Project Process

EGHE KENNETH AGBONWANETEN, CBA, CSM

********@********.*** ph : 248-***-****

CISCO ID: CSCO11395368/ PEGA ID: 619664679/ Scrum Master ID: 490***********

Professional SummaryOver 7 years of professional experience as a business analyst with experience in business analysis, business modeling and design, requirements management and PRPC implementation in the Insurance, Financial, and Health Care industries.PRPC 6.1 PRPC Certified System Architect (CBA)SAP America Program Recognition Certificate.Extensive Experience working with NASCO – NPS system.Well-versed in developing, business and system process design, placement of business controls to diagrams and create process mappings by using Unified Modeling Language--UML (Class Diagram, Activity Diagram, Use Case Diagram, Sequence Diagram, State Diagram, Collaboration Diagram, and Package Diagram)Specialize in working with both functional team and technical team to create, interpret, and implement business requirements into technical specifications. Well-versed in identifying, analyzing, and reporting business issues and using logical methods for solving problems. Good Knowledge of NASCO – PDM to write / update CSR’s.Performed Integration, Regression, User Interface, End-to-End and User Acceptance Testing (UAT) Good interaction with developers, managers and team members to coordinate job tasksStrong Experience working with NASCO – Applications such as – HIQK, HRBK, HRRK, HURK, HSSK, TPOL and EFDE.Expertise in performing business requirement elicitation, gap analysis, risk analysis, SWOT analysis; hands on experience in creating/communicating AS-IS and TO-BE business processes, preparing/facilitating Joint Analysis and Design (JAD) sessions.Superior knowledge in all Direct Capture of Objectives (DCO) tools to capture requirements and use cases, creating rulesets and application rules. Experience creating profiles with Application Profiler and using the tool to define process, roles, system integrations, reporting and correspondence methods. Good knowledge on decision rules, flow shapes (assignment, utility, router, split join, split for each, spin off, tickets, fork, decision etc).Good knowledge on assignments, worklists and workbaskets in PRPCSuperior skills in writing Request for Proposals (RFP), Statement of Work (SOW) and Standard Operating Procedures (SOP), and in using IBM Requisite Pro to manage requirements and write good use cases.Experience on describing and communicating business processes by using flowchart, entity-relationship diagram (ERD), data flow diagram (DFD), use case diagram, and workflow diagram, using the tools like MS Visio. Experience using DCO tools in PRPC for capturing objectives, requirements and use cases and for defining processes, creating new applications, extending the existing ones and adding applications based on existing frameworks.

Technical Skills

Operating Systems Windows XP, 2000, 98, Windows Server 2003

Databases ORACLE 9i, SQL server 2000, DB2, MS Access 2003

Web Technologies HTML, DHTML, CSS, XML

Office Products Microsoft Office suite (Word, Excel, PowerPoint, Access, Outlook), Lotus Smart Suite

Testing IBM Rational Clear Quest, Manual testing

Project Management PMF, TMF, Rational Suite 2003 (Requisite Pro, Clearcase, Test Manager), MS Visio 2003, Project Portfolio Management, PRPC v5.4, v5.5 and v6.1 and DCO tools, NASCO NPS system

Methodologies/Process ITIL, RUP, SCRUM, Six Sigma

Professional Experience

Medco Health Solutions 08/11 – 06/12

Lead Business Architect/Technical Business AnalystManaged and track the Project Using Pega tools (PMF)Developed Business/Technical User Stories based on project requirements.Perform standup/Retrospective sessionsGroomed the Backlog and monitored each Sprints and Burn down charts.Evaluate Epics/High level stories/requirements to Usable stories.Designed Flow diagrams/ sequence diagramsUsed Application Profiler and Application Accelerator in DCO for capturing objectives, requirements and use cases and for defining processes, creating new applications, extending the existing ones and adding applications based on existing frameworks. Developed Rules based process to support business needs, expansion and performance improvements (as applicable).Establishes and implements effective requirements practices, including use and continuous improvement of a requirements process.Conduct whiteboard sessions with team members on new and ongoing projects.Develops and documents As-Is/To-Be business processes, and other associated technical specifications from end user requirements.Followed Agile Development Process and generated all artifacts.Extracted, discussed, and refined business requirements from business users and team members. Managed, reviewed and edited requirements using tools like MS Visio and PRPC.Prepared artifacts that demonstrated the process of auto loans and insurance claims to the customers.Created balanced and homogenous portfolio of re-insured risks.Worked on Lombardi Blueprint business process modeler for defining business flows and exported the results to excel and power points.Used Business process management (BPM) life cycle in designing, modeling, execution, monitoring, and optimization

Client: BlueCross BlueShield of Michigan, Detroit, MI 09/09 – 07/11

Role: Sr. Systems Analyst

Blue Cross Blue Shield of Michigan is one of the largest health insurers with more than 80% of the region’s health care providers participating in its various medical care networks.

Responsibilities:NASCO Health Systems Consolidation (HSC) Program Migrate Blue Care contracts to the NASCO Systems and improve NASCO functionality and performance to enable CareFirst to meet their strategic goals.Created CSR’s in PDM.Used Benefit change request and Small Business Proposals to write the benefit changes.Created test claims for unit testing and Advance testing.Performed Regression testing in Update the changes in Project Data Management (PDM).Validated production code and performed testing.Performed complete testing on the NPS system – from preparation of test case documents, identification and documentation of the functional test scenarios, creation of test claim data and involved in preparing test case documentsCreated test cases for different test scenarios based on the requirement. Conducted testing for benefit changes - based on the Small enhancement requests and Benefit change requests.Created Model Office contracts through TPOL system and also created test claim data through the EFD applicationWorked on analyzing Benefit information’s of groups.Communicated with coders with any discrepancies found in testing to make changes in the code.Extensive knowledge of HIQK, HEHK, HRRK, HURK, HRBK, TPOL, procedure and diagnosis files

Environment: NPS, COBOL, DB2, Microsoft Excel, Quality Center 9.2, Windows 2003/XP

Client: Horizon Blue Cross Blue Shield, Mt Laurel, NJ 03/07 – 08/09

Role: Programmer Analyst

Projects:

O&P Mandate Coding, Federal Mental Health Parity Coding, Production Logs.

Responsibilities:As a member of the Benefits File team, was responsible for Analysis, Research and benefits codingAnalyzed existing groups coding for particulars and sub-particularExcellent Knowledge in GEI-Distribution, Benefit Mnemonics and BIF. Knowledge of NASCO and HRBK applications in NPSWorked in HIQK-NASCO for the Eligibility of the Groups.Worked with the Diagnosis File and Procedure File and defined the Group / Section / PackageCreated Test data for the testing of the various benefits and performed testing in Model Office before moving to Production.Coded new particulars and sub-particulars Prepared GCOV (General Coverage) for the Groups and moving it to Production.Worked with limit strings, benefit strings, sub-strings, etcCoded new Accum Rules based on Benefit Category Worked on clearquest for plogs.

Environment:NASCO, NPS, MS-Word, MS-Excel and MS-Access, clearquest.

Capital One, Plano TX 04/05 – 02/07

Lead Business Architect/AnalystManaged direct reports and other Business Analyst staff. This includes performance reviews. Schedules work of staff based on operation priorities, reviews work and mentored staff. Managed four Sr. Business Analysts on different projects.Reviewed and approved requirements developed by staff and outside team members on each sprint in a project phase.Analyzed information needs and functional requirements. Evaluated information gathered, reconciled conflicts, decomposed high-level information into details, abstracts up from low-level information to a general understanding, and distinguished user requests from underlying true needs.Developed Rules based process to support business needs, expansion and performance improvements (as applicable).Establishes and implements effective requirements practices, including use and continuous improvement of a requirements process.Conduct whiteboard sessions with team members on new and ongoing projects.Develops and documents As-Is/To-Be business processes, and other associated technical specifications from end user requirements.Followed Agile Development Process and generated all artifacts.Extracted, discussed, and refined business requirements from business users and team members. Used Application Profiler and Application Accelerator in DCO for capturing objectives, requirements and use cases and for defining processes, creating new applications, extending the existing ones and adding applications based on existing frameworks. Managed, reviewed and edited requirements using tools like MS Visio and PRPC.Prepared artifacts that demonstrated the process of auto loans and insurance claims to the customers.Created balanced and homogenous portfolio of re-insured risks.Worked on Lombardi Blueprint business process modeler for defining business flows and exported the results to excel and power points.Used Business process management (BPM) life cycle in designing, modeling, execution, monitoring, and optimization.Understood and implemented CRM, developed and maintained strong relationships with teammates and business partners while ensuring delivery.

Environment: MS Visio, PRPC v5.4, Rational Requisite Pro, Bizagi, Lombardi Blueprint, HP Quality Center 9.2, SQL, CRM, MVS, MS-Office, Windows XP

JPMC, Austin TX 09/04 – 03/05

Sr. Business ArchitectAnalyzed the flows of BPM and prepared use cases to demonstrate the same. Developed Use case documents with Work Flow and Sequence Diagrams using UML.Knowledge of Business Financial Services in commercial loans, document management, cash management, employee benefit plans and business financing and its implementation.Implemented Know Your Customer (KYC) compliances in the bank to identify the customers.Provided documentation on strategies to monitor anti-laundering by practicing KYC regulation.Supported in lending Syndicated loan and commercial loan to the clients. Worked on underwriting, assessed eligibility of a customer to receive their product.Compiled a list of projects during the annual planning cycle and supported them with good business cases that show estimated costs, ROI, business benefit and risk assessment.Used SmartBPM implementation approach to define priorities and manage change. Worked on requirements reporting using tools like MS Project, Visio and Excel.Managed and modeled business processes using PRPC.Developed and used ERD (Entity Relationship Diagram) for project documentation.Developed data flow diagrams to capture flow of information between systems, and interaction diagrams for flow of control within systems.Drafted test strategies and test plans to verify accuracy of the functionality, security, fault-tolerance, performance and successful system integration.Compiled Data Dictionary and System Glossary for often-used terminologies to facilitate developers and users in understanding the common vocabulary of the system.

Environment: RequisitePro, PRPC 5.1/5.3, UML, MS-Project, DOORS, MS Excel, Visio,.Net, CRM, KYC, Data Modeling Tools, DML, Financial Concepts (GAP), Windows 2000, J2EE.

American National Insurance Company, Galveston 02/04 – 08/04

Business ArchitectPrepared requirement documents, facilitated the Business Value Assessment phases of the project with the Line of Business.Designed and implemented the UI componentsActively involved in understanding As-Is processes and To-Be processes and modeling themBuild business process work flow with Pega PRPC to loan transactional accounting exception handling, reconciliation queue.Designed, developed and deployed workflows in PRPC using MS Visio and design of flow diagrams.Involved in designing, building and validating User Interfaces using Sections, Creation of search reports using List view and Summary view rules of PRPCInvolved in functional and black box testing.Prepared user training manuals and Facilitated review meetings with LOB.Prepare detailed flow charts and diagrams outlining systems capabilities and processes.Developed SLA (Service level Agreements) in the workflow, Decision rules for delegated functionality.Mentored the staff in quick resolution of work problems.Facilitated project testing with LOB and involved in Functional Testing and End-To-End Testing.

Environment: PRPC 5.4, Java 1.5, Oracle, JBoss Application Server 5, JDBC.

Medtronic Inc.,Shoreview, MN 11/03 – 02/04

Business AnalystWorked closely with developers and the business team to fully understand the scope and functionality of the proposed systems requirements. Analyzed business requirements and created Use Cases using MS Visio.Facilitated project meetings and wrote meeting minutes.Designed new business processes by gathering business requirements and mapping them to the applications, preparing the GAP analysis document.Prepared functional specs for application development request.Analyzed impact of proposed solution demonstrated and explained business requirements/specifications to IT team, and contributed business and process perspective during design reviews. Involved in development of Business and Technical Requirements in preparation of Functional Specifications for Business Needs and Processes.Used MS Excel to generate report for traceability matrix of the application.Closely worked with QA to create test reports, organizing test plans and preparing test cases.

Environment: MQC, SQL Server 2000, MS Visio, MS Project.

Contact this candidate