SUMMARY

• Hands on experience in gathering requirements, interviewing senior level company officials to gather requirements for documenting project functional specification.
• Experience and understanding of software development process including Software development life cycle (SDLC), RUP’s Iterative System Development Life Cycle process, implementing the Rational Unified Process (RUP) in all four phases of a project Inception, Elaboration, Construction and Transition.
• Experience in capturing data requirements, data analysis & data mapping for Vendor feeds and Databases.
• Wrote Test Scripts, Technical Specification Documents, and worked on application’s input / output data definitions.
• Experience in SASv8, SAS/BASE, SAS/SQL, SAS/Access and SAS/MACRO in UNIX and Mainframes environments
• Used MS Excel spread sheet, PowerPoint, MS Visio, MS Projects.
• Experience in creating and maintaining the Requirements definition documents that included Business requirements and Functional requirements.
• Skills in developing Use Case diagrams, Sequence diagrams, State Chart diagrams, and Class diagrams.
• Expertise in Claims, Subscriber/Member, Plan/Product, Claims, Provider, Commissions and Billing Modules of Facets.
• Involved in Facets Output generation, Interface development and Facets Migration Projects.
• Provided analytical solution to the customers for Facets Production Issues.
• Management, Execution and Documentation skills.
• Expertise in all areas of software development including client interaction, requirements gathering, analysis and tele - conferencing with the client during the progress of the projec
• Experience with Confidential Facets 4.21/4.31 and Confidential HIPAA Gateway 4.11 - supported new business requirements by extending the functionality of the core Facets system using the Facets extensibility architecture feature.
• Experience with TriZettos Facets Application Groups: Claims Processing, Guided Benefit Configuration, Medical Plan, Provider, Subscriber/Member, Utilization Management.
• Huger exposure to various banking, financial, health, retail and data warehouse modules
• Expertise working in Healthcare industry with Insurance, Loans, Claim Processing, etc. Medicaid and Medicare modules as well as Interface Testing and Data Conversion
• Emphasis on different banking
• Expertise in GAP Analysis Methodology and have taken companies from their ”As is” to their “To be”.
• Worked in different ICD 9, ICD 10 projects and understand the difference in code implementation.
• Strong background in Agile Environment and understand the reason why we use Agile Methodology.
• Have paticipated in lots of Scrum meetings, and have been able to work hard inorder to meet the SLA (Service Level Agreement) of every project.
• I have great knowledge in bug tracking, and have tracked bug using Bugzilla, and Quality center.
• Organised some UAT where I was actually the facilitator and was able to create the right environmentfor the UAT, making sure everyone that needed to be there for the UAT was there so that we could avoid change request management.
• Tested some Edi functionalities and made sure the EDI system does what it was meant to do.
• I have being in aposition where I was able to test and verify that all EDI applications are maintained to the letter.
• Good knowledge of SQL and able to understand the table schema to be able to generate SQL statements for the team.

TECHNICAL SKILLS

OPERATING SYSTEM: Windows 2003 Server, Windows XP/2000, UNIX

TESTING TOOLS: WinRunner, LoadRunner, Quick Test Professional, Rational Team Test

BUG TRACKING TOOLS: Bugzilla.

FRONT - END TOOLS: Adobe Photoshop, MS Office, Niku Workbench, MS Project

PROFESSIONAL EXPERIENCE

Confidential, Newport Beach, CA

Sr. Business/Quality Analyst

Responsibilities:

• Working as a business analyst to understand the requirements for Facets task and explain it to the developers for implementation.
• Performing the internal and external code review tasks for database components in all the phases like Design, Build/Code, Break/Fix, UCR and short which are done according to the Confidential coding standards.
• Analyzing the issues which are failing in production or not working properly, to find the root cause and fix the issue.
• Developing stored procedures for new facets interfaces and outputs.
• Involved in various HIPAA and HL7 testing and validation for EDI transactions using 820, 834, 835, 837, 270/271, 267/277, 278
• Creating and Updating Facets security profiles as per the template provided by the clients.
• Analyzing the code changes for migration purpose. Also analyzed the effort and impact of merging the new code from changes done in production environment to the migrated environment.
• Creation of Run Book as per the new standards for migration environment.
• Batch Creation for testing purpose.
• Updating Test cases and Manual Testing.
• Interacting with Client to accommodate any new change in requirements as well to discuss the project status.
• Acted as a liaison between the project group and the operations group. Helped design scope document and the request for proposal after extensive analysis and coordinated with top management for the approval process.
• Involved in the meeting and trainings for Business process owners, SME (subject matter experts) and Marketing Team for Requirements gathering in definition stage.
• Facilitated the customer in defining the high-level functional requirements and needs.
• Gathered the Requirements, Develop Process Model and detailed Business Policies and modified the business requirement document.
• Responsibilities involved product direction, including new platform, architecture enhancements and customizations.
• Used Bugzilla to track, analyze and document defects.
• Assisted in developing an Analysis Model that includes entity classes, use case diagrams, sequence diagrams, object collaboration diagrams that provide the development team a view of the requirements for Construction phase activity

Confidential, Austin, Tx

Sr. Business Analyst

Responsibilities:

• Utilized Rational Unified Process (RUP) to configure and develop process, standards and procedures.
• Prepared the business requirement document (BRD) and system requirement document (SRD).
• Facilitated Provider Enrollment, Setting up Provider profile & Trading Partner Agreement.
• Set up Provider's Access to the System. (Security Setup).
• Prepared the Business requirement Document for the enhancement of the existing services.
• Wrote FRDs for the defects and enhancements and got approval from business for the developers.
• Worked on Technical design documentation (TDD) of the claims processing system.
• Performed task estimations and documentation of procedures.
• Used XML spy to post messages and validate response message.
• Designed, prepared and implemented test cases for system testing as well as for User Acceptance testing.
• Involved in the testing of web portal of New MMIS system.
• Conducted integration testing and regression testing with developers in development and QA, also conducted user acceptance testing with UAT team. Safety reporting on system-based projects, acted as a liaison, writing documentation and increased project coordination.
• Analyzed and documented system release/deployment issues according to version management, backward compatibility, load balancing of components in production environment.
• Did impact analysis for changing requirements and coordinated with business users for prioritizing the testing/release of the changes.
• Maintained a very close interaction between business users and developers to avoid any gaps in understanding or implementation of requirements.
• Did data analysis, created data mapping and data interface documents and kept the documents updated with changes in requirements and functional specifications.
• Performed Risk Analysis based on defect severity and priority
• Tested User Interface inconsistency and application functionality
• Developed Reports and Graphs to present the Stress Test results to the management
• Wrote VB script for automated testing in QTP
• Created BPR charts for AS IS and TO BE processes of different business functionalities

Environment: Oracle, Java J2EE, Quaility Center, XML, MS Office, Visio, niku, Mainframe.

Confidential, Indianapolis

Frontline Systems Support

Responsibilities:

• Worked on SAS in Mainframe environment using DB2 as database. Worked on support of batch applications.
• Prime responsibility was that of Gathering requirements, sending those to offshore development team, resolving queries, ensuring that quality procedures are followed and maintaining proper documentation.
• Attended meetings for requirement gathering and impact analysis
• Gathered requirement by interviews and JAD for new SAS components using SAS/Base, SAS/Macro, SAS/Access, SAS/SQL to process data from various input sources
• Gathered documents for changes to system based on the change requests received from business
• Extensively used Proc SQL, Proc Transpose, Proc Print, Proc Report, Proc Summary, Proc Freq, Proc Means, Proc Tabulate, Data Manipulation, Informats and Formats
• Retrieved data from databases like Oracle, DB2
• Created reports on monthly basis and shared those with sales representatives
• Used SAS functionalities like Proc Report, Proc Tabulate to create Ad-hoc reports
• Checked various verification reports to ensure that the data being processed is corre