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Professional Summary
Over all 6 year's industry experience as Business Analyst with excellent understanding of Business Requirement Gathering, Business Analysis, Business Process Modelling. Excellent communication, writing and presentation skills. Experience working with business users and senior management. Solid understanding of all phases of Software Development Life Cycle (SDLC) methodology (requirement, analysis, design, data modelling, business process modelling, implementation, and deployment). Created maps & layouts for HIPAA as imposed during Electronic Data Interchange (EDI): 837 - Claims and Encounters, 834 - Benefit Enrollment and Maintenance, 835 - Claim Payment/Advice
Broad knowledge of test plans, test cases and test scripts from the Requirements Document. In-depth knowledge of Rational Unified Process (RUP); risk engineering, data modeling and mapping, and design using UML (Unified Modeling Language), Rational Rose and Visio. Experience in interacting with stakeholders like business clients, end users, vendors, SDLC team, configuration manager and production team to identify information needs and initiate process change. Expertise in creating various artifacts like BRDs, Functional Specs, Used Cases, UML Diagrams, Data Mapping Documents, Test Plans and Test Strategies, pre and post RTMs and Status Weekly Reports, etc. Conducted successful projects with the help of teams to achieve deadlines timely and proficiently. Created Requirements Traceability Matrix to keep the stakeholders informed of the progress of the project. Belief in teamwork, dedication, and professional ethics within the working environment. Extensive experience in conducting Joint Application Development (JAD) sessions for project definition involving analyzing requirements, creating prototypes, user interface, database schema and system design. Extensive experience in gathering Business/Functional user requirements, creating Use Cases as per user requirements, developing/designing diagrams such as Activity, Class, and/or Sequence Diagrams, and in addition to creating Business Requirements Document (BRD). Organized, goal-oriented, self-starter, and ability to master new technologies, manage multiple tasks while following through from start to completion. Flexibility in adaptation to a wide range of work environments. Extensive experience of working in a customer - oriented environment. Ability to inculcate new relevant skills with ease in a time sensitive frame. Work History
Business Systems Analyst, 10/2022 - Current
Hartford HealthCare Edgewater, NJ
Supported a team of Business analyst in the documentation phase and testing phase of 837 files and 835 files, 27x EDI transactions set Involved in all phases of software development life cycle (SDLC) in RUP framework Worked on EDI transactions: 270, 271, 834, 835, and 837 (P.I.D) to identify key data set elements for designated record set Interacted with Claims, Payments, and Enrolment departments for analyzing and documenting business processes Defined and developed specs for federal reporting specific to Medicare Advantage Analyzed current billing and claims data using existing BRD's Performed data analysis using SQL on various source systems including Oracle and SQL Server Developed and executed through project, change management, and test plans and aid in the closure of gaps and defects Performed daily validation of batch files for Enrolment, Billing, and discussing error with internal and external parties Performed Dev planning, analysis, design, and execution in Agile methodology by understanding the product backlog, sprint iterations, scrum session, stand up and defect triage Implemented Gap Analysis for finding out the required number of customizations needed to meet the client requirements Assisted Senior BA in providing subject matter expertise and priorities work for the development team Worked closely and collaboratively with other team Business Analysts, System Architects, Data Architects, Development team, and QA team to clearly articulate the defined requirements.Business Analyst, 10/2019 - 09/2022
Unum Insurance Chattanooga, TN
Developed application which was being implemented to make the claims processing more efficient Worked in Waterfall and Agile environment, with an ability to accommodate and test the newly proposed changes at any point of time during the release Designed the business requirement collection approach based on the project scope, Created Business Analysis using the agile methodology Performed requirements gathering and analysis from the business users of the system Interviewed, Analyzed, Gathered and Validated requirements with all pre-requisites required to elicit Artifacts Worked on multiple 837s and multiple Eligibility (270/271) and healthcare claim status (276/277).
Reviewed the application systems and determined how to map the new applications data to the EDI System.
Performed detailed GAP analysis of the requirements to existing platform features Participated in and contributed to AS-IS and To-Be Process Modeling Sessions and build process models Created EDI interface to send purchase order requests and receive acknowledgments and invoice data.
Used Rational Rose for Process modeling and Business Process flow diagrams Created and managed project templates, Use Case project templates, requirement types and traceability relationships in Requisite Pro Lead Sprint Planning sessions ensuring the commitments made are appropriate and uphold scrum principles Gathered the business requirements from users by utilizing methods like meetings, requirement workshops and conducting an impact analysis, Joint Application Design, SWOT, and Cost Benefit analysis Conducted meetings and JAD sessions for project definition, resource identifications and deliverable prototype identifications Prepared System Requirement Specifications (SRS), Requirements Traceability Matrix (RTM), and testing strategy Documented and tracked the requirements using Rational Requisite Pro Assisted QA team in assembling, evaluating, and reviewing testing strategies and test plans.Business Analyst, 08/2017 - 09/2019
Amtrust Insurance New York, NY
Designed the business requirement collection approach based on the project scope, Created Business Analysis using the agile methodology Developed a deep understanding of business products and processes Used MS Project to manage schedules, deadlines, and resources and collaborate on the project Assisted the QA team in designing the Test Plan and Test Cases for User Acceptance testing Involved in system validation during the UAT phase, along with Business line users to make sure that the application meets the intended requirements Worked with various teams to identify the right source to pull the data points, conducting JAD, Sprint retrospective, story grooming Understood the business requirements and mapped them into functional and technical requirements Performed requirements gathering and analysis from the business users of the system Interviewed, Analyzed, Gathered and Validated requirements with all pre-requisites required to elicit Artifacts Gathered and documented business BRD, FRD from formal sessions and validated the needs of the business stakeholders Performed detailed GAP analysis of the requirements to existing platform features Participated in and contributed to AS-IS and To-Be Process Modeling Sessions and build process models Used Rational Rose for Process modeling and Business Process flow diagrams Created and managed project templates, Use Case project templates, requirement types and traceability relationships in Requisite Pro Analyzed and designed the data flow and data modeling using the power designer tool Interacting with the developers on resolving the reported bugs and various technical issues. Education
Bachelor's Business: Administration (Columbia University in the City of New York)#HRJ#5e8a5ff6-8ccd-4acc-a260-09d6c38e30e4# |
