SUMMARY

• A Business Analyst with 7 years of extensive experience in business process design, streamlining and gathering requirements in fields as diverse as Application and Web Design, Bio - Pharmaceuticals and Healthcare.
• Strong knowledge of Project Management skills such as time and cost estimation, task identification and WBS, and scope management.
• Well versed in all phases of Software Development Life Cycle (SDLC) and using Agile, Agile with Scrum and Waterfall methodologies.
• Expertise in identifying, developing and documenting Business and Functional Requirements Specifications (FRS), User Requirements Specification, System Requirements Specifications (SRS), non-functional requirements and Supplementary Specifications.
• Conducted interviews, workshops and requirement elicitation sessions with end-users, clients, stakeholders, development groups and Subject Matter Experts (SMEs).
• Performed GAP analysis documenting variances and suggesting steps to overcome the gaps, besides feasibility studies. Organized many Joint Application Development (JAD) sessions.
• Conversant in designing and defining user interface requirements prototypes, screen mock-ups, story boards and defining elements and business rules around the same.
• Proficient in developing and executing test cases performing functional, usability testing to ensure the product meets the system requirements.
• Experienced in training users and developing training manuals
• Excellent communication and interpersonal skills.

TECHNICAL SKILLS

Operating System: Microsoft Windows XP, Vista, 7, 8.1

Testing Tools/Defect Management: Load Runner, HPQC

Languages: C++, MATLAB, XML, .NET

Requirement Management: Caliber RM, Caliber RDM

Modelling Tools: MS Visio

Project Management Tools: MS Project, Confluence

Methodologies: Agile with Scrum, Agile, Waterfall Model

Database: MS SQL Server, MS Access

PROFESSIONAL EXPERIENCE

Confidential

Sr. Business Analyst

Responsibilities:

• Liaised with multiple business stakeholders, Subject Matter Experts, cross functional teams, design & development teams to elicit comprehensive business requirements by conducting interviews & facilitating consensus through JAD sessions.
• Reported, documented & managed Business Requirements at Blueprint and Share Point.
• Led work sessions to perform GAP analysis of As-Is and To-Be business processes and designed/revised business processes and operational workflows using MS Visio.
• Analysed BCBS Association and Healthcare mandate documents for defining future state business processes.
• Was exposed to business objects when working with the ERP department. Hence, a good understanding of business objects was gained.
• Executed Cost Benefit Analysis by coordinating with different work groups for estimating different operational and capital project costs and presented to finance committee for approvals.
• Introduction and use of CSC Exceed to be used in Insurance and Healthcare billing.
• Managed actor stories, created use cases and sequenced stories using appropriate tools.
• Developed test cases for UML testing. Worked closely with QA team and also performed UAT testing.
• Acted as a Scrum Master for one CMS project.
• Maintained Scrum MOM documents and backlogs.

Environment: Agile with Scrum, MS Visio, MS Office, JIRA, BluePrint, MS SQL, Facets, DMAIC

Confidential, Providence, RI

Sr. Business Analyst

Responsibilities:

• Facilitated sessions with senior agency staff to identify the business flows and determined whether any current or proposed systems are impacted by the EDI X12 Transaction Code Sets and Identifier aspects of HIPAA.
• Produced reports through Impact Analysis on system, data, technology, providers and clearing houses, enabling recommendations and best practices for becoming HIPAA compliant.
• Involved in developing Project Plan, detailing the tasks and effort required to achieve HIPAA compliance.
• Elicited, documented and managed Business and System requirements for HIPAA 5010 version HL7 834, 835, 837, 270, 271, 276, 277 transactions through requirements gathering sessions with stakeholders using a Facets platform. Utilized the claims management module of Facets platform extensively.
• Performed Gap Analysis between HIPAA 4010 and 5010 and involved in evaluating benefits of new system with the Management team to strategize solutions to the process of HIPAA compliance.
• Deployed reportsin MS SQL Server environment using SSRS-2005
• Worked withSharePoint Server 2007while deploying SSRS reports.
• Created Vision, Scope, and Use Case documents, Business Process Models, System Models depicting software architecture and interaction of system components.
• Involved in developing Business Requirement Document and System Requirement Specification document for application development.
• Maintained Requirement Traceability Matrix, Change Requests.
• Coordinated work plans between project manager and stakeholders using MS Project.
• Utilized Waterfall methodology to configure and develop process, standards, and procedures.
• Coordinated Joint Application Development (JAD), Interview sessions with stakeholders throughout SDLC to resolve open issues.
• Worked with QA managers, developers to get sign offs after internal, external and system testing.
• Reviewed Privacy regulations of HIPAA and documented changes for developing PHI privacy policies for member, group employer and agents.

Environment: Waterfall Methodology, Visio, SQL 2005, JIRA, MSOffice, Win RunnerShare Point 3.0, UML, Facets platform

Confidential, Long Beach, CA

Business Analyst

Responsibilities:

• Accumulated customer requirements from various end users through surveys, interviews and JAD sessions and analysed the requirements.
• Developed User Business Requirement Document (BRD), Software Requirement Specification andFunctional Requirement Document (FRD) using Caliber RM, MS Project and MS Visio.
• Developed CONOPS document for stakeholders.
• Designed and developedUse Cases, Entity Relationship Diagrams, Activity Diagrams, Sequence Diagrams and End to End Scenarios using UML. Created ETL specifications for data mapping.
• Prepared Work Breakdown Structures (WBS) to comply with the triple constraint: time, cost and scope.
• Eligibility is an important part of MMIS and hence project required understanding and familiarity with MMIS.
• Identity and Access Management principles application to protect customer data.
• Co-ordinated change management planning and the implementation of change requests.
• Prepared actor stories and sequenced stories to be tracked using appropriate tools.
• Responsible for meetings with users and stakeholders to identify problems, resolve issues and improve the process to ensure a stable and accurate solution.
• Created and implemented a Test Plan, UAT Plan and UAT Test Cases and thereby assisted Quality Analysts to test the product in a timely manner. All test cases and plans were designed and created using HPQC.
• Introduction and use of Guidewire BillingCenter for billing and receivable management.
• Used SQL Queries to retrieve and check database contents for defect reporting.
• Writing of queries to extract joins of tables and creation of views to examine certain parts of data.
• Coordinated and tracked project communications and also maintained project schedules and milestones.
• Interfaced with top management to ensure that IT initiatives and involvement are clearly communicated and understood.
• Maintained Scrum MOM documents and backlogs.
• Mitigated risks and motivated all the team members to meet deadlines on time.

Environment: Agile, MS Visio, MS Office, MS SQL Server, Caliber RM, MS Project, SharePointHPQC, ETL, SOA, Facets

Confidential, Madison, NJ

Business Analyst

Responsibilities:

• Conducted interviews, live meetings and JAD sessionswith business users and Subject Matter Experts (SME’s) to understand the As-Is system and gather requirements for the To-Be system.
• Analysed the pre-existing documents to have a better understanding of the present system.
• Developed Software Requirement Specifications (SRS) from BRD and communicated it to the developers.
• Met with variousHMO, PPO, Medicaid/Medicare Representatives discussing benefitsof contracts on behalf of facilities or appeals from denials and compliance issues.
• Presented to Stakeholders explaining the gaps in the system and how the changes would affect different modules with respect to Medicare.
• PerformedGap analysisto understand the best way of incorporating the changes in the system with respect toPOS.
• Developed a use case and UML diagrams; depicted clear relations associated between the entities by way of Entity Relationship Diagrams (ERD).
• Worked on changes regarding newContent Management Systems directivesandproposed changes to be made in the current system.
• Required understanding of MDM as the application was intended to be flexible enough to be used with tablets and other mobile platforms.
• Requirements elicitation was carried out for Mobile Device Management as well.
• HCLL was used for the management of blood banking. Reports were integrated with EMR.
• Data transfer in LIMS was facilitated by use of MySQL and the sorted data were linked with the company’s ERP.
• Worked with Source systemSubject Matter Experts (SMEs)to ensure that the extracts are properly mapped. A familiarity with .NET framework was established as a result.
• Used HPQC to create RTM to assist with testing and tracking of completion with regard to use cases.
• Developed detailedTest plans, Test Cases, Test scripts for testing the functionality, GUI and security testing.
• Provided all teams’ visibility and maintained tracks among requirements, use cases and actor stories using SharePoint and MS Project.
• Writing of SQL store procedures to input and extract information pertaining to a particular set of conditional statements.
• Assisted in writing test case scenarios for regression testing andend-to-end testing.
• Assisted with user testing of systems and maintainedquality proceduresand ensured appropriate documentation is in place.
• Maintained Scrum MOM documents and backlogs.

Environment: Agile with Scrum, MS SQL Server, SharePoint,MS Visio, MS Project, HPQC, ETL.NET, SOA, Facets

Confidential, Princeton, NJ

Business Analyst

Responsibilities:

• Conducted user interviews, gathered requirements, analysed and documented business requirements based on the analysis of existing systems.
• Functioned as the primary liaison between the business line, operations and the technical areas throughout the project cycle.
• Created Business Requirement Document and Functional Requirement Document in such a way that the developers could construct the system to optimize day to day performance.
• Developed Use Cases, Activity Diagrams, and Sequence Diagrams using MS Visio.
• Involved in the creation of different scripts and functions using SQL.
• Exposed to knowledge regarding Pharmacy Benefit Management as this knowledge is required when working with pharma sales reps.
• Interacted with business SMEs, enterprise architects, developers, business intelligence and data warehouse teams regarding project requirements explanation and interpretation.
• Helped design data warehouse solutions and business intelligence dashboards and scorecards.

Environment: MS Word, MS Project, MS Visio, SQL, Windows 2000/XP, .NET.