SUMMARY

Technical Business Analyst with about * years of experience in Healthcare, Oracle applications

In depth knowledge of HIPAA (4010, 5010), ICD (9, 10), HL7, EDI (file formats like 837 I/P/D, 835 270/271, 276/277,), Managed Care, Claims and Medicare business areas

Extensive design experience in creating UML diagrams such as Use Cases, Activity Diagrams and Sequence Diagrams using MS Visio and Rational Rose

Adept at creating and transforming business requirements into functional requirements and designing business models using UML diagrams- Use Case Sequence and Activity Diagrams Data-Flow Diagrams & Data Modeling

Experience with web based collaboration tools such as WebEx, GoToMeeting or Lync/Skype for Business

Good knowledge of Healthcare Revenue cycle management

Good understanding of the Oracle financial modules such as AP, GL, FA and AR.

Extensive knowledge of Oracle pl/sql, Oracle reports and Oracle forms

Comprehensive knowledge of SDLC with experience in black box, regression, integration, UAT, load and performance testing

Experience with tracking and reporting status to supervisor per established weekly status reporting process

Identify issues and risks and bring them to supervisor’s attention with sufficient lead-time to avert crises

Participate actively in weekly team status meetings and Program Management Office (PMO) meetings

Good experience in Release planning and management

Good conceptual understanding of Data Warehousing

Expertise in implementing systems Development in Agile (Scrum), RUP & Waterfall Methodologies.

Excellent communication and presentation skills with experience in development, implementation and integration of strategies within a team oriented environment

SKILL SETS

Technical Skills

Oracle, Access

Oracle forms, Oracle reports

TOAD, MySQL

JIRA,RMsis

HP Quality Center

UML, Visio

SWOT, PEST and SAR analysis

Pl/sql, SQL

C,C++

Java

Business Skills

Applications: Healthcare, Finance, EDI Enrolment, Enterprise Data Warehouse, ICD Conversion,

Health Care Subject Areas: Claims, Enrollment, HIPAA, ICD 9/ICD 10, HL7, Medicare, EDI (837 I/P/D, 270/271, 276/277, 835)

Methodologies: SCRUM, RUP, Waterfall

Data Modeling: Use Cases, Sequence Diagrams, Activity Diagrams, Data Flow Diagrams, ER Diagrams

Phases: All Phases of SDLC

EDUCATION

Bachelors of Technology in Electronics and Communication from Uttar Pradesh Technical University, 2011

PROJECT DETAILS

Client: DaVincian Healthcare, Austin TX June 2015-Till Date Position: Sr. Business analyst

Platform as a service

The aim of the project is to develop a computing platform, typically including operating system, programming-language execution environment, database, and web server. Application developers can develop and run their software solutions on a cloud platform without the cost and complexity of buying and managing the underlying hardware and software layers.

Responsibilities:

Facilitated requirement gathering and brain storming sessions

Provided AS-IS and TO-BE process analyses, Gap analyses, Business Process modeling and decomposition

Developed the Epics and Themes for the Scrum Project

Devised and prioritized the Product Backlog by conducting requirement churning sessions with various Business / Product Teams.

Used AGILE - Scrum methodology and worked in short SPRINTS to achieve goals.

Mentored various teams on SCRUM methodology and helped the company transformation in to an Agile Development Shoppe.

Participated in Agile Planning Sessions and assumed the Product Owner role for the agile initiative.

Created and explained the User Stories to the Scrum Team and helped them design the Tasks.

Designed acceptance criteria for validating the output of each Sprint.

Reviewed Team Velocity on a frequent basis and advised Scrum Master at various stages.

Participated in Sprint Planning and Sprint review meetings for Finalizing the Sprint Backlogs and Verifying the sprint outputs respectively

Worked on the revenue cycle management, patient chart records and resource allocation schedules.

Created Release Tracking Document in order to track the necessary changes.

Participated in Business Demonstrations and Decisions for the Release of the Sprint Output to Production.

Client: Beacon Health Options, Boston, MA Oct 2014 – June 2015

Position: Lead Scrum Business Analyst

Responsibilities:

Interact with business users for better understanding of individual subject areas and modified specifications to reflect accurate user needs

Gathered user requirements by interviewing focus groups and brainstorming with SMEs, Business users and Product owners. Created targeted questionnaires for SMEs to refine requirements and translated into business rules

Used AGILE methodology and worked in short SPRINTS to achieve goals.

Participated in SCRUMS and discussed the open issues and statues.

Participated in Agile Planning Sessions and assumed the Product Owner role for the agile initiative.

Developed the Epics and Themes for the Scrum Project

Devised and prioritized the Product Backlog by conducting requirement churning sessions with various Business / Product Teams.

Created and explained the User Stories to the Scrum Team and helped them design the Tasks.

Designed acceptance criteria for validating the output of each Sprint.

Reviewed Team Velocity on a frequent basis and advised Scrum Master at various stages.

Participated in Sprint Planning and Sprint review meetings for Finalizing the Sprint Backlogs and Verifying the sprint outputs respectively

Created Release Tracking Document in order to track the necessary changes.

Participated in Business Demonstrations and Decisions for the Release of the Sprint Output to Production.

NYC Health and Hospital Corporation, NYC, NY March 2014 - Sep 2014

LOINC Master Data Management (LMDM)

Established RUP (Rational Unified Process) methodology and provided assistance in developing Use cases and project plans

Prepared Business Process Models that included modeling of all the activities of business from conceptual to procedural level.

Conducted JAD’s and walkthroughs with Content Managers and Product Managers.

Gathered requirements and Business Rules for Reference Data repository with the LOINC Master Data.

Planned and defined system requirements, Use Case Scenarios and Use Case Narrative using the UML methodologies.

Maintained the Requirements Traceability Matrix (RTM) across the deliverables.

Participated Testing and Evaluation of projects at established integration points to assess progress and identify key functionality issues.

Tracked UAT issues/bugs and prepared reports

Staples Jan 2012 -March 2014

Sr System Analyst

Oracle Financials R12.2.2 Upgrade

Responsibilities:

Gathered the Requirements, Develop Process Model and detailed Business Policies and modified the business requirement document

Facilitated (JAD) Joint Application Development sessions to resolve issues relating to difference between business requirements and technical design.

Facilitated the Customer in defining the high-level Functional Requirements and needs.

Validated the system End-to-End Testing to meet the Approved Functional Requirements.

Provided AS-IS and TO-BE process analyses, Gap analyses, Business Process modeling and decomposition.

Increased process efficiencies and reduced development cycle time across department by spearheading the implementation of the full lifecycle software development methodology.

Conducted UAT to verify whether all the Requirements were catered to by the application

Employee Maintenance System March, 2011 - Dec,2011

System Analyst

The project was aimed at developing an employee maintenance system. This was an internal training project and involved development of pl/sql packages, oracle reports and oracle forms.

The purpose of the project was to give a rich project experience, in terms of both technical and management terms, to the project team, just after their Oracle training with Infosys.

Responsibilities:

Design the database structure including forms and views.

Effort estimate based on the complexity.

To understand the various roles in the project, like, Team lead, Developer, Configuration controller and test coordinator.

Understanding the requirements and translating them to technical design.

Develop objects (Forms, Reports and Packages) based on technical designs.

Test planning for system and performance testing.

Configuration controller to take care of code versions, document versions and migration.

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