectations using Serena Changeman
• Managed business and technical teams globally. Managed resources, time allocation, scheduling reviews, milestones and sign-off, change management, keeping track of QA and Development efforts, enhancing the communication and collaboration between the teams located in different countries and requirement coordination

Senior Business Systems Analyst

Confidential

Responsibilities:

• Gathered Business Requirements, interacted with the stakeholders, developers, Project Manager and SME’s in JAD sessions to formulate Business Processes.
• Involved in gathering User Requirements Document (URD) and Functional Requirements Document (FRD) for preparing Test Plans.
• Reviewed Test Plan and Test Cases to ensure they met the requirements.
• Assisted the development team with design and development of the application, provided usability metrics collected from user surveys.
• Organized as well as attended weekly project meetings
• Developed Use Cases and Use Case Scenarios and depicted them using UML diagrams
• Conduct Feasibility, Adaptability study and risk analysis to identify the business critical and high risk areas for Change Management and Configuration Management
• Heavily involved with the requirement changes and applied change management and configuration management tactics to avoid scope creep
• Initiated Impact Analysis to study the feasibility of the IT integration and expected downstream results by identifying and review multiple business scenarios
• Took initiative in creating workflow diagrams for multiple enterprise processes for better communicating requirements and conducting GAP analysis
• Acted as liaison between the senior management and different teams with effective presentations to achieve best results.
• Involved in different phases of Test effort like Smoke/Sanity Testing, Functional Testing, Regression Testing and UAT.
• Prepared Business Process Models that includes modelling of all the activities of the business from the conceptual to procedural level. Followed top down, levelled technique for building Business Process Models
• Participate in development of project plan
• Conducted and Documented Risk Analysis
• Acquired the business Sign-Off on the business requirement document and the functional requirement document (BRD) and functional requirement document (FRD)
• Provided technical recommendations for concise reporting format.
• Recommended and coordinated development efforts and enhancements.
• Actively involved in walkthroughs and meetings with development team to discuss related issues.
• Created Use Case diagrams using Microsoft Visio.
• Interviewed the business users to understand their business and functional requirements, gather their needs, and transform them to functional specifications.
• Worked as a liaison between the users and the development team for the better understanding of the business and IT processes.

System Analyst

Confidential

Responsibilities:

• Facilitated (JAD) Joint Application Development sessions to identify business rules and requirements and then documented them in a format that can be reviewed and understood by both business people and technical people.
• Created targeted Questionnaires for SMEs to gather requirements.
• Provided primary liaison between business/operations/vendors and development.
• Studied and analyzed competitor’s applications and brainstormed to gather effective requirements for a quality product.
• Participated in Design walk-through with SMEs to baseline the business architecture.
• Used MS Visio to carry out the business modeling and object modeling effort to develop the business architecture for the application for rapid and controlled Application development.
• Created Business Requirements and converted them into System Requirement Specifications.
• Maintained the system and provided second tier support to end users
• Facilitated business process review sessions with clinical staff to document current processes and perform gap analysis
• Managed an initiative to provide cross-functional status reports to Clinical Development executive management and acted as a team member on global executive reporting project
• Managed an initiative to transition from paper-based to electronic clinical records
• Identified and attempted to control undesirable project outcomes proactively.
• Involved in Requirement Scoping and analyzing high priority requirements for implementation.
• Coordinate development of the Project Plan, execution of the Plan, and the change control process to ensure all aspects of the project are working together.
• Analyzed Requirements and created Use Cases, Use Case Diagrams, Activity Diagrams using MS Visio.
• Designed and developed reporting system using Business Objects to measure and track company improvement initiatives.
• Engaged in system testing during User Acceptance Testing (UAT) team to help ensure that all functional requirements were bug-free.

Business Analyst

Confidential

Responsibilities:

• Interacted with stakeholders and facilitated communication between client and the IT department.
• Involved in creating targeted questionnaires and interviews for SMEs, clients and business users to gather requirements
• Worked as a liaison between business users and developers to submit requirement and changes, clarify questions and issues.
• Worked with HCFA 1500 and UB 92 claim forms
• Worked with the following list of HIPAA-EDI Transaction Code sets:
• 837 - Claims and Encounters
• 834 - Benefit Enrollment and Maintenance
• 835 - Claim Payment/Advice
• 270/271 - Eligibility Benefit Inquiry and Response
• 277/275 - Claim Request for additional Information and Response
• 276/277 - Claim Status Request / Response
• Worked with HIPAA compliant ANSI X12 837 formats for both professional claims and institutional claims
• Analyzed forms and successfully crosswalk details to corresponding ANSI X12 formats
• Experience working with Electronic Claims clearinghouses like WebMD
• Created the user requirement specifications and helped convert them to functional requirements, and assisted the developers with system requirement specifications
• Prepared use case documents and utilized MS Visio to create UML diagrams including use case, activity and class diagrams to extract business process flows and work flows, thereby assisting development and quality assurance teams in understanding the requirements
• Participated in JAD sessions for requirement, feasibility and risk analysis with various stakeholders, including designers, developers, QA and management to identify critical and high risk areas of the application
• Assisted QA teams in developing a user acceptance test plan and test case scenarios to guide a select group of key end-users in testing the user interface and functionality of the application.