SUMMARY

• Business analyst with over 7+ years in the IT Industry in different roles as Business Analyst, Business Systems Analyst, Project Coordinator and Technical Consultant.
• Expertise in Requirement Elicitation, Analysis, Use Case Development, Functional Designs, Data Modeling, Data Mapping, Applications Testing, Software Quality Assurance, User Acceptance Testing, Training and Support.
• Experienced in creating User Stories from the Business Requirements and prioritizing the same for the various Sprint Cycles in the Agile Model by working with the Product Owner, helping with grooming the Product Backlog and working with the technical teams in delivering the Business - Critical Items.
• Well versed in using the Agile Project Management Tool Version One and Azure DevOps in creating epics, features, backlogs, user stories and generating various reports via the tool.
• Experience in Business Analysis, Quality Assurance, and Software Development Life Cycle (SDLC) through all phases including Analysis, Design, Development, Testing and Deployment and was involved in system integration.
• In-depth knowledge of various Agile and waterfall methodologies.
• Experience in conducting sessions for gathering requirements and analyzing information to develop BRD (Business Requirement documents) and FRD (Functional Requirement Documents).
• Experience in working with the QA and testing teams to develop Test Plans, building Test scripts and Test cases, creating test data, manipulating test data, analyzing defects.
• Experience in creating Process flow diagrams, Business architecture diagrams, Develop Use Cases, Activity Diagrams using MS Visio and JIRA.
• Proficient in collaborating with the project team in conducting “AS IS” - “TO BE” GAP Analysis and producing high-level Business Requirements.
• Worked on various levels of the scrum framework and participated in planning sessions, grooming sessions, daily scrums, and scrum retrospectives.
• Experience in designingTableauscorecards, dashboards using various functions such as stack bars, bar graphs, scattered plots, geographical maps, which help in simplification of functionality.
• Experience in data Extraction, Transformation and Loading (ETL) which helped to easily move and manipulate data from heterogeneous environments.

TECHNICAL SKILLS

Operating Systems: Mac OS X, Windows/XP/NT, UNIX, Linux

Requirement Management/testing: MS Office, MS Project, Excel, AHA, Confluence, Azure DevOps, JIRA, Power BI MS Visio, InVision, HP ALM, SharePoint, BluePrint (Storyteller), Crystal Reports, XML (UIX), Salesforce, HP Quality Center, Rational ClearQuest, SaaS, QTP

Databases: Microsoft Access, MS SQL Server, DB2, Tableau, Hadoop, Oracle, Sybase

Visualization tools: Tableau, Power BI

SDLC methodologies: Waterfall, Agile Scrum, Kanban

PROFESSIONAL EXPERIENCE

Confidential

Business Analyst

Responsibilities:

• Elicit requirements using interviews, document analysis, requirements workshops, business process descriptions, Use Cases, business analysis and task and workflow analysis. Worked on various cross-functional teams with Project Managers, Scrum Masters, Product Owners, and Developers.
• Perform in depth GAP analysis between Confidential and Wageworks systems and create AS-IS TO-BE diagrams using MS Visio to help create the ideal business solution.
• Create a requirement traceability matrix to track existing versus future state to achieve business objectives, creating Epic, Story Tasks and User Stories and strategizing the impact of requirements on different platforms and applications.
• Define Use Case Scenarios to articulate new functional software needs.
• Work closely with the QA and Development teams to track the development and testing progress throughout the sprint.
• Translating business requirements into optimal solution design and creating user stories by working in collaboration with Product Owner and Scrum Master.
• Identifying project issues and analyzing issues by recommending efficient and effective long-term solutions to improve business processes.
• Developing and vetting contingency plans in case of risk and/or roadblocks.
• Linking the IT solution to the business vision/strategy while coaching junior analysts to help them understand the business priorities.
• Documenting business processes and workflows and the relationship to current and future software solutions.
• Planning and developing test plans for various components and creating unit test cases based on project requirements. Preparing test plans consisting of risks, assumptions, timelines and dependencies of the projects divided into various platforms.
• Generate Test Data for User Acceptance testing as well as End to End testing and worked in conjunction with other testers, developers, and senior managers in validation and testing the scenarios to maintain the quality standard in the projects.

Environment: Agile - Scrum, SQL Server, Confluence, Aha, AZURE DevOps, Data Visualization, PowerBI, TFS, Miro, Fetch, MS Office, MS Visio, Invisionapp, SharePoint

Confidential

Business Analyst/ Project Manager

Responsibilities:

• Managed requirement for a new Care Management Application CRM providing an integrated view of Utilization Management, Disease Management and Case Management in one window.
• Organize Requirements Elicitation Sessions to understand the Requirements and create UI Mock-ups to give a visual demonstration of the system to the Business.
• Conduct sessions for As-is To-be GAP analysis, create documentation and work with stakeholders through the approval process.
• Lead Requirement Analysis, Design as well as Coding and Testing efforts for enhancements to the application.
• Performed Release Planning & Management, Configuration Management and participated in the development of Business Proposals.
• Responsible for conducting Routine Audits and Quality Checks across Projects
• Own the Business Requirement Document, Function Requirements Document, GAP analysis documents and manage traceability matrix.
• Assisted the Product Owner with Backlog Grooming and overall Prioritization of the User Stories for the upcoming sprints.
• Performed detailed data analysis and created Source to Target Data Mapping Documents between the API and the Web Interface.
• Involved in planning and creating documentation for development demonstrations to the clients.
• Preparation of Use Case Diagrams, Activity Diagrams Review of Test Cases and Test Scenarios.
• Involved in creating various types of test reports such as Test Execution Status, Test Summary, Defect Summary/Progress reports etc.
• Leading collaborative sessions with the client and reviewing the documents based on suggestions made by the state BA.
• Highlighting functional gaps that have been identified in the solution sessions and resolving pending issues.
• Tracking cross functional gaps that affect the current system and working with multiple Business analysts in developing a consistent design documentation
• This project included a record retention program where the team developed a method to transfer and retain existing client records from smaller counties that were not part of the old legacy system.
• As a team member I developed a format that allowed the accurate reproduction of such records within the existing system.
• The major requirement of the program also included developing the records within the parameters set by the audit department.
• This included coordinating with the stakeholders who understood the older version of the data and also adding different formats to the newly converted records.

Environment: MS Project, Medicaid, Claims Processing, PCT, MS Visio, Oracle, RUP,, Business Objects, Quality Center, SAS, Tableau, Microsoft SQL

Confidential - FL

Business Systems Analyst

Responsibilities:

• Review Business Requirement Documents, Functional Requirements Specification, User Interface Design Documents and Use Cases to understand the functionality and working of the custom developed application.
• Designed, implemented and maintained Amisys Managed Care Software configuration to support business rules for several lines of businesses.
• Analyzed and Revised EDI 837 feed to third party vendors for claims pricing. This included the data load back into the Amisys Advance Claims Payable system.
• Analysis of inbound and outbound interfaces and extensions to AMISYS claims processing system.
• Completed Data Mapping for Group and detailed Product analysis and report writing.
• Analysis and Design of the AMISYS data model to ensure optimal system performance and tuning.
• Experience with AMISYS System, especially with the Managed Care Credit policies.
• Responsible for the full HIPAA compliance lifecycle from gap analysis, mapping, implementation and testing for processing of Medicaid Claims.
• Built foundation of understanding functionality of internal modules of the Health edge Medicaid Claim.
• Matched the requirements for programs such as Medicare and Medicaid, which are part of the Social Security Act.
• Recommended changes for system design, methods, procedures, policies and workflows affecting Medicare/ Medicaid claims processing.
• Coordinated the upgrade of Transaction Sets 837 and 835 to HIPAA compliance. Responsibilities include the - Analysis of inbound and outbound interfaces and extensions to AMISYS claims processing system.
• Analyzed Designed and wrote ad hoc Data Analysis report specifying Claim Type codes and their concentration among employer groups
• Performed audits of provider setup within the provider AMISYS to ensure accurate contract implementation and subsequent claims processing.
• Analyzed system requirements and developed a detailed Test Plan.
• Created test plans and test procedure templates and guidelines to be used by the QA team.
• Ran the scripts on multiple environments (QA, UAT and Production) to ensure that requirements were met successfully.
• Did data analysis, created data mapping and data interface documents and kept the documents updated with changes in requirements and functional specifications.

Environment: Environment: Agile Scrum, AMISYS, Facets Product 5.50.004.008 , SharePoint, Confluence, Azure DevOps, Microsoft Access,SQL server, DB2, Oracle, EDIFECS,MS Office, MS-Visio, Mainframe, SAS- EG, EMMA, Metadata manager.

Confidential

Business Analyst

Responsibilities:

• Business Analyst for the newly acquired, in-house Claims Processing Engine, for the following areas: Enterprise Administration, Creating Benefit Plans, Benefit Framework, Enrolling Provider and Subscribers, and processing Professional, Institutional and Dental Claims and Accounting Services
• Worked with Agile-Scrum methodology throughout the project.
• Organized detailed Business Analysis by working with benefit managers, claim users and other stakeholders to identify process gaps.
• Used JIRA to track and maintain different versions of the project documentation.
• Conducted GAP analysis on business processes and technology and identified potential risks and issues.
• Worked as the member of the Maintenance Team in identifying the defects and bugs in the Claims Engine.
• Created the Functional Design Document for the work package that was to enhance the Claims Adjustments (837) feature in the existing system.
• Reviewed Medicaid MMIS vendor deliverable during System Development Life Cycle; worked closely with business stakeholders along with SME’s to amend, create, and update process flow charts from “AS IS '' to “TO BE” system.
• Extensively worked with developingbusinessrules engine enabling thebusinessrules such as referral, prior authorization, eligibility, claims processing and billing essential for EDI transaction.
• Wrote SQLQueries to validate the data integration between the various Database tables.
• Development of mockups and wireframes of dashboards and reports for Tableau Desktop.
• Used Quality Center to log all the test cases/scripts and generate a daily status report.
• Performed Regression Test, System Test, and UAT.
• Created and maintained sprint backlogs by using JIRA.
• Organized meetings with development and testing teams for better understanding of user stories in the project.
• Worked on creating a Requirement traceability matrix of all the user stories and test cases and updating daily status.