Summary

• 7 years of Industry experience as a Business Analyst with solid understanding of Business Requirements Gathering, Data warehousing, Data Modeling, Evaluating Data Sources, Translating Requirements into Specifications, Application Design.
• Professional experience in Business Analysis, Software Development Life Cycle: System Analysis, Design, Development, Testing, and Implementation on Business Systems.
• Responsible for EDI strategies enabling Health Care Providers and Insurance Careers to communicate effectively.
• To obtain position of Database Administrator and utilize my extensive experience gained in Oracle RDBMS, Oracle tools and utilities
• Extensive experience in Gathering and Analyzing Requirements, modeling Business Process Flows, writing Business Requirements Document BRD , Use case Specifications and Functional/Systems Requirements Specification SRS Worked with Medicaid Management Information System MMIS
• Well acquainted with Informatics Designer Components - Source Analyzer, Warehouse Designer, Transformation Developer, Maple and Mapping Designer.
• Extremely proficient in using Agile and XP methodologies performed roles of Scrum Master following sprint sessions and used Rally software extensively to write User Stories, assign tasks to individual team members.
• Good Working Knowledge of HIPAA Regulations and claims and benefits Processing.
• Strong experience in Requirements elicitation techniques - conducting user interviews, document analysis, JAD/JAR sessions and managing the requirements.
• Expertise in UML class diagrams, object diagrams, GAP Analysis, use case diagrams, state diagrams, sequence diagrams, activity diagrams, and collaboration diagrams as a business analysis methodology for application functionality designs using IBM's Rational Rose.
• Created design documents like data flow diagrams, process flow charts using MS VISIO and UML.
• Strong Object Oriented Analysis and Design using UML, Rational Unified Process, RATIONAL ROSE.
• Comprehensive experience in writing Test Plans, Test Cases and Test Scripts using manual and automated testing tools from Rational and Mercury Interactive such as TEST DIRECTOR, WINRUNNER.
• Actively involved in developing, executing and managing User Acceptance Testing UAT .
• Good hands on experience testing of inquiry screens to support EDI transactions.
• Built strong relationships with clients and demonstrated commitment to delivery.
• Strong communication, business understanding, critical thinking and analytical skills.
• Highly motivated, organized and target oriented team player who enjoys working with multi-functional team towards a common goal.

TECHNICAL SKILLS:

• Databases: MS ACCESS, MS SQL SERVER
• Methodologies: RATIONAL UNIFIED PROCESS, OOAD, UNIFIED MODELING LANGUAGE
• Modeling Tools: RATIONAL ROSE, ERWIN 4.0, CRYSTAL REPORTS, MS VISIO
• Testing Tools: MERCURY WINRUNNER 7.0, TEXTDIRECTOR 6.0
• Operating Systems: WINDOWS 98/2000/ME/XP, WINDOWS NT, UNIX
• Office Tools: MS WORD, MS EXCEL, MS POWERPOINT, MS PROJECT 2002/2003
• Quality Management: HIPAA

EXPERIENCE:

Confidential

Sr.Business Analyst

Responsibility:

• Extensively worked in Agile frame work throughout all the phases of Software Development Life Cycle SDLC
• Performed requirement gathering using both formal and informal sessions through interviews, NetMeeting, questionnaire, video conferencing, JAD sessions and conference calls.
• Participated in various meetings/discussions, with Product Manager, Principal Business Analyst, and Project Manager, to discuss and consolidate the business requirements in SDLC.
• Conducted the HIPAA compliance audit for one of their healthcare division and identified the deficiencies
• Managed chart completion ICD-10-CM and CPT coding/abstracting , chart assembly and analysis, patient admission and patient information privacy/security.
• Review Business Requirement Document BRD Use Cases with Principal Business Analyst and provided feedback in SDLC phases.
• Maximized reimbursement by ensuring accurate ICD-10 coding and conducting regular quality audits of providers selected codes compared to chart documentation.
• Worked on EDI X12 transaction sets including 837, 835, 275/276, 834 and 820
• Conducted JAD sessions with management, SME Subject Matter Expertise , vendors, users and other stakeholders for open and pending issues.
• Created Use Case Diagrams, Activity Diagrams, Sequence Diagrams in MS Visio.
• Scheduled meetings with developers, SA's System Analyst and testers to collaborate resource allocation and project completion.
• Worked on SQL to validate data, and worked for update, used joins in SQL.
• Assisted the SA System Analyst to document all custom and system modification.
• Assigned problems to appropriate software development team for fixtures.
• Created and managed project templates, use case project templates, requirement types and traceability relationships
• Analyzed and prioritized user and business requirements as system requirements that must be included while developing the software.
• Planned and defined system requirements to Use Case, Use Case Scenario and Use Case Narrative using the UML Unified Modeling Language methodologies to implement all SDLC phases
• Define and document requirements to assist in the development of software specification. Documentation includes flow charts, report mock-ups, and business rules to support the software requirements phase.

Confidential

Business Analyst

Responsibility:

• Responsible for business analysis, requirement specifications, project planning and identifying the resources and implementation of the project.
• Project used the Rational Unified Process RUP model, followed all the phases of the RUP model starting from Inception through Transition. Used a Functional Decomposition strategy to divide system into sub-systems.
• Created and updated data mapping documents with reference to the source for X12270/271 Eligibility Inquiry and Response, X12276/277 Claims Status Inquiry and Response, X12837P Professional Claim, X12837I institutional Claim.
• Used UML diagram created use case, activity, class and sequence diagram using Rational Rose.
• Authored Data flow diagram and business process models that describe how the EDI Health Care Claim Transaction set 837 is used to submit health care billing information.
• Performed the Gap analysis of the legacy systems, generated a requirements document describing new system work flow.
• Converted complex business logic into SQL Stored Procedures and user-defined functions to achieve functionality required by business analysts and UI team.
• Worked Stored Procedures performance using SQL Server Traces, Index Tuning Wizards and Executions plans.
• Involved in decision making with regards to identifying and prioritizing high impact improvements through the analysis of current processes.
• Created the Business Requirement Documents BRD , the Functional Requirement Document FRD and User Requirement Specifications URS documents.
• Worked closely with the development team to communicate client requirements.
• Responsible for reporting status ensuring accurate coverage of requirements and business rules.

Confidential

Sr.Business Analyst

Responsibilities:

• Assisted in the initial project planning with the management along with project scope, budget, timelines and other parameters.
• Used Rational Rose to assist in engineering and development of Logical, Activity and Component views to better understand the requirements.
• System Requirement Specification Documents, Test Cases and Test Plans were extensively reviewed and analyzed.
• Gathered user requirements through interactions with clients from various corporate departments and converted these requirements into IT Specifications.
• Internal and External Stakeholders were updated on the progress and changes were communicated throughout the project life cycle.
• Acted as a liaison between users, business stakeholders and technical team to keep them in sync with the project progress.
• Conducted GAP Analysis to determine the project's current status against the expected.
• Extensively used Rational Unified Process RUP guidelines through the SDLC.
• Business Use Cases Models, Use Cases and Vision Document were presented and explained to the development team.
• Developed Class, Activity and Sequence Diagrams to better visualization of the project by various teams.
• Rational Requisite Pro was used to reviewing and analyzing user requirements.
• Traceability Matrix was used throughout the project to track changes.

Environment: Rational Unified Process RUP , UML, Dreamweaver, Rational Test Manager, Win Runner, Rational Clear Quest, Windows, MS Office, HTML, Windows

Confidential

QA Analyst

Responsibilities:

• Analyzed the business requirements, Functional specifications and wrote a Test Plan.
• Have followed Agile methodology throughout the Process of application.
• Developed Test Plans, Test Cases as per the business requirements and executed them
• Involved in Manual testing and using Mercury Suite.
• Experienced in Black Box Testing.
• Enhanced test scripts using various utilities provided in Quick Test Pro like check points, Data driver wizard for testing multiple data input.
• Developed automated test scripts using VB Script in Quick Test Pro.
• Entered the Institutional, Professional, FEP and ITS Claims in different mode of entries.
• Involved in Integration, System, functional, GUI, Regression and User acceptance Testing.
• Tested the add/update/delete of members, providers, groups, facilities and hospitals in Facets.
• Validated the HIPPA/EDI transactions.
• Developed re-useable components in QTP10 and executed in QC10
• Checked the Process and made Up Down when its needed.
• Tested the claims processing and Adjudication EDI 837I, 837P, 837D EDI 835 .
• Interacted with developers, Business Management Teams and End Users.
• Interacted with programmers to identify and resolve technical issues.
• Participated in Walkthrough and defect report meetings periodically.
• Worked on submitting and adjudicating the ITS InterPlan Teleprocessing Services claims and run the Mainframe Cycles.
• Developed SQL queries to extract data from the source tables.
• Extensively worked on Quality Center for bug reporting/tracking.
• Involved in bug review meetings.

Environment: Diamond, Facets, ASP.NET, VB.NET, C , SQL SERVER, IIS, XML,TSO, JCL, DB2, Cobol, CICS,MQ Series, Lotus Notes, UNIX, Windows, Quality Center 10, QTP 10.

Confidential

Business Analyst

Responsibilities:

• Interfaced with, and interviewed cross-functional stakeholders to generate leveraged Agile Scrum methodology for portal development.
• Prepared Data Mapping Document for EDI 834 to Health New England's internal format.
• Gathered high-level requirements from the business, created user stories, and prioritize the backlog with project manager.
• Collaborated with development team through iteration and attended every scrum meeting to represent product team.
• Enabled product-centric testing and facilitated QA team's understanding of acceptance criteria and test scenarios.
• Developed Activity Diagrams, Use Case Diagrams, and Workflow Diagrams using Microsoft Visio.
• Accountable for extensive User Acceptance Testing.
• Maintained documents on SharePoint to facilitate seamless interaction with multiple teams.
• Interfaced between users and diverse teams and was involved in application development to enhance understanding of business and IT processes.
• Worked with team to stay well-informed with new process and render it more effective.
• Utilized technical writing skills to create effective documentation and training materials.
• Performed a baseline assessment and related interfaces, existing service level agreements, policies, and operational business procedures for readiness to comply with ICD-10 requirements.
• Identified risks, problems, requirements and concerns in order to comply with ICD-10 changes by conducting interviews.
• Actively worked on Data Analysis and Report Analysis with respect to ICD-10 impact.
• Collected the information related to ongoing application upgrade. Studied their impact on ICD-10 implementation.

Environment: Windows XP professional, MS Office suite, MS Project, UNIX/Oracle Platform, XML, Oracle Application server, Oracle Pl/SQL, MS Visio, Bugzilla, MS Visio, Quality center, Clear quest, clear case

Confidential

Business Analyst

• Project: Web Based Brokerage Application
• Project Description: Prufn.com is web based brokerage application which provides customers of Prudential Securities, various financial services like Brokerage Services Trade Stocks , Mutual Funds Scan for mutual funds using criteria such as performance, risk parameters, fees and expenses, Buy, Sell, Exchange Mutual Funds , Fixed income Investments Choose bonds and CDs from large fixed income inventory and purchase CDs, Municipal and Government securities online , Annuities etc. The application enables the customers to check their portfolios online get breaking financial news, real time access to accounts, get electronic copies of statements, trade the stocks along with providing real time quote information etc.

Responsibilities

• Involved in Requirements Gathering and analysis thru SDLC of an online portal to provide visibility to corporate customers on their Equity and investment positions FX, integration with market data and analyzed the traders fixed income business requirements.
• Management of our Forecast EQFD was comprised of several business areas that have independent finance departments. I am responsible to pull a team of analysts from all of our extended financial departments to guide and direct the overall EQFD strategy for forecasting and budgeting.
• Conducted JAD/RAD Sessions.
• Actively participated in the Change Request Management to keep track of the regular requirement updating.
• Wrote Functional Specifications and User Requirements.
• Prepared Use cases, Diagram entity models, ER Diagrams, Case Models in MS Visio.
• Prepared Master Business Document and was responsible for Sign-Off.
• Developed Test plans and Test procedure templates and guidelines to be used by the QA team with detailed screen layouts with regards to various types of corporate actions and Fixed Income instruments.
• Coordinated Project to support effort to redesign the process by which Fixed Income analytics are received and calculated.
• Conducted User Acceptance Testing using the test cases given by the client before releasing the application.
• Communicated with the developers on a regular basis to ensure that our understanding of the functions the EQFD application performs was on target.
• Responsible for documenting and developing business rules for our metrics based on the business needs, financial requirements and processes used to track our work.
• Participated and conducted weekly meeting on validations and verifications of Testing Process.
• Made presentations to senior management to outline our testing process and phases whose end result will help them to reduce their cost significantly

Environment: SDLC, UML, MS Visio, MS OFFICE, Oracle, WINDOWS 2000, XML.