SUMMARY

• 8+ years of extensive experience in the field of Business Analysis and Project Management
• In depth knowledge of SDLC project life cycle methodologies including traditional Waterfall model as well as Agile/Scrum across the span of various projects
• Experienced in participating on daily SCRUM meetings and guiding a team
• Keen understanding Cross - functional communication to interface with high-profile customers
• Ability to see the “big picture” while staying on top of all the details
• Knowledge in the ETL (Extract, Transform, and Load) of data into a data warehouse/ data mart and Business Intelligence (BI) tools like Business Objective Modules
• Extensive knowledge with UML and making Use cases, flow charts, and data flow diagram
• Experienced in data integration and data modeling tool sets
• Facilitated joint application development (JAD) sessions, one on one interview and meetings with business users and subject matter experts (SMEs) to gather requirements
• Knowledge in Business Analysis, SWOT Analysis, Gap Analysis, Cost-Benefit Analysis, Risk Analysis, Disaster Recovery Planning, Return On Investment (ROI) Analysis, Testing and Project Planning
• Experience in using Modeling tools like Rational Rose and MS Visio for requirements modeling
• Experience working with the technical staff to implement the SMEs business requirements into the software application in Healthcare/Insurance Industry
• Expertise with Health plans eligibility and claims (CPT codes and ICD 9 and 10 codes) and EDI transactions
• Well familiar with healthcare compliances like HIPAA 4010 and 5010, HCFA, and other healthcare systems
• Expertise in Medical software application (EMR, IDX) for hospital workflows and setting up the infrastructure for a software implementation in a clinical environment
• Effective written and oral communication skills with excellent skills in report documentation and business presentation using MS Power Point

TECHNICAL SKILLS

Programming Languages: SQL and Basic PL/SQL

Database and BI Tools: Oracle 8i/9i, SQL Server; MySQL, DB2, Business Objects, Teradata

Methodologies: SDLC, Waterfall, Agile, Scrum, Extreme Programming, RUP

Operating Systems: MS-DOS, Windows95/98/NT/2000/XP/Vista, Macintosh 8/9/10.x

Business Modeling Tools: MS Office Suite (Word, Excel, Access, PowerPoint & Outlook), MS Visio, MS Project, Rational Rose, Rational Requisite Pro

Business Skills: Business Definition Requirements, Use Case Modeling & Analysis, Process Analysis, Gap Analysis, Business Environment and Market Research Analysis

Automation Tools: Requisite Pro, Rational Rose, Quality Center

PROFESSIONAL EXPERIENCE

Project Manager / Business Analyst

Confidential, Nashville, TN

Responsibilities:

• Work as a Project Manager to establish Processes, track Metrics, and Share Best Practices
• Plan and arrange meetings with clients to formulate project management strategy and mitigate any risks associated with deployment of subsequent releases and builds into production environment
• Effectively communicate project expectations to team members and stakeholders in a timely and clear fashion
• Identify and resolve issues and conflicts within the project team
• Involve in all phases of software development life cycle (SDLC) using Waterfall methodology
• Prepare questioners and gather requirements from stakeholders through interviews and meetings
• Act as a liaison between client and technical support groups, using advanced communication skills to elicit, document, analyze and validate client requirements
• Formulate and define system scope and objectives based on both user needs and an understanding of information technology, business processes, and industry requirements
• Create Requirements Design Document (RDD), Requirements Analysis Document (RAD), and Business Design Document (BSD)
• Help developers understand Use Cases and in designing
• Prepare presentation slides in MS Project, which was extensively used in different JAD sessions and to track progress
• Performed requirement gathering & analysis by actively soliciting, analyzing and negotiating customer requirements and prepared the requirements specification document for the application using MS Word.
• Assisted the Project Manager in setting realistic Project expectations and in evaluating the impact of changes on the organization and plans accordingly and conducted Project related presentations.
• Assisted in developing Project Schedule to track all tasks on project and report progress to senior management on weekly basis using MS Project.
• Assisted the technical team in translating application functionality into application architecture.
• Participated in the bug review meetings, updated requirement document as per business user feedback and changes in the functionality of the application
• Participated in the Logical and Physical Design sessions and developed Design Documents.
• Functioned as the primary liaison between the business line, operations, and the technical areas throughout the project life cycle.
• Guide and answer questions for developers regarding Technical Design Document (TKD) and Defect Analysis Document (DAD)
• Good understanding of business and customer needs in patient eligibility and enrollment to Medicaid and Medicare, as well as any other carrier pertaining to Medicaid and Medicare
• Lead testers in testing, perform SME reviews, and sign off on requests that are ready to be moved on to production
• Performed task decomposition, delegated tasks and monitored project milestones using MS Project.
• Organized meetings to discuss outstanding issues with QA and developers.
• Designed and developed project templates which include requirements specifications, analysis, and testing
• Conducted User Acceptance Testing (UAT)
• Recognized to be the employee of the month for February, 2013

Environment: MS Office, Oracle SQL, Waterfall, MS SharePoint, MS Visio, Quality Center, MS Excel, MS Word, MS Power Point, Snagit, X12, Unix

Jr. Project Manager / Business Analyst

Confidential, Minneapolis, MN

Responsibilities:

• Plan and schedule project timelines and milestones using appropriate tools; and track project milestones and deliverables, including identifying and managing project dependencies and critical path.
• Managed, tracked, and reviewed project deliverables regularly in order to report weekly status to senior management and (Project Management Office) PMO
• Develop PMO strategy with senior management for the IT department to ensure that a standard process and measurable metrics are in place
• Identified and implemented needs and wants of each Member and Provider coverage to meet requirements of the software development processing
• Performed and documented requirement analysis, impact analysis, and Gap Analysis in order to check the compatibility of the existing system infrastructure
• Interacted with client and the Technical Team for requirement gathering and translation of Business Requirement Documentations (BRD) and Functional Specification Documentations (FRD)
• Conducted interviews, meetings and JAD sessions during the process of Requirement Gathering
• Planned and documented procedures for data processing and prepared data flow diagrams
• Designed and developed project templates based on SDLC AGILE Methodology, which also included requirements specifications, analysis, and testing
• Experienced with detailed requirements gathering on different types of electronic and paper claims
• Good understanding of business need in terms of recipient eligibility and enrollment
• Maintained proper communication with the developers ensuring that the modifications and requirements were addressed and also monitored these revisions
• Analyzed and translated business requirements into system specifications utilizing UML and RUP with Agile/Extreme Programming and using Rational Test Suite for various phases of RUP
• Designed a claim processing system for the healthcare management client system. It allowed the user to inexpensively capture information regarding patient, summary of medical history, symptoms (ICD-9 codes), and treatment (CPT)

Environment: MS Office, SQL Server, Agile, Business Objects XIR3, MS Project, MS FrontPage 2003, MS Access, EDI, Documentum 2.0., MS Excel, MS Word, MS PowerPoint, MS Visio, Unix

Assistant Project Manager / Business Analyst

Confidential, Buffalo, NY

Responsibilities:

• Coordinated with the PMO to guarantee accomplishment of tasks based on CMMI and PMI guidelines
• Assisted PMO Leadership Team with the coordination and administration of the Project Management Office including but not limited to the following activities: managing and adjusting project timeline, IT development work efforts for standardization of project implementations, administration duties, monitoring deadlines, activity and issue tracking.
• Involved in all phases of software development life cycle (SDLC) for system implementation
• Worked on Inbound/Outbound Interfaces and Extensions, Load and extraction programs involving HIPPA 837 and proprietary format files and Reports development
• Assisted JAD sessions to identify the business flows and determine whether any current or proposed systems are impacted by the EDI X12 Transaction, Code set and Identifier aspects of HIPAA.
• Analyzed and wrote different documents like Business Requirement (BRD), Functional Requirement (FRD) and User Requirement Specification (URS)
• Tested ad hoc and canned reports for Business objects
• In depth knowledge of customer needs in terms of claims and billing
• Organizing JAD sessions, interviews and surveys in the process of collecting requirements
• Created Use cases, activity report, logical components and deployment views to extract business process flows and workflows involved in the project to track the progress of test case planning
• Involved in compatibility testing with other software programs, hardware, Operating systems and network environments

Environment: Rational Requisite Pro, Rational Rose, SQL, MS Office, MS Visio, EDI, MS Excel, MS Word, MS PowerPoint, Agile, MS Visio, Business Objects, UML, RUP, MySQL

Sr. Business Analyst

Confidential, Austin, TX

Responsibilities:

• Involved in all phases of software development life cycle (SDLC) in AGILE framework and
• Analyzed and collected business requirements, identified system interfaces and created the requirements specification document
• Applied Unified Modeling Language (UML) Diagram, Use Case Diagrams, Activity Diagrams, Sequence Diagram and ER diagrams
• Performed requirement analysis by gathering both functional and nonfunctional requirements based on interactions with the process owners & stake holders and document analysis. Performed user interviews.
• Wrote user requirements specification (URS) and Functional requirements specification (FRS) Documents as per the Business requirements and process flow
• Successfully 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
• Guide, answer questions, and/or create Test Plan, Test Cases, Test Objectives, and Test Scenarios for the testing team

Environment: Oracle 8x/9i, MS Project, MS Word, MS Excel, MS PowerPoint, Agile, UML, MS Visio, MS Access, MS Word, MS Outlook

Business Analyst

Confidential, Plainview, NY

Responsibilities:

• Worked with the business users to define business requirements and analyze the possible solutions
• Conducted user interviews, gathered requirements, analyzed, and documented Business requirements based on the analysis of loan processing workflow model
• Designed and developed project document templates based on SDLC methodology
• Interacted with the development and testing teams to improve overall quality of the software by assisting them in developing the Test plans for quality assurance based on functional requirements
• Performed User Acceptance Testing (UAT) for various web based and database related applications
• Analyzed user problems, including automated and manual business processes and identified, researched, investigated, defined and documented business processes
• Acted as User Acceptance Testing coordinator and monitored business testing and interfaced with the development team regarding defect status and fixes on daily basis
• Clarified QA team issues and reviewed test plans and test scripts developed by QA team to make sure that all requirements will be covered in scripts and tested properly.

Environment: MS Excel, MS Word, MS PowerPoint, MS Visio, MS Project, RUP, Rational Rose, MySQL