Imran Ahmad Siddiqui

Business Analyst Member, Billing and Pharmacy PBM Application

Summary

• Over 9 years of experience in Software Development Life Cycle SDLC which involves requirement gathering, requirement analysis, design, development, Testing implementation maintenance of Projects
• AHIP Part A and Part B Certified.
• Over 8 years of extensive experience as Business Analyst and Application Developer at onsite and offshore with solid understanding of Business Requirement Gathering, Business Process Flow and Business Process Modeling.
• Wide exposure to Healthcare, Telecom and IT business domains.
• Extensive knowledge in Claim management system design and implementation.
• Experienced using Business Object application to generate required reports.
• Experienced in all phases of Software Development Life Cycle SDLC , including requirement gathering and documentation, creating requirement traceability matrix, use case, functional non-functional specification, business case analysis, quality assurance and testing.
• Extensive knowledge of Object Oriented Analysis and Design OOAD using Unified Modeling Language UML , Rational Unified Process RUP , Waterfall model, Rational Rose, Requisite Pro and MS Visio.
• Experienced in Working with healthcare batch and online enrollment.
• Experienced in interacting with business users and executives to identify their needs, gathering requirements and authoring Business Requirement Documents BRD , Use Case Diagrams, Activity Diagrams and Sequence Diagrams using UML modeling.
• Experienced in facilitating and conducting Joint Application Development JAD , Rapid Application Development RAD and Joint Requirement Planning JRP sessions, interviews, workshops and requirement elicitation sessions with end-users, clients, stakeholders and development team.
• Experienced in Business Analysis, SWOT Analysis, Gap Analysis, Cost-Benefit Analysis, Risk Analysis, Disaster Recovery Planning, Return On Investment ROI Analysis, Testing and Project Planning.
• Good knowledge of Health Insurance Plans Medicaid, Medicaid, traditional and HMO products.
• Extensive knowledge of Group small and Individual Health insurance plans.
• Extensive knowledge of Fully Insured and Self Insured plans.
• Good experience and knowledge of Data warehousing RDBMS concepts.
• Experienced in developing QA Strategies: Test Cases, Test Scripts and Test Procedures and conducting User Acceptance Testing UAT using QTP, HP Quality Center, Win Runner and Load Runner.
• Experienced in working with various departmental teams, developing interactive relationships with business and IT colleagues, having a thorough understanding of the constraints, needs, and perspectives of both the business users and the technical team.
• Experienced in training and mentoring team members with product knowledge and business processes.
• Strong work ethic, taking ownership of all duties and responsibilities and meeting management objectives.
• Strong business acumen, analytical, problem solving, interpersonal and presentation skills.
• Excellent written and oral communication skills to keep executive staff and team members apprised of goals, project status, and resolving issues and conflicts.

Technical Skills

Position held : Capability Lead Business Analyst

Confidential

• I am working as a capability lead on ESI integration projects. This has been the biggest historical integration ESI acquired Medco of US. This was quite challenging to identify the gaps and complete the requirements because of the different processes at two different giants companies and different work culture. The integration project gave us a tremendous amount of opportunity to learn.
• I have been working and gaining extensive knowledge of many of the largest ESI applications like Anchor Data Warehouse and enterprise data warehouse for claims adjudications of Pharmacy. I have been engaged in leading various business meeting to collect the requirement from users and business and write them in technically understandable form in a requirement specification document. I have got a very good chance to work and gain extensive knowledge of pharmacy system of ESI.

Responsibilities

• Organize JAD sessions, collect the high level requirements and write them in technically understandable form in a document called requirement specification document RSD .
• Create the high level and detailed level requirement specification documents.
• Documented the Change requirements within the existing Mapping documents and the System Design documents.
• Able to take a large conceptual problem or project, break it into components, establish plans and a critical path, achieve incremental goals and deliver project on time and at or below budget.
• Identified system integration requirements, coordinated the collection and verification of business needs to reach the Requirement Analysis Requirement Validation Specification , Detailed System Design Documentation Milestones.
• Developed and maintained the Requirement Traceability Matrix RTM the deliverables of a project using Rational Requisite Pro.
• Conducted and participated in JAD sessions, interviews with stakeholders and system users to collect the software requirement specifications SRS .
• Managing a team of 16 BAs at client side to ensure proper distribution of work and to assign right person with appropriate skill set on the projects.
• Manage the demand and supply at client location.

Confidential

Infosys is the third largest Indian IT Company with a strength of more than hundred thousand employees in India and worldwide. The company offers software products for the banking, healthcare, telecom and other industries and business process management services for end-to-end business solutions.

Position held : Senior Business Analyst

• I have worked and gained extensive knowledge of many of the largest Aetna applications like Member
• ex Member Enrollment Application MEA , Data Migrator, EPDB , Billing AAS, AES, HMO group and HMO Non Group and Pharmacy Data Stage, Aetna Integrator etc through which millions of the members have been enrolled, maintained and billed. All the data of these members maintained and accessed across various other applications within Aetna. I have been engaged in leading various business meeting to collect the requirement from users and business and write them in technically understandable form in a requirement specification document. I have been involved in all 7 phases of APLC staring from high level requirements P1 to warranty support P7. I have worked and gained extensive knowledge of pharmacy system through client defined data CCD and various other projects. I have worked on projects and gained extensive knowledge of creating both functional and non-functional requirements ex. Creating database, tables and online screens. I have been working on various government compliance Healthcare Reform HCR and rebate calculation project under billing applications.
• Aetna allows all three types of plan HMO, PPO and dental indemnity and we have done various projects of data masking, ELR, ELR rewrite and scalability and overage dependent.

Responsibilities

• Organize JAD sessions, collect the high level requirements and write them in technically understandable form in a document called requirement specification document RSD .
• Create the high level and detailed level requirement specification documents.
• Documented the Change requirements within the existing Mapping documents and the System Design documents.
• Provided appropriate scope of work for technical team to develop prototype and overall system.
• Created mappings and tested mappings for data from Back End systems to Front End Oracle DB's via ETL process.
• Propose the change and reengineering of the AS IS Business processes TO BE.
• Involved in the day-to-day implementation of the Rational Unified Process RUP methodology of application development with its various work flows, artifacts and activities.
• Able to take a large conceptual problem or project, break it into components, establish plans and a critical path, achieve incremental goals and deliver project on time and at or below budget.
• Identified system integration requirements, coordinated the collection and verification of business needs to reach the Requirement Analysis Requirement Validation Specification , Detailed System Design Documentation Milestones.
• Developed and maintained the Requirement Traceability Matrix RTM the deliverables of a project using Rational Requisite Pro.
• Conducted and participated in JAD sessions, interviews with stakeholders and system users to collect the software requirement specifications SRS .
• Data mining and data analysis done using SQL queries.
• Build and maintain SQL scripts, indexes, and complex queries for data analysis and extraction.
• Develop new processes to facilitate import and normalization, including data file for counterparties.
• Worked with internal and external clients for import and normalization of third-party data.
• Assisted in designing test plans, test scenarios and test cases for integration, regression and user acceptance testing UAT to improve overall quality of the Application.

Environment : RUP Methodology, SQL Script, MS Visio, MS Project, UML Modeling tool, Microsoft Word, Microsoft Excel, Microsoft PowerPoint, Rational Requisite Pro, Rational Rose, Test Director, and Window XP.

FTP Tools: Putty, Reflection, PGP, GPG encryption and Decryption.

Position held : Software Developer Mainframe

Confidential

Responsibilities :

• Involved in Initial Analysis, Design, Development, Test plan preparation, Implementation, Post Implementation support.
• Communicating production issues through Service Center.
• Root cause analysis and find the resolution of production issues and opening break fix SR, or CR Change request .
• KM prime for knowledge management activities, developing VB macro and other tools.
• Maintaining the spreadsheet of all impacted modules, their link cards, bind cards and Jobs
• Understanding business specification
• Collecting and analyzing requirements. P2
• Involved in Initial Analysis, Design, Development, Peer Review, Test plan preparation, Implementation, Post Implementation support, Project Handover and Quality Assurance.
• Training to the new entrant in to the project.
• Overall Co-ordination of offshore and involved in leadership activities
• Communicating production issues through Service Center.
• Beeper support of MEA jobs.
• Resolving ELR and Online production issues. Fully responsible of all ELR Electronic enrollments and online production issues. Identify code defect by doing xped analysis and opening SR based on the analysis.
• Root cause analysis and find the resolution of production issues and opening break fix SR, or CR Change request .
• Logging defect and communication through CQ Clear Quest .
• Scheduling Jobs through zeke scheduler.
• KM prime for knowledge management activities, developing VB macro and other tools.
• Maintaining the spreadsheet of all impacted modules, their link cards, bind cards and Jobs

Environment : COBOL, MVS, DB2, IMS, JCL, VSAM, CICS

Position held : Software Developer Mainframe

Confidential

Responsibilities :

• Analyzing requirements and prepared high level designing documents and estimations.
• Creating test and Production DB2 database objects
• Production support of COLT Application MERCURY, ATLAS. Resolving production issues, calling COLT employee and worked as an administrative of the application.
• Assisting Application teams in development and implementation.
• Training to the new entrant in to the project.
• Overall Co-ordination at offshore and involved in leadership activities
• Communicating production issues through Service Center.

Environment : MVS, DB2, COBOl, JCL. Position held : Software Developer Mainframe

Confidential

Responsibilities :

• Understanding business specification and analyzing requirements.
• Involved in Initial Analysis, Design, Development, Peer Review, Test plan preparation, Implementation, Post Implementation support, Project Handover and Quality Assurance.
• Collecting requirements. P2 and walkthrough of different design strategies and then prepared high level design documents. Estimation of the project and time adherence.
• Created new modules to produce ID cards at various transaction say new enrollment, name change, plan change, benefits change and on adding dependents to complete this project around 500 procedures with their LINKCARDS and INCLUDES were added.
• Preparing the list of impacted modules and new modules to support ID cards generation on various transactions

Environment : MVS, COBOL, DB2, JCL, IDMS, ISPF, XPEDITOR, CHGMAN, VSAM, FILE-AID and MS Excel/Word project trackers