Professional Summary:

• Qualified professional with around 8 years of combined and extensive experience in the field of Business Analysis, Requirements Analysis in Healthcare, Retail and Financial Industries
• Successful in translating business requirements and user expectations into detailed specifications employing Unified Modeling Language (UML) used Rational Rose & MS Visio
• Strong Communication and Presentation Skills substantiated in past assignments with developers, project managers, subject-matter experts, stake holders, system implementers, and application end-users
• Extensive experience creating documents including BRDs and FRDs
• Profound knowledge of Medicare, Medicaid and Commercial Insurances
• Knowledge of ICD 9 and ICD 10
• Knowledge of HIPAA, Electronic Data Interchange (EDI)Transactions i.e. 837, 835, 276, 277 and etc
• Ability to gather business and Technical Requirements from both formal and informal sessions utilizing a variety of software methodologies including, Use Cases and the Rational Unified Process
• Experienced in conducting Requirement Analysis, Use Case Design, Designing Test Plans and developed database schemas based on the logical models
• Expertise in using Rational tools for creating Use Cases, Version Control, Defect Tracking, monitoring and extensively used the Rational Unified Process (RUP), Agile, Scrum methodologies in all areas of the software development life cycle (SDLC)
• Good experience of working with the QA methodologies and processes
• Experience working as Joint Application Development (JAD) facilitator and meetings coordinator with excellent interpersonal skills
• Experience working on SharePoint data loading/editing/publishing
• Performed GAP Analysis to check the compatibility of the existing system infrastructure with the new business requirements
• Expertise in conducting User Acceptance Testing (UAT) for various web based and database related applications

Software Models, Methodologies

Waterfall, Prototyping, Agile (SCRUM), RUP

Business Modeling Tools

MS Visio, MS Project, Balsamic,

Requirement Management Tools

Rational Requisite Pro, DOORS

Content Management System

SharePoint

Defect Tracking Tools

JIRA

Operating Systems

Windows NT/XP/2000/2003, Unix

Databases

SQL Server 2008, MS Access, Oracle

Reporting Tools

SAP Business Objects and Crystal Reports

Testing Tools

HP Quality Center, Rational Enterprise Suite, VSS

Desktop Tools

MS Word, MS Excel, MS PowerPoint

Domain Knowledge of

Healthcare, Retail and Finance

Professional Experience:
Confidential,Indianapolis, IN January 2012 – Present
Role: Sr. Business Analyst

Project Description:

ICD-10 Project is a federal mandate to replace the current ICD-9 Diagnosis codes with the ICD-10 Diagnosis code set. The US Department of Health and Human Services (HHS) is requiring health plans, Physicians, hospitals, and other health care professionals to be ICD-10 compliant by October 1, 2014.

The HHS also mandated that the entities migrate from the existing HIPAA 4010 electronic transaction set to the new X12 5010 transaction set by Jan 1, 2012.

Responsibilities:

• Participated in the initial Impact Analysis (ICD-10) for all the critical functions, i.e., Membership & Enrollment, Claims Processing, Utilization Management, Medical Policy, Reporting, Vendor Management, etc
• Worked with internal team to build out of a high level roadmap and time line to achieve compliance
• Performed impact analysis on 5010 upgrades and ICD-10 conversions
• Participated in ICD 9 to ICD 10 codes conversion requirement gathering sessions and created high level business requirement document
• Prepared product backlog working with product owner and other SME (Subject Matter Experts)
• Prioritize user stories and assigned to different sprints
• Facilitated daily stand ups and managed task board with user stories and board
• Prepared and tracked burn down charts and velocity charts for timely delivery of projects
• Utilized corporation developed Agile SDLC methodology used SCRUM work pro and Microsoft office software to perform required job functions
• Experience in designing and defining User Interface Requirements (UIR) and visual patterns by creating wireframes, screen mockups and story boards
• Prepared 5010 GAP documents involved with 837 and 835 transactions in collaboration with other team members
• Defined ICD-9 to ICD-10 mapping process using GEMs (General Equivalency Mapping) crosswalk file
• Created custom mapping between ICD-9 and ICD-10 codes
• Extracted data from several databases to create a master list of the ICD-9 codes
• Ran reports using Excel and Business Objects to compare and verify data
• Conducted Business Requirements walkthrough with the business owners as well as the Technical Stake holders
• Change Control Process (CCP) – Led the Change Control Process for changes submitted for the BRD once the document was submitted to IT department
• Documented the UAT Plan for the project and worked with the UAT Team to ensure every acceptance criteria for the requirements has been included in the UAT task plan
• Maintained the Traceability Matrix table to uniquely trace the identified business requirements to general design to testing as proof that requirements requested have been developed into a solution and that it has been tested and tracked

Environment:Agile, MS Visio, Word, Excel, PowerPoint, SQL, SharePoint 2010, MS Project.

Confidential,Danville, IL May 2011 – December 2011
Role: Senior Business Analyst

Project Description:

This project was involved in data migration and functional process transition to offshore, data migration from Walgreens payroll system to the Genpact’s new system. The project also involved optimizing the operations to generate different types of reports for further analysis using SAP Business Objects. Associated in system enhancement and changes of PBM (Pharmacy Benefit Managers).
Responsibilities:

• Understood the existing processes and created process flow diagrams for the new system
• Created Standard Operating Procedures (SOP) for the various activities with help of functional team
• Created wireframes for the claim forms that would be used in the new system
• Interacted and attended various meetings with Development and processing team to discuss about Test Problems
• Developed Test Plans and Test Scripts by following TDD and FRD
• Knowledge of Pharmacy Benefit Managers (PBM)
• Created and executed Test cases / Test Scripts according to the Business and Functional requirements
• Involved in the creation of Technical Specification documents and Customer reports
• Responsible for Integration Testing, System Integration Testing and Performance testing during various phases of testing
• Developed SQL Queries to test the Data Integrity
• Responsible for User Acceptance Testing and created Client Data using Excel sheets

Environment: Visual Studio 2005, SQL Server 2008, MS Access, Windows XP, MS-Office, Balsamiq, SAP Business Objects

Confidential,Minneapolis, MN May 2010 – April 2011
Role: Business Analyst

Project Description:
This project involved the complete automation of the Supply Chain Management System to manage their Warehouse operations, wherein the orders received from the stores from the various locations will be routed directly to the suppliers to facilitate replenishing the stocks in their outlets. A different priority was given to MTS (Made-to-stock) and MTO (Made-to-order) items.
Responsibilities:

• Collaboration with the business teams in understanding the requirements, while providing them with required system information.
• Understood the core concepts in supply chain management and utilized the knowledge gained to review test scenarios and test cases
• Assess the impact of proposed changes with the development team and interfacing teams.
• Update the FRD as needed to incorporate approved change requests once the key stakeholders are informed

• Create test plans/strategy, test cases, perform testing in UAT and work with the development team to get any of the outstanding issues resolved in a timely manner
• Communicate with QA team about any of the impacted functionality that needs to be included in their test planning
• Work with the development team and interfacing applications to ensure the availability of the environment for proper QA testing and in arranging for proper test data as and when needed

Environment: MS Excel, SQL, Windows XP, Microsoft Visio, Agile.

Confidential,Williston, VT Role: Business Analyst November 2009 – April 2010

Project Description:

This Project was involved in implementation of a Single View Tool (SVT) for TD bank barrowers, which will help the customers to download the Mortgage Agreement Document (MAD) through a secured link, sent by a Bank representative through an e-mail to the customer. Wherein Customer was able to download the MAD through the link, which they had to sign and upload back into the tool.

Responsibilities

• Created “To-be” Business Process Models for new and customization requirements. Prepared presentation of proposed system functions
• Conducted detailed Scope Analysis for Rebalance, and Mortgage Management Modules, performed Requirement and Gap Analysis
• Assisted in developing High-Level Project Plan on the Project Scope
• Interacted with Subject Matter Experts, Project Manager, developers, and process analysts to understand the business process, and to gather Business Requirements
• Traced the requirements using Requirement Traceability Matrix
• Facilitated JAD sessions with management, vendors, users and other stakeholders for open and pending issues
• Designed Use Cases, Use Case Diagram, and Process Maps as a part of the Functional Requirement Specifications
• Performed Impact Analysis for proposed changes, particularly in Dynamic Rebalancing features, was in charge of Change Management procedures and reviewed artifacts related to Change Requests
• Functioned as the liaison between the business line, operations, and the technical areas throughout the project cycle
• Involved with the QA team to determine and develop test approaches

Environment: Microsoft Visio, MS Excel, SQL Server 2000, MS-Project, Oracle 10, Windows XP

Confidential,Hyderabad, India
Role: BusinessSystemsAnalyst May 2007 – August 2009

Project Description:

I was involved in the launch of the company’s new website that incorporated the old web pages with the new ones providing additional functionality to online prospective customers. I was also involved in exploring and adding new features and functionality to the existing system that would helpbusiness function more efficiently.

Responsibilities:

• Creation of theBusinessand Functional Requirements Documents
• Participated in GAP Analysis and JAD sessions
• Liaison between all required Users and Departments to ensure a complete understanding of system requirements,BusinessImpacts and Time lines
• Creation of Process Flows,Product Documentation including online help, printed user manual, and training materials
• Assisted in project management activities planning, developments, task allocation, project execution, includingtrackingusingtheMS Project/ Exceland presented variousanalysisto the top managements
• Created the templates for Test Plan, Test Cases, and Process Flow Diagrams
• Assisted in validating and verifying defects to help set aside the superficial problems and keep the project on schedule by performing User Acceptance Testing (UAT)

Environment:Rational Suite (RUP, UML with Rational Rose, Rational Requisite PRO, Clear Quest, Clear Case), MS Visio, MS Project
Confidential,Noida, India
Role: Business & Quality Analyst March 2005 – February 2007

Responsibilities:

• Assisted in creation of a project plan with timelines, tasks, and resources
• Worked on identification of constraints and dependencies
• Heavily involved in doing regression testing for the entire product and reporting bugs into bug tracking system
• Follow-up with bug and working with developer to resolve and verification
• Participated in bug-triage meetings
• Co-ordinate with developers to fix the problems in the application
• Involved in all phases of SDLC and very active in helping other team members when lagging
• Verified Business Rules, Assumptions and Dependencies
• Performed integration testing with the new system

Environment: Rational Clear Quest, MS Access 2000, VB, Windows 2003