PROFESSIONAL SUMMARY:

• Enthusiastic & Innovative with 11+ years of BUSINESS/SYSTEM ANALYST experience in IT industry.
• Excellent understanding of Change Management & Software Development Life Cycle and its modeling techniques like Waterfall, Agile Programming Methodology (SCRUM), Iterative Models (RUP - Rational Unified Process).
• Comprehensive understanding of Healthcare, Insurance (P&C) and Finance domain.
• Experience in Business Process Modeling, KPI, Activity Diagrams, XML, GUI, database designing, Data Mapping, Prototype Models, swim lanes, Process maps, Wireframes, Mock-ups, UAT, Oracle SQL, JAD, QA, MySql5.0, UNIX, Sql server 2005, MS Office.
• Knowledge of health information and health care services regulatory environment, 21 CFR 11, ICD-9, ICD-10, HIPAA EDI 4010 & 5010 & Provider web portal.
• Experience in implementing Guidewire PolicyCenter and ClaimCenter application as per the client requirements.
• Proficient in all cycles of test life cycle from test planning to defect tracking and managing defect lifecycle.
• Proficient in creating UML diagrams including Use Case Diagrams, Class Diagrams, Data Flow Diagrams (DFD), E-R Diagrams using MS-Visio.
• Proficient in identifying, documenting and analyzing business requirements specifications (BRS), System Design Specifications (SDS) and Software Requirement Specification (SRS).
• Demonstrated experiences of Claim lifecycle: First Notice, Assignment, Evaluation, Settlement, Litigation, Subrogation, Recovery and File Review with various Auto & Home, Personal Liabilities, Property, Business.
• Extensively involved in providing business and technical support to business users or customers.
• Analyzed current (as-is) process by creating process mapping, gathered requirement and developed ‘to-be’ process by suggesting and incorporating business process improvement.
• Made process improvement recommendations to management and involved in Business Process Re-engineering (BPR), Knowledge of CMMI and Six Sigma (DMAIC).
• Flexible, innovative and able to thrive in a growth-oriented and time-critical environment.
• Created wire-frame diagrams to facilitate the team to show the layout &structure of website.
• Good experience in Test Case Preparation, Test Case Execution, Bug Reporting and Bug Fixing.
• Ensured Client confidence and prevented slippage of issues by serving as onsite coordinator during critical phases of the project.
• Strong team skills with customer interfacing / consulting experience.
• Ability to communicate effectively and clearly between teams and resolve issues quickly.

TECHNICAL SKILLS:

Operating System: UNIX, Windows 2000/NT/XP/2003

Languages: PL/SQL, SQL, C, XML, HTML, Data Structure

Databases: Oracle 9i & 10g, Sql server2005/2008/2010, Mysql5.0, Ms Access

Software Packages: Ms Word, Power Point, Excel, Visio, Project

Application Products & CRM Tool: Netmind (Telecom Product), MS Dynamics

Wire framing & Reporting Tools: Rational Requisite Pro, QTP, HP Quality Centre 9.2, SilkCentral Test Manager, MS SharePoint Server 2007 & 2010, Axure RP Pro 6.5

Change management Tools: Bugzilla, Jira

Methodologies/Best Practices: Agile (scrum), Waterfall, BABOK, CMMI, BPR, Six Sigma (DMAIC)

Healthcare/Insurance Applications: GuideWire ClaimCenter & PolicyCenter, The Insurance Application (TIA)

PROFESSIONAL EXPERIENCE

Confidential, Philadelphia, PA

Senior Associate

Responsibilities:

• Providing technical leadership and consulting across the organization including strategic decision making and project planning.
• Working with third party vendors (Medical Bill Review & Pharmacy Benefit Management).
• Leading the Data Mapping effort for in scope legacy data for multiple LOB’s to the EDW staging that will prepare for input to the Data warehouse which includes statistical analysis on orphan records.
• Worked with the document prod team and led the requirement session for Thunderhead & Xpression (Finalized the Templates and data elements used in the templates along with the free from text fields).
• Worked with the business and managed the change management life cycle.
• Worked on Rally to keep track of hours and user stories related to the sprint.
• Working as a configuration ‘Test Lead’ for offshore team.
• Convened JAD (Joint Application Design) & SME (Subject Matter Expert) sessions to capture system requirements and business rules that define the overall scope of the system.
• Implementing Guidewire ClaimCenter & PC system and involved in mapping of the data elements.
• Documenting and researching clients existing IT systems architecture and technology portfolio.
• Also assisting in documenting, developing, communicating and recommending plans for investing in systems and business architecture including analysis of cost reduction opportunities.
• Working with underwriting and claims team to get the requirement for reporting purpose.
• Using Axure to design Mock-up screens for the portal.
• Using agile methodology to analyze and develop solutions and for writing user stories.
• Wrote test cases and executed various levels of testing using test cases to prove that the system conform to specifications of business and quality requirements.
• Gathering and Analyzing Business and DWH Requirements by conducting interviews with business users.
• Generated various SSRS reports with the ETL developer based on the requirements of the business.
• Involved in the analysis of the current system to provide the operational roadmap for the future process.
• Worked on improvements of the existing business process through Business Process Re-engineering (BPR) and managing unanticipated issues related to the application.
• Performed functional, regression and performance testing in user acceptance test (UAT) environment.
• Providing training to the end user’s on the functionality & various components of the system.
• Used MS Visio and UML for generating class diagrams and activity diagrams.
• Mapped requirements to each business process flows/diagrams to provide a visual and clear understanding to the user of technical and functional requirements.
• Conduct and participate in status meetings to collect data from business users.

Environment: MS Office, HP Quality Center, Data Mapping, JAD, EDW, Use Cases, SQL, GuideWire ClaimCenter, GW PolicyCenter, UAT, Activity Diagrams, Thunderhead, UML, Change Management, Wireframes, swim lanes, UI, Test Cases, Agile, Screen designs, Xpression, Cognos, BI, Process Maps, SSRS, Data modeling (Visio), Rally, Axure RP Pro 6.5

Confidential, Westborough, MA

Sr. Business Analyst

Responsibilities:

• Conducted interviews with key business users and the technical team to collect requirement and business process information.
• Gathered requirements from business regarding provider information systems web portal used to get more information from provider regarding claims.
• Documented Detailed Business Requirements as per the business users and the application requirement and converted them in to Functional Requirements.
• Responsible for finalizing the data elements for the new application as per the business and technical requirements in synchronization with the current process.
• Involved in the migration of the client data from different applications to new application.
• Used HP Quality Centre for test planning, test cases and for fixing of defects.
• Conducted Joint Application Development (JAD) sessions to develop and agree upon a system that focuses on a Business Requirement.
• Worked with the data architecture and data analyst team in designing the model and in creation of the data mapping documents.
• Worked with the data architecture and data analyst team in designing the model and in creation of the data mapping documents.
• Worked on MS CRM Dynamics for handling the customer claim inquiries, Validation and case creation.
• Part of the ICD 10 implementation team and worked on the Expansion and Reference files programs and EDI transactions forms.
• Helped the business analyst in generating the reports with Business objects XI (BI).
• Worked on the Mixed Code Claims and Description issues related to the ICD-9 & ICD-10.
• Also interacted with the stakeholders and the IT Department in finalizing the requirements according to the HIPAA Regulations.
• Experience working on waterfall and agile software development methodology.
• Presented walkthroughs and review sessions to the business folks and technical architects.
• Provided leadership to requirement teams, serving as a central point of contact through mentoring and motivating other business analysts in a positive manner.
• Created the process maps, UML diagrams, swim lanes, data flow diagrams etc with the help of MS Visio and also involved in developing the project plan.
• Developed data mapping documents with the help of ING technical team and the M&O team members.
• Developed use cases, test cases and also done the testing of the broker dealer application.

Environment: MS Office, MS Visio. BPM Agile Scrum, waterfall, Clarity, MS Project, BPR, UML, XML, UAT, Sql Server 2010, Quality Center 9.2, Queries, Test Cases, Use Cases, SIT, STP, MS Office, MS Visio. HIPAA 4010, 5010, ICD 9, ICD 10, MS CRM Dynamics, EDI, SilkCentral Test manager, Data Warehouse

Confidential, PA

Sr. Business System Analyst

Responsibilities:

• Interacted with different departments like claim and customer service regarding the performance issues related to claim processing system (Tricore Monument Xpress System).
• Conducted interviews with key business users to collect requirement and business process information.
• Involved in data analysis & generated reports with Business objects.
• Documenting Functional Requirements for business level components, UI and system security.
• Experience in Business Process Re-engineering (BPR), to make current process more effective.
• Developed Test Plan, use cases, Test Cases and Test Scenarios to be used in testing based on Business Requirements, technical specifications and/or product knowledge.
• Created the Business Requirement Specifications and helped convert them to system functionality documents and managed them in Rational Requisite Pro.
• Participated in UAT and worked with Mercury Quality Center for bug and defect tracking.
• Defining Core Business Rules and Core Business Validations for the entire application.
• Analyzed the technical specifications and business requirements.
• Use to create swim lanes, Business Flows and Work Flows Diagrams for effective plans.
• Documented and delivered Functional Specification Document to the project team.

Environment: MS Office, MS Visio, Tricore Monument Xpress v3.9, Rational Requisite Pro, GUI, Test Director, Agile Scrum, BPR, XML, UAT, TeamTrack, Sql Server 2008, Queries.

Confidential

Business System Analyst /QA

Responsibilities:

• Preparing Business Requirement Documents and Functional Requirement Specifications.
• Acted as a Liaison between the business community and IT development team to resolve functional and technical issues related to business applications.
• Gathered and analyzed business requirements by conducting interviews with business users.
• Identify gaps between the current deployment of applications and future requirements that have evolved due to organizational growth, changes or strategy.
• Worked with business community to document functional test scenarios, test plans and end user acceptance criteria
• Followed company SDLC and assisted the programmers and developers through designing, coding, testing, deploying, maintaining and supporting client initiatives.
• Participated in technical design sessions, working with technical resources to provide insight during technical solution development.
• Worked with underwriters to follow the business rules in order to examine the rating and price.
• Assisted other I/S staff in determining best practices for business process improvement.
• Wrote SQL queries to check the integrity of the data and generated the reports after data analysis.
• Conducted session with business users to analyze existing business processes and Process flow.
• Conducted Joint Application Development (JAD) sessions to develop and agree upon a system that focuses on a Business Requirement.
• Involved in planning of the UAT and ensure that defect fixes must be included in that.
• Used agile methodology to analyze and develop solutions, performed the role of Scrum master and wrote user stories.
• Involved in data mapping, data analysis (Business analytics) for measuring the performance of the business and then worked on Business Process Re-engineering (BPR) activities for the improvement of the existing process in order to achieve maximum performance.
• Analyzed current (as-is) process by creating process mapping, gathered requirement and developed ‘to-be’ process by suggesting and incorporating business process improvement.
• Created Use Case Models, Wireframes & Mock-ups,, Analysis Models, Design Models, Use Case Diagrams, Behavior Diagrams (sequence diagrams, activity diagrams) based on UML methodology using MS Visio.
• Wrote process flow and business case documents of existing process.
• Used Mercury Quality Centre for test planning, test cases and for fixing of defects.

Environment: Win XP, MS Office, KPI, BPR, MS SharePoint Server 2010, Activity Diagrams, MS Project, Mercury Quality Centre, DWH, UAT, Rational RequisitePro, Test Plan, Use Cases, SQL, UML, Test Cases, Wireframes, GUI, Queries, Agile, Data modeling (Visio).

Confidential, PA

System Analyst/Software Engineer

Responsibilities:

• Led requirement gathering efforts in an aggressive agile environment.
• Convened JAD (Joint Application Design) & SME (Subject Matter Expert) sessions to capture system requirements and business rules that define the overall scope of the system.
• Involved in policy administration, Business process mapping & defining process flow charts.
• Analyzed and documented the existing (as-is) process and gathered requirement and developed ‘to-be’ process by suggesting and incorporating business process improvement
• Drafting, cost/Benefit analysis, Executing and Documenting risk Areas, Wireframes & Mock-ups.
• Wrote test plan and executed various levels of testing using test cases to prove that the system conform to specifications of business and quality requirements.
• Gathered and Analyzes Business Requirements by conducting interviews with business users.
• Worked on improvements of the existing business process through Business Process Re-engineering (BPR).
• Performed functional, regression and performance testing in user acceptance test (UAT) environment and approval of the application.
• Used MS Visio and UML for generating class diagrams and activity diagrams.
• Suggested measures and recommendations to improve the current application performance with the aid of SCRs (Small Change Requests) and done data analysis for generation of ad-hoc reports.
• Conducted interviews, Joint Resource Planning & translated them into System Requirement.
• Worked with the FNOL (First Notice of Loss) team for capturing the claim notification regarding any loss of property from the policy holders and also interacted with the agents.
• Prepared Business Requirement Documents (BRD) and Functional Req. Specifications (FRS).
• Mapped requirements to each business process flows/diagrams to provide a visual and clear understanding to the user of technical and functional requirements.
• Conduct and participate in status meetings to collect data from business users.

Environment: Win 2003, MS Office, JAD, Use Cases, SQL, BPR, UAT, Quality Centre, Requisite Pro, MS Project, Activity Diagrams, UML, Wireframes, swim lanes, UI, Test Cases, Agile, Data modeling (Visio).

Agilis International, Gurgao

Application Support Engineer

Responsibilities:

• Gathering and Analyzing Business Requirements by conduction interviews with business users/Stakeholder.
• Performed User Acceptance Testing (UAT) and wrote SQL queries.
• Extensively used Rational Requisite Pro to maintain the project requirements and to improve the software development process.
• Build a software development process with RUP which consist tells what to produce and how to produce with minimum efforts.
• Handled B2B (Global Trade Transactions) between Firms and Companies with the help of FRA site, for that we have used EBPP: Electronic Billing Presentment and Payment system.
• Provided extensive technical and business support to business customers and also supported developers in website designing.
• Design and development of MS SharePoint for project status, documentation and communications tools. Also documented the training material for MS SharePoint.
• Worked on the DMAIC (Six Sigma Method) used to improve the existing business process of the organization. It also works on cost reduction and profit increment.
• Worked with the automation testing team and used QTP, developed test scripts.
• Conducted surveys, interviews and JRP (Joint Resource Planning) and JAD sessions and translated them into System Requirements.
• Suggested measures and recommendations to improve the current application performance and documented the existing process as well.
• Performed Functional Testing, Unit Testing, Regression Testing and documented the outcomes.
• Involved in various status meetings with the team members regarding the issues and client requirements and also in analysis and designing of the wireframes, Mock-ups and prototypes.
• Prepared Business Requirement Document (BRD) and then converted business requirement into Functional Requirements Specifications (FRS).

Environment: Unix, MS Office, Rational Requisite Pro, E commerce, QTP, Clear Quest, MS SharePoint Server 2007, SOX act, Wireframes, XML, UAT, use cases, test cases, Six Sigma, RUP, Sql Server 2005, oracle9i, DWH, Windows 2003, GUI, MS Project, swim lanes, Queries.

Confidential

Business Consultant/Technical Associate

Responsibilities:

• Wrote test plan and executed various levels of Unit, Integration, User Acceptance and Operational Acceptance testing using test cases to prove that the system conform to specifications of business and quality requirements.
• Involved in Functional and Regression testing of the application using QTP.
• Used GIS to extract the exact location of the telephone exchanges for exporting the cables.
• Scheduled jobs for compressing the database after adding the new data and then gather stats after that and escalated that report to the onsite team.
• Worked on improvements of the existing business process through Business Process Re-engineering (BPR).
• Bug fixing on dev. and production environment and involved in the deployment on production.
• Work with business users and user group managers to define requirements and document existing and new business process work flow and business processes
• Thoroughly documented existing business process for improvement purpose..
• Conducted and participated in status meetings to collect data from business users.
• Implement business modeling using MS Visio to develop screen for the applications.

Environment: Oracle9i, UNIX, SQL, Clarify, MS Office, UML, Visio, BPR, QTP, UAT, Sub Queries

Confidential

Business System Analyst/Developer

Responsibilities:

• Conducted Gap Analysis during the review of the Compliance items for improved future audits.
• Involved in the JAD sessions with the Team members.
• Worked with the FNOL (First Notice of Loss) teams for capturing the claims notifications.
• Analyzed and documented Business requirements, Functional Requirement and Business Process Models for better understanding of the business process.
• Conducted and participated in walkthroughs to discuss certain issues with the development and business team and worked on the improvement of the business process through CMMI practices.
• Prepared unit test cases and UML use cases for the application.

Environment: UNIX, MS Word, MS Access, CMMI, UML, HTML, BRD, Test Cases.