Project Manager
Resume:
Kush Patel
Email: *****.****@*****.***
Address: Atlanta,GA
City: Atlanta, GA
State: GA
Zip: 30305
Country: USA
Phone: 123-***-****
Skill Level: Experienced
Salary Range: Negotiable
Willing to Relocate
Primary Skills/Experience:
Business Analyst with 6+ years of experience in Business/Quality Analysis and Design.
TECHNICAL SKILLS
Requirements Modeling Techniques Use case, Wireframe Diagrams, Activity Diagrams, Business Process Maps, Process Flows, Entity Relationship Diagrams, Data Flow Diagrams, Sequence Diagrams, Prototypes
Programming Language & Framework C, C#, JAVA, PLSQL, SQL, COBOL, .net, SAS
Tools TOAD, Filezilla, Ultraedit, JIRA, Confluence, Rational Rose, Rational Requisite Pro, Doors, MS Visio, MS Office Suite, SharePoint, MicroStretegy (MSI), Rational System Architect
Industry Standards HIPAA, HITECH, X12, EDI, HL7, HCFA, UB92, ICD-9, ICD-10, EMR, EHR
OS Windows, Unix, Linux, Citrix
Database Concept Relational (RDBMS), Hierarchical, network database, XML Files
Educational Background:
Job History / Details:
KUSH PATEL
Business Analyst(Healthcare) Quality Analyst Data Analyst
Email: *****.****@*****.***
Location: Atlanta, GA
Open to relocate Nationwide in US
Available Immediately for Contract Jobs
PROFESSIONAL SUMMARY
Business Analyst with 6+ years of experience in Business/Quality Analysis and Design.
Performed enterprise/business/system analysis on multimillion dollar programs/projects in various domains such as US Healthcare System, Pharmaceutical & Clinical Trial Management System.
In-depth understanding of Healthcare EDI transaction sets (270, 271, 276, 277), HIPAA, ICD 9 and ICD10, Electronic Health Record (EHR), and Pharmacy Benefit Management (PBM).
Expert in conducting JAD sessions, experience as scrum master and execution of scrum meetings.
Extensive experience on Full project life-cycle implementations requirements specification, User Assessments, user interviewing, requirements engineering & testing.
Experience with different software development methodologies/approach such as Software Development Life Cycle (SDLC), Waterfall, Agile, Scrum and Rational Unified Process (RUP).
In-Depth understanding of different enterprise architecture domains/frameworks such as business, data, application and technology architecture.
Expert in producing Business Analysis artifacts such as Business Case, Business Requirements Document [BRD], Functional Requirements Document [FRD], Data Element Mapping Document, GAP Analysis and various requirements models.
Proficient in various requirements elicitation techniques and analysis skills with an ability to transform the needs of business users and stakeholders into functional, nonfunctional and technical requirements
In-depth understanding of IIBA-Business Analysis Body of Knowledge (BABOK) and PMI-Project Management Body of Knowledge (PMBOK).
Have strong problem solving skills, customer focus, sound judgment and effective negotiating skills
Well-versed with IBM Rational Software integrated tools for requirements management, analysis, use case development, business modeling, data modeling and change control.
Proficient with MS Project to manage schedules, deadlines, resources, collaborate with different teams, and analyze project information
Strong experience in performing User Acceptance Testing (UAT) and transition requirements.
TECHNICAL SKILLS
Requirements Modeling Techniques Use case, Wireframe Diagrams, Activity Diagrams, Business Process Maps, Process Flows, Entity Relationship Diagrams, Data Flow Diagrams, Sequence Diagrams, Prototypes
Programming Language & Framework C, C#, JAVA, PLSQL, SQL, COBOL, .net, SAS
Tools TOAD, Filezilla, Ultraedit, JIRA, Confluence, Rational Rose, Rational Requisite Pro, Doors, MS Visio, MS Office Suite, SharePoint, MicroStretegy (MSI), Rational System Architect
Industry Standards HIPAA, HITECH, X12, EDI, HL7, HCFA, UB92, ICD-9, ICD-10, EMR, EHR
OS Windows, Unix, Linux, Citrix
Database Concept Relational (RDBMS), Hierarchical, network database, XML Files
EDUCATION
1) Bachelor of Business Administration
Major - Management
PROFESSIONAL EXPERIENCE
ACS Healthcare, A Xerox Company (North Dakota Medicaid) Jan`11 - Dec`12
Sr. Business Analyst/Quality Analyst
Project ICD 9 to 10
Responsibilities:
Conduct JAD sessions with the users to gather requirements and documenting them in Business Requirement Documents (BRD), Functional Requirement Documents (FRD) and obtaining sign off.
Prepared GAP Analysis document for various areas screen and data base impacted by ICD 10 project.
Identifying policies and procedures impacted by the ICD-10 implementation.
Involved in scope assessment and functional area prioritization meetings.
Conducted Joint Requirement Gathering session along with the product team to capture ICD-9 to ICD-10 Code conversion rules.
Worked in mainframe environment for analyzing the various screen and program impacted by the ICD 9 to 10 changes.
Extensively interacted with the business users from Bureau s like Bureau of Long Term Care and Bureau of Manager care for area impacted by ICD 10.
Defined ICD-9 to ICD 10 mapping process using GEMs (General Equivalency Mapping) crosswalk file.
Participating in weekly ICD 10 Team Meeting making notes of the tasks and activities that are supposed to be discussed.
Project HIPAA 4010 to 5010
Responsibilities:
Created Business Requirement Document (BRD), Functional Requirement Specification (FRS) document, Companion Guides and Trading Partner Agreement.
Understood and analyzed differences between 4010 and 5010 formats for all segments, elements, loops of 270/271, 276/277.
Involved in creating and updating, Business Requirement Documents, Functional Design Specifications, Impact Analysis Document, Crosswalks and Spreadsheets.
Worked on several functional areas of MMIS claim processing unit and EDI for transfer of data between organizations by electronic means.
Complete knowledge of different databases like Provider Databases, Recipient Databases, and Payee Databases etc.
Performed functional testing, regression testing and User Acceptance Testing for X12 transaction like 270/271.
Interacted with work group users to know what scenarios they need for User Acceptance testing (UAT) and depending on that created a test scenario document.
Performed daily production issue resolution and analysis for post 5010 implementation and report to higher management for transition progress along with contacting.
Environment: HIPAA X12,MMIS, Share Point, Requisite pro, Ultra Edit, MS Visio, System Architect, MS Word, MS Excel.
Texas Medicaid & Healthcare Partnership - Austin, TX April `10- Jan`11
Sr. Business Analyst
Project - Pharmacy Benefits Management and Pharmacy Claims & Rebates Administration(PBM-PCRA)
Responsibilities:
Lead JAD session to capture and elicit the requirement to prepared BRD and Function design documents for various reports and obtain sign off on final documents.
Conducted requirements gathering sessions with users and SMEs to capture reports requirement.
Contributed to the definition of scope, preparation of workflows and defined business requirements
Used Sprint based agile methodology during reports development in Business Object.
Lead and actively participated in the development of written, detailed business requirements (BRD), interviewed Clients and defined the Functional and non-Functional requirements
Identified and Created Business Process flows using MS Visio and Created UML - Use Cases and activity diagrams.
Developed the test plan, test conditions and test cases to be used in testing based on business requirements, technical specifications and/or product knowledge
Used SharePoint for storing BRD, FRD, other project documentation and Assisted Project Manager with the development of project schedules.
Conducted UAT, trained the user groups and documented the training and installation manuals and user guidelines for the application.
Environment: RUP (Rational Unified Process), Rational Method Composer, MS-Project, MS Office Suite, Rational Rose, Rational Pro, Windows NT/2000/XP, MS SQL Server
Charlottesville Medical Research Center (CMR) - Charlottesville, VA March `08 - Feb `10
Agile Business Analyst/Quality Analyst
Project Work Clinical Trial Management System (CTMS) Implementation
Responsibilities
Conducted brainstorming sessions with executive sponsors, project champion and stakeholders to document problems with existing CTMS and potential solutions.
Participated in vendor selection and vendor assessment process.
Conducted joint planning session with project team members and product owner to discuss and define user stories and acceptance criteria.
Conducted planning sessions to define release, product backlog and sprint backlog.
Worked with clinical trial professional and staff to document the as is workflows.
Facilitated daily stand up meetings.
Facilitated review and retrospective ceremonies Bi-Weekly.
Created High level business requirements to capture project scope.
Created requirements model, data element artifacts, functional requirements document and screen mockups (Explanatory prototypes) and wireframe diagrams.
Facilitated sessions to estimate the effort for each user stories and to prioritize user stories within product and sprint backlog (Release Management).
Created transition requirement document to allow users to be familiar with new CTMS System.
Worked as pseudo product owner to support the CTMS implementation.
Environment: Agile, Scrum, Clinical Trial Management System (CTMS), Relational Database Management System (RDBMS), Oracle -10g, DB2, Windows, Mainframe, MS Office Suite, MS Visio
St. Joseph Medical Group Atlanta, GA Jun `07 Feb `08
Process Analyst/Business Analyst
Project Implementation of Epic's Practice Management - Ambulatory Registration & Professional Billing Modules
Responsibilities
Worked as liaison between clinical staff and epic development and implementation/support team.
Worked with Ambulatory Registration Specialist and Business Architect to define and develop business process maps of existing workflows.
Identified business process steps where business rules implementation is required or needed to be modified.
Gather requirements, provide fit gap analysis and create effective technical solutions for the business needs. Design, validate and confirm new or changed benefit plans with the Epic environment that meets customer specifications.
Worked with EPIC developers and end users to tailor workflows related to registration system.
Worked with professional billing supervisors and billing staff to capture business and functional requirements related claim submission.
Conducted Joint Application Development (JAD) and personal interview sessions with end users to capture solutions requirements.
Supported User Acceptance Testing activities and error resolution activities.
Environment: EPIC, Practice Management, Ambulatory Registration, Claim Submission, Electronic Medical Record (EMR), HL7, MS Office Suite, MS Visio, Rational System Architect, Business Process Modeling (BPM), Windows
North Mississippi Medical Center - Tupelo, MS Nov `06 Jun `07
Business Analyst
Project EHR Implementation for Inpatient Hospitals
Responsibilities
Conducted process and interface analysis, created department business process flows based on existing department workflows.
Worked with different specialty department staff, physicians and clinical staff to capture business requirements.
Worked with end users to capture functional requirements specification.
Provide end-user support during numerous go-lives in Pediatrics, Family Medicine, Surgery, Urgent Care, Dermatology, Orthopedics, Podiatry, and Allergy departments.
Conducted requirements gathering sessions, Joint Application Development (JAD) Sessions, structured walkthrough of the requirements and training sessions for the end users.
Conducted workflow validation sessions with end users.
Served as liaison between clinical staff and technical team to identify problem areas, resolve system issues, requirement clarifications and to communicate system changes.
Supported solution validation, System testing and User Acceptance Testing (UAT) activities.
Environment: Electronic Health Record (EHR), HL7, MS Office Suite, MS Visio, Windows
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