SUMMARY:

• Versatile, results - driven, Team oriented Senior Requirement Analyst with 18 plus years of experience within fast-paced environments.
• Well rounded background of functional knowledge and technical understanding.
• Diligent and resourceful in uncovering solutions that meet all business needs; skilled at balancing resources and forging cross-disciplinary relationships to align business and technology objectives.
• Leverage talents in system development and staff leadership to effectively manage organizational change, mitigate risk, handle multiple tasks simultaneously, infuse new ideas and consistently deliver results.

AREAS OF EXPERTISE:

• SSA
• NIH
• NCI
• CMS
• FISMA
• NIST
• Medtronic
• HHS Clinical Trials
• Cancer Trials
• EPLC
• Oncology
• CTMS
• MEDNET Pharmaceutical Trials
• FDA Regulations
• FACETS
• Medicare Part A
• Medicare Part D
• Medicaid
• Claims
• Disability Claims
• Mental Health Claims
• EMR
• JAD
• DSHS
• MMIS
• HIPAA
• Claims Processing
• Claims Loading
• CPT Codes
• Diagnosis Codes
• X12 Transaction
• 837
• 835

TECHNICAL SKILLS:

• MS-Office
• SQL
• PL/SQL
• Data Warehouse
• MS Word
• MS Excel
• MS Access
• DNG (Doors Next Generation) Jira
• VisionTracker
• ERWIN
• Enterprize Architect
• TOAD (Tool for Oracle Application Developer) Unified Modeling Language
• Rational Requisite Pro
• Rational Rose
• Rational Clearquest
• Oracle
• Java
• Macromedia Dreamweaver
• Snagit
• All Clear Rules Engine

PROFESSIONAL EXPERIENCE:

Confidential

Senior Analyst

Responsibilities:

• Review USAMMDA projects proposal documents and author Requirement Specification Document
• Study SEI CMM documents and apply the related sections as needed in Requirement Specification Document

Lead Analyst Business Analyst / Data Migration Analyst

Responsibilities:

• Authored Data Migration Test Plan
• External Research Program applications routing and tracking using Vision Tracker tool/application.
• Provide expertise on harmonization and synchronization of huge data and research information to drive business value.
• Author Business Process Workflows for External Research Program applications.
• Provide data migration approach from existing and legacy system to new External Research platform. Authored Data Migration Approach Document for Data Migration from Source (MEDNET) to Target (Vision Tracker) applications and perform Business and Functional Gap Analysis for various systems and applications.
• Use best practices and expertise for Risk identification, mitigation and remediation.
• Analyze Data Models, Data Dictionary and Structures to support huge migration efforts across various global business units.
• Align requirements and business functionality with the overall business plan and road maps.
• Research, Analyze, Assess and Communicate Performance metrics to meet the demands of key executives, stakeholders, programs, Portfolios, global business units.
• Provide ongoing Clinical Business and IT expertise for the entire ecosystem including Lead and Principal Investigators, Medical examiners, Reviewers, Customers, Sponsors and Regulatory authorities.

Change Management Manager/Analyst

Responsibilities:

• Interview various key subject matter experts, stakeholders, users, and developers, technical analysts to determine and document As-Is processes, policies, procedures and workflows for various release type of Software Development Life Cycle Researches, implements, and/or develops tools, templates, processed, policies and techniques for process workflows and procedures development.
• Identify gaps and exceptions in existing policies, procedures, processes, procedures and recommend improvements.
• Lead the team by identifying, distributing, and balancing workload and tasks among employees in accordance with established workflow, skill level, and/or occupational specialization, makes adjustments to accomplish the workload in accordance with established priorities to ensure timely accomplishment of assigned team tasks, and ensures that each employee has an integral role in developing the final team product.
• Analyze audit findings and lead SSA to close audit findings via development of various end to end Process workflows, Processes, Policies, Procedures, Guidelines and Checklists.

Project Lead Analyst / Clinical Trials Analyst

Responsibilities:

• Analysis and refinement of systems requirements, design, validation, and implementation of programmatic software
• Conduct Focus Group sessions, Interviews and JAD (joint application development) sessions with stakeholders to review new requirements and new processes and to review enhancements and improvements on existing functionalities
• Provide level of effort estimates to project manager and to program manager for implementation of requirements
• Develop presentations using PowerPoint and Visio to discuss the requirements and agree upon a solution to requirement or for a problem.
• Provide Production support on high priority tasks via report and analysis
• Work with Administrative and Scientific Clinical Trials Abstractors to capture, consolidate, analyze, implement the technical solutions
• Guide Technical Developers and Quality Assurance testers for their daily tasks with adequate details on requirements
• Conduct Synchronization testing between CTRP and external projects.
• Prepare Requirement Specification Document, Technical Design Document, and Use Cases Documents for requirements and ensure they all are up to date.
• Project Data Model and Data Warehouse Model updates
• Database scripts review and Recommendation for updates
• Interview various stakeholders regarding new requirements, changes, improvements etc.
• Provide Inputs for Planning Meetings
• Performs detailed monitoring and control of projects, reviews status reports, and makes recommendations on project health and remedy plans.
• Investigate, Analyze Production Issues and New Features Requests
• Extensive experience working with ClinicalTrials.gov related rules, policies, laws and regulations
• Extensive experience working with Cancer.gov related rules, policies, laws and regulations
• Experience with FDAAA related trial submission regulations

Lead Requirement Analyst

Responsibilities:

• Analyze and Prepare Requirement Specification Documents for Federal Parity project for Claims Processing and Accumulators Exchange between Value Option and several Health Insurance Companies.
• BCBS, AETNA, CIGNA, Kaiser, Nike

Lead Business Analyst

Responsibilities:

• Analyze Center of Medicare and Medicaid Services Policy changes for every quarter
• Analyze gaps in existing application with respect to CMS changes
• Recommend changes to address CMS policy changes
• Conducted interviews with Software Development Life Cycle (SDLC) Subject Matter Experts (SMEs) to identify the current processes related to various policies and processes
• Manage the efforts of subcontractors
• Assign tasks to team members based on their skills, availability and interest
• Provide input and direction to all subproject team leads
• Manage the updated of Business Specification relate to Medicare Part D projects and Subprojects.
• Identified and resolved the GAP in current system and future system via Specification Changes
• Attended all necessary trainings (HIPAA)

Senior Business Analyst/Project Manager

Responsibilities:

• Provide training and practical project management for small and intermediate size projects
• Performs detailed monitoring and control of projects, reviews status reports, and makes recommendations on project health and remedy plans.
• Determine new policies to address Claims Limit Policies/Edits for WAMMIS project
• Identify gaps in MECMS and WAMMIS Claims Limits/Policies
• Conduct various focus group sessions, JAD sessions, Interviews etc. to understand the as-is process and then identify the need for the changes
• Interface with Senior Management, Program Management Office (PMO) and Client
• Provide necessary inputs to PMO for ROI, cost/benefit analysis
• Continuous monitoring of Project deliverables, schedule, cost, risk and quality.
• Responsible for Project initiation, analysis, design, coding, implementation, testing and user acceptance
• Coordinate and be responsive to the needs of the DSHS(Client) project manager
• Plan and Manage the full system development life cycle of the project
• Implement project management processes approved by the PMO
• Participate in the revision and update of the PMO processes as needed
• Thorough Understanding on HIPAA Compliance and application in project.
• Manage the efforts of subcontractors
• Assign tasks to team members based on their skills, availability and interest
• Provide necessary guidance, training and mentoring to team members
• Work in Balanced Matrix Organization with direct reporting to Vice-president
• Track the progress and status of key deliverables.
• Provide input and direction to all subproject team leads
• Participate in Interviews for selection of team candidates
• Continuous analysis and assessment of Risk
• Change Management through Change Requests and Modification Requests

Business Analyst

Responsibilities:

• Conducted Brain-Storming sessions with project focus groups and Facilitated Joint Application Development (JAD) sessions
• Conducted interviews with Software Development Life Cycle (SDLC) Subject Matter Experts (SMEs) to identify the current processes related to Functional Requirements.
• Identified and documented all Business Requirements in Requirement Specification Documents.
• Prepared Detail System Design Document (DSDD). This document contained Functional Specification and Technical Data Model. Created Use Case diagrams, Sequence diagrams, and Activity diagrams in the DSDDs.
• Identified Existing Business Rules and Wrote new Business Rules as necessary in Technical Specification Document.
• Continuously interacted with End Users and Subject Matter Experts via Phone, E-mail, iL inc and ‘in-person’ meetings.
• Served as an interface between Client and Developers, managing requirements scope.
• Provided inputs, direction and Training to all project team members and cross functional teams.
• Served as an ‘Edits Champion’ for the Project by providing the necessary details on Edit and related Edits and Business Policies.
• Participated in interview and selection of new candidates.
• Provided leadership to Development, Test and Functional Team necessary.
• Worked closely with J2EE, Database development, test and integrations teams to develop business, development, Systems integration and test plans.
• Customer relationship management at various levels of executives, client teams and various sub-system teams.
• Gather and communicate HIPAA compliance requirements for claims and other sub-system implementations.
• Actively involved in project retreats and review sessions at client site.
• Wrote SQL query to fetch Database records to be used in Test Scripts.
• Provided Training, Leadership and Mentoring to new team members in the project.