PROFESSIONAL SUMMARY:

• Professional experience as SCRUM Master, Project Manager / Business System Analyst with solid understanding of Project Management, business requirement gathering, business process flow, business process modeling and financial analysis
• Experience working in Healthcare, telecom and insurance industry
• Full understanding of Unified Modeling Language (UML) and SDLC models like Rational Unified Process (RUP), Waterfall, Prototyping and Agile
• Extensive hands - on and HealthCare management experience in a variety of projects involving the customization, design, development, implementation, and testing of automated systems to support the Medical Management Information System (MMIS) as well as day-to-day business operations.
• Experienced in testing EDI and HIPAA Transactions 837, 835, 820, 276, 277, 278 code sets testing in Health Insurance.
• Experienced in Leading teams comprised of onshore and offshore resources.
• Proficient in transforming business requirements into functional specifications, focusing on workflow analysis and design, business process reengineering, user interface design, web portal design, and process flow modeling
• Strong experience with data warehouse development, data modeling, generating reports and ETL.
• Comprehensive knowledge in business process modeling, Software Development Life Cycle (SDLC), Rational Unified Process (RUP) and Unified Modeling Language (UML). Strong web development and web content management experience
• Strong experience in conducting User Acceptance Testing (UAT) and documentation of test cases. Expertise in designing and developing test plans and test scripts
• Expertise in understanding and supporting the client with project planning, project definition, requirements definition, analysis, design, testing, system documentation and user training
• Extensively involved in market research, feasibility studies, system analysis and Confidential analysis
• Extensive experience in documentation of business requirements and system functional specifications
• Experienced in handling requirement changes and user conflicts
• Strong knowledge in conceptual design, logical design and physical design of business intelligence, data warehouse projects
• Expertise in developing QA test plan, test condition and test cases, experienced in UAT
• Excellent communication skills and interpersonal skill

TECHNICAL SKILLS:

Languages and Tools: Rational Team Concert ((RTC), JIRA, Pig, Hive, UML, COGNOS, Rational Rose, RequisitePro, Rational SoDA, COBOL, Rational Clear Case, Rational Clear Quest, Mercury Test Director, MS Project, MS Visio, MS Office Suite, Agile, VBA for Excel, SQL, PL/SQL, Adobe Acrobat, PhotoShop.

Databases: Oracle 8i/9i, MS SQL Server, MS Access

PROFESSIONAL EXPERIENCE:

Project Manager/ SCRUM Master

Confidential, Seattle, WA

Responsibilities:

• Facilitated brain storming sessions with business along with Product Owner to analyze business needs and identify features.
• Worked with product owner in backlog management and delivery of features using AGILE methodology.
• Worked with Product Owner during PI Planning.
• Facilitated daily SCRUM meetings and managed JIRA/RTC (Stories/Tasks) for our biweekly iterations.
• Facilitated end of iteration retrospective.
• Coordinated with other teams in SCRUM of SCRUM meeting.
• Assisted team in preparation for ART activities.
• Help team member key stakeholders in understanding SCRUM methodology and agile framework.
• Assisted team in preparation for System Demo.
• Involved development team in discussions, to ensure velocity and Confidential progress.
• Used JIRA/Rational tool for impediments and defect tracking.
• Facilitated Partner integration testing through RTC and routing the defects on a daily basis.
• Lead AGILE team from project initiation through delivery of features.
• Worked with the UAT for the POST production validations.
• Delivered the Project Budget with WBS by performing scope estimation and Risk Analysis.
• Performed Confidential Analysis to check the compatibility of the existing system infrastructure with the new business requirements.
• Interacted with the business users and gathered requirements for the business definition.
• Prepared PowerPoint slides to effectively communicate with the business users and stake holders in the meetings.
• Simultaneously worked on multiple projects using AGILE and Waterfall technologies.
• Provided key initiatives in working with users in defining project and system requirements.
• Provided inputs in the strategic development of detailed project plans, work assignments, target dates etc.
• Also, responsible for managing communication and expectations of system vendor, the former Confidential IT and business departments, and Allied Worlds various business units (underwriting, claims, reinsurance, actuary, accounting, and IT).
• Acted as a Subject Matter Expert (SME) on many occasions to explain in brief to the business users about the internal systems.
• Facilitated COLO sessions with the management, developers and analysts from all the dependent systems/applications and business users to refine functional requirements and to perform the Impact Analysis.
• Extracted the System Requirements during various sessions with business leads and tagged all requirements in RTC, tracing them all the way to the stakeholder requirements.
• Interacted with Business and Dev team to document reference tables required for various data elements.
• Defined and created a wide range of documentation: business requirements, system requirements, UML use cases, test cases, wire frames, GUI and portal design, Visio flows, training manuals, and user guides
• Collaborated in building a business analysis process model using Rational Tool and Visio.
• Worked closely with downstream System teams help develop reports with key performance indicators and metrics.
• Created document for ETL jobs for extracting data from heterogeneous source systems, transform and finally load into the ODS.
• Documented stage tables to base table’s rules for Data elements.
• Documented rules base tables for downstream consumer’s rules for Data elements.
• Delivered Data mapping document with transactional rules for the ETL process
• Involved in Data Modeling of both Logical Design and Physical design of data warehouse and data marts.
• Coordinated with Data Enrichment team to document mapping rules and CPT tables for various data elements.
• Involved in ACORD CIXML paths discussions with Business during Inbound phase of project.
• Used XML spy to determine ACORD paths for In-scope data elements.
• Performed data analysis using SQL Queries for data manipulations.
• Involved in Daily scrums sessions with Data Modelers for the Data Model changes/issues.
• Involved various Database Design and Table Level Processing documents.
• Provided data modeling support for numerous strategic application development projects.
• Coordinated with Data Modelers to document Parent Key, Identifiers, Foreign Key Tables rules for various data elements
• Worked with the mapping team on daily basis on the data mapping efforts for this project.
• Worked with downstream consumers (Finance, Billing etc.) by providing reports with key performance indicators and metrics.
• Conducted walkthroughs with the end users and stakeholders to gather the modification requests from the user to upgrade or change the specifications for the product.
• Documented the meeting minutes with issues of about discussed and solutions resolved.
• Tracked and documented defects and communicated them to the technical developers.
• Interacted with the testing team while developing the functional test cases and regression test cases.
• Used Rational Tool/JIRA for bug and defect tracking.
• Developed user stories with Quality Assurance group to implement test cases in JIRA/RTC for testing and UAT (User Acceptance Testing)
• Participated in UAT (User Acceptance Testing) with all levels of User Groups.

Project Manager

Confidential, Austin, Texas

Responsibilities:

• Analyzed the existing claims process and specific business rule logic will be applied in the ACP model.
• Interacting with the stakeholders to get a better understanding of client business processes and performed scope estimation and Risk Analysis.
• Held JAD sessions with stakeholders and Operations Team at TMHP.
• Delivered the WBS for Budget.
• Prepared questionnaire based on the System Analysis Performed for all entities.
• Identified Use cases from the requirements and wrote Use Case Specifications
• Defined and created a wide range of documentation: business requirements, system requirements, UML use cases, test cases, wire frames, GUI and portal design, Visio flows, training manuals, and user guides
• Created spreadsheets using MS EXCEL in data gathering stages for requirements mapping.
• Documented the meeting minutes with issues of about discussed and solutions resolved.
• Managed all the requirements in repository (SharePoint), making requirements available to all team members.
• Used Test Director for bug and defect tracking.
• Developed strategies with Quality Assurance group to implement Test Cases in Mercury Test Director for stress testing.

Project Manager

Confidential, Atlanta, Georgia

Responsibilities:

• Involved in development phase meetings for Business Analysis and Requirements Gathering.
• Prepared High Level Logical Data Models and Confidential ’s (Business Requirement Documents) supporting documents containing the essential business elements, detailed definitions, and descriptions of the relationships between the actors to analyze and document business data requirements.
• Completed Confidential analysis in detail on all modules in the system.
• Performed HLE and risk analysis and prepared projects plans.
• Designed and developed Use Cases, Activity Diagrams, and Sequence Diagrams using UML.
• Held JAD sessions involving the clients, managers and the developing team.
• Prepared project plans using MS Project and coordinated timelines as guided by the Project Manager
• Functioned as a Business liaison to the Design and Development teams during translation of requirements specifications into detailed design
• Prepared questionnaire based on the System Analysis Performed for all entities.
• Conducted extensive Joint Application Development (JAD) sessions for all business-related issues.
• Prepared High Level Logical Data Models and Confidential ’s (Business Requirement Documents) supporting documents containing the essential business elements, detailed definitions, and descriptions of the relationships between the actors to analyze and document business data requirements.
• Provided data modeling support for numerous strategic application development projects.
• Documented the meeting minutes with issues of about discussed and solutions resolved.
• Presented the mapping document with all business logic applied for the system to Project Manager.
• Gathered information and documented on Conceptual design and Technical design for phase III systems.
• Prepared Use cases and activity diagrams for a source system using MS Visio tool.
• Created the test cases for all the Use Cases.
• Developed XML schema for data retrieval and processing to improve system flow through metrics
• Created test scripts for all the test cases.

Senior Business Analyst / Project Lead

Confidential, Washington D.C.

Responsibilities:

• Prepared project plans using MS Project and coordinated timelines as guided by the project manager. Worked on conversion of ICD 9 CM and PCS codes to ICD 10 CM and PCS codes and conversion of all EDI HIPAA X12N-4010 transactions to HIPAA X12N-5010 version and prepared necessary supporting mapping and crosswalk documents as part of project deliverables.
• Analyzed the FEP Operations Center® (FEPOC) systems to determine the full impact of migrating from the International Classification of Diseases, Ninth Revision (ICD-9) to Tenth Revision (ICD-10) code sets. Identified programs within the FEPOC sub-systems that reference diagnosis codes.
• Developed crosswalks for all EDI HIPAA X12N transactions from 4010A1 to 5010 version. Provided assistance with the development of the impact assessments for each project (ICD-10 and HIPAA 5010). Functioned as a business liaison to the design and development teams during translation of requirements specifications into detailed design.
• Team member involved with EDI X12N-5010 Transactions 837, 270/271, 276/277, 278, 820, 834, 835 and 997. Gathered requirements and prepared use cases (general system design documents and detailed system design document) by interviewing tax agents, users and clients.
• Created the SQL scripts for demonstrating the prototypes and for verifying the result sets. Collected information and requirements about different entities and attributes from FDS.
• Completed Confidential analysis in detail on all entities in CCL for a source system. Prepared questionnaire based on the system analysis performed for all entities. Conducted extensive joint application development (JAD) sessions for all business-related issues.
• Team member involved in logical and physical data modeling. Performed database schema design and modification of triggers, scripts and stored procedures in Sybase database servers.
• Helped design scope documents and the request for proposal (RFP) after extensive ROI analysis and coordinated with top management for the approval process. Configured the data mapping between Oracle and SQL Server 2005. Built models containing query subjects, query items and namespaces from scratch as well as from imported metadata.
• Provided data modeling support for numerous strategic application development projects. Documented the meeting minutes with issues about discussed and solutions resolved. Presented the mapping document with all business logic applied for the system to project manager.
• Developed XML schema for data retrieval and processing to improve system flow through metrics. Created test scripts for all the test cases in PL/SQL. Designed Data Stage ETL jobs for extracting data from heterogeneous source systems, transformed and finally loaded into the Data Marts.

Senior Business Analyst

Confidential, Raleigh, NC

Responsibilities:

• Designed, developed and implemented extensive software changes in Temporary Assistance for Needy Families (TANF) program. Identified source systems, their connectivity, related tables and fields and ensure data suitably for mapping. Created source table definitions in the Data Stage repository by studying the data sources by importing the data from Mainframe.
• Developed HIPAA EDI Transmissions. Completed business cycle management and hands-on production as well. Created EDI testing process, documentation and performance matrices.
• Created technical specification for EDI. Scheduled meetings with technical personnel to determine technical parameters for EDI and other related processes including communication, security and privacy. Created transaction sets requirements, usually with Microsoft Excel, for transactions such as HIPAA 270/271, 276/277, 835, 837-(I, P, &D), 835 remittances and others.
• Assisted in creating a high-level request for proposal (RFP). Incorporated data acquisition, data privacy, data analysis, data mapping and data compliance rules in the auditing criteria and assisted in execution of the mitigation and remediation plans to ensure the financial and tax statements were in acquiescence. Created surrogate key tables to map the required dimensions.
• Performed data transfers from text files and Access databases using BCP and DTS, data mapping and transformations while loading data using VBScript. Designed and developed use cases, activity diagrams, sequence diagrams and OOD using UML.
• Assumed ownership of use case diagrams, use case narratives and other various artifacts. Relieved pressure off the PM by maintaining artifacts and portions of project binder. Documented and delivered functional specification document to the project team. Assisted the project manager to develop both high-level and detailed application architecture to meet user requests and business needs.
• Attended logical and physical design sessions, assisted and developed high and low level design documents. Assisted the PM in setting realistic project expectations and in evaluating the impact of changes on the project plans accordingly and conducted project related presentations.
• Assisted with user testing of systems, developed and maintained quality procedures and ensured that appropriate documentation was in place. Conducted user acceptance testing (UAT).
• Functioned as the primary liaison between the business line, operations and the technical areas throughout the project life cycle. Performed task decomposition, delegated tasks and monitored project milestones using MS Project.

Business Analyst

Confidential

Responsibilities:

• Accumulated customer requirements from various end through surveys, interviews and JAD sessions and translated them into system requirements.
• Worked with a team to develop new life insurance and annuity products.
• Involved in project management methodologies.
• Took every opportunity to evangelize the use of SharePoint and to provide demos of how to replace manual business processes with out of the box SharePoint functionality
• Gather requirement and process the same in the systems by SharePoint.
• Reviewed the data model and reporting requirements for Cognos Reports with the Data warehouse/ETL and Reporting team.
• Designed and developed Quality Assurance standards and processes to all levels of project team.
• Used MS VISIO to carry out the business modeling, data modeling, and object modeling efforts to develop the business architecture for rapid and controlled application development
• Facilitated Joint Application Development sessions and facilitated stakeholder meetings to identify business process and requirements; exhaustive management of project requirements using CaliberRM
• Facilitated user acceptance testing and test strategies with developers and testers
• Developed Data Flow, Workflow, Process Flow, and Entity Relationship Diagrams in MS Visio
• Worked as an Interface between the end users and the different teams (Production Development Team, Testing Team, System Architect Team) involved in the application development for the better understanding of the business and IT processes
• Created Use Case, Activity, Sequence, and Collaboration Diagrams
• Performed Defect Tracking and Change Control Procedures using Rational Clear Quest, and Configuration Management and Version Control using Rational Clear Case
• Involved in the peek review of Test Plans, Test Cases with the QA team to verify implementation of new features and enhancements