Name Swapna Raga LeenaLakkaraju

Contact Number 347-***-****

E-mail acc4o2@r.postjobfree.com

. Over 5 years of together experience as Business Analyst in Online

Banking, Mobile Banking, Insurance, Credit Card Systems, Payment

Solutions, Project Management, Business Process Design, Streamlining,

Quality Assurance in diverse fields such as Insurance, Web Banking/

Mortgage Application, Credit Risk&Capital Market software

Development and also in Software Quality Assurance with expertise in

Manual and Performance testing on various platforms.

. Strong Knowledge and experience of Agile, RUP's Iterative Software

Development Life Cycle (SDLC), Waterfallprocesses.

. Lead the efforts on a successful deployment on our Mobile banking

application that services our customers that are located worldwide

. Experience in design, development, testing and implementation of new

applications and maintenance of existing applications using

technologies such as Web Services, Service Oriented Architecture

(SOA), Servlets, JSP, SQL, WPS, .Net, C#, WCF, WPF, WAP, Mobile App

etc

. Experience in Business Process Modelling, Business Requirement

Documents (BRD) gathering and System Requirement Specifications (SRS)

and Functional Requirement Specifications (FRS)

. Expertise in System Development Life Cycle (SDLC) with understanding

of requirements gathering, Analysis, Design, Development, testing and

maintenance

. Knowledgeable in using Six Sigma Business Process Model and its 5

phases Define, Measure, Analyze, Improve and Construction (DMAIC)

. Good experience in defect tracking and reporting using Test

Director/Quality Center

. Expertise in Generating Reports using Defect Tracking Tools

. Expertise using Rational Unified Process (RUP) Business Processing

Model including Inception, Elaboration, Construction and Transition

phase

. Designed and developed Use Cases, Activity Diagrams, and Sequence

Diagrams using Unified Modelling Language (UML), and MS Visio

. Performed Project Management GAP Analysis to identify problems and

worked closely with Stakeholders and End Users to create procedures to

meet Service Level Agreements (SLA)

. Facilitated Joint Application Development (JAD) and Joint Application

Requirement (JAR) sessions with Subject Matter Experts, Project

Sponsor, Platform Managers, Legal, Compliance, Product Management and

Development team

. Experience in Business Modelling Tools such as Rational Rose, MS

Office, MS Project, Rational Requisite Pro, MS Visio, Share Point and

Enterprise Architect

. Strong, Outstanding Analytical, Interpersonal Written and

Communication Skills

. Ability to Adapt and learn New Tools, Techniques and Approaches

. Expertise in Requirement gathering, Vision Documentation, UML

Modelling, Rational Rose, GAP analysis and MS Visio

. In-depth knowledge of Business Models: Lending Business, Term Life

Insurance, Capital Management, Conversion Rates, Return on Investment

(ROI), Cost to Overhead (CTO), Price Penetration Model, BCG Matrix,

Industry Attractive Matrix, TOWS Analysis, SWOT Analysis, Value Chain

Analysis, Supply Chain Analysis

. Responsible for EDI strategies enabling Health Care Providers and

Insurance Careers to communicateeffectively.

. Broad knowledge of Medicare, Medicaid, PPO, HMO, POS, diagnostic codes

and claims process.

. Good working knowledge of Claims processing, HIPAA Regulations and

270, 837P, 837I, 837D EDI Transactions & 4010/5010 versions for health

care industries.

TECHNICAL SKILLS

Database: MS-Access, My SQL, SQL Server, DB2, DB Visualizer

MS Office Suite: MS-Word, MS-Excel, MS-PowerPoint, MS-Project,

Visio, Access

Methodologies: SDLC-Waterfall Model, Object Oriented Analysis and

Design (OOAD), Agile/Scrum, Rational Unified

Process (RUP), BPMN, V-Model, Rapid Application

Development (RAD), Joint Application Development

(JAD)

UML Diagrams: Structure Diagram-Class & Object Diagram, Behaviour

Diagram, Use Case, Activity, Sequence & Swim Lane

Diagrams

Modeling Tools: MS-Visio, Rational Rose, Erwin, Snag-It, Snipping

Tool

Requirement Tools: Rational Requisite Pro, Rational Software Architect

(RSA), Rational Requirement Composer (RRC)

Testing Tools: Test Director, Quality Centre (QC), Application Life Cycle

Management, QTP

Web Technologies: HTML, DHTML, XML

Visualization & Presentation skills: PPT, Dashboards & GUI Prototypes,

Mock-up screens.

EXPEREINCE

Total Home Health, Inc., Houston, TX

May 2013 -- Present

Business Consultant/Analyst

Total Home Health, Inc. operates with five branches in Florida and two

branches in Texas. It is a licensed and Medicare certified home health care

agency committed to providing coordinated and quality health care. The

project at THH was implementation of New Electronic Health Record System,

KINNSER and transferring all the existing patients' medical records into

the new system. The additional components of this project involved

Computerized Physician Order Entry (CPOE) inbound e-referrals from

hospitals, nursing homes and other healthcare facilities, Electronic

Prescribing (e-Rx) and outbound E-referrals, Recording of Demographics,

Patient Reminders, Intake and Scheduling, Clinical Decision Support (Coding

& Claims), Electronic copy of health info, Clinical Summaries, and Exchange

of clinical information, with Practice Management and Billing Software.

Responsibilities:

. Worked in an Agile Development Environment fractioning out the

functionalities of Electronic Health Record (EHR) and Practice Management

and Insurance verification.

. Gathered Business requirements by interviewing Subject Matter Experts

(SME) and end-users, nurses, physical therapists and other clinical

staffs who actually will use the EHR software.

. Assisted in recognizing the weaknesses (Gap Analysis) in the existing

functionality of EMR System (which was VISITRACK) besides adding

additional functionalities.

. Participated in coordinated team effort in User Acceptance Testing (UAT).

. Developed comparative statements, reports to examine the existing

functionalities and presented to the Board of Directors. Also created

Business Process Workflow Diagrams.

. Provided the solution to enhance the existing functionalities and

segregated Business Requirements into high level and low level Use Cases.

. Documented detailed Business Requirements Documents (BRD) and Functional

Requirement Documents (FRD) using Rational Requisite Pro.

. Created UML diagrams with the help of Rational Rose to understand the

process flow.

. Conducted JAD sessions periodically in order to resolve any issues in

requirements and providing the data to the external vendor.

. Act as a liaison between the company, Kinnser software and other outside

vendors like physical therapy contracting companies and contracted

durable medical equipment companies.

. Followed a structured approach to organize requirements into logical

groupings and ensured that the critical requirements are met.

. Participated in ICD 9 to ICD 10 codes mapping sessions as well as status

meetings and provided comments and suggestions on challenges faced with

the outsourced medical coding partner company.

. Identified the business flows and determined whether any current or

proposed systems are impacted by the EDI X12 Transaction, Code set and

Identifier aspects of HIPAA.

. Used Electronic Data Interchange (EDI) codes for verifying patient

eligibility and receiving the insurance benefits, patient information,

health care claim request, and healthcare claim through the new EMR

System.

. Made sure the agency is in compliance with Medicare regulations about the

OASIS collection and transmission/export of patient files to CMS, as per

the mandate.

. Coordinated periodic meetings between the user group and KINNSER at

various phases of software installation and training phase.

. Actively involved in the training of end users of all levels. Conducted

training sessions for the staff and vendor companies.

Environment:Rational Unified Process (RUP), UML, Rational Test Manager,

Rational Clear Quest, Windows, MS Office, HTML, Windows.

BBVA Compass Bank, Birmingham, AL.

March 2012 - April

2013

Business Analyst

BBVA Compass Bank is a financial services firm that provides its products

and services to corporations, financial institutions and individuals. The

company provides services in banking sector, wealth management, asset

management, investment and management advisory.

Responsibilities:

. Responsible for defining the scope and implementing business rules of the

project, gathering business requirements and documentation

. Responsible for writing Business Requirement Documents (BRD) and User

Requirement Specification (URS).

. Business Process Mapping and design

. Requirement specifications to design a enterprise web application for

their customers to view Inventory, Sales, Purchasing, Finance and New

Item Set up specific to Military Sales.

. Implemented Service-Oriented Architecture (SOA) for linking business and

computational resources on demand to achieve the desired results for

service consumers (which can be end users or other services

. Performed Mind Mapping exercise to gather the requirement across the

varied streams for the portal

. Documented processes by interacting with the business and documented the

functionality which assisted the technical architects and coders to

develop relevant solutions

. The processes are designed to develop an enterprise application for

Inventory, Sales, Purchasing, Finance and New Item Set up functions

. Developed Wireframes and Mockups using Visio.

. Responsible for getting the sign off from the business on the BRDs and

wireframes.

. Responsible for interacting with the developers to explain the proposed

changes and understand the system requirements to handle these changes.

. Coordinated with the test team to check the weekly status and report the

same to the project manager.

. Formulated comprehensive test plan based on requirements and develop test

scenarios based on use cases.

. Performed regression, functional testing, stress testing, performance

testing, user interface testing, User Acceptance and system testing.

Wells Fargo, Houston, TX

April 2011 - Feb 2012

Business Analyst/Quality Analyst

Wells Fargo is a financial services company committed to selling and

servicing all the financial products needed by consumers, small businesses,

farmers and ranchers, non-profits, middle market companies, real estate

companies and corporations. The current project under development 'Funds

Management Information System' helps the clients efficiently in providing

information about funds, agents, analysis and trading.

Responsibilities:

. Involved in various phases of the project, which was implemented using

the Rational Unified Process (RUP) methodology.

. Performed Gap analysis to compare the 'As-is' and 'To-be' models.

. Conducted JAD sessions and captured business specifications requirements.

. Documented the captured requirements and managed them using Rational

Requisite Pro.

. Extensively designed object diagram, class diagram, use case diagram,

state diagram, activity diagram, sequence diagram, component diagram and

deployment diagram.

. Maintained the Requirements Traceability Matrix (RTM) for the project.

. Identified and documented process flows.

. Developed and documented Project Plan including Milestone Plan.

. Used Rational Rose to create business Use Case diagrams.

. Involved in documentation of business constraints and assumptions.

. Assisted in Defining, Validating and Refining procedures in accordance

with Capability Maturity Model (CMM) guidelines.

. Created presentations using MS PowerPoint for monthly meetings with upper

management.

. Involved in test strategies and test execution.

. Identified and tracked project issues/risks and recommended solutions.

Environment:Microsoft Office Suite, .Net, Sharepoint, Microsoft Visio,

Requisite Pro, SQL Server, RUP, VBScript, UML, Quick Test Pro, Rational

Rose, Test Director.

United Health Group, Minneapolis, MN

Feb 2010 - Jan 2011

Business Analyst/Quality Analyst

United Health Group has supported the Department of Health, NY for Health

and Dental Insurance Claims and Eligibility efforts. The core data is in

MMIS Legacy system and can handle the processing of different Claims within

POS in MVS Site D and AIX Box. The MMIS can handle the HIPAA transactions

such as 835, 837 (P, D, I) 276, 277, 278. The Inbound and Outbound is run

through JCL in batch mode.

Responsibilities:

. Gather requirements by conducting meetings and brainstorming sessions

with end users and SME and document them using Requisite Pro - the

documentation tool offered by Rational.

. Extensively involved in data modeling

. Gathered requirements and modeled the data warehouse and the underlying

transactional database

. Perform Gap Analysis of the processes to identify and validate

requirements.

. Identified/documented data sources and transformation rules required

populating and maintaining data warehouse content.

. Defining test cases, creating test scripts, analyzing bugs, interacting

with QA / dev teams in fixing errors, SIT and (UAT)

. Conducted meetings and understood the requirements of the sales and

marketing team

. Organize requirements into high level Use Cases and low level Use Case

Specifications and modeled them into UC, Activity and Sequence Diagrams

using Rational Rose and MS Visio.

. Apply UML notations and methodology in developing models that accurately

represent the business process and workflows and clearly communicate them

to the stakeholders.

. Worked with various users including insurance brokers

. Facilitate JAD sessions involving the management, development and user

teams for clarifying requirements and facilitating better communication.

. Coordinate and prioritized outstanding defects and enhancement/system

requests based on business requirements, allowing sufficient time frame

to ensure accuracy and consider deadlines

. Assure that all Artifacts are in compliance with corporate SDLC Policies

and guidelines.

. Reviewed the Test Plan developed by the testing team for testing the

application.

. Assist the QA personnel in the creation of Test Cases using Rational Test

Manager.

Environment:MS Project, Life Ray, MS Excel, MS PowerPoint, MS Visio.

Cigna Healthcare, Bloomfield, CT

March 2009 - Jan 2010

QA Analyst

Cigna is a leading provider of health care coverage, group life, accident

insurance through their web site www.cigna.com

Involved in the quality assurance testing of the features implemented for

cigna.com web applications using Mercury interactive tools Mycigna.com is

an one-stop web based application which provide access to user's

personalized health care information. Users can manage their accounts,

check their claims, and search for hospitals, physicians to get

personalized information. I was involved in 4010/5010 project, testing the

NDC Project for Professional NDC Priced claims, testing the EDI 837I, 837P,

837D & EDI 835 claims.

Responsibilities:

. Analyzed the business requirements, Functional specifications and wrote a

Test Plan.

. Have followed Agile methodology throughout the Process of application.

. Developed Test Plans, Test Cases as per the business requirements and

executed them

. Involved in Manual testing and using Mercury Suite.

. Experienced in Black Box Testing.

. Enhanced test scripts using various utilities provided in Quick Test Pro

like check points, Data driver wizard for testing multiple data input.

. Developed automated test scripts using VB Script in Quick Test Pro.

. Entered the Institutional, Professional, FEP and ITS Claims in different

mode of entries.

. Involved in Integration, System, functional, GUI, Regression and User

acceptance Testing.

. Tested the add/update/delete of members, providers, groups, facilities

and hospitals in Facets.

. Validated the HIPPA/EDI transactions.

. Developed re-useable components in QTP10 and executed in QC10

. Checked the Process and made Up & Down when its needed.

. Tested the claims processing and Adjudication (EDI 837I, 837P, 837D& EDI

835).

. Interacted with developers, Business & Management Teams and End Users.

. Interacted with programmers to identify and resolve technical issues.

. Participated in Walkthrough and defect report meetings periodically.

. Worked on submitting and adjudicating the ITS (InterPlan Teleprocessing

Services) claims and run the Mainframe Cycles.

. Developed SQL queries to extract data from the source tables.

. Extensively worked on Quality Center for bug reporting/tracking.

. Involved in bug review meetings.

Environment: Diamond, Facets, ASP.NET, VB.NET, C#, SQL SERVER, IIS,

XML,TSO, JCL, DB2, Cobol, CICS,MQ Series, Lotus Notes, UNIX, Windows,

Quality Center 10, QTP 10.

MASTERS

IUPUI Indianapolis GPA 3.78/4.00

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