B Tripathi Contact # 678-***-****

E-mail: ac55f2@r.postjobfree.com

SUMMARY

Master’s in Business Administration with 10+ years of diverse experience as a Business Analyst in Information Technology with focus on Business Analysis, Requirement Gathering, Technical Documentation and Software Validation. Successful, progressive experience in all phases of the iterative Software Development Life Cycle (SDLC). Have thorough understanding of State Medicaid Management Information System (MMIS) and its various sub-modules including but not limited to, Third Party Liability (TPL), Service Authorization (SA), Automated Voice Response System (AVRS), Pharmacy Benefit Management (PBM), Claims Adjudication/ Processing, etc. Possess excellent analytical skills and strong communication skills, capable of interacting with both internal and external stakeholders. Possess commendable oral and written communication skills and played a vital role in liaising with other stakeholders of projects.

BUSINESS SKILLS

Requirements Gathering

Business Processes research, analysis & documentation.

Use Case Modeling & Analysis

CR and Defect management

Functional Requirements gathering

Gap Analysis & Impact Analysis

SQL Queries

Test Cases / Test Scripts

Letters & Report Generation

PROFESSIONAL SKILLS

Gathering Requirements, Business Systems Planning, Procedural Development & Implementation, Validation, Problem Solving and Business Contingency Planning.

Experienced in conducting Joint Application Development (JAD) sessions with end-users, Business analysts, software developers and quality assurance teams for project meetings.

Competent in managing requirements by creating Requirement Traceability Matrix (RTM) and by using Rational Requisite Pro

In depth knowledge of Software Development Life Cycle (SDLC) using Agile methodology, with thorough understanding of various phases such as Requirements, Analysis/Design and Development

Extensively involved in project documentation including but not limited to, Software Requirement Specification (SRS), Detailed Systems Design (DSD) Document, Use Cases, User Interface Specification, Report Specifications, Letter Specifications, etc.

Proficiency in analyzing and creating, Use Case Diagrams, Sequence Diagrams, Activity Diagrams using MS Visio and Rational Rose

Proficient in conversion of Use Cases into test documents, Test Plans and Test Scripts good understanding of different business processes.

Working experience with rational tools & HP Quality center

Experience in logging software defects and tracking the same using appropriate tools to ensure that software quality standards are met.

Experience in writing PL/SQL with SQL queries.

In depth knowledge of Agile tool JIRA

Extensive experience in creation Business processes, work flow diagrams and process flows.

Knowledge of health care services regulatory environment including HIPAA 4010/5010, NCPDP 5.1 to D.0, etc.

Defects and CR management including CCB

Experience with migrations to different environments

TECHNICAL SKILLS

MS Suite

MS Word, MS Excel, MS outlook, MS PowerPoint, MS SharePoint

Modeling Tools

MS Visio, Rational Rose

Requirement

Management Tool

Rational Requisite Pro

Letter/ Report Tool

xPression, xDesign, Business Objects

Languages

SQL, PL/SQL

Databases

Oracle, MS SQL Server

Testing Tools

HP Quality Center, ClearQuest, Selenium, Clear Case, Rational Manual Tester (RMT), RTM

ERP Tool

Workday

Agile Tool

JIRA

PROFESSIONAL EXPERIENCE

State of South Carolina – Department of Health and Human Services

August ’16 – Present

Curam Business Analyst / Quality Analyst

Responsibilities:

Involved in all the stages of Software Development Life Cycle (SDLC)

Active participation in JAD sessions for Intelligent Evidence Gathering (IEG) changes for HealthCare Reform (HCR) and Curam Global Income Support System (CGIS) projects

Worked very closely with subject matter experts (SMEs) and implementation partner to make sure functionalities are working as expected

Created Business Requirement Documents (BRDs) and Functional Design Specifications (FDS) documents

Monitored Technical Design Specification (TDS) document for each functionality

Conducted multiple requirement validation sessions with implementation partner

Highly involved in the design sessions with developers, SMEs, technical architect and implementation partner

Validated and approved designs for various functionalities

involved in monitoring, reviewing and approving SIT test cases

Validated SIT for various functionalities using JIRA

Monitored UAT and defects using JIRA

Participated in defect triage sessions and prioritized defects

State of Georgia – Department of Human Services

March ’15 – August ‘16

Business Analyst / Quality Analyst

Responsibilities:

Involved in all the stages of Software Development Life Cycle (SDLC)

Active participation in JAD sessions for Integrated Eligibility System (IES) changes

GAP analysis for SHINES application with regards to IES upgrade

Documentation in the form of DSD for updated requirements & Business Rules

Responsible for working on detailed design of the system by creating Sequence Diagrams and Activity Diagrams using MS Visio

Provide support to development team until end of development phase

Actively involved in Unit testing, System Integration testing & Regression testing

Running basic SQL queries to validate test results

Responsible for performing Quality Assurance (QA) for all the upgraded user interfaces

Change request & Defects management using HP Quality Center & RTC tools

Environment: MS Office, Outlook 2013, SharePoint, SQL Developer, HQ Quality Center, RTM

Xerox State HealthCare, LLC, Atlanta, GA

Jan ‘12 – March ‘15

Montana MMIS Deployment to Core Project

Alaska MMIS Deployment to Core Project

Business Analyst / Quality Analyst

Responsibilities:

Involved in Change Request (CR) creation using Rational ClearQuest for managing updated requirements that were part of initial scope of work but were determined later after the initial requirement were frozen.

Documented Technical specifications for letters creation for the State of Alaska. These letters are either scheduled letters or ad-hoc letters.

Worked on detailed design of the system by creating Use Case Diagrams and Class Diagrams using MS Visio

Used Agile methodology (Iterative approach) JIRA for the SDLC process which included requirement gathering, analysis, design, and testing

Utilized xPression and xDesign for generating Alaska State specific letter requirements.

Accountable for doing Quality Assurance (QA) to ensure that the letters meet the standards required by the State of Alaska.

If the letters did not meet the standards specified, I logged these as defects in Rational ClearQuest and tracked the same for re-testing after they were fixed by the technical team.

Responsible for ensuring that the letters are correctly generated through the user-facing GUI in Test and Dev environments.

Utilized Toad for Oracle for running appropriate SQL queries for data validation.

Worked closely with the Technical team to make sure all the requirements were met and the functionality was developed correctly.

Extensively involved in post-production support (production issues) related to letters AK Medicaid. Worked closely with interdependent functional area teams & development teams to identify, resolved & re-test issues.

Worked closely with testing team & migration team in filling out appropriate migration forms & ensuring hotfix defects migrate correctly to production.

Environment: JIRA, MS Windows, Outlook 2010, SharePoint, MS Office, Toad for Oracle, Real-Time Letter Generator, XML, SQL, Rational ClearQuest.

Xerox State HealthCare, LLC, Atlanta, GA

Apr ‘11 – Dec ‘11

Texas Medicaid Health Partnership (TMHP) Project

Business Analyst / Quality Analyst

Responsibilities:

Facilitated JAD sessions with various cross functional stakeholders, including but not limited to HR, to gather requirements for implementation of Workday as the ERP tool

Involved in development & documentation of Business Requirements Document (BRD) and Functional Requirements Document (FRD)

Modeled the detailed design of the system by creating Use Case Diagrams, Class Diagrams, Sequence Diagrams, Activity Diagrams and State Diagrams using MS Visio

Ensured that data systems operate at a high level of performance, including integrity, reliability and availability.

Involved in the writing and executing Test Plans, Test cases, Test scripts using HP Quality Center.

Logged and tracked defects in HP Quality Center and assured the overall performance of the system.

Environment: Windows, MS Office, MS Visio, Workday, Rational Tools, Outlook, HP Quality Center.

Xerox State HealthCare, LLC, Atlanta, GA

Aug ‘08 – Mar ‘11

ND Pharmacy Benefits Management (PBM) Project

Business Analyst / Quality Analyst

Analyzed existing system and procedures to identify GAP by comparing existing system documentation against new client requirements.

Leveraged Agile methodology for Software Development Life Cycle.

Conducted JAD sessions with SME for elicitation of requirements and to develop business solution for Prescription Drug Claims System Project (PDCS)

Responsible for accurate development of multiple sub-modules such as National Drug Code (NDC), Inferred Disease, Drug Utilization Review (DUR), Claims Mass Adjustment, etc. within the PDCS

Involved in all four phases of the requirements development including elicitation, analysis, specification and validation

Responsible for the delivery of Business Requirements Documents (BRD) and Functional Requirements Documents (FRD) for multiple enhancements

Designed and developed Class Diagrams, Use Case diagrams, Activity diagrams, Sequence diagrams using MS Visio

Documented project artifacts including but not limited to, Use Case, User Interface Specification, Business Rules Catalogue, Error Message Catalogue, Report Specifications, etc

Utilized Mock-Up Screens for creating User Interface mock-ups that would help the client visualize the final product.

Created a spreadsheet that encompassed all the valid values/ system lists.

Interfaced with the System Security Team to define Page Level security, Field Level security.

Used Business Objects for generating scheduled and ad-hoc reports.

Accountable for Quality Assurance (QA) to ensure that the product meets specified standards.

Converted Use Case documents to Test Cases, Test Scripts using ClearCase and Rational Manual Tester.

Environment: Windows, Outlook, SharePoint, MS Office, MS Visio, Mock-Up Screens, MS Project, Rational Tools, SQL

Xerox State HealthCare, LLC, Atlanta, GA

Mar ‘07 – Aug ‘08

New Hampshire MMIS Project

Business Analyst

Conducted JAD sessions to develop business solution that application meets the business requirements, resolve open issues, and change requirements

Understood and defined various elements and objects used in Healthcare Medicaid management information systems MMIS & COTS Product

Used Agile methodology (Iterative approach) for the SDLC process which included requirement gathering, analysis, design, and testing

Created the process flow and Swim lane diagrams using Rational Rose to integrate the Third Party Liability (TPL) Insurance claims, Service Authorization (SA) and Automated Voice Response System (AVRS) to the MMIS application

Conducted GAP Analysis, and created Business Rules catalogue and Error Message catalogue for the new version of MMIS.

Created Requirements Traceability Matrix using IBM Rational Requisite Web to manage and trace Business and Functional Requirements.

Conducted knowledge transfer sessions with the offshore team to help them understand the business logic and process flow for TPL, SA and AVRS.

Created Design Readiness Verification (DRV) document to help ensure that the development team was at the same level as the business team by keeping a track of all queries and their solutions.

Extensively involved in writing project artifacts such as Use Case, User Interface Specification, etc.

Worked closely with the offshore Technical and Testing team to make sure all the requirements were met and the functionality was developed as per the Business Requirements

Environment: Windows, Outlook, SharePoint, MS Office, MS Visio, Rational Tools, SQL

**Professional references are available upon request.

Contact this candidate