Project Data

Maulik Kaneria ***************@*****.***

Senior Business Analyst Contact: 312-***-****

Professional Summary

Over 7+ years of extensive experience as a Business Analyst in business and functional requirements elicitation, analyzing requirements, statistical data analysis, data mapping, object-oriented designing, Design of Experiments, Regression and Response Surface analysis, Unified Modeling Language (UML), SDLC methodology (RUP, Agile, SCRUM, XP, Waterfall) and project management in Healthcare domain..

Installation of CLM toolset configuration.

Proficient in facilitating Joint Application Development (JAD), Rapid Application Development (RAD), and Accelerated Requirement Methodology (ARM) sessions comprising of Enterprise Analysis, Requirements Gathering and Documenting requirements.

Good knowledge on different Relational databases like Teradata, Oracle and SQL Server.

Very efficient at performing GAP analysis to check the compatibility of the existing system infrastructure with the new Business requirements and Best Practices, SWOT analysis, Business Rules Analysis, Impact Analysis (Business, Technical), Risk Analysis and Cost Benefit analysis.

Good knowledge on latest BI Tools like Tableau

Knowledge in understanding the data and designing/Implementing the enterprise platforms like Hadoop Data lake and Huge Data warehouses.

Rational CLM and APM expertise.

Experience in Web Sphere administration.

Backlog Grooming experience.

Worked on Robotic Process Automation.

GBD and GHD data experience.

Assessment of EHR(Electronic Healthcare Record); EMR(Electronic Medical Record).

Familiarity with Title 21 CFR Part 11.

Business Process Management Experience.

Expertise in MACESS

Utilized MS Project and variance analysis to manage schedules, meet deadlines and plan resources in line with triple constraints. Followed up with weekly project status, organized task review meetings, conducted status meetings, managed deadlines, and facilitated prioritization discussions.

Working knowledge of implementing Service Oriented Architecture involving Web services, Web methods, MT servers and Data mapping.

Ability to produce high quality requirement specifications to support ERP functional design development.

Billing and Enrollment expert.

Worked on radiology platform.

Familiar with deliverables of learning health system.

Efficient at conducting UAT (user acceptance testing), Functionality testing, Unit testing, Integration testing, System testing, Operation Readiness testing and Regression testing.

Extensive experience with Data Warehousing, Extraction, Transformation and Loading (ETL) and Business Intelligence (BI) tools.

Extensively worked on Claim Processing.

Well- Versed experience in all EDI transactions like 834, 837 P, 835, 27x and conversion of 4010 to 5010.

Proficient in producing documents like Business Requirements Document (BRD), Functional Requirement Specifications (FRS), Software Requirement Specifications (SRS), Request for Proposals (RFP), and Requirements Traceability Matrix (RTM).

Adept in creating Use Case diagrams, Activity diagrams, Sequence diagrams, Flowcharts, Key Performance Indicators (KPIs) and experienced in change management.

Education

Bachelors of Business Administration from Gujarat University, Gujarat India 2010.

Technical Skills

Business Tools

MS Project, Lucid chart, MS Visio, MS Excel, MS Word, MS PowerPoint MS Access, Oracle (ETL),Microsoft dynamics 365, Swim lane chart, SIPOC, Value Stream Mapping, Root Cause Analysis, QFD’s, Failure Mode Effects Analysis (FMEA’s), Minitab, Design Expert, JMP, Facets

Databases/RDBMS

MS-SQL Server 2008/2005/2000, Oracle 9i/8i/10i, MS Access, Mainframe, DB2.

Modeling/Requirements Management Tools

UML, Rational Software Architect, HP ALM, Ms Visio, Web sphere Business Modeler, Crystel Report

Change Management Tools

Remedy, JIRA.

Operating Systems

Windows 2003/2000/ XP, Solaris 8.0, LINUX 7.3, 8

Languages

C, C++, JAVA, JSP, SQL, HTML, CSS, XML, UML, Hadoop

Methodologies / Frameworks

Agile, SDLC / Waterfall, Scrum, XP, DSDM, RAD, MSF, DMAIC, DMADV, DFSS, Lean.

Content Management Tools

SharePoint, Documentum,TeamSite, DOORS, Rational Rose, Cisco Web ex

ERP Tools

SAP, Oracle, PeopleSoft

QA Testing / Defect Tracking Tools

Rational Tools Suite, Star Ratings,HP QC, QTP.,HEDIS

EXPERIENCE

ATI Physical Therapy, IL

Senior Business System Analyst

Oct 2016 – Present

With a winning combination of exceptional care, incredible people, and a commitment to being the bright spot in the day of every single patient, ATI quickly began to expand. Now, with hundreds of clinics across the U.S., ATI continues to provide patient care based on its founding principles.

Roles & Responsibilities

Interacted with stakeholders and gathered requirements as per the business needs.

Provided primary liaisons between business/operations/core processing technology team and external development team.

Utilized Agile Scrum methodology and conducted Daily stand up meeting, Sprint Planning meeting, Sprint Review meeting, and Sprint Retrospective meeting.

Conducted GAP analysis by understanding the AS-IS system and the TO-BE system requirements by having discussions with the SME’s.

Maintained project documents to be used for collaboration with developers, QA, project manager, etc. on Confluence.

Utilized UML for process modeling and created Use Cases, Activity diagrams and Sequence diagrams using Rational Rose and MS Visio.

CLM and APM experience.

Analyzed and Developed bi-directional integration between Service Now and JIRA using Workato.

Performed Admin responsibilities for JIRA and Confluence. Responsible for upgrading to new versions of JIRA.

Billing and Enrollment.

Developed Test Plan and Test cases based on the Use cases and Functional specifications.

Performed functional testing, reviewed and approved test cases and test results.

Conducted meetings/calls and classified the bugs as functional or technical (low, medium, high).

Tracked UAT (User Acceptance Testing) to verify the implementation against the requirements.

Collaborated with DBAs to perform data mapping using MS Excel and executed complex SQL queries to filter data from the MS SQL database

Provided live support and training for the end users.

Environment: AGILE SCRUM Methodology, HTML, MS Dynamics,JIRA, BPMN, SharePoint 2013,Oracle, SQL Server, MS Access, MS Excel and MS Project, Test Director, Confluence.

Medtronic, Minneapolis, MN

Business System Analyst

Dec 2015 – Sept 2016

Today, Medtronic is the world's largest medical technology company. Over the years Medtronic developed additional core technologies, including implantable mechanical devices, drug and biologic delivery devices, and powered and advanced energy surgical instruments. Today these technologies are used to treat nearly 40 medical conditions.

Roles & Responsibilities

Interacted with client groups to determine user requirements and goals through interviews, surveys and questionnaires.

Backlog Grooming

Collaborated with other Business Analysts and the Product owner in creating the Product backlogs after eliciting requirements from SMEs like Clinical Product expert, to apply domain knowledge.

Involved in gathering, analyzing, and documenting business requirements, functional requirements and data specifications for Business Objects and Reports.

Performed Risk Analysis and Impact Analysis in order to be prepared for potential business and technical risks to the system.

Prepared corresponding artifacts: FRD (Functional Requirements Document), BRD (Business Requirements Document) and SRS (System Requirements Specification).

Created affiliate artifacts: Use Cases, Activity diagrams, Sequence diagrams and Interaction diagrams using MS Visio.

Utilized web services and web methods by understanding the data input and flow of information through various web pages.

Extensively used Crystel Reports for reporting.

Robotic Process Automation.

CLM and APM experience.

MACESS iworks.

Conduct requirements gathering sessions and document complex requirements, processes, features, and business needs specifically focused on web content management and portal applications

Utilized Agile Scrum methodology and conducted Daily stand up meeting, Sprint Planning meeting, Sprint Review meeting, and Sprint Retrospective meeting.

Determined the velocity of each sprint and created the Sprint burn down chart, storyboards and Product Backlog and managed Requirements.

Developed user specifications, use case statements and diagrams and documents to produce a statement of work. All data modeling and user interfaces were prototyped using Microsoft Visio.

Implemented the Incremental methodology of software development with its various workflows, artifacts and activities.

Participated in facilitating the project implementation with the production team.

Environment: AGILE SCRUM Methodology, Tableau,MS Dynamics 365, CISCO Web ex,JIRA, BPMN, SharePoint, Crystel Reports, Oracle, SQL Server, MS Access, MS Excel and MS Project, Test Director.

CVS Health, Woonsocket, RI

Senior Business Analyst

August 2013 – Nov 2015

CVS Health, the retail division of CVS Caremark Corporation, is America's largest retail pharmacy .When dispensing prescriptions to patients that are Medicare Part B beneficiaries; CVS Health has to comply with many Centers for Medicare & Medicaid Services (CMS) regulations. Failure to comply with these regulations puts CVS Heath at risk for paying fines, lost revenue, or suspension and/or revocation of Med B supplier status.

Implemented project to improve CVS Health’s compliance to current and future CMS Medicare B law and regulations by streamlining processes and enhancing system functionality.

Roles & Responsibilities

Performed requirements gathering from the stakeholders while adhering to SDLC industry best practices.

Used MS Project to create the project plan, allocate budget, resources and set milestones.

Created relevant artifacts: Interface Design Document, Detailed Design Document, Supplemental Document and Solution Specification Document.

Expert in generating and analyzing custom reports and dashboard for management and various business unit personnel to provide detail information on key performance indicators.

Developing a formal strategy for driving the efficiency and effectiveness of the ITIL process in complex business environment.

Grooming of user stories and use cases

Performed Gap analysis and conducted business modeling by reviewing the existing business artifacts.

Authored the Functional Requirements Specification (FRS) and Business Requirements Document (BRD) and System Requirements Specification (SRS) for the project.

Utilized UML for process modeling and created Use Cases, Activity diagrams and Sequence diagrams using Rational Rose and MS Visio.

Maintained project documents to be used for collaboration with developers, QA, project manager, etc. on SharePoint.

As System Analyst, created complex queries to identify gaps in ICD10 implementation, mapped their older ICD9 counterparts, and facilitated design to replace the older codes with the newer ICD10 codes, while also ensuring that the ICD9 to ICD10 crosswalk was functional and working effectively, leveraging the older codes until they sun-set and ICD10 completely took over.

Implemented pseudo code after analyzing data sets and gaps, and advised Developer in order to ensure timely and accurate delivery of product.

Implemented Agile Scrum methodology of application development and set the velocity for each sprint cycle.

CLM and APM experience.

Conducted daily Scrum meeting, planning meeting, review meeting, retrospect meeting and created the Product backlog.

Extensively used GBD and GHD data.

Provided data modeling and migration data and developed user interface mocks using Microsoft Visio.

Collaborated with DBAs to perform data mapping using MS Excel and executed complex SQL queries to filter data from the MS SQL database.

Used HP Quality Center for loading the test scripts and logging defects.

Collaborated with the production team by facilitating the implementation of the application, prepared production certification scripts and performed production certification.

Environment: AGILE Scrum methodology, ASP.net,Hadoop, JIRA, BPMN, SharePoint, Oracle, SQL Server, MS Access, MS Excel, MS Project and Test Director.

E Clinical Works, Merrillville, IN

Business Analyst

Sep 2011 – June 2013

EClinicalWorks is the leading cloud-based EHR in the industry, with more than 130,000 doctors and nurse practitioners, and 850,000 medical professionals using our solutions worldwide. Company has numerous awards over the years, including being recognized by IDC and named to Inc. Magazine’s Inc. 500 list of the fastest-growing private companies.

Roles & Responsibilities:

Interacted with stakeholders and gathered requirements as per the business needs.

Implemented RUP methodology for iterative and incremental development of the system.

I was involved in the planning of the RUP iterations and documenting of the artifacts throughout the various phases of the development process.

Conducted GAP analysis by understanding the AS-IS system and the TO-BE system requirements by having discussions with the SME’s.

Configured Reports for custom objects and associated them to Dashboard.

Worked at companies’ property/causality insurance portal especially commercial lines like electronic commerce, employment-related practices liability, equipment breakdown (formerly boiler and machinery), farm, financial institutions and general liability.

Extensively used Quality reporting tools HEDIS, PQRS and Star Ratings.

Compiled the Vision Document and composed detailed Use Case Specification Documents in RationalRequisitePro.

Extensively worked on Claim Processing and Involved in the analysis of HIPAA compliance and EDI transaction sets and actively participated in the designing of the EDI transactions using the new HIPAA 5010 version also including the use of ICD-10 codes.

Identify PeopleSoft queries for re-creation within Workday for continued support of legacy processes.

Responsible for validation of Position/Job, Compensation, Organizational, and other data elements in Workday Tenants.

Extensively worked on Learning Health System (LHS).

Used UML to perform Use-Case analysis to capture the dynamic aspect of the application.

Ensured the accuracy and consistency of the data during the data loading process.

Developed State Diagrams, Activity diagrams and Class Diagrams in MS Visio using UML for various modules of the project.

Document all data mapping and transformation processes in the Functional Design documents based on the business requirements

Experienced in developing Data Mapping, Performance Tuning and Identifying Bottlenecks of sources, mappings, targets and sessions.

Created Process Flow Charts, Business Requirements Documents, Functional Specification Documents.

Performed Data Analysis and Data validation by writing SQL queries.

Was involved in managing the Daily Standup meetings and also ensured that quality standards were enforced as per the build-release schedule.

Created data trace map and data quality mapping documents.

Performed Data Profiling and Data Quality.

Developed Test Plan and Test cases based on the Use cases and Functional specifications and also performed manual testing of the functionality of the application by inserting varying data on different test runs.

Developed Flowchart and process diagram using Microsoft Visio.

I was in regular contact with Business partners on the status of issues, action plans and timeframe for resolution throughout the development cycle.

Contributed in reviewing and editing of the test scripts.

Environment: Windows, MS Office (MS Word, MS Excel, MS PowerPoint, MS Visio),LHS,MS Paths Data, MS Access, MS Dynamics 365,MS Project, Rational Rose, Community Manager, BPML, SQL, Clear Case, Agile

Health Tech India, Ahmadabad, Gujarat

Business Analyst

July 2010 – August 2011

July 2009 – Sep 2010

Roles & Responsibilities:

Identified and analyzed, defined opportunities for business process improvement, documented business processes and initiated efforts to make improvements.

Contributed to the definition of scope, performed extensive requirement analysis and defined functional specifications.

Worked on Radiology platform for different clients within the city.

Facilitated daily scrum and ensure the integrity of the agile process capturing velocity and removing obstacles to drive success and grooming.

Involved in requirement scoping and identifying high priority requirements for implementation.

Partnered with the business stakeholders, process owners, users to identify their requirements, produced detailed specifications, planned the project deliverables with the software development team.

Developed Use Case diagrams by analyzing the business process to describe system interaction and functional requirements of the system.

Created wire frames and developed a prototype of the graphical user interface (GUI) and demonstrated to the stakeholders and business users and took feedback from them.

Coordinated and conducted joint application development (JAD) and walk through sessions involving business unit stakeholders, technical analyst, project managers thereby utilizing strong interpersonal, oral and written communication skills.

Worked closely with Developers to review user requirements and understand technical recommendations and constraints, and develop comprehensive and accurate functional specifications.

Tracked defects in Quality Center and worked with QA team to resolve defects.

Assigned problems to appropriate software development team for fixes.

Prepared UAT test cases created a list of UAT users and conducted UAT along with them.

Provided live support and training for the end users.

Environment: MS Office Suite (Word, PowerPoint, Access, Excel, Outlook), MS Project, MS SharePoint, Agile, MS Visio, MS SQL, Business Objects, Quality Center.

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