Result driven analyst with strong knowledge and background in Healthcare industry, Project management, Mainframes and Testing Expertise in identifying and documenting business and system requirements Proficient at creating Use Cases, Process Flows & Work-flows Expertise in analysis and development of complex Test plans, Test cases, and Test scenarios/scripts Demonstrated sound and disciplined judgment when defining/obtaining solutions Demonstrated ability to champion and implement software development methods Excellent negotiation, facilitation, and consensus building skills Demonstrated ability to work in project teams and within the constraints of the team environment to implement defined system solutions per defined delivery dates Adept at multi-tasking by managing to work on multiple projects simultaneously Astute learner who quickly grasps highly complicated technical material, ramps up to tasks expeditiously and delivers service with complete professionalism Outstanding communication, problem solving and leadership skills
Testing Tools- Application Lifecycle Management, Quality center, Test Director, Quick test pro
Emblem Health of New YorkNYSenior Business/Systems Analyst
Lead Business Analyst for Emblem Health's mission-critical, complex, high-risk and high-visibility projects.
Performed business and system requirements gathering, documenting, gap analysis, impact analysis, data analysis, testing and production support during deployment.
Delivered high quality business deliverables that met the need of business and in accordance with best-practice processes established by Enterprise Project Management Office (EPMO).
Claims Systems Remediation Project: Performed ICD-10 Impact Analysis for all critical functions i.e., Claims, DRG groupers, Benefits, Data Warehouse, Reporting, Vendor Management, etc.
Identified business and system requirements for Hospital, Medical claim systems and downstream systems by conducting detailed and comprehensive analysis by working with end users and other stakeholders.
Managed Change Control Process for changes submitted for the requirements and maintained Requirements Traceability Matrix.
Business Rules Remediation and Mapping Project: Participated in ICD 9 to ICD 10 codes conversion requirement gathering sessions with Business and Vendor (Edifecs) and created business requirements document with a focus on identifying opportunities to improve systems availability, reliability, efficiency, and performance.
Created processes and macros with Vendor, Business and IT and seamlessly migrated business rules from ICD-9 to ICD-10 without interrupting claims processing.
Worked with IT and Business in resolving complex file structure issues and proposed solutions that led to direct cost savings.
Updated more than 600 Medical policies by working fastidiously with Medical Directors and Clinical coders.
Accomplishments: Received appreciation from Business for successfully implementing more than 50 Business Rules files in production with zero defects.
Appreciated for completing 600+ Medical Policies at a crucial time with thoroughness and accuracy.
Vendor Management Project: Managed vendor master inventory, developed vendor workflow diagrams, performed vendor assessments, created vendor action plans and performed gap analysis which reduced project delays and cost overruns.
Financial Neutrality Project: Worked with Actuarial Business Intelligence Team to create reconciliation process flow and requirements to achieve financial neutrality.
Operational Readiness and Enterprise Testing: Created Release Notes and Documents related to ICD-10 Operation Readiness and Enterprise level testing.
Assisted the UAT team in the creation of UAT approach strategy document.
Worked with IT in setting up ICD-10 test environment to support automation and minimize manual intervention.
Developed test scenarios, test scripts, and test data in Application Lifecycle Management (ALM) to support UAT.Created adhoc reports for IT and Business.
Maintained project artifacts in SharePoint for all projects.
Emblem Health of New York, NY (Azhvas Inc.) Vendors, Co-ordination of Benefits, Medicare and Medicaid projects etc.: Gathered and documented client requirements, business needs and project objectives, via gathering sessions and client meetings.
Liaised with the seniors and Managers in the Claims operations concerning the business requirements, planning, testing, and communication of projects.
Designed and implemented user set- up, end user training materials and testing procedures.
Conducted User Acceptance Testing (UAT) along with the end-users and reported defects through Application Lifecycle Management and SharePoint.
Interacted with the software development team to resolve defects.
Used MS Access tables/forms, SQL and Excel to compare data and created adhoc reports.
Azhvas IncQuality Analyst
Created and executed automated software test plans, cases and scripts.
Documented software defects using bug-tracking system and reported defects involving program functionality, output, online screen, and content to software developers.
Delivered thorough QA testing reports that determined product quality and release readiness.
United Healthcare UHGProgrammer/Systems Analyst
Cognizant Technology Solutions).
COSMOS Project: Assisted with managing all facets of project life cycle including design, development, testing and deployment.
Developed and maintained batch/online systems using XGEN, COBOL, WFL, and CANDE.
Interacted with the project team to help define the business and system objectives, confirmation of scope and identify constraints.
Conducted JAD sessions, to solve the problems and enhance the workflow.
As part of service management, completed work order efforts which involve analysis of the issue, recreation of production issue, code changes and unit testing to verify the resolution of the issue.
PRIME Project: Developed and maintained batch/online systems using COBOL, JCL and DB2.As a system analyst, created use case narratives, use case diagrams, sequence diagrams and process flow diagrams using MS-Visio.
Ensured change control for the changing requirements and scope of the project.
Provided on-call support and scheduled billing jobs as per client's requirements.
Anna UniversityINDIABachelor of Technology: Information TechnologyGPA: GPA: 3.87/4.0Information Technology GPA: 3.87/4.0
Agile, approach, automation, Benefits, billing, Business Analyst, Business Intelligence, C, C++, CANDE, CICS, COBOL, content, conversion, client, data analysis, Data Warehouse, Databases, downstream, Financial, focus, forms, HTML, IBM, DB2, MVS, ICD 10, ICD-10, ICD-9, IMS DB, inventory, JCL, Notes, macros, Mainframes, IBM Mainframes, managing, materials, meetings, Access, MS Access, MCP, Excel, Microsoft Office, Office, PowerPoint, SharePoint, Word, Enterprise, Operating System, OS/390, Policies, PRIME, processes, Programming, Project Management, Quality, QA, Quick, Reporting, requirement, requirements gathering, RUP, SDLC, scripts, software developers, software development, SQL, SQL Server, strategy, system analyst, tables, user training, Test Director, UML, Unisys, Vendor Management, Visio, VSAM, workflow