Dr. Ankush Shinde +** *** 992-***-****

Senior Business Analyst

Over 5.5 years of healthcare and IT experience in Software Development Life Cycle (SDLC) and Project Life Cycle

working as Business Analyst in Healthcare with responsibilities of business analysis, implementations, support

with prime focus on Hospital Information Systems in both clinical & non-clinical areas, electronic health records,

claims processing.

Presently working as Staff Product Designer for Eclipsys, India, till date

Business Analysis Experience

Good understanding of healthcare payer and provider process work flow, clinical coding, claim processing,

HIPAA and HL7 2.5 protocol

Strong skills developing Functional Specifications and Use Case Diagrams

Efficient in MS Project/MS Excel/MS Visio for planning/status reporting/writing test scenarios

Actively involved in developing, executing and managing User Acceptance Testing (UAT)

Working experience in a cross-functional team environment/different geographical locations teams.

Excellent analytical & problem solving skills and a team player with strong interpersonal and communication

proficiency.

Healthcare Domain specific experience:

Experience with Healthcare systems, HIPAA compliance applications and electronic exchange guidelines.

Experience with claims process and adjudication in the Medicare, Medicaid & Private Insurance Sectors.

Experience in providing US Health Insurance domain and system training, mentoring to other internal

Business Analysts and Entry level fresher’s including knowledge of conversation.

Knowledge of CMS PQRI Measures for designing clinical analytics product.

Was involved in Implementations of Hospital Information Systems to major facilities with 300+ beds.

Voluminous experience in gathering of requirements with strong Co-ordination with BDMs, SMEs,

Development, Quality Analysts Team and End Users.

Proficient in creating and transforming business requirement into software requirement specifications (SRS)

Experience with Medicare, Medicaid and commercial insurances in HIPAA ANSI X12 formats including

270/271, 835, 837

Educational Qualification:

Master’s in Hospital Administration

Technical Expertise:

Process/Modeling Tool: SDLC, MS Visio, TOAD, Snagit 9

Methodology: UML

Databases: SQL server

Office Tools: MS Office, Word, Excel, PowerPoint, Access

Project Management: MS Project

Reporting Tool: MSRB (Microsoft Report Builder)

Eclipsys, Pune, India Nov 2007 - till date

Staff Product Designer

SCM (Sunrise Clinical Manager)

Sunrise Clinical Manager is a client-server application that allows clinicians access to patient information. Key elements

of the product are computerized physician order entry (CPOE), embedded evidence-based content presented within

context, interdisciplinary clinical documentation and streamlined communication capabilities.

Responsibilities:

Authored Functional Specifications for reporting module for PQRI (Physician Quality Reporting Initiative)

which includes Diabetes, Coronary Artery Disease & Hypertension

Development of system requirements and functional specifications as well as problem-solving of related

workflow and application issues.

Work closely with the development team once the Functional Specifications are handed over to them.

Assist testing of product releases to validate against specifications

Review and provider feedback for end-user documentation

Designed Functional Specifications for OLAP (Outcomes, Order and Alerts) cube analysis reporting tool

Test reports and cubes with the business users to align the requirements with the results.

Authored Functional Specifications for developing core measure reporting for Asthma, Diabetes and

Pneumonia

Designed surveillance and summary reports using MSRB tool

Environment:, PL/SQL, SQL, MS office, MS Proclarity

Syntel, Pune, India July 2006 - Nov. 07

Senior Business Analyst

Mckesson: Trendstar/ RM (Receivables Management)

The TRENDSTAR decision support system offers providers a robust information solution that aids in improving both

clinical and financial outcomes

Responsibilities:

Involved in analysis and development efforts – conducted team member meetings to understand and analyze

product features.

Analyzed Revenue Cycle Management, DRG Grouping and clinical coding workflows

Involved in building & analyzing business process maps for DRG grouping and clinical coding.

Used MS Project/MS Excel for planning/status reporting/writing test scenarios.

Actively involved in developing, executing and managing User Acceptance Testing (UAT).

Worked in a cross-functional team environment/different geographical locations teams.

Performed Gap analysis for ICD 9 and ICD 10 migration

Developed HIPAA compliance testing offering. Identified HIPAA requirements and transactions for testing.

Perot Systems, Noida, India Jan 2005 – July 2005

Business System Analyst /Implementation Specialist

Triad Hospitals

Offshore support: Triad Hospitals USA for implementing McKesson Horizon Clinical Systems Suite

Responsibilities

Provided support to the onshore team for researching and troubleshooting implementation issues

Conducted training sessions to understand product functionalities for technical team

Authored and documented training documents for associates

Designed flow-charts and diagrams using MS Visio for clinical workflows

Performed in-depth data analysis to develop HL7 messages for ADT, Order and Billing

Infocare, Malaysia Aug 2004 – Dec 2004

Senior Business Analyst

Infocare is Windows based solution designed to support the diverse hospital information management requirements.

Responsibilities

Identification, review and finalization of functional requirements for developing new modules

Identified mandatory customization requirements as per best practices

Prototype evaluation

Content Management: Identified functional requirements from internal and external resources for developing client

healthcare solutions web site

Evaluation of existing web based modules and recommendation for enhancement of functionality

Functional workflow analysis and design

Mapping of present module workflow

Conducted JAD Sessions and Weekly meetings to review, analyze requirements with project managers and users

Environment:, PL/SQL, SQL, V.B Script, MS office, Windows NT/2000/XP, TOAD

Tieto Enator (India) Ltd Oct. 2004 – Aug. 2005

Business System Analyst /Implementation Specialist

Tieto Enator is a largest IT services company in the Nordic countries. It provides end-to-end solutions for the entire

healthcare process as well as IT solutions both for individual hospital and various regional cooperation models between

hospitals, healthcare centers and private care suppliers.

Product: iMedOne

iMedOne [5th generation Hospital Information System for the International market.]

Responsibilities:

Involved in gathering requirements, identifying and preparing Use Case specification documents,

Developed Use Case diagrams, business flow diagrams using MS Visio so that developers and other stakeholders

can understand the business process.

Monitor Project status, workload and detect issues including defect submissions and enhancement requests.

Synchronized and prioritized relevant defects and enhancement/system requests based on business requirements.

Served as a liaison between the users, developers and project manager

Identified and documented issues, risk and gaps, their descriptions, their impact and provided recommendation and

alternatives to develop the application to meet the user requirements.

Coordinated JAD sessions to understand the user requirements and also their system’s implementation.

Involved in the development of a Project Plan in conjunction to the Business and IT areas.

Worked as a User/Customer advocate and negotiated with user as well as with developers and management staff to

resolve any requirement conflict to bridge the gaps between IT and business.

Mapped existing workflow to module functionality

Prepared Requirement Specification document for Inpatient ward, Medication, Blood Bank, Operation Theatre and

Front office departments

Analyzed and Designed hospital department workflow diagrams for clinical and nonclinical departments

Customized Master database, forms, patient labels and reports

Provided project implementation methodology guidelines and customer support during implementation

Trained end-user for using ICD 10 and CPT code standards for diagnosis

Conducted periodic Hospital domain knowledge training sessions for developers and QA testing team

Environment: MS Visual Basic.net, MS SQL Server, MS Visio, Windows XP, MS Project, MS PowerPoint,

MS-Word, MS-Excel

Lokmanya Hospitals Chinchwad, Pune, India Oct 2003 – Sept 2004

M.G.M’s New Bombay Hospital, Vashi, Navi Mumbai, India

Chennai Port Trust Hospital, Chennai, India

Business System Analyst /Implementation Specialist

Product

Novella HMS is Hospital information system (HIS) is an ERP Package. Novella HMS is a modular but fully

integrated Hospital Management System which has modules covering OPD Registration/Billing, Indoor Patients

Registration/ Billing, Pathology Reports, Radiology/Imaging Reports, Cath Lab Reports, Blood Bank Management,

Ward Management, Pharmacy, General Stores / Inventory management, Diet, Kitchen, Laundry, Patient Medical

Records, Equipment Maintenance, Duty Roster, Payroll, Financial Accounting, etc Novella HMS has also direct

interfaces with medical equipment like Sonography, Coulter etc.

Responsibilities:

Gathered the information from the various HIS related websites & also did system study at hospitals.

Performed the requirement analysis and documented the requirements.

Accumulated customer requirements from various ends through surveys, interviews and JAD sessions and

translated them into system requirements.

Closely interacted with architects and software developers to understand application functionality and navigational

flow and keep them updated about Business user’s opinions.

Analyzed system requirements and developed detailed Test plan and Test cases for testing the functionality.

Facilitated user acceptance testing and test strategies with developers and testers.

Extensive interactions with the client and the management teams to understand the requirements and report the

status of the testing efforts on their applications.

Involved in Implementation of OPD registration, billing, laboratory reporting module

Performed Process Gap Analysis for Outpatient, Inpatient and Emergency Room registration

Generated revenue of 25,00000 through self initiative on business development efforts

* References available on request.

Contact this candidate