Soumya (Please Contact:

abg9kt@r.postjobfree.com )

Summary:

. 7+ Years of experience as Business Analyst in various domains such as

Healthcare and capital market.

. Strong experience as a healthcare business analyst in Hospitals, Third

party Billing companies, and Bio-Medical companies.

. Analyzed and generated a variety of financial and performance reports.

. Experienced in health care processes like Claim Processing, Billing,

Customer Care, Insurance and Reimbursement.

. Strong understanding of stocks, bonds, futures, forwards, options, swaps,

Mortgage Backed Securities (MBS), RMBS, CMO's, CDO's, CLO's, Credit

Derivatives, etc

. Hands on experience in HIPAA, Joint Commission and ISO Standards.

. Understand rules and regulations of HIPAA as imposed during Electronic

Data Interchange (EDI).

. 834 : Benefit Enrollment and Maintenance

. 835 : Claim Payment/Advice

. 837 : Claims and Encounters

. 270/271: Eligibility Benefit Inquiry and Response

. 277/275: Claim Request for additional Information and Response

. 276/277: Claim Status Request / Response

. Extensive experience on SDLC methodologies such as Rational Unified

Process (RUP), iterative, waterfall and Agile (Scrum).

. Strong experience in requirement Elicitation Techniques such as Joint

Application Development sessions (JAD), Interviewing, Questionnaires, and

Surveys.

. Extensive experience in gathering, documenting and managing Business and

Functional requirements as a team leader.

. Performed GAP Analysis by identifying existing technology and documenting

the enhancements to be met in the new system.

. Strong experience in creating UML diagrams such as Use Cases, and

Activity Diagrams, business process workflow, class diagram and sequence

diagram using MSVisio.

. Conducted Usability Study Sessions with the Business users as well as the

Developers to improve and design screen mock-ups using tools like

MSVisio.

. Assisted QA team in writing Test Cases, Test Plans, test script.

Experienced in conducting testing such as Regression, data testing, smoke

testing and User Acceptance Testing (UAT).

. Strong experience in managing Defect Lifecycle such as defect tracking,

prioritization, status updates, reporting, maintaining issue log, using

Quality center test director.

. Actively involved in creating and maintaining Requirement Traceability

Matrix (RTM).

. Proficient in Resource allocation and resource planning. Generated

periodic Status Reports to maintain and monitor project development.

. Worked collaboratively with Management and Senior team members to discuss

Project Strategies and Deliverables. Have good experience in Process

Management, Client Relationship Management and Project Co-ordination

skills.

. Research, analyze, and identify the sources and trends of technical and

business problems to prevent future occurrences and communicate issues to

Management.

. Excellent Communication and Presentation Skills both oral and written.

Proven ability to convey Business requirements and Technical needs in

clear, concise, and effective manner.

Technical Skills:

Tools: MSVisio, MS Office Suite, Requisite Pro, Rational Suite.

Programming Language: SQL, Java, .Net, C, C++

Databases: Oracle, SQL Server, MS Access, MySQL.

Operating System: Windows Vista, Windows 98/2000/NT/XP.

Testing Tools: Quality Center/ Load Runner, Mercury Test Director,

QuickTestPro, WinRunner.

Modeling Tools: Visual Paradigm, Toad Modeler, MSVisio.

Reporting Tools: Business Objects, Cognos.

Experience:

Client: Spectrum HealthCare

Hauppauge, NY

Duration: Mar' 10 till Date

Role: Analytical Consultant(Business Analyst)

Description:

This project was an enhancement of the existing legacy application of

Electronic Medical Record application Advanced MD which was a web-based

application. It has various functionalities wherein the Physician,

Radiologist, Billing Department and the administrator can access all

required patient records using this platform. Other functionalities mainly

consisted of generation of reports by the administrators to assess the

company's performance over time.

Responsibilities:

. Captured Requirements necessary for the analysis and documentation of the

Company's process. Analyzed existing process and its relationship with

other processes and departments.

. Participated in JAD Sessions with Stakeholders to gather requirements, to

determine feasibility of proposals and to develop alternate plans for the

Project.

. Prepared Business Requirement Document (BRD) and Functional Requirement

Documents (FRD) using MS Word.

. Created Activity Diagrams and Use Cases and various process flow diagrams

using MSVisio.

. Monitored and prepared Progress Reports for Project Manager. Handled

problems and provided solutions relevant to the development of Project.

. Assisted QA team in preparing Test Plan and Test Cases and traced them

back to requirements.

. Performed User Acceptance Testing (UAT) with user group.

. Constructed Requirement Traceability Matrix (RTM) using MS Excel to

monitor compliance of requirements and to handle Change Requests

efficiently.

. Provided cost estimates (what needs to be done and what needs to be

deferred) to define the business value of the desired functionality.

. HIPAA Training on 19th October 2010.

. Contributed towards upgrading from HIPAA 4010A1 to HIPAA 5010.

Environment: Rational Suite (RUP, UML with Rational Rose, Rational

RequisitePro, ClearQuest), MSVisio, MS Project, Visual Basic, HTML, MS SQL

Server, MS Windows.

Client: Island Urgent Medical Care, P.C.

Hauppauge, NY

Duration: Jan' 09 to Feb' 10

Role: Business Analyst

Description:

This was a robust project built on .Net technology and Oracle Database. It

was an enhancement to the legacy application that was not capable of

providing access to various users of the firm. Scope of this project was to

build an application that acted as a centralized platform that could be

accessed by various users of the firm. The application facilitated

coordination of Billing, Reimbursement, Transcription and coding so as to

work on a common platform.

Responsibilities:

. Conducted Joint Application Development (JAD) sessions to elicit business

and system requirements.

. Created Business Requirements Documents (BRD), and then converted BRD

into Functional Requirements Documents (FRD).

. Analyzed requirements to ensure that established acceptance criteria for

requirements are met.

. Participated in formal requirement review sessions with Stakeholders and

Development team.

. Conducted Gap analysis and documented inconsistencies arise during

Project.

. Prepared Prototype Model, Context Diagrams, and Activity Diagrams using

MSVisio.

. Wrote Use Cases to demonstrate Business requirements to Development team.

. Strong knowledge of HIPAA 4010A rules to store the transactions.

Monitored all the HIPAA transactions through the gateway.

. Tested the system and applications for compliance with the HIPAA, ISO and

EDI Standards.

. Verified the privacy issues and compliance with the HIPAA Security and

Privacy Act (HSPA).

. Assisted in developing Test Scenarios and, participated in Regression and

User Acceptance Testing (UAT).

. Managed requirements and identified inconsistencies with Project plans

and work products.

. Interacted with the Subject Matter Experts (SME) to gather information

about the Health care enrolment, Billing, and Health care claims

processing. Checked whether they processed correctly or not.

. Experience of working with EDI transactions such as 837, 270, 271, 276

and 835 transactions.

. Monitored all the HIPAA transactions through the gateway.

. Worked closely with Technical team to ensure Testability of requirements.

. Assisted QA team to Examine, analyze and create Test Plans, Test Cases,

and Test Procedures based on RUP.

. Created Requirement Traceability Matrix (RTM) to trace requirements and

manage Change Requests.

Environment: UML, MSVisio, Rational RequisitePro, Test Director, Agile

methodology, SQL Server 7.0, MS Office Suite.

Client: Cutting Edge Mortgage

Deer Park, NY

Duration: Jan' 08 to Dec' 08

Role: Business Analyst

Description:

This project was about developing an application Government Bonds Trading

System that was used to trade Treasury securities, such as T-notes, T-

bills, T-bonds. The legacy system namely GDSS (Group Decision Support

System) did not support trade matching feature. GBTS contained the matching

engine using which the Financial Sales Associate and the trader inputs are

matched and the trade is executed.

Responsibilities:

. Used Requisite Pro for the Requirement Documents Preparation.

. Prepared Business Process Models that includes modeling of all the

activities of the business from the conceptual to procedural level.

. Played a substantial role in the process definitions and business and

functional requirements gathering, in an effort to develop a practical

technology solution for automating sales methodology.

. Participated in process of preparing verification master plan to describe

clearly and concisely the company's philosophy, expectations, and

approach to be followed. Met with users to generate and review business

test cases. Converted Business Requirements to the Functional

Specification.

. Conducted JAD Sessions to develop an architectural solution that the

application meets the business requirements, resolve open issues, and

change requests. Implemented and monitored Individual Development Plans

focusing on total performance, including both quality and productivity.

. Monitored client expectations through client involvement and

communication throughout the lifecycle of the project; educate clients

and stakeholders on the benefits and risks associated with the project.

Environment: MS Visio, MS Project, Visual Basic, XML, HTML, SWIFT, MS SQL

Server, Microsoft Windows, Rational Suite.

Client: NIIT SmartServe Ltd.

Gurgaon, India

Duration: Mar' 05 to Nov' 07

Role: Business Analyst

Description:

This company is an outsourced call center provider, that offers outbound

and inbound contact programs to different countries like North America,

Canada and Europe. As a growing company, they required analysis of process

flow and improvement in the same to maximize system efficiency.

Responsibilities

. Conducted Joint Application Development (JAD) Sessions to develop an

architectural solution that the application meets the Business

requirements.

. Analyzed and optimized the process. Prepared Business Requirements

Document (BRD) and then converted BRD into Functional Requirement

Specifications (FRS) and Technical Specifications.

. Identified Use Cases from the requirements. Created UML Diagrams

including Use Cases and Activity Diagrams.

. Created and managed the Change Request process and analyzed the impact of

the Change Request on the application with regards to Project Plan,

Project Scope and Project Schedule.

. Assisted QA team to create Test Cases and Test Plans for the Application.

. Developed Requirement Traceability Matrix (RTM) for weekly evaluation of

Project Status and impact of the Change Request on the Time line.

. Facilitated User Acceptance Testing (UAT) with the Stakeholders and the

Business users. Identified bugs and fixed them using Regression testing.

. Conducted Technical/Non-technical presentations to the management and

training workshops for the clients.

Environment: RUP, Star Team, Team Track, MS Visio, MS Project, Visual

Basic, XML, HTML, SWIFT, MS SQL Server, Microsoft Windows.

Client: Umkal Hospital, Gurgaon, India

Duration: Nov' 03 - Feb' 05

Role: Intern

Description:

Worked with the Administration team to set-up a web-based application, so

that all departments of the hospital could work on a common platform.

Responsibilities:

. Served as a liaison between hospital team and the project team by

assisting the hospital in identifying, understanding, and documenting

their business needs.

. Collected and documented hospital's business processes as well as

business rules.

. Conducted analysis of business processes and requirements and

identified technology enabled improvements. Used agile software

development methodology.

. Developed a simple system and frequently and incrementally added

functionalities to the application.

. Performed Feasibility, Adaptability and Risk Analysis to identify the

business critical and high-risk areas of the application.

. Gathered information from the reporting department to help prepare the

framework of the table structure in the target database.

. Worked with the Business community and Tech Lead in gathering their

requirements and data transaction information related to OLTP, OLAP.

. Conducted highly interactive JAD sessions, FMEAs and project walk

through to gather requirements from the business users and project

management team.

. Conducted User Acceptance Testing (UAT).

. Assisted in development of training materials for new technology and

process improvements.

. Met with business stakeholders to gain consensus on new product

functionality.

. Prioritized new functionalities and functionality based on business

needs.

. Identified and documented best practices for the product offering.

. Implemented rigorous ISO 9001 testing.

. Conducted project related presentations.

Environment: MS Office Suite, MS Project, Oracle, HTML, Business Objects,

Agile methodology.

Educational Qualifications:

. Masters of Business Administration in Healthcare

Contact this candidate