Name Swapna Raga Leena Lakkaraju

Contact Number 716-***-****

E-mail acdfuk@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, R UP’s I terative Software Development

L ife Cycle (SDLC), Waterfall p rocesses.

• 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

communicate effectively.

• 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 A pril 2011 – Feb 2012

Business Analyst/Quality Analyst

Wells Fargo is a financial services company committed to selling and servicing all the financial

p roducts needed by consumers, small businesses, farmers and ranchers, non-profits, middle market

companies, real estate companies and corporations. The current project under development ‘Funds

M anagement Information System’ helps the clients efficiently in providing information about funds,

agents, analysis and t rading.

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.

Envi ronment: M icrosoft Office Suite, .Net, Sharepoint, M icrosoft Visio, Requisite P ro,

SQL Server, RUP, VBScript, U M L, Quick Test P ro, Rational Rose, Test Di rector.

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.

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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

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

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Tested the claims processing and Adjudication (EDI 837I, 837P, 837D& EDI 835).

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

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Interacted with programmers to identify and resolve technical issues.

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Participated in Walkthrough and defect report meetings periodically.

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Worked on submitting and adjudicating the ITS (InterPlan Teleprocessing Services) claims and run

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the Mainframe Cycles.

Developed SQL queries to extract data from the source tables.

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Extensively worked on Quality Center for bug reporting/tracking.

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Involved in bug review meetings.

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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

Contact this candidate