Supriya Jena Phone# 609-***-****

Sr. Business Email: acgewh@r.postjobfree.com

Analyst acgewh@r.postjobfree.com

SUMMARY

I am senior Business Systems Analyst with more than 9 years' experience in

Finance, Health Care, Banking and Mortgage Industries.

. Extensive exposure to Healthcare, Mortgage, Finance domain to overview

their Business Process designs.

. Expertise in Software Development Life Cycle (SDLC) including the

Waterfall Model, Agile Methodology, Rational Unified Process (RUP).

. Worked closely with Project Stakeholders, Subject Matter Experts (SMEs),

and Business Users to understand the requirements and specifications for

new applications along with re-engineering the existing applications.

. Used Elicitation techniques such as interviewing, questionnaires,

brainstorming, JAD, observation, and document analysis for requirement

gathering.

. Extensive experience in writing Vision & Scope Document, Business

Requirement Document (BRD), Functional Requirement Document (FRD).

. Hands on experience in Rational products and MS Visio.

. Developed Use Case Model, Activity Diagrams using UML (Unified Modelling

Language).

. Conducted Requirement Gathering Sessions and Impact Analysis.

. In Depth understanding of the AS-IS and TO-BE business process modelling,

Gap Analysis and experience in converting requirements in to test plans.

. Experienced in reviewing test procedures, defining Test cases, reviewing

and maintaining test scripts, analyzing bugs, interaction with team

members in fixing errors and User Acceptance Testing (UAT).

. Excellent written and oral communication skills with the ability to

communicate appropriately in business and technical situations at all

levels.

. Adept in problem solving skills and learning new technologies.

TECHNICAL SKILLS

Business Skills MS Project, MS Visio, Business Definition

Requirements, Business Process Analysis, Gap

Analysis, Use Case Modelling & Analysis, Use

Cases.

Business Modelling Tools Rational Rose, MS Visio, MS Access, Requisite

Pro, Sharepoint, Balsamiq, BPMN

Databases MS Access,, SQL Server 2005/ 2008, Oracle 9i/

10g/ 11g

Methodologies Agile/Scrum, RUP, Waterfall

Operating Systems Windows 2000/XP/NT/Vista/7/8

Desktop Tools MS Excel, MS Word, MS PowerPoint.

Defect tracking Tools Quality Center 10.0,JIRA

PROFESSIONAL EXPERIENCE

Client: Health Care Services Corporation, Chicago, IL

Oct 2012-Current

Project Name: VMS Stabilization/RMAS Exchange Readiness

Role: Sr. Business Analyst

Health Care Services Corporation (HCSC) is the largest customer-owned

health insurance company, which provides health coverage in five states

like Illinois, Oklahoma, New Mexico, Texas and Montana. The company

provided group insurances and individual insurances to age groups belonging

to U65 and O65 people. The project is to stabilize the VMS system, which

deal with O65 and U65 member's .VMS 1.0 currently is the legacy system

where member details and financial activity are stored for O65 members.

System 80 is the system where all the PHI information is stored for U65

members. With the new Affordable Care Act, VMS 2.0 is implemented to

accommodate new members seeking healthcare and to save subsidy details for

qualified members.

Responsibilities:

. Gathered requirements for OPERMART, which was part of DataMart project.

. Gathered reporting requirements for Cash processing report, Refunds

report, Transfers report, Removals-NSF report and Suspense balance

report.

. Conducted JAD sessions with various business teams, so that an agreement

can be reached on reporting needs/requirements.

. Documented processes, procedures as part of Audit Readiness 2014, for

Retail Financial Operations.

. Documented Manual controls that are in place currently.

. Identified new financial controls that were required and documented those

controls.

. Worked with process/business owners on implementing new controls and

identifying the business processes that were going to be impacted.

. Assisted in mapping existing and new financial controls to MARS CONTROLS,

along with Internal Controls Team.

. Designed screen mock-ups and created flows for an internal tool to track

offshore projects.

. Documented the current state process flows for Unclaimed Property.(UCP)

. Identified GAPS and process improvement scope while documenting the

current state for Unclaimed Property.(UCP)

. Explored the option to use Rational Team Concert(RTC) tool for

Development teams, so that once a code fix is done, Quality Center(QC)

will be updated automatically.

. Worked on designing test cases for UAT/business testing.

. Acted as UAT business lead for Release E of O65 stabilization providing

metrics for daily testing status, Defects status.

. Worked as Lead for Defects management for all Financial Operation

projects for Exchange Readiness.(Cost Sharing Exchange Readiness, Cash

Application Hub, Enterprise Reconciliation Application, SHOP BCR Exchange

Readiness, Bluecap Exchange Readiness)

. Responsible for Defect triage meetings of all Financial Operation

projects for NGEN projects.

. Responsible for preparing XML file for uploading UAT, SIT test cases into

Test plan and Test lab modules of QC.

. Automated the process of loading Requirements and Test cases into QC.

. Responsible for tying uploaded test cases to requirements and process

flows in QC, so that traceability can be maintained.

. Trained onshore and offshore teams in QC and other Finops systems.

. Implemented controls and documented procedures for uploading test cases

into QC.

. Prepared SDM documentation for UAT, SIT sign-off for approvals, to go

ahead with deployments.

. Analysed the existing functionality of the system and understood the

issues that the current system have.(VMS 1.0)

. Documented the GAP in the existing systems.

. Analysed the Financial reports and documented current reporting problems.

. Gathered requirements for daily and month-end reports to use in Trial

Balance reporting.

. Analysed and Reconciled the Trial Balance, which was causing month end

reporting issues.

. Worked with the Business intelligence team to come up with user-friendly

COGNOS Reports.

. Documented the "AS-IS" for COMMISSIONS and developed the "TO-BE" state.

. Gathered information for the DATA CLEAN UP effort, from various COGNOS

reports.

. Analysed Manual controls that were implemented for improving financial

reporting.

. Addressed production issues along with Finops Triage teams.

. Reported on Interface testing for FinOps projects.

. Responsible for logging Service requests (SR) as part of Customer

Relationship Maintenance.

Environment: Lotus Notes 8.5, MS Visio 2010, MS Office 2010, Sharepoint

2007, MS word 2010, MS excel 2010. QC 10.0, MS Access 2010, COGNOS

8.4/10.1, WebEx WBS 28, CA Clarity-PPM, WebEx Productivity Tools, ORACLE

Siebel Dashboard 8.1,MS visual studio 2013.

Client: AFTRA Health and Benefits, New York, NY

Aug 2012-Oct 2012

Project Name: Claims Replacement-Reports

Role: Lead Business Analyst

AFTRA Health and Benefits (AMERICAN FEDERATION OF TELEVISION AND RADIO

ARTISTS), en-comprises two entities. The AFTRA Health Fund offers quality,

high-value health coverage to performers and their dependents, while the

AFTRA Retirement Fund administers pension benefits that help provide

financial security to performers during retirement. The project was aimed

at replacing the current insurance system i.e., BENESYS with a new system

i.e., HEALTHsuite, to comply with the industry standards.

Responsibilities:

. Analysed the existing system artefacts i.e. BENESYS and gained an

overview of its functionalities.

. Went through the configuration documents of HEALTHsuite, understood its

functionalities, and performed the GAP Analysis between the two systems.

. Interacted with Stakeholders and end business users, to understand their

reporting needs.

. Developed "Reporting Matrix" to be able to maintain traceability, at

different stages of the project.

. Gathered Reporting requirements from various departments Managers,

supervisors and came up with Data elements for the "to-be "reports.

. Gathered the "as-is "reports across all the departments, analysed and

performed the GAP analysis with the gathered "to-be" reporting data

elements.

. Designed the Report layout for the "to-be "reports.

. Conducted JAD sessions, so that all business users come to one opinion

about reporting needs.

. Detailed out the Process flow for Overpayment, Subrogation in the "as-is"

process.

. Performed Data mapping for letters from BENESYS generated letters to the

HEALTH-suite triggered automated letters.

Environment: BPMN 1.2, MS Outlook 2007, MS Visio, MS Office 2007,

Sharepoint 2007,MS word 2007,MS excel 2007.

Client: Texas Health Resources, Arlington, TX

June 2011 - May 2012

Project Name: WMS Migration

Role: Sr. Business Analyst

Texas Health Resources is one of the largest non-profit health care

delivery system in the United States. Texas Health is continuously

improving the quality of service through education, research, competent and

innovative personnel, effective leadership and responsible stewardship of

resources. The project is aimed at providing enhancement to an internal

Work Flow Management system in Hospitals to adjust to changes from 5010

transactions and changing of codes to ICD10. The system is aimed at

handling insurance processes. The project encompassed backend testing of

reports with the operational data store in database.

Responsibilities:

. Gained an overview and performed a detailed study of the existing system

artefacts and operation by interacting with the Project Manager, Business

and Technical team members.

. Used General Equivalence Mappings (GEM) for mapping conversions, from ICD

9 to ICD 10.

. Involved in creating and modelling the AS IS diagrams and TO BE system

and accomplished the GAP Analysis.

. Interacted with the SME's to gather information about Health care

Enrolment (Medicare), Billing and Claims processing. Working knowledge of

Disability Insurance.

. Gathered information from Pharmacy Benefit Manager (PBM) about the

impact, from the new application designed.

. Exposure to HIPAA Compliance and HL7 standards. The system is built to

comply with HIPAA.

. Gathered and analysed the User requirements and Functional Requirements

and documented Use Cases, Process Maps, Wireframes & Prototypes, and Non-

Functional Requirements.

. Conducted walkthrough of requirements to technical team and helped

resolve open issues and Change Requests through Impact Analysis.

. Actively involved in the QA phase of the project, by reviewing test plan

and test cases.

Environment: RUP, MS Office, MS Visio, UML, Rational Requisite Pro,

Rational Rose, Adobe Acrobat, SQL.

Client: Pacific Health Care, Salt Lake City, UT

May 2010 - April 2011

Project Name: Benefit Identification Application - Reports

Role: Business Analyst

PacifiCare is one of the nation's largest health care service companies.

Its primary operations include health insurance products for employer

groups and Medicare beneficiaries in eight states. Products and operations

include behavioral health services, dental and vision services, life and

health insurance, pharmacy benefit and medical management. The project was

to develop a Reporting Module for the Benefit Identification Application

that would provide a detail overview into groups using the application for

online group enrolment and group renewals.

Responsibilities:

. Analysed existing Business Document Templates and Operational Procedures.

. Facilitated JAD sessions to collect Report Requirements from system users

and preparation of Business Requirement Document (BRD).

. Create Report Layouts to comply with the report requirements using MS

Visio.

. Involved with Data Analyst in Data Mapping of report elements to SQL

database.

. Involved in creating databases using MS Access for ad-hoc querying.

. Supported Report Development activity by providing guidance to Technical

team building the reports, and by working with Business Objects expert to

validate report requirements.

. Extensively involved in User Acceptance Testing (UAT) using Business

Objects, to authenticate the User Acceptance Criteria for all reports.

Environment: RUP, Business Objects, SQL Server 2008, MS Access, MS Visio,

Outlook.

Client: Jersey Mortgage Company, Cranford, NJ

April 2009- Mar 2010

Project Name: CIS-SS Bridge Portal

Role: Business Analyst

Jersey Mortgage Company (JMC), a mortgage technology specialist, provides a

full suite of mortgage software applications from loan origination through

servicing. The CIS-SS Bridge Portal was intended to integrate

functionalities between Electronic CIS (Client Investment Services) Portal

and the SS (Sales Service) Portal - into a single platform to enable

straight through processing of customer applications via Sales & Services

group.

Responsibilities:

. Prepared Business Process Models for AS-IS and TO-BE processes, that

includes modelling of the activities of business from conceptual to

procedural level.

. Understood the contract terms and conditions, including indemnity,

limitation of liability and confidentiality for the Portal.

. Developed Functional Requirement Documents, Use Cases, and Interface

Mapping Document and maintained Requirement Traceability Matrix.

. Supported offshore Development and Testing teams by providing resolutions

and feedback to their queries.

. Performed Impact Analysis required on new web-application functionality

and efficiently handled Change Management Procedures and subsequent

updates to RTM.

. Involved in back-end testing using SQL Queries.

Environment: SQL Server 2005, MS Office, Test Director, Agile Methodology

Client: Valley National Bank, Wayne, NJ

May 2008-Mar 2009

Project Name: CVA - Online UI Plus Project

Role: Business Analyst

Valley National Bank is a leading commercial bank providing services in

personal and business banking. The project was to enhance and integrate the

gaps in the online banking interfaces for minimizing the number of

places/screens customers and bankers go to access their account information

as a part of org wide Customer Value Add (CVA) program.

Responsibilities:

. Analysed the existing Functional Requirement Documents (FRD) and User

Interface (UI) Specifications to identify Gaps.

. Facilitated Requirement Gathering sessions with SMEs from Market

Evaluation Team and from CVA group to collect integrated specifications

for the project.

. Created Wireframes / Screen Mock-ups in iteration to suit the future

state requirements. Assisted UI Designer in developing HTML prototypes

for the same.

. Conducted Review Meetings with Project Manager, Architect, and

Application System Engineers.

. Managed Change Requests and assisted PM in maintaining Change Management

Process.

. Assisted in Back-End Integration Analysis to ensure data consistency on

front-end.

. Assisted in UAT to report application defects.

Environment: MS Word, MS Excel, SQL Server, Agile methodology

Client: Bajaj Allianz, Bangalore, INDIA

July 2005-Mar 2008

Project Name: Client Trade Management System (CTMS)

Role: Business Analyst

Bajaj Allianz is one the leading health insurance providers in India. The

project was about individuals seeking health insurance. The goal of the

CTMS Project is to increase the use of the current Web platforms by

expanding its capabilities to provide more services including FAQ. By doing

this, the calls handled by technical support personnel will be

significantly reduced, thus leading to both short and long-term cost

savings.

Responsibilities:

. Acted as a liaison between the Business and Technical teams to deliver

requirements deliverables - beginning with assisting Sr. BA.

. Involved in all four phases of the requirements development including

Elicitation, Analysis, Specification and Quality Validation.

. Conducted GAP analysis to identify customer channel usage trends and

interactions focusing on such the liklihood to buy product

recommendations and reduce customer attrition.

. Conducted Joint Application Development (JAD) sessions with SMEs from

Market Research Group, Hospital Survey Group and Web Management Stem to

gather Business and Functional requirements for the CTMS project.

. Involved in finding and documenting requirements where the new data

capture solution would be compatible with existing Customer Interface

Control Systems (CICS).

. Developed Screen Mock-ups / Prototypes to provide demonstration to the

Business teams.

. Worked as an interface between the users and the different teams involved

in the application development for the better understanding of the

business and IT processes.

. Supported Design and Development activities, by providing walkthroughs

and feedback.

. Ensured that the clients adhere to the Change Management Notification

(CMN) process

. Responsible for managing the Change Request Log and RTM.

. Extensively involved in writing and executing Test Cases and User

Acceptance Testing (UAT).

. Assisted in developing end user training material and training sessions.

Environment: Microsoft Office, Visio, Microsoft Project, SQL server, UML.

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