SUMMARY

• Results - driven, versatile consultant with over 7 years of experience as a Business Analyst in Healthcare and Banking industry.
• Good knowledge of Business Analysis methodologies, Iterative and Incremental Software Development Life Cycle (SDLC) such as Waterfall, RUP and Agile.
• Proficient in gathering business and technical requirements from both formal and informal sessions through interviews, NetMeeting, questionnaire, video conferencing, JAD sessions and conference calls.
• Strong knowledge of Use Cases, Sequence Diagrams, Collaboration Diagrams, Activity Diagrams, and Class Diagrams.
• Strong experience in GAP, SWOT, Risk analysis.
• Highly involved with Development and Quality Assurance (QA) Teams to act as a Liaison and provide a smooth channel of communication.
• Experience in design and implementation of PEGARULES Process Commander (PRPC).
• Knowledge in developing Test Plans and Test Cases; ensuring adequate testing on software both before and after completion; conducting and documenting UAT.
• Expert in HP Quality Center(QC) as a complete Test Management Tool for Management, Requirements, Test Plan, Test Lab, Defects and Dashboard.
• Involved in the automated testing using QTP.
• Strong skills in writing Business Requirement Document (BRD), Functional Requirement Document (FRD), and System Requirement Specification (SRS).
• Good understanding of Microsoft Business Intelligence technologies like MS SQL Server Integration Services (SSIS), MS SQL Server Analysis Services (SSAS) and MS SQL Server Reporting Services (SSRS)
• Expert in MS SQL Server 2008/2005.
• Experience with data mapping from ICD-9 to ICD-10 based on business and clinical intent used across organization and ability to effectively prioritize and manage multiple projects.
• Experience in Claims Processing in Medicare.
• Sound analytical and problem solving abilities.
• Possess very good organizational skills, with the ability to multi-task and deal with shifting priorities.
• Working knowledge on healthcare standards such as HIPPA 4010, 5010
• Working knowledge of healthcare Technology standards such as HL7, ANSI ASC X12.
• Worked on various Professional billing and Hospital billing products.
• Knowledge of medical necessities, software validation and healthcare compliance auditing.

TECHNICAL SKILLS

Methodologies: RUP, Agile(Scrum), Waterfall

Office Tools: MS Word, MS Excel, MS PowerPoint, MS Access, MS Project, MS Outlook, Lotus Notes.

Process/Modelling: MS Visio, Rational Rose, Rational Requisite Pro, Smart Draw, Clear Case, Clear Quest.

Testing Tools: Test Director, Quality Centre, QTP,Win Runner and Load Runner

UML Tools: MS Visio, Rational Rose

Operating Systems: Windows Vista, NT/2000/2003/ XP/98

Quality Management: HIPAA, CMMI, CMM, TQM.

Languages: C/C++, Java, SQL, PL/SQL, HTML, XML, Pega PRPC

Database: MS Access, SQL Server 2000, SQL Server 2005/2008

Other Tools: Macromedia Dream Weaver, Macromedia Flash and Adobe Photoshop.

PROFESSIONAL EXPERIENCE

Confidential - Mechanicsburg, PA

Sr. Business Analyst

Responsibilities:

• Gathered business requirements, interacted with the business users, designers and developers, project manager and QA team to get a better understanding of the business processes.
• Interacted with the “End-Users” by interviewing them, by preparing appropriate questionnaire to better understand end-user needs and the business process.
• Followed a structured approach to organize requirements into logical groupings such as requirements for customer, client, group, member, prescriber, pharmacy are not missed.
• Actively coordinated three cross functional teams comprised of approximately 20 total team members in delivering working tested software every two weeks through hands-on application of skills and abilities.
• Facilitated daily Sprint meetings for each team.
• Participated in Scrum meetings where the other participants included members of cross functional team, SME’s and Scrum Master
• Represented teams in weekly status meetings. Provided bi-weekly Sprint Review Report to executive management.
• Applied business analysis skills in working with non-technical Product Owners to greatly improve the prioritization, definition and maintenance of user stories and product backlog on an ongoing basis.
• Worked closely with technical team members during each sprint in requirements and test scenario definition to increase quality of features under development.
• Experience in design and implementation of PEGARULES Process Commander (PRPC).
• Developed UI using section and Harness rules, Created flows and flow actions based on the business requirement flows
• Removed impediments to team progress on a daily basis. Tracked dependencies and progress against project milestones.
• Used Quality Center as repository for maintaining Test Cases, execution and tracking the Defects.
• Involved in risk-management process whereby identified critical areas of business risk and modified the business process to reduce the same.
• Involved in drawing data flow diagrams using Enterprise Architect for the Claim Adjudication module.
• Involved in data mapping of EDI transactions, creating work flow and activity and use case diagrams.
• Created validation documentations for the claim process.
• Performed GAP Analysis between different applications to bridge the gap
• Updated Microsoft Share Point portal with the updated project Documentation.

Environment: Pega PRPC, Java, SQL Server 2005,IBM Web sphere, Microsoft Share Point, Rational Requisite pro, Enterprise Architect,HP Quality Centre

Confidential, Louisville, KY

Sr. Business Analyst

Responsibilities:

• Basic Responsibilities involved the analysing end user requirements and communicating and modelling them to the development team.
• Took critical part in formulation of the Project Plan and Scope to lay out the Project Definition, Budget and various factors affecting the project and the actors.
• Interacted with the “End-Users” by interviewing them, by preparing appropriate questionnaire to better understand end-user needs and the business process.
• Analyzed key business requirements and assisted in the development of Business Requirement Document (BRD) and Functional Requirement Specification(FRS)
• Involved in sprint meetings and scrum meetings.
• Created extensive use case, activity, sequence diagrams of the required system using Rational Rose to enable clear project idea and goals.
• Created Mapping Document for ICD9 Codes to ICD 10 Clinical Modifications and Procedural Codes.
• Writing business requirement documentation and generating customized ICD-9 to ICD-10 code mapping.
• Involved in creating 837(I, D, P), 835, 277-U, 270/271, 276/277, 278, 820 and 834 transactions processing flow.
• Detail knowledge and experience working on HIPAA.
• Traceability Matrix was maintained throughout the project to keep track of changing user requirements and alterations made by the team.
• Used SQL Queries to retrieve the data from the database and checked data integrity.
• Created test cases and test scenarios and was involved in manual testing of the application.
• Was also involved in automated testing of the application using QTP.
• Worked on Quality Center for the Application Life Cycle Management process with the features of releases, requirements, tests and tracking of defects.
• Interfaced with development teams to report bugs and track defects using Quality Center.
• Met with technical/development team on weekly basis to determine the project strictures such as Privacy protection, communication, and security.

Environment: MS Project, SQL Server 2005, Agile Methodology, Rational Requisite Pro, Rational Rose, Clear Quest, Microsoft Visio, Windows 2000/XP, HP Quality Centre, QTP

Confidential, Atlanta, GA

Sr. Business Analyst

Responsibilities:

• Elucidate and interpreted Business Requirements through interviews, surveys, brainstorming sessions, prototyping and observing past documents.
• Coordinated and conducted system requirements walkthroughs/sessions (JADs) with business Owner/stakeholders/SMEs as well as design/development teams.
• Performed SWOT and Risk Analysis to better understand the potential impact of the product towards the betterment of the company.
• Enforced RUP methodology throughout the project life cycle and held Meetings on a daily basis to make sure Deliverables are met.
• Created Business Requirement Document (BRD) and Functional Requirement Specifications (FRS) documents.
• Developed different Unified Modelling Language (UML) Diagrams such as activity diagrams, use case diagrams and sequence diagrams using MS Visio
• Used UML notations for Object Oriented Design and Documentation.
• Created Static Wireframe for UI team, which was later transformed into Dynamic Wireframe and made sure it was corresponding with what business owners had in vision.
• Performed GAP Analysis between different applications to bridge the gap and for better integration of Confidential .
• Implemented HIPAA privacy and security regulations to enhance the capabilities of systems to process new products.
• Prepared Requirement Traceability Matrices (RTM) to track the use cases and test cases associated with the requirements.
• Created Test Plans, Test Scenarios and Test cases in Quality Center for manual testing.
• Participated in the User Acceptance Testing (UAT) with Stakeholders and Project Manager.
• Assist in development of training materials for End User Support on new technology and process improvements.

Environment: MS-Visio, MS-Access, Share Point 2010, Microsoft Office Suite (MS Word,Excel,PowerPoint), XML, JAVA, RUP, SOA,HP Quality Centre

Confidential, Dublin, OH

Sr Business Analyst

Responsibilities:

• Led client facilitation meetings to gather Interface and Business Process Requirements from Subject Matter Experts.
• Developed comprehensive business cases with cost, service and benefit dimensions of the proposed project that were used for funding and scope decisions.
• Performed Gap Analysis to identify the gaps in the system.
• Created workflow scenarios, designed new process flows.
• Gathered business requirements from SME’s and drafted business requirement document (BRD).
• Conducted JAD sessions for user interviews to gather requirements.
• Performed Project Management activities throughout the project such as to log the daily project updates, convey it to the Business users, maintain the issues log and act as a facilitator for weekly Project Update meetings with the various groups involved in the project.
• Defined how the application would interact with the various Web services and their signatures.
• Performed Data Mapping and logged the Transformations for extracting the data from the underlying system and loading to the SQL server Database that was to be used by the new application.
• Worked closely with database designers to enhance the performance of the application through data structure redesign and through Data warehousing using ETL tools
• Assisted in developing project timelines list of deliverable and developed strategies for effective project management. Also made sure that all deadlines were met for all deliverable.
• Performed QA work like developing the test strategy and assisted in developing test plans, test case objectives and test cases. Developed test scenarios to be used in testing based on business requirements and technical specification. Tested application and reported bugs to development team using HP Quality Centre.
• Performed Black Box Testing, GUI testing and user acceptance testing (UAT).

Environment: HTML, XML, MS-Project, WindowsXP/2000, MS-Office Suite, Rational Suite, RUP, UML, Microsoft Visio, SQL/PLSQL,SQL Server 2005, Rational tools, HP Quality Centre

Confidential, Cleveland, OH

Business Analyst

Responsibilities:

• Assisted the PM in setting realistic project expectations and in evaluating the impact of changes on the organization and plans accordingly and conducted project related presentations.
• Prepared Requirement Traceability Matrices (RTM) and managed every change requests effectively throughout the software development life cycle.
• Followed a RUP (Rational Unified Process) centric business analysis methodology.
• Developed strategic partnerships with the business unit to develop a solid knowledge base of the business line, including the business plan, products, and process and revenue streams.
• Initiated JAD sessions with End Users through one on one and group interviews to better understand the user requirements.
• Facilitated and managed meeting sessions with committee of SMEs from various business areas including Mortgage Servicing, Loan Monitoring and Asset Management.
• Collaborated with development architect to develop both high-level and detailed application architecture to meet the business needs.
• 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.
• Documented and delivered Business Requirement Document and Functional Requirement Specification Document to the project team
• Participated in the logical and physical design sessions, developing design documents.
• Designed and developed Use Cases, Activity Diagrams, Sequence Diagrams using Rational Rose
• Performed requirement analysis, and detailed examination of all the use cases and issue logs.
• Performed extensive business process analysis including data analysis and GAP analysis.
• Functioned as the primary liaison between the business line, operations, and the technical areas throughout the project cycle.
• Worked with Data Extraction, Transformation and Loading.
• Created SQL queries using joins to join tables and also updated the database tables using commands such as update, insert and delete.
• Played a key role in the planning, testing, and implementation of system enhancements and conversions.
• Created lots of test cases and was involved in manual testing.
• Updated the defects in HP Quality Centre
• Performed functional testing using QTP
• Worked with consultants and business partners to analyze response and risk models to improve operational efficiencies.

Environment: .NET, Windows 2000/XP, Rational RequisitePro 7.0, UML, Rational Rose, Rational ClearQuest8.0, MS Word 2007, MS Project 2007, MS PowerPoint 2007, and MS SQL Server 2005,HP Quality Centre,QTP

Confidential, NY

Business Analyst

Responsibilities:

• Worked with the business users to define business requirements and analyzed the possible technical solutions.
• Conducted user interviews, gathered requirements, and analyzed the possible technical solutions.
• Documented Business and functional requirements
• Analysed key business requirements and assisted in the development of Business Requirement Document (BRD) and Functional Requirement Specification(FRS)
• Created Requirement Traceability Matrix to track the use cases and test cases associated with the requirements
• Worked extensively with the QA team for designing Test Plan and Test Cases for the User Acceptance Testing.
• Performed User Acceptance Testing (UAT) for various web based and database related applications.
• Interacted with the development and testing teams to improve overall quality of the software.
• Data mapping, logical data modelling, and used SQL queries to filter data within the Oracle database
• Assisted the PM in performing Risk Assessment, Management and Mitigation.
• Performed Gap Analysis to identify the gaps within the system
• Verified the Business Scenarios on new builds to allow extended testing by the QA team.

Environment: SDLC, Waterfall, Rational Tools Suite ( RequisitePro, ClearQuest, ClearCase), UML, SQL, MS Project, MS Office, SQL Server 2000.