Cobol, Java, XML, DB2, SQL, Rational Rose, ETL Testing, Bfast,Mainfram
Resume:
Swathi Allam
Professional Summary:
Over *+ years of experience in Health Care and Biotechnology companies.
Good knowledge of analysis of business requirements and system design documents.
Experience in developing Functional Requirement Specifications document.
Strong analytical skills and experienced in coordinating all aspects of project planning,
scheduling tasks, tracking, and monitoring risk analysis.
Experienced working in different methodologies like Agile and SDLC.
Extensive knowledge of UML application for business process modeling.
Extensive experience in creating Use Case Diagrams, Activity Diagrams and UML Modeling
using Microsoft Visio.
Experienced in handling the Infrastructure related Projects
Experienced in creating reports and Data metrics using MetaVance application.
Experienced in workflow analysis & design, business process reengineering, user interface
design, and process flow modeling.
Experienced in IBM mainframe, TSO and PDM applications.
Experienced in Data Analysis, Mapping and Staging in Environment.
Extensive knowledge in using Rational products to develop the following:
oRational Rose for Design Documents.
oRational RequisitePro for Requirements documents.
oClearQuest for documenting the Test cases.
Posses good interpersonal skills and analytical thinking with commitment to the on time
delivery of the projects.
Possess good presentation skills and organizing team meetings to make sure all teams are
on one page and get the queries clarified on time.
Experienced in identifying core issues and providing on time reports to the leadership
keeping them well informed on the progress of the project.
Good working knowledge in Oracle Financial Applications (GL, AP and PO).
Extensive working knowledge gained in the EDI - 5010 workspace.
Good working knowledge of Business Analyst role in Health Care and Biotechnologies.
Knowledgeable in Claims Processing and HIPAA regulations.
Skilled at Health Care insurance domain. Possess excellent understanding of insurance
policies like HMO and PPO.
Experience in ICD-9 to ICD-10 conversion.
Skill Summary:
Languages
COBOL, Java, XML
RDBMS
DB2, Oracle, SQL Server
Web Technology
HTML, DHTML, Javascript, VBScript
Design Tools
Rational Rose, Microsoft Visio
Test Management
Mercury Test Director 7.0, Test Manager
Testing Tools
Rational Robot, Win Runner, Load Runner
Other Tools
MS Word, MS Excel, JCL, TSO/ISPF, SPUFI and PowerPoint, ETL Informatica, BAT, Benefit Automator, BeneFACT, BFAST, BAM, RUP, UML,
Operating Systems
Windows XP, Win NT 4.0, Windows 98/95, UNIX, Solaris
Education:
Master of Business Administration in MIS & Finance from Silicon Valley University, San Jose, CA
oYear passed - Jan 2009
oGPA: 3.48
Bachelor of Science in Bio-Technology from Osmania University, Hyderabad, India.
oYear passed - June 2005
oGPA: 3.72
Professional Experience:
Jawood Business Process Solutions LLC April 2014 – April 2017
Client: BCBS Michigan
Project: MDSS Benefits
Role: Business Analyst
Responsibilities:
Responsible for all deliverables that include BRD, Business Readiness, Risk assessment, Document designing, Test strategy plan, creating test cases, and Implementation of plan using Rational products like Rational rose for the design documents, Rational Requisite pro for requirement documents, clear quest for documenting the test cases and Rational robot for automating the test cases.
Gathered Requirements from various Business Areas like Claims, Provider, and Enrollment.
Interacted with Business team to analyze the BRD and worked on mapping exercises between different systems.
Developed functional requirement documents, Document of understanding and Requirements Traceability Matrix (RTM) based on analysis and requirements.
Created various documents for e.g.: Interface design document, mapping document and Use case survey document, etc.
Involved in daily Scrum meetings and sessions with business and technical team to understand expectations and priorities.
Monitored client expectations at all phases of Agile interations and made sure that all artifacts and deliverables are in compliance with corporate Agile Policies and Guidelines.
Interacted with NASCO and QBLUE teams for analyzing the claims data and gathering the requirements to write the technical requirements document and analyze the quality of data which flows into EDW.
Worked on IBM mainframe applications for analyzing claims, benefit coding.
Migrate & Transform data and generate specific reports using MetaVance.
Worked with Claims, enrollment and providers requirements and worked with the technology team to resolve application issues.
Used agile methodology for iterations released, and encouraging speedy response to new changes.
Facilitated weekly meetings with the review teams to continuously improve the Quality Assurance (QA) process for the application development.
Worked with the client to identify issues that affects the application for analysis.
Executed queries, joins to retrieve and analyze the data in DB2 environment.
Reviewed the companion guides and made appropriate suggestions to the technology team.
Worked with the technical team to analyze the requirements and interacted with the testing team to discuss the requirements for developing the test cases.
Worked with the client to identify daily business needs (Electronic claims, Paper claim requirements).
Responsible for validating the benefit coding after moved to production from Model office and in identifying the core issues and resolving them.
Jawood Business Process Solutions LLC May 2013 - March 2014
Client: BCBS Wellpoint
Project: ICD 10 Benefits Remediation
Role: Business Analyst
Responsibilities:
Assisted business team in gathering business requirements, service requirements and documented them.
Facilitated conduction of stakeholder interviews for identifying requirements followed by analysis of requirements.
Responsible for GAP analysis of ICD9-ICD10.
Identifying the impacts and training the users on new policies /procedures changes.
Performing Impact analysis for readiness of ICD-10.
Assisted team members in identifying those particular requirements which are likely to involve opportunity for additional communication whereas finding a solution on how to reduce the monthly average cost per unit for service plans.
Monitored client expectations at all phases of SDLC and assured that all artifacts are in compliance with corporate SDLC Policies and Guidelines.
Used SQL and Crystal Reports for querying underlying database tables. Developed Use cases, Test Cases for the Business users and QA team.
Conducted GAP Analysis to identify key areas of concern and addressed them with the Business team. Documented the AS-IS and TO-BE process flows.
Identified data sources and transformation rules required to populate and maintain data warehouse content.
Conducted JAD sessions between the end users and the development team.
Created Use cases diagrams using Visio also, created Sequence Diagrams and Activity Diagrams.
Involved in designing of the system with the system architecture and the development team, implementing technology based solutions.
Developed non-functional requirements and documented them as Business Rules, Quality attributes and constraint documents.
Designed and implemented basic SQL queries for QA testing and report / data validation.
Monitored progress reports on a weekly basis.
Coordinated between the Onsite coordinator and development team at Offshore to obtain correct requirements for the product.
Performed User Acceptance Testing (UAT) and reporting the bugs to the development team.
Conducted project related presentations and delivered reports to the higher management.
Felix Health Technologies Inc. July 2011 – April 2013
Client: BCBS Minnesota
Project: ICD 10
Role: Business Analyst
Responsibilities:
Responsible for all deliverables that included BRD, Business readiness, Risk assessment, Design document, Test strategy plan, Test cases and Implementation plan.
Facilitated JAD sessions for requirement gathering, analysis, and design.
Identifying and capturing Infrastructure related requirements such as the number of servers needed for performing the migration successfully.
Working with the licensing team to accrue the required software licenses and maintaining the tracking information of it so that they are renewed on time. Such as BeneFACT tool, Benefit Automator & Benefit Builder.
Highlighting the need for infrastructure backups.
Proactively identifying and resolving the discrepancies in configurations.
Created Test cases and scenarios for Regression Testing.
Maintained Requirements traceability Matrix that mapped Use cases from BRD to designed test cases.
Interacted with NASCO teams for analyzing the claims data and gathering the requirements to write the technical requirements document and analyze the quality of data which flows into EDW.
Worked with Claims, enrollment and providers requirements and worked with the technology team to resolve application issues.
Had to pull test data from production meeting the specifications of the test cases.
Experienced in Data Analysis, Mapping and Staging in Environment.
Performed Gap Analysis & Assessment.
Worked on developing the requirement documents.
Extensive knowledge – Rational Products to develop the following
Rational Rose for the Design Documents
Rational RequisitePro for Requirements documents
Clear Quest – Documenting the Test cases
Rational Robot – Automating the Test cases
Developed Functional test cases for the HIPAA – ICD 10 project.
Generated weekly status reports and Adhoc reports to monitor the progress and identify critical points to reallocate resources and Decision Support for Development Life Cycle.
Felix Health Technologies Inc. August 2010 – June 2011
Project: 4010 – 5010 Conversion
Role: Business Analyst
Responsibilities:
Got trained on the 5010 Project initiatives.
Worked on the training workshops on the 4010 to 5010 EDI transactions Mandates
and gained extensive working knowledge in the EDI -5010 Work space.
Analyzed the test data for 837I, 837P and 837D transactions.
Had to pull test data from production meeting the specifications of the test cases.
Analyze if the 4010 data is compliant as per the specifications from the business and as per the Implementation guides.
Execute it to 5010 version using the Felix Payer Product Suite.
Analyze if the 5010 data is error free and meeting the specifications of the business.
Designed process flows for the enhanced system as well as the existing system.
Provide the same to Business for further process.
Worked on the development of GUI designs for the product
Worked on developing the requirement documents.
Extensive knowledge – Rational Products to develop the following
Rational Rose for the Design Documents
Rational Rquisitepro for Requirements documents
Clear Quest – Documenting the Test cases
Rational Robot – Automating the Test cases
Developed Functional test cases for the HIPAA – 5010 project.
Supported the on-going business initiatives and strategy planning.
Designed, planed and conducted functional testing.
Organized and ran user acceptance testing and obtain user sign off.
Ascendtech Solutions April 2009 - June 2010
Role: Business Analyst
Responsibilities:
Got trained on the Health Care functional and Domain knowledge.
Extensive working knowledge Gained in the EDI -5010 Work space.
Worked on the Back end Oracle products understand the Back end data Loads.
Extensive knowledge – Rational Products to Develop the Following
oRational Rose for the Design Documents
oRational Rquisitepro for Requirements documents
oClear Quest – Documenting the Test cases
oRational Robot – Automating the Test cases
Worked on Developing the requirement Documents.
Developed Functional test cases.
Supported the on-going business initiatives and strategy planning.
Designed, planed and conducted functional testing.
Organized and ran user acceptance testing and obtain user sign off.
Participated in upgrades by researching changes to functionality, developing test scripts,
testing changed functionality and determining impact on customizations.
Provided technical production support for the Application Development Technical
Staff in development, analysis, debugging and user-support tasks.
Interacted with users from various manufacturing sites and customized the
Oracle applications per the requirements gathered.
24 X 7 Production support to help users from various geographic locations.
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