JESNA MARIYA GEORGE

***, ******* ******

Tenafly,

E-mail id: accmql@r.postjobfree.com New Jersey 07670

Phone: 201-***-****

Professional Summary:

. 7+ years of professional experience as a Business Analyst.

. In-depth experience with Business scope definition, develop

functional & technical specification creating Business & application

use case documentation, leading business & technical analysis session

supporting development & testing teams.

. Extensively involved in documentation of Use Cases, Functional

requirements

. Extensively involved in designing Use Cases, activity, swim lane and

sequencing diagram using UML Modeling, iRISE, Visio, Blue Print.

. Experience with PMO techniques such as Rational Unified Process

(RUP), Agile, Scrum & Waterfall life cycle.

. Excellent knowledge of Software Development Life Cycle (SDLC) while

supporting the technical analysis of the requirements as well as

software development and testing teams.

. Conducted individual and group Joint Application Development (JAD)

sessions with business stakeholders and technical units.

. Experience in writing test scripts, test plans and test strategy

documents.

. Experience with Black box testing, regression testing and

requirements traceability matrix.

. Working experience in writing SQL using joins and grouping for

data validation from various data sources.

. Strong knowledge on Documentum

. Experience with Health Insurance Portability and Accountability Act

(HIPAA), COBRA, ICD-10

. Excellent knowledge of business analysis and quality analysis

methodology

. Strong domain expertise in US healthcare Industry.

. Experience with different modules within healthcare (Sales,

Membership, billing, enrollment, claims, capitation, and providers).

. Good communication, presentation, interpersonal skills.

Skill Set:

Design: UML (Use Cases, Class Diagrams, Sequence Diagrams) iRISE, Adobe

Live cycle Designer, Adobe Photoshop, MS VISIO

Methodology: (RUP), SDLC, Waterfall, Spiral Model, Agile SCRUM Methodology,

JAD( Joint Application Development)

Databases: Oracle, MS Access

Languages: SQL, using SQL navigator.

Tools: MS Office, MS Word, MS Excel-pivot tables, vlookup, MS Access, MS

Powerpoint, Visio, HP Quality Centre, SharePoint, Enterprise Architect

Professional Experience:

Independence Blue Cross (June 2012- Dec

2013)

IBC is the leading health insurer in southeastern Pennsylvania.

Designation: Sr. Business Systems Analyst (Healthcare).

Roles and Responsibilities:

. Document business requirements in order that they can be communicated

effectively to service providers

. Interacted with the Technical team to provide clarification and

support for both requirements and business rules.

. Extensively involved in designing Use Cases, activity, swim lane and

sequencing diagram using UML Modeling, iRISE.

. Verifying and validating gathered requirements using SLIQ, Power MHS

and Infocare.

. Interacted with product managers to finalize business requirements.

. Developing training programs and conducting online seminars for

different groups of stakeholders on the new consolidated list of

plans.

. Experience testing within a Healthcare environment (Medicaid/Medicare

Enrollment) and knowledge on healthcare process flows and terminology.

. Consulted medical directors and nurses to organize and track business

related changes recommended due to ICD-10 changes through

interpretation of reimbursement, trends, reporting and adjustments to

business rules and edits.

. Acted as a liaison between hospital client and the ICD-10 Project

Management Team to ensure project related requirements for the various

project components are both correctly documented and accurately

represented.

. Knowledge of the Medicaid business rules.

. Experienced in reviewing test procedures, test cases, reviewing and

maintaining test scripts, analyzing defects, and User Acceptance

Testing (UAT).

. Quality analysis of the BIDS before submission to CMS

. Maintained the traceability and the status of the requirements.

Environment: Windows, MS Office (MS Word, MS Excel, MS PowerPoint, MS

Visio), iRISE, MS Access, SQL, Agile, Quality Center

Wipro Technologies

(June 2008- May 2012)

Wipro has a joint venture with GE Healthcare South Asia called Wipro GE

Medical Systems Limited. It is engaged in the research and development of

advanced solutions to cater to patient and customer needs in healthcare.

Designation: Associate Business Analyst (Healthcare)

Client: A leading provider of clinical systems and innovations in Chicago,

IL

Roles and Responsibilities:

. Defined project scope

. Conducted user interviews, gathered requirements in JAR/JAD sessions

with Business team to help create Business Requirement Documentation,

using MS Word and MS Visio, iRISE, Blueprint.

. Managing client communication unmistakably. Organizing the status

calls and review calls for understanding and communicating the daily

problems faced by the team members and taking remedial actions and

risk mitigation.

. Create prototypes for business valuation and feedback.

. Performed Requirements Gathering and Analysis, interviewed the SME

(Subject Matter Experts), and ensured that contributors and all key

stakeholders were motivated to complete assigned tasks.

. Responsible for ensuring all clients are invoiced within set

guidelines.

. Worked on non-functional requirements to be inculcated in the project.

. Negotiated various deliverables with the stake holders.

. Demonstrated use of Activity diagrams, swim lane diagrams and process

flow diagrams. Developed Business Processes. Conducted many sessions

with client to figure out actors and cases.

. Identified and created Test Data for execution of Test Cases.

. Documented business requirements using: Business Process Design, Use

Cases, iRISE.

. Familiarity with ICD-9/ICD-10 coding standards, X12 EDI transactions,

and the Affordable Care Act and it impacts on Medicaid eligibility.

. Experience with Health Insurance Portability and Accountability Act

(HIPAA) compliance (4010 & 5010) and Healthcare systems.

. Acted as liaison between the business and application development for

better understanding of the project.

. Manually tested the whole application before going for the automated

testing

. Responsible for addressing, diagnosing, and resolving issues that

arise on a day to day basis for the team. Also responsible for

documenting the causes, analysis and final resolution to the

issues/errors.

Bhilwara InfoTech

(August 2006- June 2008)

Bhilwara Infotech Limited (BIL) is a dedicated technology consulting and

implementation company and is a part of the LNJ Bhilwara Group, one of the

largest employers in India.

Designation: HR Business Analyst.

Client: Internal Project

Roles and Responsibilities:

. Analyze, plan, manage recruitment programs and the hiring process to

ensure that HR service provided meets the needs of company's business.

. Conducted client interviews, gathered requirements in JAR/JAD sessions

with Business team to help create Business Requirement Documentation,

using MS Word and MS Visio.

. Interacted with department heads to finalize business requirements,

functional requirements and technical requirements and also created

Business process model using Visio.

. Sent out Meeting minutes and Agenda for each meeting and made sure at

least 2 to 3 requirements were obtained through gathering sessions with

the business users.

. Ensure compensation and benefits are in line with Company policies and

updated Government Regulations.

. Control HRIS, Payroll Calculation, compulsory Insurances and other HR

reports as required.

. Coordinate with HR in Head Office to conduct annual employee

performance appraisal.

. Follow procedures related to Expatriates working of company: visa,

passport, work permits, medical expenses.

. Maintain discipline for the company as well as create motivation for

all employees.

. Supervise HR team, solve employee conflicts and improve HR

administration; develop strong relationships with HO and effective

communication between Company & employees

Personal Information:

Full Name: Jesna Mariya George

Highest Degree: Master of Business Administration (2007-2009)

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