SUMMARY

• 8+ years of extensive experience in the field of Business Analysis
• 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 or answering questions to QAs and developers regarding the defects, Technical Specification Documents and Mapping Documents
• 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, Asset Management
• 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

Business Analyst

Confidential, Nashville, TN

Responsibilities:

• 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)
• 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.
• 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
• Guide, answer questions, and/or create Test Plan, Test Cases, Test Objectives, and Test Scenarios for the testing team
• 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, Agile, MS SharePoint, MSPS, MS Visio, Citrix, Siebel, Quality Center, MS Power Point, Snagit, X12, Unix, ALM, PeopleSoft 89-92, Business Objects

Business Analyst

Confidential, Albany OH

Responsibilities:

• Help define Scope and ROM of the project
• Helped prepare and document the request for information and request for proposal
• Worked with the business users to define business requirements and analyze the possible technical solutions.
• Conducted user interviews, gathered requirements, analyzed, and documented Business requirements based on the analysis of the workflow model.
• Conducted workflow, process diagram and gap analyses to derive requirements for existing systems enhancements.
• Extensively involved in maintaining requirements traceability and communicating any changes to these requirements to different business groups and programmers.
• Assisted the PM in developing Use Cases and project plans and also managed changes to the scope of the project
• Applied asset management tools and skills to monitor and maintain client assets cost-effectively
• Review requirements and understand technical recommendations and constraints, and develop comprehensive and accurate functional specifications; Data Mapping, and process flows
• Developed business process models in RUP to document existing and future business processes.
• Designed and developed project document templates based on SDLC methodology.
• Identified internal and external system requirements, design and configuration set-up, also created User Documentation and conducted training classes.
• Developed business requirement specification documents as well as high-level project plan.
• Data mapping, logical data modeling, created class diagrams and ER diagrams and used SQL queries to filter data within the db2 database.
• Designed and developed Use Cases, Activity Diagrams, Sequence Diagrams, OOD using UML.
• Assumed ownership of Use Case Diagrams, Use Case narratives and other various artifacts.
• Relieved pressure off the PM by maintaining artifacts and portions of the project binder.
• Documented and delivered Functional Specification Document to the project team.
• Assisted the Project Manager to develop both high-level and detailed application architecture to meet user requests and business needs.
• Assisted the PM in setting realistic project expectations and in evaluating the impact of changes on the project plans accordingly and conducted project related presentations.
• Assisted with user testing of systems, developing and maintaining quality procedures, and ensuring that appropriate documentation is in place.
• Tracked change requests and monitored workload and schedule.
• Functioned as the primary liaison between the business line, operations, and the technical areas throughout the project life cycle.
• Performed task decomposition, delegated tasks and monitored project milestones using MS Project.
• Conducted User Acceptance Testing (UAT)
• Worked with developers in creating decision tree and help identify the critical path of a project decision and its results

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

Business Analyst

Confidential, Minneapolis, MN

Responsibilities:

• 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)
• 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: MS Office, SQL Server, Waterfall, XIR3, EDI, SAP, MS Project, Oracle, Rational, Infor SunSystems, BackOffice and SunProperties Database, ADP Systems, SnipIT

Business Analyst

Confidential, Long Island City, NY

Responsibilities:

• Conducted one to one interviews with Portfolio Manager to gather Business Requirements and was involved in the documentation of Business Requirement Documents.
• 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.
• Identified internal and external system Requirements, design and configuration set-up.
• Developed strategic partnerships with the Business units to develop a solid knowledge base of the Business line, including the Business Plan, Products, and Process.
• Translated the Business needs into system Requirements, communicating with the Business on a broader scale and with an in-depth view.
• Collected business requirements to set rules for proper data transfer from Data Source to Data Target in Data Mapping. Develop and maintain sales reporting using in MS Excel queries, SQL in Teradata, and MS Access.
• Designed and developed Project document templates based on SDLC methodology.
• Developed Business Requirement Document as well as High-Level Project Plan.
• Functioned as the primary liaison between the Business line, operations, and the technical areas throughout the Project Cycle.
• Generated SQL queries to develop risk reports.
• Developed Functional Specification Document and Supplementary Specification (non-functional) Document.
• Participated in the Logical and Physical Design sessions and developed Design Documents.
• Worked with developers to make sure that they understood the Use Cases.
• Designed and implemented basic SQL queries for QA Testing and Report / Data Validation.
• Partnered with the Technical Areas in the research and resolution of System and User Acceptance Testing.
• Worked with Quality Control Teams to develop Test Plan and Test Cases.
• Develop User Manuals, and Training Manuals as per Project Specifications and timelines.

Environment: MS Office, MS Access, Oracle 8x/9i, MS Project, ERP, MS PowerPoint, Agile, UML, MS Visio, MS FrontPage, Documentum 2.0., Linux, Navison, Datalink