Project Insurance

ViswaTeja

Senior Business Analyst

Phone: 316-***-****

*****.****.****@*****.***

Professional Summary

A Qualified professional with 8+ years of experience in the field of Business Systems Analysis,Data Profiling, Data

Migration, System Management and Data Integration in domains such as Healthcare, Insurance andE-commerce.

• Proficient in Business Process Engineering and SDLC Software Development Life Cycle methodologies such

as Waterfall, RUP and Agile including analysis, design, development and testing of software.

• Experience in working with cross-functional groups, different levels of management and liaison between

system users, company management and development team.

• Provided project management oversight to manage scope, track and mitigate risks, raise issues and lead

project team from scope to implementation.

• Skilled in translating business objectives into prioritized functional requirements ( FR) and recommending

feasible solutions to the business problems.

• Expertise creating use cases, functional specifications and activity diagrams.

• Interviewed SMEs and Stakeholders to get a better understanding of client business processes and gather

business requirements.

• Prepare and maintain Requirements Traceability Matrix (RTM) throughout the project lifecycle

• Worked dedicatedly on MS Project and Clarity PM for project management

• Experience in conducting / participating in JAD sessions for project definition involving analyzing

requirements, creating prototypes, user interface.

• Extensive Experience in conducting GAP Analysis, User Acceptance Testing ( UAT), Operational Readiness

Testing (ORT), SWOT analysis, Cost benefit analysis and ROI analysis.

• Adept in RDBMS such as Oracle, MS SQL Server and MS Access and also skilled at writing SQL queries

and Stored Procedures.

• Worked in HIPAA complaint environment and good knowledge on Claims Adjudication/Processing, EDI

transactions & 4010/5010 versions. Participated in mapping of Medical Codes Data conversion from ICD 9 to

ICD 10.

• Expert in conducting requirement gathering sessions, feasibility & Impact Analysis, Cost & Benefit Analysis

and Risk analysis

• Broad knowledge of Medicare, Medicaid, &Commercial Insurances and Claims Adjudication.

• Demonstrated ability to work in collaborative, fast-paced environments and with variety of teams as well as

the ability to coach other team members to improve their performance and abilities.

• Excellent interpersonal skills, effective written & oral communication, and presentation skills.

Technical Skills

Operating Systems Windows and Unix

Languages HTML, Java, XML and SQL

Database Oracle, MS SQL Server, MS Access, DB2

Testing Tools HP ALM, HP Quality Center, JIRA, Test Director, Clear Quest

MS Office - Word, Excel, PowerPoint, Outlook, MS Visio, Project,

Other Tools

Share point, OBIEE, Rational Rose, Front Page, TOAD

Agile/Scrum, Waterfall, RUP

Methodology

Client: Exostar, Herndon, VA Mar 2014 – Till Date

Role: Sr. Business Analyst (e-Commerce Industry)

Project: Procure Pass

Procure Pass is a B2B e-Commerce web application that enables buyers to search for i tems, create

requisitions and manage the purchase order lifecycle. The intuitive catalog-based shopping cart has

configurable workflows, approvals and e-mail notifications. Advanced search capabilit ies allow for

easy navigation though millions of catalog line i tems. Additionally, Procure Pass offers buyers secure

access to supplier Web sites while consistently applying standard workflows and maintaining spend

v isibility.

Responsibilities:

• Gathered detailed business and technical requirements and participated in the definitions of

business rules and data standards

• Liaison with business sponsors to understand business functioning and detailed processes,

gather requirements and deliver appropriate solutions.

• Demonstrated users as how to create business workflows using Procure Pass.

• In terfaced with team leaders, identify and analyze the given information, procedures and

decision f lows, evaluated existing procedures, methods and technical documentation.

Communicated with executives, managers and other stakeholders regarding project scope

• Used MS-Visio for f low-charting, Use- Case process model and architectural design of the

application

• Responsible for business process analysis that includes requirements facilitation, definition &

analysis, alternatives, software selection, prototyping, business process design and mapping.

• Conducted meetings and JAD sessions for project definition, resource identifications and

deliverable prototype identification

• Discussed operational scenarios, identify issues and errors and resolve them. Review all the

work products being delivered to the end user.

• Leveraged strong relationships with both the business and technology teams to collect high

quality requirements resulting in successful end products.

• Completed all deliverables and project tasks in a t imely manner with a high degree of quality

by successfully mult i-tasking and by prioritizing tasks appropriately.

• Developed Functional Requirement Document and Use Case Specification document.

• Coordinated with developers to ensure understanding of the user requirements.

• Conducted structured walkthroughs with developers and subject matter experts to validate the

requirements.

• In teracted with the technical team in resolving the bugs and other technical issues.

• Designed and developed use cases, and sequence diagrams using U M L.

• Performed Gap Analysis of the processes to identify and validate requirements

• Document all outcomes including minutes, action i tems, and next steps; t rack and resolve all

action items in support of the sessions.

Environment: H P ALM, Oracle 11g, TOAD, Windows 2010, HTM L, Excel, Outlook, Java, SQL, MS

V isio, MS Office, MS Project 2010.

Client: Chubb Group of Insurance, Warren, NJ Jan 2013 - Feb 2014

Role: Sr. Business System Analyst (Insurance Industry)

Project: DM3

Chubb Group of Insurance Companies is one of the most quickly growing P&C insurance Companies in United

States. The goal of project was to develop a Property & Casualty enterprise data marts (DM3) for the data warehouse

(for Customarq Classic) to meet its data management and reporting requirements. The Data marts were required for

Equipment breakdown insurance, marine insurance and business insurance solutions. These data marts would be

used for the Business reporting so that efficient management of the resources and ROI could be worked out.

Responsibilities:

• Analyzed User Requirement Document, Business Requirement Document ( BRD), Technical Requirement

Specification and Functional Requirement Specification (FRS).

• Employed SDLC for the purpose of monitoring the project and also followed the step-by-step procedure.

• Study the current state of the processes. Prepare the AS-IS process map and the TO-BE scenario.

• Authored functional requirements and conduced User Interviews to identify and document the data

discrepancies.

• Prepared Requirement Traceability Matrix in order to map the requirements effectively with the factors.

• Also implemented Change Management techniques for successfully monitoring and fine-tuning the project

changes to obtain the desired production results and to meet Client deadlines.

• Developed mapping of various physical to business layer objects within OBIEE.

• Created traceability of elements in various insurances within data warehouse to data mart.

• Worked on personalization of the screens for a user based on this profile

• Work with the development, UI, testing and other work streams to ensure effective communication of

requirements. Also, serve as liaison for all other phases of the project and ensure that project deliverables

meet the business requirements and expectations.

• Created reporting wireframes and layouts after talking with Business users.

• Documented the current process and business opportunity by interviewing stakeholders and end users to

elicit better understanding of the business need.

• Conducted JAD Sessions for requirements capturing.

• Prepared Business Requirements document for the Reporting application based on the requirements

gathered.

• Identified testing scenarios and defined test cases for detailed functional testing.

• Wrote SQL scripts for generating reports.

• Built Use cases from the requirements gathered to create use case diagrams and Use case documents.

• Extensively used MS Visio for customizing and filtering requirements to maximize the informative value of

each requirement.

Environment: MS Office Suite, Java, J2EE, OBIEE, Oracle, UML, MS Visio, JIRA, HP ALM, Agile, STAR Schema.

Client:Fresenius Medical Care, Waltham, MA Mar 2012 – Dec 2012

Role: Senior Business Analyst (Healthcare Industry)

Project: Fresenius Integration Hub (FIH)

Fresenius Medical Care offers quality health care products and services designed exclusively to meet the changing

health care needs of customers. They provide kidney dialysis services and renal care products, including treatment

options for later stage Chronic Kidney Disease to Medicare patient with End Stage Renal Disease (ESRD).

This project called for integrating the Renal Care Group ( RCG) clinics patient data in the Fresenius Integration

Hub. This included upgrading the RCG ADT (Admission, Discharge and Transfer) HL7 messaging system to

Fresenius ADT HL7 messaging system. As a part of this system migration and data integration, error reports were

created to examine if the interface accurately transformed the messages.

Responsibilities:

• Worked with business representatives to understand requirements and priorities and ensure that software

development work is appropriately aligned

• Involved in the meeting with Business Process Owners, Subject Matter Experts ( SME) and Health Center

users for Requirement gathering in Definition Stage using Rational Requisite Pro.

• Facilitated Requirements Sessions, as well as weekly client & team meetings.

• Performed Gap Analysis to identify the deficiencies of the current system and to identify the requirements for

the change in the proposed system.

• Documented Transfer Specifications and Implementation Guide for ADT messaging.

• Organized system risks into high, medium and low impact to help business analyze the level of effort for

remediation activities and ease resource allocation work.

• Participated in user meetings to understand requirements for the Data- Warehouse design.

• Created various Use Cases and workflow diagrams, using MS Visio.

• Maintained Traceability Matrix in Excel.

• Created Report Mockups and Sample Mapping documents for the Error Reporting.

Environment: RUP, MS Office, MS Visio, UML, Adobe Acrobat, MYSQL, Windows 7.

Client: Farm Bureau Insurance, West Des Moines, IA Jan 2011 – Feb 2012

Role: Business Analyst (Insurance Industry)

Project: APA, CPS

Farm Bureau Insurance offers property and casualty insurance products for commercial and personal line insurance.

The company strengthens service by offering work-saving technology initiatives to agents and policyholders.

Project I: Automated Policy Administration (APA)

The Project involved enhancement of user-friendly web-based interface. The system helped Farm Bureau agents to

automate its personal line policy administration from point of sale to billing to back office processing. The system

allowed the independent agents to have complete online access to the system allowing them to rate, issue and print

policies.

Project II: Farm Bureau ClaimsProcessing System (CPS)

CPS has information related to Claims, companion claims, policies, Estimates and Payments. The project scope was

to create CPS data repository to provide single source of CPS claim data for all lines of business. It provided

enhanced reporting capabilities of CPS claim data and extended data sharing capabilities with P&C businesses and

underwriting.

Responsibilities:

• In teracted with Business users and Technical team in providing clear solutions to

requirements.

• Conducted GAP Analysis in understanding how the upgraded system carries out the business

f unctions and assists in ensuring the t imely and effective implementation and conducted

feasibili ty study and performed impact analysis for proposed enhancements.

• Prioritizing the business needs of the customer while balancing the capacity available

• Conducted business process modeling and analysis; identified assessed and articulated gaps

/operational r isks associated.

• Designed and developed Use Cases, Activity Diagrams, and Sequence Diagrams using U M L.

• Drafting elaborate KT documents.

• Executed the test cases and test scenarios using HP Quality center (QC).

• Assisted the Scrum Master to maintain the capacity plan, i teration board, sprint backlog,

velocity charts and burn down charts.

• Assisted Scrum Master including sprint-planning sessions, backlog-grooming session, daily

scrums product demos, sprint reviews and sprint retrospectives.

• Facilitated and led JAD sessions a imed at functional requirement walkthroughs for all the

i mpacting projects and updated the documents based on recommendations.

• Created Process and work flow diagrams as part of CPS Architecture.

• Understanding the existing operational procedures and workflow of the client business.

• Created Use Cases and defined Business Rules.

• Planned and defined use case scenario for processing of New Business, Renewal, Cancellation,

Reinstatement, Billing for various lines of business (Fire, Auto, and Commercial).

• Wrote Business Cases for the Stakeholders to understand the functioning of the new system.

• Reviewed test plans, test cases and maintained t raceability mat rix.

• Conducted User Acceptance Testing (UAT) and t rained users on the implemented system.

Environment: Agile, U M L, MS Office (Word, Excel, Outlook, PowerPoint, SharePoint), MS Project,

M S Visio, JIRA, Windows 2010.

Client: Metlife, NYC, NY Oct 2009 – Dec 2010

Role: Business Analyst (Healthcare Industry)

Project: HIPAA ICD Upgrade

Goal of the project was the development of a state of the art web-based technology re-engineered from a legacy

database technology, including the business functions. The project involved re-engineering of the existing Billing

System along with achieving HIPAA compliance of ICD 10. The deliverables in the project included core billing and

reporting.

Responsibilities:

• Performed the requirement analysis, impact analysis and documented the requirements.

• Prepared F unctional Requirement Documents (FRD’s) after the collection of Business

Requirements from System Users that provided appropriate scope of work for technical team to

develop prototype and overall system.

• Involved in the full H IPAA compliance lifecycle from GAP analysis, mapping, implementation,

and testing for processing of Medicaid Claims.

• Performed RCA on denial claims for rejections based on new ICD-10 adjudication.

• Performed impact analysis for readiness of ICD-10 conversion and dual processing to continue

r un out of ICD-9 claims.

• Worked on E DI t ransactions: X12, 835, and 837 (P.I) to identify data set elements for

designated record set.

• In teracted with Claims, Payments and Enrollment hence analyzed and documented

related business p rocesses.

• Documented ICD9 to ICD 10 mappings (one to one/one to Many according to the GEM files

f rom CMS with the functional and structural changes related to the conversion)

• Used different ad-hoc analysis, the Reports assist in defining strategy for each customer

category. I nformatica was used for E TL p rocesses.

• Performed Analysis on Data mapping between different data models.

• Assisted in developing a single application to process data from multiple integration points,

convert the data for reporting purposes and feed data into mainframe system to be compliant to

reporting requirements.

• Created various reports such as b illing payment reports, B illing Grouping Payment and

d iscount reports

• Use HP Quality Center t o house all test documentation and report/track all issues and defects

(Defect Management).

Environment: W indows XP/2007, Window2010 Server, MS Visio, BEA Web logic, Ul t ra Edit, Clarity,

A pache Tomcat, Java, SharePoint, MS Office Suite, Mercury Quality Center 9.0, Oracle 10g, DB2,

TOAD, MS-Project 2000/2003.

Other Projects Executed:

Client: Sigma Aldrich, Bangalore, India Apr 2008 – Sep 2009

Role: Business Analyst (Bio Pharmae-Commerce Industry)

Project: Order fulfillment

Client:Telco, Bangalore, India Dec 2006 – Mar 2008

Role: Business Analyst (E-Commerce Industry)

Project: e-Chassis

Contact this candidate