SUMMARY

• 9 years of extensive experience in Healthcare, Pharmaceutical and Telecommunication Industry as a Business Analyst with strong knowledge of the Software Development Life Cycle (SDLC) models like Agile and Waterfall software development methodology.
• Experience in interacting with business users to identify business needs, gathering requirements and documenting requirements in Business Requirement Documents (BRD), Functional Requirement Document (FRD) and Software Requirement Specification (SRS) across the project as various deliverables
• Experienced in managing projects throughout the SDLC
• Highly experienced in designing and developing Use Cases, Activity Diagrams, Sequence Diagrams, OOD, and project reporting using Visio, assessing business processes and requirements.
• Proficient in conducting JAD/JAR sessions and user interviews as a facilitator to gather requirements
• Adept at project documentation using MS Project, preparing and executing Test Plan, Test Scripts and Test Case document for UAT based on functional and technical specifications, and performing system and workflow analysis.
• Outstanding communication skills to work with Subject Matter Experts (SME’s). Facilitated JRP sessions and JAD sessions with business owners, IT team & Users to drive out Detailed Business Requirements.
• Performed Manual and Automated Testing for applications as well as Acceptance testing.
• Worked as a business system analyst (BSA) to maintain the relationships between Business team experts and Developers.
• Extensive knowledge of Medicaid, Medicare, Procedural and Diagnostic codes and Claims Process.
• Extensive knowledge and work experience over FACETS.
• Experience in Conversion of HIPAA X12 4010 codes to X12 5010 codes and ICD 9 codes to ICD 10 codes
• Expertise in EDI and HIPAA Testing Privacy with multiple transactions exposure such as Inbound Claims 837 - Institutional, 837-Professional, 837-Dental, 835-Claim payment/Remittance Advise, 270/271-Eligibility Benefit Inquiry/Response, 276/277-Claim Status Inquiry/Response Transactions and testing in Client Server systems and Mainframe Applications.
• Tested functionality and navigation testing by executing the Test Script for version and changes.
• Expert in GAP analysis, Impact analysis, SWOT analysis, Cost benefit analysis and ROI analysis on business ventures.
• Developed exceptional interpersonal, problem solving and analytical skills coupled with excellent organizational and communication skills.
• Liaised with developers, business users and control teams for requirement implementation, reconciliation delivery and timely escalation of issues to avoid delays and facilitated other project activities
• Professional with extensive experience in the development, implementation and integration of strategies within a team oriented environment, utilizing quantitative and qualitative analytical skills.
• Excellent presentation and interpersonal skills with an ability to work with employees at all levels.

TECHNICAL SKILLS

Business Skills: Business Process Analysis & Design, Requirement Gathering, Use Case Modeling, JAD/JRP sessions, Gap Analysis and Impact Analysis

Methodologies: RUP, Agile OOAD and Waterfall

Languages: C, C++, SQL, PL/SQL, HTML and XML

Management Tools: Rational Rose, Requisite Pro, Clear Quest, Clear Case, Serena Team Track and MS Visio

Testing Tools: HP Quality Center, Win Runner, Load Runner and TOAD

Data Modeling Tools: Erwin, Informatica 7.1.1/6.5

Database: Oracle 8i/9i/10g, DB2, MS SQL Server

Operating System: UNIX, Windows 95/2000/NT/XP, and MS-DOS

Microsoft tools: MS Office 2003 (Word, Excel, Power Point, Outlook), MS SharePoint, MS Visio, MS Project, MS Access and MS FrontPage

PROFESSIONAL EXPERIENCE

Confidential, Oak Brook, IL

Sr. Business Analyst

Responsibilities:

• Interacted with the Users, Designers, Developers, SME and Project Manager to get a better understanding of the business processes and environment.
• Analyze user needs, documents requirements, and revises existing system logics as necessary.
• Work with Software Developers to support design and development, as required.
• Prepare detailed functional and technical specifications from which programs will be written.
• Conduct studies pertaining to development of new information systems to meet current and projected business needs.
• Maintain a working knowledge of system interaction to ensure success in overall architectural solution.
• Support the testing team and business users in validating that the programs meet the requirements. Participate in unit, integration, and test procedures. Compares test results against requirements to validate that coding is accurate.
• Support in the preparation of project-phase plans, implementation schedules, and cost benefit estimates.
• Support in the monitoring of implementation progress for compliance with budget and time constraints.
• Ensure data quality and integrity across data-specific application implementations.
• Function as a liaison between the client, community, and internal Software Engineers and/or external software vendors to develop system solutions to processing systems or business problems.
• Consistent exercise of independent judgment and discretion in matters of significance.
• Documented the existing system and verified it with follow-up meetings.
• Designed and developed and analyzed Use Cases, Activity Diagrams, Sequence Diagrams, using MS Visio.
• Conducted ssessions with end-users/clients, Technology team to verify business requirements
• Managed all requirements in Rational Requisite Pro, making requirements available to all the teams.
• Worked independently, and with the team to deliver results
• Managed Project task with time frame to ensure all deadlines are met.

Environment: SSRS, SQL, Microsoft SQL, Microsoft BI, MS Word, MS Excel, MS Visio, Test Director, SQL/PL, SharePoint, Microsoft Visio, HP Quality Centre 10, Microsoft Access, MS Project, Business Object, MS office Suite

Confidential, Deerfield, IL

Sr. Business Analyst

Responsibilities:

• Served as a liaison between clients and technical staff to resolve any conflicts, and gathered requirements from clients such as functional requirements and non-functional requirements
• Worked with IT department and software vendor to implement electronic data interchange EDI billing. Functioned as the primary liaison between the business line, operations and the technical areas throughout the project cycle. Performed Impact Analysis for readiness of ICD-10 conversion.
• Arranged Joint Application Development session with product management team and sales team to drive out detailed business requirements for product promotion.
• Mapped client's requirements and providing them best IT solutions involving evaluation and definition of scope of project.
• Created Use Case Diagrams Use Case Scenarios using the UML methodologies.
• Working Experience in Electronic Submissions in standard format E2B.
• Performed GAP Analysis to derive requirements for existing systems enhancements.
• Analyzed business needs and created Application Use Case (AUC) documents for business and end user review.
• Provided reporting to management via Excel reports of workload and work completion on daily, weekly, and monthly bases.
• Gathered business requirements and drafted Business Requirement Document (BRD).
• Facilitated small change requests during different phases.
• Ensure entry and exit criteria of the UAT test phase are met.
• Actively involved in the entire Software Development Life Cycle, Agile/SCRUM Process.
• Involved with the making screen design and all user interface issues by providing detailed functional requirements.
• Monitored the development of system based on RUP.

Environment: Java, MS Word, MS PowerPoint, MS Visio, Oracle, Win Runner

Confidential, Newark, NJ

Business Analyst

Responsibilities:

• Coordinated between test team, development and business team in clarifying the functionality issues and requirement specification.
• Developed an implementation guide for partners for EDI X12 transactions sets.
• Participated in the development of written, detailed business requirements, interviewed clients and defined the Functional and non-Functional requirements.
• Developed and documented the business processes associated with the change from paper billing and the ongoing policies and procedures related to EDI billing.
• Analyzed and translated data to identify trends and specific business impacts to assist operations management with strategic decision-making.
• Worked on the Test Cases and Test Plans for two other simultaneous works assigned.
• Represented the organization in client meetings, document meeting outcomes, andcoordinated all internal and external follow-ups to close issues in support of theproject requirements.
• Identified and worked on various dimensions for reporting.
• Worked with business users and technical team to monitor the deployment of the application.

Environment: Java, MS Word, MS Excel, MS Visio, Test Director, SQL/PL, Microsoft Reporting Services.

Confidential, Salem, OR

Business Analyst

Responsibilities:

• Gathered requirements from stakeholders for provider management and member management.
• Identified and validated business rules and data elements.
• Developed the stakeholder list and created stakeholder assessment matrix to prioritize them. Also worked as a BSA to maintain the relationship between business people and the Programmers
• Developed and maintained a requirements work plan and assessed the performance metrics of the team members.
• Modeled the ‘as-is’ process flow and the ‘to-be’ process flow and analyzed the gap and developed the action steps to fill the gaps.
• Conducted Risk analysis and developed mitigation plans.
• Conducted Impact analysis when there is any change in the requirements and updated the Business Requirements Document (BRD) and Systems Requirements Specification (SRS).
• Worked on Microfocus cobol as an intermediate.
• Propose strategies to implement HIPAA 5010 in the new MMIS system.
• Developed the User Interface (UI) prototypes to capture and validate requirements and spike solutions to the current problem.
• Designing Functional Specifications for the target physical database.
• Facilitated JAD sessions for Requirement Validation with Dept. of Health & Human Services (DHHS) to gather requirements for the new MMIS.
• Developed UAT test cases associated with the functional requirements.
• Maintained a bi-weekly status report for the requirements team and incorporated the same to the PMO status reports send to CMS.
• Analyze different data cross-walks, complicated logic & look ups required by different fields for the source to target transformations.
• Analyze EDI - X12 data elements captured by the existing system to validate it against the data elements required for new system.
• Participated in developing test plan, test scripts, and test scenarios and designed user documentation
• Worked with legacy team in developing BRD for multiple system change requests and participated in system testing.
• Used Microsoft SharePoint as the version-tracking tool for managing the requirements documentation.
• Create monthly/weekly status reports to update the project schedules & deliverable plan.
• Examine the system design deliverables & validating it against the Request for Proposal (RFP).

Environment: MS Office, Windows 2000, .NET, MS Visio, MS SharePoint, TFS, MS Project, MS Visio, SQL, Oracle, SOA, HTML.

Confidential, Dublin, OH

Business Analyst

Responsibilities:

• Analyzed Business Requirements, developing tracking and enhancing them into functional requirements using Rational Requisite Pro as a requirements tool.
• User Acceptance Testing (UAT) - Carried out UAT activities associated with each project and presented the results to the Business Stakeholders.
• Worked on HIPAA transaction codes specifically on EDI 837, 835 and 834 to in corporate enhancements to existing efforts on capturing and mapping, member enrollment and eligibility and contribution data respectively received at the Plan level from the State.
• Documented the meeting minutes from the JAD’s and stored the artifacts in the appropriate place holders in PDS and SharePoint for both the teams to review.
• Worked in GAP analysis to understand the difference between both the billing systems and documented the GAPs in GAP analysis spreadsheet. Used UML and RUP best practice methodologies along with supporting toolset including Mercury Test Director, Caliber RM and StarTeam for overall development framework.
• Documented the business requirements into functional requirements document.
• Gathered the requirements and transformed them into high-level Process-Flow Diagram using PowerPoint.
• Created a task plan for the team identifying the key deliverables and the respective deadlines.
• Created the ETL requirements to load the data into TeraData.
• Analyzed the business requirement as per the HIPAA rules and regulations.
• Involved in preparing Test Plans based on User Requirements Document (URD) and prepared the Test Cases using Test Director/HP Quality Center.
• Created mapping/crosswalk documents for mapping data flow between systems.

Environment: Windows XP Professional, Mercury Test Director, Oracle, MS Access 2000, MS Excel, RUP, Oracle, UML, Rational Rose, Requisite Pro, TOAD, Rational Clear Quest 2002, MS Office suite, MS Visio, Informatica