SUMMARY

• Strong knowledge of teh Software Development Life Cycle methodologies in Agile and Waterfall models.
• Extensive experience in Project Management, Gathering Requirements, Data Modeling, Business Process Flows, and Implementation Plans.
• Adept in writing Business Requirements Document, Use Case Specification Document, Functional Requirement Document, Requirement Traceability Matrix, Data Dictionary, Disaster Recovery and SWOT Analysis.
• Extensively worked on teh creation of Narrative Use Cases, Data Flow Diagrams, Activity Diagrams, Work Flow Diagrams and Sequence Diagrams to define teh Business Process Model and Notation and Data Process Model using UML Rational tools/ MS Visio.
• Proficiency in Feasibility Studies, Document Generation, Conducting Joint Requirement Planning, Joint Application Development Sessions for requirements gathering, analysis, and design through interviews, workshops wif Users, Subject Matter Experts and Business Stakeholders.
• Skilled at performing SWOT Analysis, GAP Analysis, Root Cause Analysis, Impact Analysis, and Cost Benefit Analysis along wif knowledge of process work flow tools and techniques.
• Adept in creating Use Cases, Test Cases, Test Plans, Wireframe Diagrams, Sequence Diagrams, Class & Object diagrams, Activity Diagrams, and Collaboration Diagrams using MS Word/Visio.
• Proficient in design and execution of Test Strategy, Test Plan, Test Scenarios, and Test Cases based on teh requirements for teh applications.
• Worked on teh Testing Lifecycle including Black Box, Gray Box, White Box, Unit Testing, Parallel Testing, Usability Testing, Performance, Load, Stress Testing.
• Proficiency in conducting teh GAP analysis, User Acceptance Testing and SWOT Analysis to check teh compatibility of teh existing system infrastructure wif teh new business requirements.

TECHNICAL SKILLS

• Agile/Scrum
• JIRA
• MS Visio
• MS Office Suite
• Oracle ATG
• Salesforce
• SQL
• Smart Draw
• IOMS
• IBM Rational Rose
• HTML
• SQL Server
• HP Quality Center
• Rational Requisite Pro
• SaaS
• APIs
• FTPs (SOA
• SOAP)
• HTTP
• SharePoint
• RDBMS
• Rally
• Cognos
• MS Project
• Team Foundation Server
• Waterfall
• Power MHS
• HP ALM.

PROFESSIONAL EXPERIENCE

Senior Business Analyst

Confidential, St. Louis Park, MN

Responsibilities:

• Acted as a liaison between business units, infrastructure teams and audit teams. Worked wif remote clients and development teams.
• Identified and documented technical needs, internal structures, procedures and trading workflows systems.
• Analyzed gatheird requirements; verified requirements and created Functional Specifications.
• Constructed static consumer debt data pools and calculated credit - score-bucket transition probabilities, delinquency and charge-off rates for loan performance tracking and further predictive default and correlation modeling.
• Worked closely wif Business and Technology teams to understand teh relevant business processes from end-to-end and to understand teh root of business needs and concerns.
• Assisted in test planning, defect management and mitigation tracking for new and existing issues using an existing tracking framework.
• Supported structure of current UAT Analytics by providing day to day updates to existing metric dashboards and manage it for accuracy.
• Facilitated existing UAT meetings wif key stakeholders across Operations, Finance, Product and Technology.
• Collaborated wif technology business analysts, program manager and operations SMEs on critical issues dat surfaced in testing.
• Analyzed areas of need and design options for appropriately sized solutions to solve business needs and worked wif all stakeholders to arrive at consensus on these solutions.
• Worked on data structures and messaging platforms services.

Business Systems Analyst

Confidential, Los Angeles, CA

Responsibilities:

• Gatheird business requirements, analyzed data/workflows, and defined teh scope, financial projections and cost/benefit analysis.
• Responsible for identifying teh scope for Medicaid & Medicare (Part A, B, D) projects. Gatheird business requirements for Patient Pay Amount, Covered Plan Paid Amount (CPP), Non-Covered Plan Paid Amount (NPP) and documented them.
• Developed Clinical Billing wif a detailed schedule of events and procedures, equipment, items, services, and patient visits.
• Developed prototype of new information processing application. Met wif client groups to determine User Requirements and Goals and thus converted User Requirements into Business Requirements.
• Responsible for creating UML Modeling Plans, Use Cases, Process Flows, Wire Frames, and business requirements documentation using MS Visio.
• Conducted functional requirement reviews and walkthroughs wif teh designers, developers, and stakeholders.
• Conducted sign-off meetings wif IT teams to lock down teh requirements.
• Conducted JAD sessions to allow different stakeholders to communicate their perspectives wif each other.
• Documented Sequence Diagrams and Logical views using MS Visio for clear understanding of teh requirements by teh development team.
• Clarified QA team issues and reviewed test plans and test scripts developed by development team and QA team to make sure all requirements has been covered in scripts and tested properly.
• Responsible for Regression Testing prior to performing User Acceptance Testing (UAT).
• Validated Requirement Traceability Matrix (RTM) and to manage all day-to-day activities for teh project including status, schedule, and risks for teh entire project across all involved groups.
• Kept a check on teh updates in Planview tool and organization’s standard templates.

Business Systems Analyst

Confidential, Cincinnati, OH

Responsibilities:

• Gatheird and wrote Functional/Business Requirements.
• Worked on gathering and documenting PCI Regulations and requirements for credit card payments.
• Worked wif key Business Stakeholders, Engineering Development and PMO on developing system enhancements.
• Used IBM WebSphere for Mobile application in giving seamless shopping experience to guest in selecting products, shopping cart, check out and bill payments modes.
• Collaborated wif teh development team on designing clear and concise project requirements.
• Participated and provided signoff based on User Acceptance Testing results.
• Performed GUI Testing and analyzed end-to-end functionality by testing teh application manually.
• Partnered wif continuous product engineering teams on investigating systemic issues.
• Created and executed SQL Queries.
• Involved in e-Commerce POS testing Product Search, Payment System and Online Transaction Processing.
• Created internal monitoring alarms and reports by designing queries using SQL.
• Coordinated workflow across ecommerce, IT, UI, retail and UAT teams.
• Provided product support to Enterprise, Supply Chain and Order Management Applications.

Business Analyst

Confidential, Boston, MA

Responsibilities:

• Acted as a liaison between Business Clients and Technical Teams by planning, conducting and directing teh analysis of business requirements to support online transactions.
• Created Business Change Request Management Documents for building integrated platforms to accommodate new technologies & development methods, improve teh processing of sensitive information, reduce operational risks, User Acceptance Testing and Test Plans.
• Created User Stories for maintaining FTPs and navigation flow for teh online transactions for downstream, upstream and midstream interfaces.
• Updated teh bank's Identity and Access Management strategy and worked wif multiple technical teams and financial advisors for integration and measuring probable impact.
• Facilitated on premises upgradation of Global IDAM strategy to support global operations.
• Facilitated technical teams to develop, implement, and administer access control processes dat support teh creation, modification, and termination of system level user accounts and associated access rights for IDAM.
• Created Wireframes to present it to teh development team to better understand business process architecture for customer facing online portal and issue escalation for change management.
• Responsible for teh maintenance activities related to teh projects after integration wif teh current system and fixing teh defects suggested by teh end users and TEMPeffectively implementation.
• Led requirements elicitation sessions to understand business problems and how proposed system enhancements will address them for escalating teh issues.
• Assisted in teh development of quality assurance activities including Quality Assurance Plan, Product Acceptance Plan, Test Plan, and Test Cases.
• Produced business requirement artifacts including UML, Use Cases, Business Rules, Non-Functional Specifications and User Interface Design Specifications.
• Created workflow mockups to create navigation flow for teh websites.

Business Systems Analyst

Confidential, San Francisco, CA

Responsibilities:

• Used Agile/Scrum Methodology for gathering requirements and facilitated user stories workshop.
• Liaised between Health Plan and Operations wif focus on Reconciliation of Membership Data.
• Responsible for data mapping of HL7 messages into relational database.
• Monitored contracts and payments and worked wif teh Billing, Claims, Benefits and Authorization departments and teh Managed Care companies to resolve differences and ensure correct reimbursement.
• Developed Use Cases, Sequence Diagrams, Activity Diagrams and Class Diagrams.
• Facilitated Joint Application Development Sessions for communicating and managing expectations and to gather teh Business Requirement.
• Designed Activity, Sequence and Process Flow Diagrams using MS Visio to simplify and elaborated certain selections and filter conditions.
• Worked on Impact Analysis on 834, 270/271, and 837 (P-I) for transitioning from ICD-9 to ICD-10.
• Worked on AS-IS & TO-BE analysis of ICD-9 to ICD-10 conversion for teh new qualifiers used in teh 837 claims for teh Diagnosis and Surgical Procedure Codes.
• Extensively used SQL statements to query teh Oracle Database for Data Validation and Data Integrity.
• Logged defects and worked collaboratively wif teh Business Analysts & Developers to resolve issues identified during teh System and Regression testing.
• Performed GAP Analysis to identify teh deficiencies of teh current system and to identify teh requirements for teh change in teh proposed system.
• Documented Requirement Traceability Matrix for traceability of requirements.
• Ensured dat EDI files were in compliance wif ICD-10 Standards.
• Worked on EDI 834, 837/835 transactions according to test scenarios and verify teh data on different modules.
• Built, performed and maintained risk adjustment models and analysis for tracking and reporting at teh department, senior leadership, and community health center level.
• Involved in meeting wif provider communities to discuss teh conversion of teh Legacy System to New MMIS System.
• Maintained compliance wif CMS requirements, modelling financial impacts to changes in risk adjustment data and methodologies.
• Participated in providing implementation assessment for Rational Requisite Pro, Rational Clear Quest using Unified Modelling Language and Rational Unified Process.