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Click here or scroll down to respond to this candidateCandidate's Name
EMAIL AVAILABLEPHONE NUMBER AVAILABLEhttps://LINKEDIN LINK AVAILABLEPROFESSIONAL SUMMARYAccomplished and results-driven Senior Business Analyst with Around 10 Years of expertise in the healthcare sector, specializing in Business Requirement Gathering, Business Analysis, Requirements elicitation and collaboration, facilitating Joint Application Development (JAD) sessions. Proficient in leveraging a deep understanding and analyzing business requirements at all stages of the Software Development Life Cycle (SDLC) and requirements life cycle management.Healthcare Expertise: Profound understanding of Medicaid and Medicare eligibility, HER, claim lifecycle Membership, Member Enrollment, Billing, Claims Payment Processing in relation to HIPAA, EDI transactions, 4010, 5010 X12, ICD-9 & ICD-10, codes 834, 837,835, and 270, 271.Requirements Gathering and Documentation: Proficient in creating and managing Business Requirements Documents (BRD), Functional requirements Documents (FRD), detailed Use Case Specifications, comprehensive Functional Specification documents (FSD), AS-IS and TO-BE processes documents, system specification documents (SSD), user stories and designing and optimizing Workflows and Gap analysis expertise.Demonstrated ability in Data Warehousing/Business Intelligence systems for government, E-Commerce, and healthcare industries. Committed to continuous professional development and mastering new technologies to meet evolving industry demands.Strong working knowledge of Cross-functional, Communication, and process diagrams for business processes.Extensive experience in creating mockups and wireframes using tools like Balsamiq, Snagit, draw.io, paint, and Excel. to visualize and optimize workflows.Good understanding of Business Process Management (BPM), Process administration, Program management, Vendor management and project management skillsExtensive Experience in Functional Integration systems and modules, data integration, data mapping, Regression, API integrations, data warehouse integrations, and third-party (Vendor)system integrationsKnowledgeable working with BPM, Big Data, ServiceNow platform, CRM, Data upload using ETL process (Extract, Transform, and Load) of data into a data warehouse Business Intelligence system for government and healthcare care industries.Comprehensive SQL Proficiency: execution of SQL queries for testing, report validation, and data verification.Experienced in Atlassian JIRA, Rally, Redmine, Rationale Quality Manager (RQM)Extensive experience in system testing, Functional testing, integration testing, manual testing, Big Data testing, UAT, and Regression testing.Proficient in Developing and executing Test Plans, Test Cases, and Test Scenarios. Functional and usability testing was also performed to ensure that the software met the system requirements.Excellent working knowledge of the Project Life Cycle and a clear understanding of Project Management, developing project plans, and estimating project timelines.Client-Centric Approach: Proven ability in client and vendor interaction, ensuring a profound grasp of business systems functionality, technical intricacies, and solution evaluation.Dynamic Communication Skills: Adept at creating and coordinating extensive communication networks, ensuring all stakeholders are informed of goals, project status, and issue resolution.Deadline-Driven and Leadership: Successfully led cross-functional teams to meet and exceed project deadlines. Conflict resolution capabilities and negotiation skills. Self-starter with the ability to master new technologies while managing multiple tasks from initiation to completion.Multi-tasking, Advanced communication skills, strong presentation skills, UAT expert, organized, and goal-oriented.CERTIFICATION:Certified Scrum Master-2023TECHNICAL SKILLSData Bases : SQL, MS Access, Oracle, DB2, Sybase, HadoopMethodologies : Agile, Rational Unified Process (RUP), Waterfall, JAD, BI, UML, Redmine,Balsamiq,Office Tools : MS Word, MS Excel, MS Outlook, MS PowerPointQuality Management Language : SQL, Java, N0SQL, TOADOperating System : Windows XP/Vista 2000/98/95Software Application : Data Warehouse, ARIS, ETL, BPMN, Facets, MS Visio, Rational Rose,Justin Mind, JIRA, Rally, BI, IBM, Team Foundation Server (TFS) -2012,Testing Tools : ALM/HP Quality Center 11.0, HiveTechnology Platform : Swagger Hub, Cloud, AWSPROFESSIONAL EXPERIENCEDOH-Department of Healthcare, Wadsworth Center (Albany, NY) Oct 2021 CurrentSr. Business AnalystProject description: The project is to replace the existing Legacy system with a web-based application. Laboratory Licensure (commonly known as LABLIC) is a 30-plus-year-old back-end application that needs to be replaced by a new user interface due to a lack of support and maintenance.Responsibilities:Conducted JAD sessions, meetings, and workshops to gather requirements from various stakeholders and SMEs.Performed analysis on the current system and created AS-IS and To-BE business processes using MS Visio.Gathered user and business requirements through interviews and prototyping and worked with the team to identify gaps and defects.Prepared Business Requirements, Functional Requirements, Use Cases, Data elements, Mockups, Test Plans, Test cases, and user guides for the new Web-based application.Prepared various diagrams by using MS Visio.Assist the department in resolving application-specific issues.Worked closely with QA and Developers to clarify/understand functionality, resolve issues and provided feedback to nail down the bugs.Working on MYSQL and SQL serves to help the end user with the Infomaker reports.Built and created a test matrix to ensure maximum testing scenarios meet all required specifications.Performing the application testing.Environment: Agile Scrum, ALM, Redmine defect tool, BPM, MS Office, MS Visio, BI, MS Project, JIRA, SharePoint, Rally, ARIS (UML), DB Visualizer Pro-12.0, Balsamiq, draw.io, Oracle database, Sybase DatabaseDOH-Department of Healthcare, (Albany, NY) Sep 2018 Sep 2021Sr. Business AnalystProject description: The project was to transform the DOH Radiologic Technologist (Rad Tech) project. Existing license and registration applications are entirely paper-based, including paper check payment management, which is the DOH Radiologic Technologist (Rad Tech) project. The obsolete technology and manual processing do not satisfy citizens' and agencies need for a user-friendly website and streamlined processing system.Responsibilities:Project -1Conducted thorough analysis of the existing DOH Rad Tech application, identifying areas for enhancement and optimization.Coordinated and facilitated Joint Application Development (JAD) sessions, meetings, and workshops, extracting critical requirements from diverse stakeholders, subject Matter Experts (SMEs), and vendors.Skillfully mapped out the AS-IS business processes and meticulously designed TO-BE process workflows for the Rad Tech using MS Visio, enhancing operational efficiency.Created structured change implementation strategies via project plan using Excel.Creat essential Business Requirements Documents, Functional Requirement Documents, Use Cases, Data Elements, Mockups, Test Plans, Test Cases, and User Guides, ensuring comprehensive documentation, User role-based documents, and Meeting minutes for the Rad Tech application.Executed precise Data Mapping and compiled a detailed Data Analysis document, ensuring accurate information flow and data integrity.Collaborated closely with Quality Assurance (QA) and Development teams, offering valuable insights to resolve functional doubts and eliminate bugs.Conducted user training sessions and developed training materials to help ensure users have the knowledge and ability necessary to adapt to the implemented changes and successfully deliver training as needed.Played a pivotal role in User Acceptance Testing (UAT), validating system reliability and functionality for end-users.Project -2Applied comprehensive analysis to the existing DOH Rad Inst and Rad Mat applications, identifying areas for improvement and streamlining processes.Led daily Scrum meetings, JAD sessions, and workshops, working closely with stakeholders and SMEs to extract critical requirements for the Rad Inst and Rad Mat applications.Employed a multifaceted approach, incorporating interviews, prototyping, and collaborative team efforts to extract user and business requirements, skillfully identifying gaps and defects.Strategically mapped out AS-IS business processes and meticulously designed TO-BE process workflows for the Rad Inst and Rad Mat using MS Visio, enhancing operational efficiency.Developed User Stories, Use Cases, Data Elements, Mockups, and various diagrams, providing comprehensive documentation for the Rad Inst and Rad Mat applications.Established a Requirements Traceability Matrix (RTM) for the Rad Inst and Rad Mat project, ensuring alignment with project objectives.Conducted deep system analysis, collaborating closely with QA and Development teams to resolve functional ambiguities and eliminate bugs.Generated Project schedule reports and milestone reports, ensuring transparent project tracking and progress reporting.Collaborated seamlessly with enterprise data warehouse, data governance, and business teams and vendors.Provided invaluable End-User support and maintenance for the entire system, ensuring uninterrupted operations.Project -3Conducted client interviews and made other necessary collateral contacts to verify eligibility for Medicaid Programs, Billing, and claims.Supported SME/Project manager in integrating change management activities into the overall project plan.Developed process mapping, workflow modeling, business rules modeling, use case modeling, scope management, requirements elicitation, and change management.Made initial and continuing determinations regarding the clients eligibility for all Medicaid programs.Actively worked with the SMEs to create and implement change management plans.Provides timely submission for government and non-governmental payers, billing including self-pay for assigned facilitiesProvides follow-up on all claims to ensure timely receipt of payments, resolves outstanding account balances, researches and writes appeals, and works with aging reportsWorked with Medicaid and Medicare SME and OCM manager/Lead during discovery analysis.Developed communications plan, Meeting minutes, stakeholder analysis, OCM documents, SME role-based documents, User Stories, Use Cases, Data Elements, Mockups, and various diagrams, providing comprehensive documentation for new billing and claims.Environment: Agile Scrum, ALM, Redmine defect tool, MS Office, MS Visio, BI, MS Project, JIRA, SharePoint, Rally, ARIS (UML), iRise, DB Visualizer Pro-12.0, Balsamiq, draw.io, Oracle database, Sybase DatabaseClient: Department of Transportation (RMV), Quincy, Boston, MA Feb 2018 - Aug 2018Role: Sr. Business AnalystThe project was to enhance the online RMv service center website to support Registration, Renewal licenses, and additional services. Hybrid Agile Scrum methodology was used throughout the project.Responsibilities:Developed intricate business rules, encompassing validations and decision points for each step within the process, optimizing workflow efficiency.Actively participated in Agile Software Methodology utilizing the Scrum framework. Spearheaded creating and prioritizing user stories while closely monitoring progress through burn-up and burn-down charts for precise sprint delivery estimates.Conducted Joint Application Development (JAD) sessions, meetings, and workshops, extracting critical requirements from various stakeholders and Subject Matter Experts (SMEs).Conducted comprehensive business data analysis, establishing the correlation between values and business processes. Conducted thorough GAP analysis, systematically comparing scheduling systems and meticulously documenting identified gaps.Planned accurate work breakdown structures, delineating essential tasks to achieve project milestones. This encompassed problem analysis, requirements definition, business case formulation, project scoping, and final translation into a set of solution options with robust technical requirements.Leveraged SQL to proficiently query relational databases on a daily basis, resolving operational issues and enhancing comprehension of business requirements. Additionally, created comprehensive data mappings, aligning data with established business rules.Created and implemented unit test cases and detailed testing criteria spreadsheets covering regression, positive and negative testing, process flow testing, and screenshot-based test result documentation to thoroughly evaluate expected versus actual results.Produced vital Business Requirements Documents, Functional Requirement Documents, and various diagrams utilizing MS Visio, enhancing project documentation and clarity.Demonstrated proficiency in process modeling and exhibited a strong command of ARIS tool and BPMN standards, streamlining process analysis and optimization.Compiled a comprehensive data dictionary and conducted meticulous Data Mapping, ensuring seamless data integration and integrity.Managed testing efforts for various functionalities using Quality Center tools, ensuring rigorous testing standards and accurate bug reporting.provided crucial support to the Development and QA teams, aiding in defining test strategies, requirements, scenario development, and execution of test phasesEnvironment: Agile Scrum, MS Office, MS Visio, MS Project, JIRA, ERP, Balsamiq, SharePoint, Rally, iRISe (UML), Swagger hub, SQL, Oracle databaseCommonwealth of MA for Executive Office of Education, MA, Boston Mar 2017 Jan 2018Sr.BA/Data AnalystProject description: The project was to extend the functionality of a mission-critical business application significantly, the Childcare Financial Assistance application (CCFA).Responsibilities:Collaborated seamlessly with Business SMEs, stakeholders, Project Managers, Quality Assurance, and Developers to meticulously create and document precise business and data requirements, ensuring seamless project progression.Engaged with the business to comprehend strategic objectives, define requirements, evaluate product alignment with business needs, and expertly reengineer business processes for optimal efficiency.Leveraged technical expertise to comprehend the application's data architecture, applying this knowledge to articulate comprehensive data requirements aligned with new functional specifications.Conducted comprehensive interviews and meetings to document existing business processes comprehensively, ensuring a clear foundation for process enhancement.Developed intricate flowcharts and process diagrams utilizing MS Visio, enhancing project documentation and visualization.Prepared comprehensive Functional Requirement Documents (FRDs), encapsulating precise scope of work for the technical team, derived from System Users' Functional Requirements, facilitating prototype development and overall system refinement.Documented AS-IS and TO-BE Process workflows, providing a roadmap for process enhancement.Generated comprehensive data elements and a data dictionary that is pivotal for seamless data mapping and integration.Facilitated MS Access database integration process through meticulous requirement documentation. Provided vital support to team members, aiding in requirement elaboration, gap analysis, permutations, constraint identification, assumption clarification, and risk assessment, ensuring clear, concise, and comprehensive requirements.Demonstrated technical proficiency by writing SQL scripts using SQL Server Management Studio (2012) for report generation.Played a pivotal role in User Acceptance Testing (UAT) and delivered the necessary training and user manuals.Environment: Team Foundation Server TFS (2012), Microsoft Visio, Balsamiq, ERP, Pinpoint, Microsoft Excel, Visual Paradigm, SQL server Management Studio (2012), MS Office, MS Access database, PeopleSoft.Client: Scripps Networks, Knoxville Apr 2016 - Mar 2017Title: Scrum Master/Business System AnalystProject description: The project was to enhance the existing Planning Application. This application supports the planner in planning for the different partners shows, episodes, and series and broadcasting them on accurate time and channel.Responsibilities:Performed the role of Business System Analyst and Scrum Master, facilitated rapid development, minimized impediments, resolved support issues, and successfully implemented overall enhancements. I also Incorporated agile methodology and SCRUM techniques to manage requirements.Functioned as a liaison between the technical team and business clients to accomplish application enhancement and production.Facilitated and contributed to daily Scrum meetings (stand-up meetings), Sprint planning and review meetings, Release planning meetings, and Retrospectives with the team to coordinate between Clients, Product Owners, Developers, and QA teams.Responsible for tracking requirements in RQM and JiraResponsible for creating, analyzing, and reviewing business requirements, System specifications, and project schedule documentation. Gathered user and business requirements through interviews and prototyping. Worked with the team to identify gaps and defects.Assisted the Product Owner in setting realistic expectations, evaluating the impact of changes on the organization and planning accordingly, and conducting project-related presentations.Developed flowchart and process diagram using MS Visio.Wrote SQL scripts for creating performance evaluation reports.Trained Users by documenting and giving presentations on changes and new functionalities.Created Release Notes prior to each implementation.Prepared user guide and business rule documents for the billing cycle.Test Planning and Test Design: Set up test plans and test cases for assigned modules, build test scenarios and automated test scripts, and create project deliverables for review.Involved in User Acceptance testing (UAT) to check the reliability of end users and in end-user training on using existing templates for Ad hoc reporting.Environment: Rally, Jira, Microsoft Visio, Trello, Balsamiq, Microsoft Project, Visual Paradigm, Quality Center, Pro Quest SQL, MS Office, Tableau, Oracle, Data Mapping, Java, XML, ARIS, PeopleSoft FIN,Client: DOCCS-Department of Correction Community Service (Albany, NY) Dec 2014 - Mar 2016Role: Sr. Business Analyst/system analystProject description: The project was to enhance the existing Live Scan system. This includes an application that supports creating ID cards and capturing fingerprints. Agile and waterfall methodologies were used throughout the project.Responsibilities:Conducted weekly meetings to decide the Policies and Procedures to be followed.Gathered high-level requirements for all the external projects in a release.Performed the requirement analysis and impact analysis and documented the requirements.Created As-Is and To-Be process documents, including Visio diagram, Requirement Traceability Matrix Mapping, Gap analysis documents, Data elements, and system design documents.Executed the test cases and test scenarios using the HP Quality Center (QC).Facilitated gap analysis sessions to map processes to requirements.Facilitated and led JAD sessions aimed at functional requirement walkthroughs for all the impacting projects and updated the documents based on recommendations (if any).Managed Medicaid application process for inmates.Work on Business process tools such as MS Visio, MS Excel, MS Word, and Lotus Applications.Perform Manual testing, integration testing, and creating test plans for the Project Manager.Run SQL queries, create BI reports and communicate the results to the business team.Work on various defect-tracking tools: Quality Center, Clear Quest.Involved in the User Acceptance testing (UAT) to check the reliability for end users.Environnent : MS Visio, HP QC, ARIS (UML), MS Office, Agile Scrum, BalsamiqEDUCATION :American College of Computer and Information Technology Master of Science (MS) in Computer Information Science,2015University of Northern Virginia, VA, USA- Master Business Administration(MBA) in Health Care, 2012Training in Quality Assurance (Manual Testing) Business Analyst |
