SUMMARY

• Result - driven, versatile professional with 10 years of experience as a Business Analyst and Business Systems Analyst. Possess strong Communication, Facilitation, Mentoring and Organizational skills with ability to multi-task and deal with shifting priorities. Possess strong analytical and project management skills with excellent problem solving capacity throughout all phases of project life cycle.
• Excellent interpersonal skills and the ability to work both independently and in a team environment to drive projects.
• Experience in defining problems, collecting data, documenting requirements, gap analysis, evaluating requirements, establishing facts, dealing with change requests, managing scope and overall project coordination.
• Specialized in Health care, Retail, Banking, Banking and Mortgage, Financial domain. Diverse experience in requirements gathering for application development, maintenance and migration projects using various process methodologies.
• Strong healthcare background with exposure to EDI transactions (270, 271,835, 834, 837) transactions, Federal Employee Program (FEP), Inter Plan Teleprocessing System (ITS), Pre-Adjudication, Core Claims Processing.
• Experience in Data Transformation, Metadata, and Data dictionary, Data Loading, Modeling and Performance Tuning.
• Experience in DBMS/RDBMS implementation using object-oriented concept and database toolkit.
• Extensive experience in Data Analysis, & Data mapping.
• Knowledge in the ETL (Extract, Transform and Load) of data into a data ware house/date mart and Business Intelligence (BI) tools like Business Objects Modules (Reporter, Supervisor, Designer, and Web Intelligence).
• Good knowledge of Business Analysis methodologies, Waterfall, OOAD, Agile, UML, ITIL,Iterative and Incremental Software development lifecycle (SDLC) using rational unified process (RUP).
• Proficient in gathering business and technical requirements by conducting Joint application development (JAD) sessions, Rapid application development (RAD) sessions, both formal and informal interviews (Web-ex or Phone conference, or in person), Brain storming, Focus group, Prototyping, Survey questionnaires to converge early toward a design acceptable to customer. Strong knowledge of Class Diagrams, State Diagrams, and Sequence diagrams, Flow diagrams, Use case diagrams.
• Experienced in documenting Use cases (UC), Page specification (PS), Supplemental requirement (SS), Report Specification requirements (RRS), Business Requirement Document (BRD) and Functional Requirements Document (FRD) with GUI design, User stories, Product backlogs and Epics.
• Experienced in Data mapping between source and target, collaborating with architectural and technical teams.
• Experienced with Object Oriented Analysis and Design using UML, Rational Unified Process (RUP), Rational Rose, IBM Requisite Pro and MS Visio which involves Requirement Management using UseCase modeling, Dataflow process modeling.
• Experienced in coordinating with different IT teams such as Architects, Developers, Testers and Project management.
• Possess strong mentoring and leadership skills.

TECHNICAL SKILLS

Industries: Healthcare,Finance-Banking, Communication technology

Functional Areas: Cloud, SAAS, e-Licensing, Membership & Billing, Claims, PreAdjudication & Core, ITS, FEP, ICD10, HCR,HIPPA4010,5010, EDI X12, EOB, Coding & Reimbursement, Finance, Reporting, Customer Services, Group setup, Benefits, Project server Costing, Banking, Telecommunication.

Methodologies: SDLC, RUP, Agile, Gap analys, SWOT, MOSCOWis, Waterfall, ITIL, Lean, Scrum, OOAD, UML, Business Process Modeling notation (BPMN) and Data Modeling.

Databases / DB Tools: Oracle, DB2, Teradata, IBM lOtus Approach, MySQL.

Desktop Tools: Clarity, MS Suite, VISO, Rational Suite, Doors, Enterprise Architect, Lotus notes, GIffly, Macromedia Flash, Smart Draw, Snag it, CalibrRM,Green Shot, Xcelcius.

Methodologies / Techniques: SDLC, RUP, Agile, Gap analysis, Waterfall, ITIL, Lean, Scrum, OOAD, UML, Business Process Modeling notation (BPMN) and Data Modeling, RASCI, Tracebiliy Matrix, BPR.

Operating Systems: Windows 7/8/2000/NT/XP, Macintosh OS, Ubuntu

Programming Languages: SQL, PLSQL, C++, Oracle 8i/9i, Java, J2EE.

Testing Tools: Rational ClearQuest, QualityCenter, BugZilla, Jira

Utilities / Command Languages: UNIX,Command Prompt

Other: Health Language Inc Leap I10 (I9-I10/I10-I9) & Code Explorer, Encoder Pro, Trizetto Qlikview, Pgi Notifiy/ Send, Hummingbird, Stellent, BO XI 3.1 and 4.0.

PROFESSIONAL EXPERIENCE

Confidential

Sr. Business Analyst

Responsibilities:

• The project followed a strict Agile methodology.
• Worked along with the Enterprise Business analyst in documenting the BRD.
• Received training on the Workday SaaS application. Requirement workshops with Human resources, Pay role, trainers and Open enrollment were held along with the implementation partner Collaborative solutions.
• Data mapping for Captured Source and Destination database mapping for housing information in-house for downstream application.
• Used Share point to store and share all the documents.
• Provided training to the Business SME’s to better capture their needs.
• Used Business process methods to capture the new business process flows and also to make sure that all the process were incorporated correctly.
• Eliciting Functional and Non-functional requirements for the modules communicating with the legacy Financial system.
• SWOT analysis to prioritize the requirements and getting the integration done in timely fashion.
• Mapping Source and various destination targets to house the data required for downstream applications and 4rd party vendors.
• Report requirements for the Monthly annual and semi annual reports to report on number od resources, Offers, Open enrollment periods etc.

Confidential

Responsibilities:

• Worked in coordination with all the projects like Public exchange, Group refresh, Individial referesh, Sales and Marketing etc to make sure the project own the intiatives that impact them.
• Extensively used the Rational requirement composer to document intiatives as Artifacts and relating them to the Projects and departments..
• Working Sessions and group interviews to with the Compliance to make sure that their breakdown of the Initiatives/ guidance’s released in to Rational Requirement Composer.
• Additional Guidance was received in emails and we had to break them in to High-level Initiatives for Confidential .
• Having formal reviews with the Business, Projects, departments and Compliance to make sure the Projects understand the impact.

Environment: MS Outlook, MS Visio, MS SUite, BO XI4.0, Rational Requirements Composer (RRC), Data Mapping, Snagit.

Confidential, St.Paul, MN

Sr. Business Systems Analyst & Enterprise Lead BA

Responsibilities:

• Applied Agile methodology at requirements face to Gather and analyze data in support of business use cases, proposed projects, and systems requirements for License & certification renewal system.
• Excellent knowledge of Home care Provider License life cycle, Different products like Class A, B, C,F, Comprehensive, Basic and their process flow
• Created the Current License renewal process flow and Future License renewal Process flow, performed gap analysis and Cross walk requirements
• Converted the technical document in to business document for better understanding for SME of backend process.
• Created Business requirements, functional requirements and Use case diagrams.
• Responsible for defining the scope of the project(s), feasibility analysis, project planning, gathering business requirements by conducting user interviews, JAD sessions, and story boarding.
• Worked closely with QA teams to define Test cases and execute Test plans.
• Experience in performing Regression, Performance, Load, Functionality, Front End, Back End, Smoke and Usability Testing for web and Client/Server application.
• Updated and modified progress and resources allocation in MS project for the team.
• Managed the WBS and ensured takes were done, assessed the risks/impacts for that functional area, escalated as appropriate through the proper channels, and reported resolution so that the project team could continue to move forward.

Environment: MS Visio, Case Complete 2013, Lotus notes, Oracle 9i, SnagIt, Greenshot, Quality center, Rational Req Pro, JIRA, SQL.

Confidential, Minneapolis Downtown, MN

Lead Business Analyst

Responsibilities:

• Primary responsibility was to manage change control by capturing, base lining, tracking requirements and to identify impacts to cost, scope and schedule.
• Acted as a liaison between Confidential SMEs and Vendors to refine requirements and assumptions.
• Facilitated interviews and heterogeneous group discussion in order to capture actions items and requirements maintaining the focus on the new scope items until completion of the requirements phase.
• Developed process flows, data flows, business rules, system requirements and user requirements as required.
• Provided inputs to project plans including tasks, estimates, resource needs, interdependencies, risk assessment and worked against pressing deadlines.
• Collaborated with Business System Analysts to discuss and capture functional, non-functional project requirements and assumptions.
• Worked with stakeholder groups from service, compliance, legal, marketing, field organization and technology, etc., to capture effective requirements.
• Followed BPMN & UML to document all the Process flow diagrams and to develop use cases to fit the scenarios.
• Assisted Project Manager with preparing documentation and meeting materials.
• Ensured all the User Requirements were loaded in to Quality Center.
• Collaborated with testing teams to develop test cases.
• Collaborated with various project work streams to review business and systems requirements, and their documentation such as systems design, build, test, implementation plans and post-implementation validation plans.

Environment: RUP with SDLC, MS Visio, Gliffy, MS Suite, Lotus Notes, Clear Quest, Clarity, SharePoint, Microsoft Project Server, Project Essential Pro, Peoplesoft Project Costing.

Confidential

Senior Consultant

Responsibilities:

• Prepared Needs and Features document when looking out for vendor for code mapping tool.
• Reviewed Crosswalk and dashboard requirements with organization wide audience.
• Worked on COTS project to implement a vendor tool, namely Health Language Inc., Leap I10 for Code management tool. Attended the vendor tool business training and technical training sessions.
• Gathered requirements on the ICD10-ICD9 Crosswalk maps extracts from the Vendor tool.
• Worked with heterogeneous teams to gather requirements through interviews, brainstorming sessions, and requirement management meetings.
• Gathered and documented Supplemental requirements within the Supplemental Specification document.
• Gathered and documented Data mapping requirements for Crosswalk extract to Data store and also for SF to 837(P, I).
• Designed Activity Diagrams and flow diagrams and Sequence Diagrams, Process plans and workflows using Microsoft Visio for depicting the maintenance process of the BCBSMN Crosswalk.
• Performed analysis on multiple areas within the NASCO’s claims processing system- NPS; results of analysis were documented in detail and shared with corporate workgroups for approval.
• Created and maintained business rules in Requirement repository template (RRT) for the Crosswalk requirements and the Medical coding operation data store.
• PerformGAP analysis on the Confidential Assessment and WEDI white paper.
• Experienced in interacting with vendors and extracting requirements through knowledge gathering sessions. Worked with NASCO to gather ICD10 requirements and to understand NASCO’s (NPS) readiness to process ICD10 claims. Worked with HLI to gather ICD10 mapping requirements. Worked with Trizetto on their QlickView tool that BCBSMN’s pricing team uses. My role as a SME from the ICD10 BSA team was to gather BCBSMN’s user security requirements.
• Wrote requirements and Business rules to implement ICD10 for Pharmacy claims.
• Prepared Data modeling and Data Mapping document for data elements and data cleansing that were used for Current and New system in MS-Excel.
• Extensively used Extract Transform Loading (ETL) tool of SQL Server to populate data from various data sources.
• Gathered requirements and created Use Cases, Use Case Diagrams, Activity Diagrams using MS Visio.
• Extensive experience in Data Analysis and ETL Techniques for loading high volumes of data and smooth structural flow of the data.
• Collaborated with the development team to enforce the implementation of requirements throughout the entire coding cycle and managed change request using Rational Clear Quest.
• Coordinated with Architect teams, Technical teams and reviewing requirements.
• Worked on documenting Business Rules and reporting requirements for Trizzeto & Pricer Analyzer.
• Documented User Security rules for vendor tool Qlikview and also helped uses to generate few reports. Also documented few Reporting requirements in a Requirement specification document for custom reports.
• Used Traceability Matrix and Views on Requisite Pro to manage requirements pertaining to Provider partner testing.
• Conducting Training sessions on vendor tools and documenting workflow/manuals per BCNSMN.
• Coordinated with Claims Migrations Teams (NASCO) for common assets.
• Worked with heterogeneous Business teams to gather requirements from teams on metrics and KPI's for ICD10 Corporate Dashboard and ICD10- 9 Crosswalk.
• Created Survey questionnaires, scheduled requirements sessions to discuss how various KPI's were tracked and impacted.

Confidential

Business Systems Analyst

Responsibilities:

• Developed various Flow Diagrams, Activity Diagrams and Mock up screens for requirement session. Prototyping skills were extensively used to accomplish task and formal reviews after each Iteration or change.
• PerformedGAP analysis toassess“AS IS”and“TO BE”scenarios on various assets being impacted by HCR.
• Captured requirements for the assets on Page specification Templates., Functional Specification Documents.
• Performed Coordination with downstream and Upstream Projects, Requirements traceability to manage requirements.
• Captured Business rules, Functional & non-functional requirements from heterogeneous group sessions, brain storming sessions.
• Gathered Requirements such as Language Preference, Member Preferences, EOB's through Group discussion which impacted Customer Service application FOCUS, and IVR, and EOB’s system.
• Report requirements were captured for the corporate dashboards. We used Surveys and questionnaires airs to the performance of the Products.
• Documented various Business rules, Technical requirements, Business requirements and Supplemental requirements.

Environment: RUP with SDLC, MS Visio, MS Excel, MS Word, MS Power Point, SAS BI, HLI Leap I 10, HLI Code explorer, Encoder Pro, Windows NT, ReqPro, Lotus Notes, Clear Quest, Java, Oracle 9i, SQL. ETL., BO XI3.1.

Confidential, Longbranch, NJ

Senior Consultant

Responsibilities:

• Created Failover map requirement management process (which was considered to be a critical piece of Disaster recovery Program). Complied requirements from our entire customer base and then implemented fail-over procedures working with our customers from all over the world, Like Barclays capital, RBOS, Merrill Lynch, Confidential, Expedia, New Edge Fimat etc.
• Developed Business Requirement Specification as well as High-Level Project Plan on the Project Scope following ITIL and SDLC Methodology.
• Involved with multiple task project assignments, scheduling, and tracking; facilitating meetings with all levels of the business community for requirements gathering, project development, design considerations, impact and risk analysis, and quality control of client acceptance testing.
• Involved in creating Data Flow diagrams for the enhanced application.
• Lead Business Intelligence reports development efforts by working closely with Teradata and ETL teams.
• Worked extensively on writing Data Mapping Documents and Data Transformation Rules for creating a Data Mart for Reporting Purposes.
• Worked with various business users to develop Vision Document and Business Requirement Specifications and gathered Business and Functional Requirements.
• Accumulated stake holder’s requirements from various ends through surveys, questionnaires, interviews with individual SME’s/ Groups and translated them into system requirements.
• Prepared documentation to provide the necessary step-by-step failover (and failback) procedures for customers configured with and using the new FTP fully qualified domain name (FQDN).
• Performed GAP analysis and web application Analysis to suit the users/ customers’ needs.
• Understood various connectivity modes and protocols like, FTP, SFTP, HTTP, VPN and MQ Configurations.
• Created connectivity diagrams of all the customers for presentations using MS Visio.
• Suggested measures and recommendations to improve the current application performance.
• Worked on Exceed Humming Bird system to understand the various customer profiles and the routing of the messages.
• Analyzed data and created class diagrams and ER diagrams for designing databases like RecipDB, validate, EventStore databases.
• Responsible for meetings with users and stakeholders to identify problems, resolve issues and improve the process to ensure a stable and accurate solution.
• Designing and developing Use Cases, Activity Diagrams and Sequence Diagrams, Process plans and workflows using Microsoft Visio.
• Applied Unified Modeling Language (UML) methodologies to design, Use Case Diagrams, Activity Diagrams, Sequence Diagram, and Connectivity Diagrams.
• Designed the look-n-feel requirements of the application through wire framing using MS Visio, for better illustration of the application to research team.
• Coordinated testing of front-end to check all functionalities of the different modules.
• Responsible in providing Sales and Marketing Team with reporting that enables them to analyze the Company performance in a strategic manner and effectively monitor the Company Business
• Assisting in conducting and documenting workflow modifications and manual procedures.
• Using enterprise content management platform Stellent. The company started to Use Documentum in the final stages for better storage of the documents.

Environment: ITIL, SDLC, Gap Analysis, UML, MS Project, MS Visio, MS Excel, MS Word, MSPower Point, Exceed Hummingbird, GTM 5, MyPortal, UNIX, Solaris, Windows NT, Powercenter Informatica 8, Caliber RM.

Confidential

Business Analyst

Responsibilities:

• Understand, formulate and define client needs, scope, objectives, and business requirements
• Analyzing the NASCO benefits in existence by group, section, package and product and determines benefit accumulation rules & define, compile/track and test benefit accumulation rules
• Once the benefit accumulation rules are defined, populated them into the benefits repository and applying Q/A on them
• Created business scenarios to help the system analyst prepare for the pilot presentations
• Communicate system delivery performance and support services information to the Plans, System Steering Committee, Executive Committee and System Managers
• Perform analysis of multiple areas within the NASCO Processing System NPS; results of analysis will be documented in detail and shared with corporate workgroups for approval
• Worked closely with the IBM team to make sure that the system defects are rectified and the claims are processing correctly.
• Used Requisite Pro to document the Business use case specifications and rules, tagged them in order to enable traceability and SODA report generation.

Environment: Rational Unified Process (RUP), Req Pro, UML, HIPPA, MS Suite, JCL, DB2, CICS, VSAM, INFOX, Rational Clear Quest, and BTF, Application Enhancement, Document Analysis, Gap Analysis, BAT testing, UAT.

Confidential

Business Analyst

Responsibilities:

• Developed and documented Software Requirements Specification (SRS) and using Rational Requisite Pro.
• Handled requests for proposals, prepared presentations to customers, and negotiated project timelines and deliverables.
• Implemented SDLC which included Requirements, Specifications, Design, Analysis and Testing utilizing RUP methodology.
• Assisted in conducting and documenting workflow modifications and manual procedures. Used UML methodologies and Requisite Pro tool to design, document, and manage requirements throughout the full lifecycle of the project, i.e. definition, design, and testing phases.
• Prepared business process models (BPD’s) that include modeling of all the activities of business from conceptual to procedural level.

Environment: RUP, Waterfall, MS Office, MS Visio, GAP Analysis, Microsoft Biz Talk Server, UML, Rational Rose, RACI, Requisite Pro, RUP, Oracle, SQL, C++, UNIX, Win Runner, Use Case Analysis.

Confidential, Montvale, NJ

Business Analyst

Responsibilities:

• Gathering product requirements in order to describe the business needs in terms of the main deliverables or products that are created.
• Identifying risks associated with proposed solutions, Created models of "as is" and "to be" business processes and associated narratives.
• Interacting with Business users and created the process requirements and involved in discussions with design and development team to explain the flow of future data modules.
• Interacting with Subject Matter Experts, Project Managers, Developers, and participated in JAD sessions.
• Involving in discussions with Business Users and Subject Matter Experts to come up with the requirements prioritization, Eliminated false and redundant requirements by screening out multiple versions of user input.
• Creating use cases and use case diagrams using Rational Rose.
• Providing clear and concise documentation regarding requirements management plans, functional requirements and non-functional requirements
• Working closely with QA and Developers to clarify/understand functionality, resolve issues

Confidential

QA Analyst / Business Analyst

Responsibilities:

• Conducted meetings with the stakeholders to gather all the ideas that the user wants to be incorporated into the project.
• Performed a business analysis and risk analysis of the application to identify the key risk areas for the project.

Environment: Win Runner, Test Director, HTML, JSP, JBoss, Oracle, Unix and Windows 2000