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Senior Business Analyst

Location:
Scarborough, Ontario, Canada
Posted:
September 29, 2018

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Resume:

Arvind Madhusudan

****-***, ********* ****** ****, Toronto – M4X1G5

ac678u@r.postjobfree.com 647-***-****

Senior Business Analyst (SBA), Business Analyst (BA)

* *****’ experience in business analysis and product management

7 years’ experience in Insurance (P & C Insurance) & Healthcare projects

Worked with Fortune 500 companies/clients

Experience in direct client interaction including stake holders at CXO level

Experience in designing products from Concept to Go Live. Good understanding in SDLC.

Experience in digital IT projects (social, mobile, analytics & cloud)

7 years’ of extensive experience in designing UI (user interface) using various tools like Bal Samiq, pencil & Visio (static & click thru / with navigation)

Experience in implementing Robotics Process Automation (RPA) across various processes

Document current / As - Is and To-be Business processes

Experience in presales activities – Providing functional walkthrough of the product, supporting POC development, preparing decks

Good knowledge in Unified Modelling Language (UML) tools

Participating in internal & external process audits for projects associated

Experience in presales activities like RFP responses, writing blogs, newsletter articles

Education – ‘Master of Business Administration’ & ‘Bachelor of Engineering’

Holding USA B1 visa – valid till year 2025

EMPLOYMENT HISTORY:

1.August 2013 – August 2018: Worked as a Sr. Business Analyst at “Evry India Pvt Ltd” Bangalore

2.April 2012 – August 2013: Worked as an Associate at “MindTree Ltd” Bangalore, India

3.Sep 2011 – Mar 2012: Worked as a Product / Business Analyst at “HealthSprint Networks” Bangalore

SKILL SETS – SENIOR BUSINESS ANALYST:

Requirements Management:

oElicit requirements / gather business requirements

oRequirements analysis

oRequirements documentation - SRS, FRD, & User stories (Functional / Non-functional)

oUser guides documentation

oRTM management

oChange Request (CR) Management

oStakeholders identification

oGap / Impact analysis

User Interface Design & Process flows:

oUser Interface (UI) Design - Wireframes / Prototypes (Static/Click-through – With Navigation)

oProcess Flow Diagrams / flowcharts / swim lane diagrams

Requirements Gathering Techniques:

oBrainstorming

oInterview & Questionnaire

oPrototyping,

oJAD

Product Management:

oProduct roadmap design

oFeature Prioritization

oIdentification of business cases

Industry Knowledge

oInsurance

oHealthcare

Tools:

oProject Mgt Tools: TFS, Version One, Rally, JIRA

oBA Tools: MS Office – Word, Excel, Power point, Visio, Balsamiq & Pencil

oBugs Tracking Tools: Bugzilla, HPQC, TFS, Rally

oWriting basic SQL queries

Estimation Techniques

oWBS

oStory Points

Development Methodologies

oAgile (Scrum)

oWaterfall

oIterative

Testing:

oFunctional Testing / Functionality Validation

oTest Case documentation & review

oLeading ‘User Acceptance Testing’ sessions

Leadership Skills:

oDriving release planning sessions

oInterviewing Business Analysts

oMentoring junior Business Analysts

Domain training to project team

INDUSTRY EXPERIENCE / KNOWLEDGE:

-INSURANCE

Lines of Business:

oProperty & Casualty

Auto Insurance

Liability

Workers Compensation

oHealth Insurance

oLife Insurance

Process Knowhow:

oPolicy Administration

oLoss Notification / FNOL

oClaims Adjudication

oUnderwriting

oDamage Assessment

oSubrogation

oUsage Based Insurance

Entities Serviced:

oInsurance Carriers

oTPA / Claim Adjudicators

oAgencies / MGAs

oIntermediaries

-HEALTHCARE

Sub-Domains:

oClaims Recovery

oRecovery Audit Contractors

oMail order pharmacy

oPharmacy benefit manager

oWorker’s Compensation

oEligibility Verification

oEnrollment

oHIPAA & GDPR Compliance

Programs / Process Knowhow:

oMedicare & Medicaid

oCOB

oUtilization Review

oSubrogation

oEstate Recovery

oFWA

oEDI standards – 270/271, 837, 835

Entities Serviced:

oPayer

oProvider

oTPA

oPBM

oPharmacy

Claims Recovery Businesses

PROJECTS ACCOMPLISHED:

PROJECT 1 – Claims Processing Application

Client Details: Client was a TPA that provides claims processing services

Project Details: Reengineering of existing claims processing /claims management application due to:

Limited flexibility to adapt for business changes

Lack of resource availability to maintain the existing application stack

PROJECT 2 – Mail Order Pharmacy Application

Client Details: Client was a Pharmacy Benefit Manager (PBM)

Project Details: Project was initiated when client wanted to provide ‘Mail Order Pharmacy’ services to the insurance beneficiaries. This service helped patients to manage their prescriptions, order refills and have prescriptions delivered at their door step. eRx fulfillment was achieved via HL7.

PROJECT 3 – Cost Avoidance Application

Client Details: Client was a claims overpayment recovery entity

Project Details: Project was initiated as the client wanted to expand their ‘Cost Avoidance’ service portfolio in enrollment space.

PROJECT 4 – IT Portfolio Assessment (Applications)

Client Details: Client was a claims overpayment recovery entity

Project Details: Assessment of 100 + IT applications of client for consolidation purpose

Project 5 – FNOL Mobile App

Client Details: In-house product

Project Details: A mobile app was developed for auto insurance policy holders to notify loss in order to avail the policy benefits i.e. intimating First Notice of Loss using the mobile app.

PROJECT 6 – Payer Provider Network Management Application

Client Details: Client was a TPA from Nigeria

Project Details: The project involved the implementation of health insurance payer solution. The web-based TPA platform developed to manage health insurance policy administration, member management, pre-auth management & claim management.

EDUCATION HISTORY:

Master of Business Administration: Graduated in 2011, graduated from PESIT College, affiliated to Visvesvaraya Technological University, Bangalore, India

Bachelor of Engineering: Graduated in 2008, graduated from VVIET College, affiliated to Visvesvaraya Technological University, Mysore, India



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