SUMMARY

• Over 7 Years of comprehensive experience working as a Business Analyst in HealthCare.
• Proficient at creating Use Cases, GAP Analysis, Process Flows & Works using UML.
• Profound knowledge of SQL Server, MS Access, Oracle and MySQL.
• Extensive Process reengineering by documenting and evaluating existing business processes.
• Conducted and facilitated JAD sessions and brain storming sessions with key user groups emphasizing the scope of the project in order to provide key initiatives in working with users in identifying and defining project and system requirements.
• Ability to perform in a virtual environment.
• Highly familiar with understanding all phases of project development life cycle using standard methodologies including analysis, design, and development of software applications.
• Experience in Health Care Industry with exposure to Electronic Medical and Health Records (EMR & EHR)/Automated Health Care Systems.
• Have good experience of using Rational Requisite Pro, Rational Clearquest and Rational Clear case.
• Researched the various steps in the lifecycle and then facilitated to construct the system in such a way that the claims could easily be identified and monitored.
• Proficient in using PM/BA tools including Microsoft Project Professional, Microsoft SharePoint, and Microsoft Office Professional.
• Familiarities with tools like IBM APP Scan, IBM Performance tester & Web Accessibility tool bar.
• Design and review of various documents including the Software Requirement Specifications (SRS), Business requirements document (BRD), Functional Requirement Document (FRD), Use Case Specifications, Functional Specifications (FSD), Systems Design Specification (SDS), Requirement Traceability Matrix (RTM) and testing document.
• Sound knowledge & experience using Unified Modeling Language (UML), Agile, Rational Unified Process (RUP), Rational Suite including Rational Rose and RequisitePro.
• Ability to create and adapt processes to monitor projects, communicate project goals to stakeholders and set performance expectations.
• Experienced in conducting UAT.
• Planning and designing strategy for UAT.
• Excellent communication skills and ability to lead and mentor junior level Business Analyst/team members.

TECHNICAL SKILLS

Operating Systems: Windows 95/98/NT/2000/XP, Unix

Software Methodologies: SDLC, SCRUM, Agile, Waterfall Model, Rational Unified Process (RUP), Rapid Application Development (RAD), Object Oriented Design & Analysis, ER Modeling and Database Design

Databases: MS Access, Oracle (SQL), SQL Server, Oracle 10g, DB2

Programming Languages: HTML, Java, C/C++,PLSQL

Microsoft Office Suite: MS Project, MS Word, MS Excel, PowerPoint, MS Visio, MS SharePoint, MS Office

Reporting tools: Business Objects, Crystal Reports, OBIEE

Business Modeling Tools: Rational Rose, Clear - Quest, Requisite-Pro and Clear-Case

PROFESSIONAL EXPERIENCE

Confidential, Yonkers, NY

Business Analyst

Responsibilities:

• Performed Requirement Analysis by gathering both functional and non-functional requirements based on interactions with the process owners & stake holders and document analysis, represented them in Requirements Traceability Matrix (RTM).
• Engaged in different phases of SDLC of the project executing Agile methodology of iterative software development from Inception to Transition phase. Performed the role of a liaison between Business Units and Technical Solution Developers.
• Conducted and lead JAR/ JAD sessions and brain storming Requirements sessions with key user groups emphasizing the scope of the project in order to provide key initiatives in working with users in identifying and defining project and system requirements.
• Gathered requirements and prepared Use Case/Functional Design Documents by interviewing customers, users, Managers and SME’s.
• Documented and developed the data sourcing requirements for the ETL team which include data source, filter logic, target, enrichment, lookup, and reconciliation logic.
• Gather requirement in designed and developed the Business Objects Universes which suit the standard, analytical and ad-hoc reporting requirements of the Business Objects users.
• Established questionnaires and resource leveling required for implementing HIPAA 5010 and upgrading ICD 9 diagnosis codes to ICD10 codes.
• Worked on Implementation of HIPAA 4010 and 5010 / ICD 10, version for all EDI transactions.
• Produced Gap Analysis documents for HIPAA 5010 and ICD 10.
• Elicited information from key staff to determine where and how ICD-9 conversion will need to be performed for written documentation, processes, procedures and IT systems.
• Analyzed current ICD-9 usage and future ICD-10 needs.
• Extensively worked with EDI transactions such as 270/271, 276/277, 834, 835 & 837 (Dental, Professional & Institutional) following the HIPAA compliance EDI standard format of X12.
• Managed all the business requirements from the stakeholders and business needs documenting them using Rational ReqPro.
• Created high level MS Visio process flow diagrams to clearly display where ICD-9 conversion would take place.
• Prepared Test Plan and Test Cases based on Business Requirements Document for User Acceptance Test (UAT).
• Helped User in UAT by resolving their queries.
• Performed Feasibility Analysis and Risk Analysis on vendor/third party tools.
• Assured that all Artifacts are in compliance with corporate SDLC Policies and guidelines.

Environment: SQL, SQL Server, RUP, Agile, CCMS, VB Script, MS-Office, MS-Visio, Windows, Rational ReqPro, HIPAA, EDI

Confidential, Philadelphia, PA

Business Analyst

Responsibilities:

• Performed extensive analysis on system's 'As Is' and 'To be' flow to build the User Requirements Specification.
• Documented detailed Current and Future process flows describing the changes to the current OCR process and new Paperless enrollment process.
• Performed GAP analysis to identify and measure details in current business process and the future business process in conjunction with Subject Matter Experts (SME’s).
• Developed scrum artifacts such as User Stories, Product Backlog, Sprint Backlog and Sprint Burn down chart.
• Facilitated Sprint planning meetings and developed Sprint backlog based on inputs received from the meeting.
• Actively conducted daily Scrum meetings to prioritize and track the Sprint backlog items.
• Worked with the development team to prepare the completed Product Demo for Sprint Review meetings.
• Involved in prioritizing User Stories by assigning User points, refining the acceptance criteria for individual stories, and breaking larger Stories into smaller Stories during Backlog Grooming sessions.
• Created Use Cases and BRD then converted them into FRD using Rational RequisitePro.
• Provided effective project management assistance, Developed/updated project plan, and tracked/updated project timelines using M.S. Project. Created/Provided PM with weekly project status report, Provided high-level management with monthly project presentation using M.S. PowerPoint.
• Developed UML artifacts such as Activity diagram, Class diagram, Process flow diagram, Data flow and Swim lane diagrams.
• Scheduled JAD sessions, created/distributed meeting minutes using M.S. Outlook.
• Worked on EDI transaction such as 837, 834, 835 and 278.
• Worked to develop the Requirement Traceability Matrix (RTM) for future references and audit purpose.
• Ran MS Access queries for Ad-Hoc reporting requirements and all wrote requirements for setting up systemic report parameters.
• Involved in documenting User manuals, training materials, Statement of Work (SOW), Online help, User Access Guides, FAQ’s, End user guides and Standard operating procedures (SOP).
• Wrote business rules, worked with Business Intelligence professional and Sr. data architect for successful application of the business rules to the business processes.
• Prepared and delivered business/system/functional requirements documents, Created requirements traceability matrix using business requirements document, Functional design document and technical design document.
• Developed Test Plan and Test Cases/Test Scripts and also performed defect tracking on HP Quality Center.

Environment: SQL Server, RUP, Agile, VB Script, MS-Office, MS-Visio, Windows, Rational ReqPro

Confidential, NH

Business Analyst

Responsibilities:

• Responsible for defining the scope of the project, gathering business requirements, doing gap analysis and documents them textually or within models.
• Responsible for writing Functional Requirement Specifications (FRS) and User Requirement Specification (URS) for the Web based application.
• Understand and articulate business requirements from user interviews and then convert requirements into technical specifications.
• Involved in requirement gathering for Institutional, Professional and Medicare files.
• Interviewing area experts, asking detailed questions and carefully recording the requirements in a format that can be reviewed and understood by both business people and technical people.
• Responsible for auto adjudication and processing of inpatient claims.
• User Rational Rose extensively to created Use Cases, Activity Diagrams, Sequence Diagrams, State chart diagrams, Collaboration diagrams and Class Diagrams.
• Extensively used UML based Methodology to create the Business Object Model.
• Worked as a User\Customer Advocate and negotiated with user as well as with developers and management staff to resolve any requirement conflict to BRIDGE the gaps between IT and Business Client.
• Served as quality assurance/quality control to ensure that the final product met all the clinical protocol requirements. Was responsible for user acceptance testing (UAT) of the final product.
• Involved in requirement gathering for solution suite that handles the entire set of EDI transactions mandated by HIPAA.
• As a liaison between the Developers and Clients, was instrumental in resolving conflicts between user and technical development teams.
• Involved in the extraction, transformation and loading of the data from various sources into the dimensions, confirmed dimensions and the fact tables in the Data warehouse.
• Designing and reviewing different comprehensive data reports using MS Access and MS Excel.
• Involved in verifying and validating the batch uploads to the Data Warehouse.
• Involved in Project Management including documenting, implementation throughout the collector development lifecycle.

Environment: J2EE, JSP, Oracle Clinical, CSS, cGMP, FDA Regulations, Windows NT, MS Office (MS Access, MS Excel), Rational Rose, Requisite Pro.

Confidential, CA

Business Analyst/QA Tester

Responsibilities:

• Complete study and analysis of Revenue Cycle management of the health stream respective to existing billing system, Claims processing, etc.
• Prepared proposal documentation and deliverables, such as resumes and corporate qualifications that respond to customer application, technical and operational requirements.
• Prepared documentation and deliverables such as policies, procedures, user aids, and training material to support systems integration projects.
• Some fields of the patient information were anonymized in order to comply with the HIPAA standard.
• Wrote help text to be incorporated into the system, that instructs users on the operation of the system.
• After needs assessment, analyzed the Business Requirements Document and System Requirement Specification and documented the requirements in the Rational Requisite Pro.
• Performed Requirements Traceability and managed changes to requirements for this application using Rational Requisite Pro.
• After Executive confirmation did Gap analysis to assess needs that could not be met by core EHR.
• Performed Requirements Traceability and managed changes to requirements using Rational Requisite.
• Provided support for the implementation and maintenance of the Version Control tool, Rational Clear Case; and Change management tool, Rational Clear Quest.
• Defined, communicated, institutionalized and updated the Software Configuration Management (SCM) plans.
• Involved in each phase of SDLC to ensure smooth and proper functioning of the project.
• Held regular meetings with the Development and QA teams and facilitated the team with providing solutions.
• Responsible for Scheduling and Distributing the Testing effort among different Test team members.
• Assisted in creating Test Plan and was involved in creating test cases.
• Involved in performing regression and integration testing.
• Performed positive, negative and boundary value testing by entering various test data.
• Performed User Acceptance Testing.