SUMMARY

• Healthcare Business Analyst with 7 years of experience in HealthCare, Pharmacy, Insurance and IT based Industries.
• Expertise in all the phases of the Software Development Life Cycle (SDLC), Agile Development and RUP methodology.
• Expertise in documenting the Business Requirements Document (BRD), Requirements Traceability Matrix (RTM), generating UAT Test Plans and assisting in Post Implementation activities.
• Experienced in Migration Projects and Legacy systems across various organizations.
• Gathered requirements from different Business Areas like Claims, Benefits Administration, Group Administration and Provider Administration.
• Vendor Management - Worked as a facilitator for Testing Efforts and New Requirements between the Healthcare Company and its various Vendors.
• Facilitated Change Management across entire process from Project conceptualization to Testing through Project Delivery.
• Expert in creating Use Cases, Use Case Diagrams, Class Diagrams, Sequence Flows using MS Visio and Rational Rose using UML concepts.
• Expertise in using SharePoint and Requisite Pro - tagged requirements, assigned attributes in Requisite Pro, created a traceability matrix.
• Mercury Test Director - Expert in all phases of the web based application.
• Expert in building test plans and test cases and navigating through the test lab.
• User Acceptance Testing (UAT) - Specialized in Usability Testing and Regression Analysis.
• Defect Management - Fully involved in the process of defect identification and resolution using Test Director / Quality Center.

TECHNICAL SKILLS

Business Modeling Tools: MS Visio, UML, Rational Requisite Pro, Rational ClearQuest.

Computer Languages: C, C++, SQL, Pegasus, Visual Basic 6.0, HTML, .NET, JAVA

Databases: MS Access, SQL Server, Toad, Informatica, Oracle 8i.

Tools: and Packages: MS Office, Adobe Acrobat suite, Mercury WinRunner 7.0, TestDirector 5.0, Quality Center

Methodologies: RUP, UML, AGILE, SCRUM, Business/Data Modeling, S/W immersion, ITIL, SDLC.

Testing / UAT Tools: Mercury Quality Center, Rational Test Manager, MORAE.

PROFESSIONAL EXPERIENCE

Confidential, Newark, NJ

Sr. Business Analyst

Responsibilities:

• Worked with Provider Business Area to document the requirements for termination of the existing DME providers and transitioned them to CareCentrix.
• Worked with the Claims Business Area to document the new Claim Process Flows and business requirements.
• Analyzed the business requirements, technical specifications, design documents and structure of the business.
• Created Test Plans and UAT Plans for the project and ensured Test Results meet the business’ expectations.
• Reviewed UAT results with the Business prior to GO LIVE of the project.
• MonitoredChange Control Requestsand documented requirements, integrating them with existing Business Requirement Document.
• Conducted JAD sessions, which helped synchronize the different stakeholders on their objectives and helped the developers to have a clear-cut picture of the project.
• Actively participated in the Walkthrough and Defect Report meetings.
• Interacted with development team for new functionality and reviewed defects.
• Attended review meetings and walkthroughs to discuss the status of the project.
• Maintain regular communication and co-ordination between all relevant business areas. Educated business areas regarding the upcoming project and participated in Training and Education manual requirements.
• Used Quality Center to write, execute and management of test cases and defect tracking.
• Coordinated Defect/Issue Resolution among Developers, Engineers, DBAs and other teams.
• Provided quality metrics using software quality assurance standard for determining software release readiness.
• Performed execution of test cases manually to verify the expected results.

Environment: NASCO, QBLue, Quality Center, Oracle, SQL Server, UNIX, Windows 98/NT.

Confidential, New York, NY

Sr. Business Analyst

Responsibilities:

• Gathered Business Requirements from the Subject Matter Experts (SMEs) and documented the requirements in the BRD. Utilized data flow diagrams, use case diagrams and process flow diagrams to represent information provided by the Business Owners.
• Gathered requirements from various business areas for the Medicare Project. Read the Call Letter and derived requirements for different business areas.
• Followed Agile Scrum Methodology and completed various projects in Sprints.
• Updated the Benefit Base Plans across the organization based on CMS advised guidelines.
• Vendor Delegation Project - Worked on Vendor Delegation Models on Chiropractic claims that were delegated to HealthWays.
• Organized meetings and led JAD sessions to ensure legal and compliance deadlines of CMS (Centers for Medicare and Medicaid Services) are met.
• Worked with the UAT and QA teams to conduct an assessment and determine how effective UAT and QA guidelines can help the company achieve timely completion of projects.
• Worked with Business Owners of Qcare, the claims adjudication system, and documented updates and enhancements to the application.
• Effectively elaborated the Current Process and gave a clear picture of the proposed process for the projects in the organization. Worked aggressively towards timely completion of High Priority Tasks.
• Change Control Process - Led the Change Control Process for changes submitted for the BRD once the document was submitted to IT department.
• Worked with IT to resolve issues and clarify Business Requirements from the Business Owners.
• 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.
• Develop and maintain effective working relationships at all levels of the organization.

Environment: Qcare, Heads Down & PEPs, MS Access, ORACLE,MS Word, MS Visio, Excel, and PowerPoint.

Confidential, Columbus, OH

Sr. Business Analyst

Responsibilities:

• Gathered requirements and created the Business Requirement Document for the project from vetting to the approved version.
• Defined the scope and implemented business rules of the project, gathering business requirements and documentation.
• Gather requirements and document the proposed processes to the existing system. Modules included: Claims Processing Files and HIPAA Guidelines adherence across the company.
• Drug Card Project - Worked in a project involving Miami Systems (WorkFlow One) to create Drug Cards.
• Worked with Vendors like Workflow One to ensure printing of Welcome Kits and ID cards are scheduled on time for the new and existing members.
• Vendor Management - Worked on vendor delegation projects through the vendor liaison in the organization.
• Created Test File to be sent to the Drug Card Vendors for approval. Worked on a Paid without prejudice project for various States.
• User Acceptance Testing (UAT) - Performed UAT tests using the MORAE Usability Testing Tool using the Observer and the Manager Mode.
• Testing - Developed Test Scripts using Test Director/Quality Center and coordinated with developers to quickly resolve the defects associated with them.
• Conducted JAD sessions with the management, users and other stakeholders for open and pending issues to develop specifications.
• Analyzed and evaluated User Interface Designs, Technical Design Documents and Quality Assurance Test Conditions the performance of the application from various dimensions.
• Helped create the ‘Business Glossary’ to facilitate efficient understanding of the business process amongst the other teams.

Environment: MS Visio, Word, Excel, PowerPoint, CMMI, Rational Rose, Requisite Pro, Clear Case, Clear Quest, SQL, Oracle, J2EE technology, Java, Perl.

Confidential, Downers Grove, IL

Business Analyst

Responsibilities:

• Analyzed and prioritized user and business requirements as system requirements that must be included while developing the software.
• Conducted UAT (User Acceptance) Testing. Provide end user training and extensive go-live assistance.
• Facilitated and conducted technical/non-technical presentations to the management and training workshops for the new
• Involved in the Requirements, Risk Analysis, and Design Reviews for new features.
• Participated in requirement review meetings to address any issues or action required to validate requirements.
• Conducted meetings with SME to discuss and understand business rules /logic of the product requirements.
• Analyzed and understood each requirement to create requirements flow for the purpose of creation of test scenarios and test cases.
• Create test cases with various scenarios based on business rules of the requirements.
• Performed peer review to provide feedback for necessary adjustment.
• Conducted meetings and made presentation to the client of overall approach of testing.
• Executed test case scenarios to verify that the application fulfill each requirement.
• Compared the instance with use case and design document to verify necessary functionality implementation.
• Involved in defect review meting to verify the error by team discussion.

Environment: Clear Quest, Oracle, SQL Server, UNIX, Windows Quality Center.