SUMMARY

• 8+ years of diverse experience in Information Technology with focus on Business Analysis, Business Modeling, Requirement Gathering, Technical Documentation, and Software Validation.
• In - depth knowledge and experience in Software Development Life Cycle (SDLC) Methodologies for Waterfall, Spiral, Agile and Rational Unified process (RUP).
• Vertical Domain experience in Healthcare, Insurance and Telecom.
• Extensive experienced at writing business requirement documents (BRD’s), defining project plans, preparing system requirements specification, and delivering project reports.
• Proficient in creating Use Cases, Use case diagrams, Sequence diagrams, and Activity diagrams.
• Adept in Requirements Gathering through interviews, workshops, Story board sessions.
• Adequate knowledge in EDI/HIPAA health information & health care services regulatory environment working knowledge and compliance experience along with proficiency in using ICD10/ CPT/ANSI/HL7 coding standards.
• Understanding of managed health care, HMO, PPO, Pharmacy and Healthcare Claims Processing. Familiar with Electronic Medical and Health Records (EMR & EHR)/Automated Health Care Systems.
• Experience in implementation of Risk Management Information System(RMIS) with Riskonnect and Learning Management System(LMS) did analysis and feature comparison with other systems
• Experience with building reports-SSRS, Cognos, Crystal Reports, dashboards for analytics - Performance Point Services, Pentaho, Geo-analytics-ESRI and collaborative team sites(using Microsoft SharePoint Server 2010)
• Comfortable with gathering requirements and analysis for a Service Oriented Architecture, Identity Management, Legacy Migration, COTS Solution and working with global teams.
• Experience in facilitating Joint Requirement Planning (JRP) sessions with Business User Groups, conducting Joint Application Development (JAD) sessions with IT Groups and Conflict Management with Project team members.
• Competent in Creating Unified Modeling Language (UML) diagrams such as Use Case Diagrams, Activity Diagrams, Class Diagrams and Sequence Diagrams.
• Extensive experience in developing Use Cases, creating Screen Mockups, conducting Gap Analysis and Impact Analysis, SWOT analysis, PESTLE, MOST, Cost Benefit Analysis, Risk Analysis.
• Facilitated Change Management across entire process from Project conceptualization to Testing through Project Delivery, Software Development and Implementation Management.
• Ability to manage, monitor, and control software development projects to successful deployment and to work with project stakeholders to achieve desired outcomes.
• Involved in Test Planning, Test Preparation, Test Execution, Issue Resolution and Reports.
• Strong experience in conducting User Acceptance Testing (UAT) and documentation of Test Cases.
• Highly motivated team player with excellent Interpersonal and Customer Relational Skills, Proven Communication, Organizational, Analytical, Presentation Skills, and Leadership Qualities.

TECHNICAL SKILLS

Operating Systems: Microsoft Windows 8/7/2003/XP/NT, Unix, Linux

SDLC Methodologies: Agile, Waterfall, Spiral, RUP Process and Prototyping

Internet Languages: UML, HTML, SQL, Java, Java Script

Databases and Tools: Access, SQL Server 2005 and 2008, My SQL, Oracle9i

Quality Management: IBM Rational Manual Tester, Quality Center, QTP

Project Management: Microsoft Project Professional

Change Management: Rational Clear Quest 7.1, Requisite Pro v7.1

Web Applications: HTML 5.0, UML

Languages: Java, Java script, SQL, ASP.NET, C#.NET, HTML and UML

Version Control: Rational Clear Case, Visual Source Safe, Team Foundation Services

Business Intelligence / Reporting: SQL Server Reporting Services(SSRS), Performance Point Services, Cognos, Pentaho, ESRI

Content Management System: Microsoft SharePoint Server 2010

CRM: SalesForce.com

PROFESSIONAL EXPERIENCE

Confidential

Sr. Business Analyst

Responsibilities:

• Organized and conducted Requirements Vetting Groups (RVGs), to understand the requirements and business processes both current and future.
• Analyzed the requirements and created FRDs by interacting with the IT personnel and business users.
• Translated wireframes/ mockups into functional documentation that the business can understand through the development of Use Cases and Business Process Flows to map out the target future state.
• Performed Gap Analysis for new functionality requirements, as well as prioritized them based on actualbusinessneeds
• Developed a business backlog for future phases of the application for primary stakeholder to review and prioritize accordingly
• Involved helping QAs develop Test Cases and Test Plans for unit testing based on the functional requirements outlined.
• Involved in documenting requirements for data migration.
• Preformed and conducted User Acceptance Testing (UAT) for each module of the system.
• Interacted with business and IT personnel to develop user training manuals.
• This project was executed using a mixture of Agile/waterfall methodology.
• Involved in helping develop a requirements sign off process using JIRA tracking tool.
• Utilized Confluence for business document sharing.

Confidential, GA

Business System Analyst

Responsibilities:

• Created Stakeholder Analysis Matrix to identify key stakeholders, evaluate their interests, power, support level and flexibility.
• Organized and conducted JAD sessions, user interviews and surveys to identify, understand and document the requirements.
• Analyzed the requirements and created BRD and FRD by interacting with the IT personnel and business users.
• Translated Business requirements to functional and technical language with the help of use cases and UML diagrams for developers.
• Developed RTM to find out if the current project requirements are met and ensured its timely update.
• Interviewed SMEs and carefully recorded the requirements in a format that can be reviewed and understood by both business people and technical people.
• Worked with FDA guidelines (21CFR), HIPAA and EDI transactions.
• Involved in coordination of implementation of Risk Management Information System with Riskonnect RMIS for compliance.
• Grouped the Use Cases and other diagrams into sequence and collaboration Diagrams using Rational Rose based on Agile Scrum, UML methods; thereby defining the business process model.
• Involved with all the phases of Software Development Life Cycle(SDLC)methodologies throughout the project life cycle.
• Prepared High Level Logical Data Models and BRDs (Business Requirement Documents) supporting documents containing the essential business elements, detailed definitions, and descriptions of the relationships between the actors to analyze and document business data requirements.
• Created and managed the reports using SSRS.
• Verified and analyzed X12 Medical encounter files processed by external client for building business logic of corrected claims by using tools like E-track, Rev Runner and HIPAA Processing to ensure HIPAA compliance.
• Participate in Triage meetings and help testing team to prioritize the requirements and participated in User Acceptance Testing (UAT).
• Involved in preparing a simple and detailed user and technical manual.
• Conducted training sessions and workshops for the application users

Environment: Agile Scrum Methodology, Confidential Visio, HP Quality Center, ASP.NET, SQL Server, SSRS, Riskonnect RMIS

Confidential, Nashville, TN

Business Analyst/SharePoint Admin

Responsibilities:

• Followed Agile methodology for project execution.
• Interviewed the stakeholders including product owner, database developers, and server admins to gather businessrequirements for all the modules to be covered under the application.
• Conducted multiple JAD sessions to synchronize different stakeholders on their objectives and gathered requirements.
• Performed GAP analysis to understand the AS-IS system and the TO-BE system by having discussions with the SMEs.
• Derived and resolved issues in Scrum meetings.
• Supported developers to createbusinessprocess workflows, lists, documents in SharePoint2010.
• Identified and validatedbusinessrules and data elements. Performed Data mapping and logical data modeling.
• PreparedBusinessRequirements Documents to enlist the high-level scope of the project.
• Created Process Flow diagrams, Data Flow diagrams (DFD), State Diagrams, Activity Diagrams and Entity Relationship diagram (ERD) in Confidential Visio using UML for various modules of the project as needed.
• Designed the security, roles and permissions model to replace the pre-existing model giving the users a more secure and flexible security plan.
• Administered and managed user accounts using Active Directory.
• Integrated Web Services forbusinessprocess workflows.
• Developed Test Plan, Test Scenarios, Test cases, Test Scripts based on the Use cases and Functional specifications and also performed manual testing of the functionality of the application by inserting varying data on different test runs.
• Conducted and performed User Acceptance Testing (UAT).
• Generated reports with the test data and performed Report Benchmark Testing.
• Ensured the accuracy and consistency of the data during the data loading process and creating load sets.

Environment: Windows Server 2008, SharePointServer 2010, Confidential SQL Server 2008 R2, ODBC, .Net 4.0, HTML, CSS, XML, Windows 7, UML, Web Services, SOAP, JavaScript, JSON, Rational Suite, Confidential Visio, Confidential Project, Confidential Excel, Confidential Word. Confidential Visual Studio

Confidential, Alpharetta, GA

Business Analyst

Responsibilities:

• Managed Project scope, milestones, risks and user acceptance tests with internal and external stakeholders.
• Conducted meetings with users and other stake holders to elicit, organize and document the requirements and also created project status reports and feasibility reports for stakeholders.
• Gathered and analyzed the requirements and converted them intoBusinessRequirement Specifications (BRS) and Functional Requirement Specifications (FRS) for the designers and developers and QA Team to understand them as per their perspective.
• Designed and developed use cases, activity diagrams, and sequence diagrams using NetBeans.
• Extensively facilitated meetings/conference calls with stakeholders, project managers, developers, QA Analysts and other end users based onsite/offshore to deal withbusinessand technical issues and resolving the issues.
• Created "As-IsBusinessModels" to understand the existing claim settlement process flow through interacting with SMEs, underwriters and Finance department.
• Shared knowledge by performing Impact Analysis on transition from ICD 9 - ICD 10, made suggestions on UI and other changes required to be met during transition.
• Worked intensively with Medicare & Medicaid claims and claims processing for HIPAA transactions.
• Involved in requirements gathering and preparing the technical system design and System Design analysis of the flow of EDI transaction sets 834, 835, 997.
• Performed Gap Analysis for new functionality requirements, as well as prioritized them based on actualbusinessneeds so as to align them with the product release roadmap.
• Involved in testing the conversion of the application by generating test scenarios in test plan document.
• Validated data at the back-end to ensure that all the Claims related data had been loaded to the corresponding Data Sets in the back-end and the pricing for these Claims was completed as per the Standards.
• Analyzed the results, generated reports and tracked the defects using Quality Center.
• Created and maintained the Test and Traceability Matrix.
• Conducted System, Integrated and Regression testing to the application usingBusiness, Functional, User Acceptance and Usability testing.
• Prepared test data in HIPAA compliant X12N format for both inbound and outbound healthcare EDI transactions.
• Trained implementation managers to work on the new application.
• Generated SQL scripts for Development and testing purposes.
• Actively participated in all phases of testing lifecycle (Design, Planning, Development and Results).

Environment: Windows Server 2008, SQL Server 2008, Confidential Excel, Confidential Visio, Confidential Project, .Net 3.5, XML schema, WSDL, Java, JavaScript, JSON, SOAP, UML, SDLC/Agile, Quality Center, NetBeans.

Confidential, Greensboro, NC

Business Analyst

Responsibilities:

• Managed all aspects of the project life cycle from scope definition and solution development through implementation. Followed solely Agile methodologies during the course of the project.
• Facilitated JAD sessions with SMEs and business analysts from other feeder systems for a detailed analysis and a better understanding of impact of various projects on each other.
• Analyze business requirements and segregated them into Use Case Diagrams, Activity Diagrams, Sequence Diagrams, and OOD using Borland Together according to UML methodology thus defining the Data Process Models. Captured Security, Disaster Recovery and Service Level requirements.
• Identifiedissues,risksandGaps, documented descriptions and their impact in order to provide recommendation/alternatives to develop the application. Negotiated with teams from projects to decide if modules should be implemented independently or in Parallel. Documented the AS-IS and TO-BE processes.
• Coordinated with business users and developers to arrive at a mutually acceptable solution.
• Salesforce.com configuration experience in creating or configuring Custom Objects, Custom fields, Dependent Picklist, Custom Tabs, Role based Page layouts, Validation Rules, Email Templates, Workflow Alerts and Actions, Workflow Approval, Approval Processes, Custom Reports and Report folders
• Captured integration points with existing issue tracking system - HP Quality Center with SalesForce.com, also involved with creating SSIS package definitions
• Captured and document requirements for Business Intelligence that included analytics on product quality, Customer Satisfaction index, Performance Matrix including drill downs, reporting, and filters. Analytics were implemented using Pentaho. ESRI module was used for Geo-analytics.
• Interacted with the development and testing teams to improve overall quality of the Application.

Environment: Agile, UML, Confidential Visio, SQL, Confidential Office, HP Quality Center, Rational Requisite Pro, Rational Clear Quest, SalesForce.com, Pentaho, ESRI

Confidential, Charlotte, NC

Business Analyst

Responsibilities:

• Developedbusinessrequirements, functional traceability matrix, use cases and reviewed test plans.
• Participated in formulating and defining system scope based onbusinessneeds.
• Facilitated meetings withbusinesspartners, offshore resources, and internal users to develop essentialbusinessrequirements.
• Developed test plans defining thebusinessrequirements.
• Worked hands-on in executing the test scripts for front-end and back-end testing.
• Cross-validated a tested solution to functional requirements and provided the completed requirements with a solution document.
• Provided recommendations to address and resolvebusinessissues.
• Provided status information to the IT Project Manager regarding System Testing progress, identifying and escalating any development problems that could impact the project schedule.
• Provided CIT/SIT testing as required for everyBusinessRequirement/Change Request.
• Reviewed the contents of the Release Package during the CIT process for quality and completeness prior to SIT.
• Managed the resolution of any defects/issues as found during User Acceptance Testing phase.

Environment: Agile, Waterfall, Confidential Office, UML, Confidential Visio, Confidential Project, HP Quality Center

Confidential, IL

Business Analyst

Responsibilities:

• Utilized Rational Unified process (RUP).
• Collaborated in building a business analysis process model using Rational Rose and Confidential Visio.
• 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.
• Interacted daily with the project team and resolved issues to make enhancements based on change requests.
• Transformed the needs of the Business User and stakeholders into functional/technical requirements.
• Prepared Business Context Diagram, Use Case diagrams and corresponding Activity Diagrams using Rational Rose to depict the workflows.
• Meticulously assessed data from various sources and generated conceptual and logical database designs using UML data modeling tools.
• Experience in managing the changes in requirements by Unified Change Management Tools (UCM) like Rational Clear Quest.

Environment: RUP, UML, Rational Rose, Rational Requisite Pro v7.1, SQL, Window 7, Confidential Office.