Suraj G. E-MAIL: actk2f@r.postjobfree.com

402-***-****

OBJECTIVE A skilled and qualified analyst, seeking a challenging position, in the fast paced environment, to enhance my analytical and soft skills for achieving organizational goals along with self-development.

EDUCATION Bachelors in Business Administration

SUMMARY

Over 7 years of extensive experience in SDLC, RUP, Agile/Scrum methodology, UML, OOAD, BPR, Test Lifecycle and Data Modeling.

Extensive experience in technical writingincluding Business Requirements Documents (BRD), System Requirement Document (SRD).

Experienced in designing Use Case Specifications, Functional Specifications and technical Specifications across the Deliverables of a project.

Good experience in Relationship Database Management System (RDBMS).

Experience in handling Change Management and Release Management.

Good experience in conducting Joint Application Development (JAD) sessions through interviews and workshops with subject matter experts and business users.

Experience with tools like Rational Rose, Rational Requite Pro, Rational Clear Quest, Rational Clear Case, MS Project, MS Visioand Crystal Reports.

Experienced in conducting GAP analysis, User Acceptance Testing (UAT), Risk Analysis and mitigation plan, Cost benefit analysis and ROI analysis.

Well versed with Medicaid Management Information Systems (MMIS), National Provider Identification (NPI) and Patient Protection and Affordable Care Act (PPACA).

Excellent knowledge of Health Insurance Portability and Accountability Act (HIPAA) transaction, code set rules such as EDI 837, 835, 834, 270, 271, 276, 277 and ICD9-ICD10.

Presented several documents and Use Cases for multiple transactions and worked with ANSI X12 5010 and ANSI X12 4010 including the standards for medical transactions like 837I, 837P, 835, 276, 277, 270, 271(both inbound and outbound) transactions for ongoing industry projects.

Experience with Business Process Management.

A motivated, committed, quick learning, detail-oriented team player with good communication, analytical, leadership, interpersonal and problem solving skills.

SKILLS

Operating Systems Windows, UNIX, LINUX, Mac

Database Oracle, MS SQL server, MS Access, IBM DB2

Languages SQL, C, C++, Java, XML, C#, VB, ASP, .Net, Assembly, VHDL

Tools MS Office: Word, Excel, Access, Power point, Project, Visio, Front Office, Rational Rose, SoDA, Software Modeller, Team Test, Doors, PROLOG, Clearcase, Clear Quest,, Web Sphere, Business Modeler, HP Quality Centre, Ultra Edit, TOAD

Industry Standards HIPAA, SOX, ISO, Six Sigma, CMM

EXPERIENCE

Oct 10 to till date Department of Health and Hospitals, Baton Rouge, LA Business Systems Analyst

Requirement gathering and documenting from end users, subject matter experts using Requisite Proand modelled the data warehouse and the underlying transactional database.

Propose strategies to implement HIPAA 4010 in the new MMIS system & eventually move to HIPAA 5010.

Prepared Business Requirement Documents (BRDs), Functional Requirement Specification (FRS), Technical Requirement Specificationfor application development.

Make changes for HIPAA 277, 278, 835, 837 may also be receiving an (ORU) HL7 message.

Defined and analysed test cases, test scripts, bugs, interacted with QA/ development teams in fixing errors and conducted User Acceptance Test (UAT).

Organized requirements into High level Use Cases and Low level Use Case Specifications and modelled 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.

Conducted JAD sessions involving the management, development and user teams for clarifying requirements and facilitating better communication.

Analysed the laws and regulations (HIPAA, HL7) before implementing the electronic medical record software

Analysed and prepared Risk Analysis and Impact Analysis reports.

Coordinated and prioritized outstanding defects and enhancement/system requests based on business requirements, allowing sufficient time frame to ensure accuracy and consider deadlines

Assisted the QA personnel in the creation of Test Cases using Rational Test Manager.

Involved in performing version control and defect tracking activities using Rational Clear Case and Rational Clear Quest.

Environment: UML, MS Visio, MS Project, Ms Office, C++, Java, SQL, RDBMS, XML, Windows

May 09 to Sept 10 Lifetime Healthcare Group, Buffalo, NY

Sr. Business Analyst

Gathered requirements from stakeholders for provider management and member management.

Identified and validated business rules and data elements.

Propose strategies to implement HIPAA 4010 in the new Medicaid (MMIS) system & eventually move to HIPAA 5010.

Created 837(P, I, D) claims, and maintained data mapping documents in reference to HIPAA transactions primarily 837(P, I, D), 835, 270/271, 276/277 and 278.

Modelled the ‘as-is’ process flow and the ‘to-be’ process flow and analyzed the gap and developed the action steps to fill the gaps.

Analyze EDI –X12 data elements captured by the existing system to validate it against the data elements required for new system.

Worked with legacy team in developing BRD for multiple system change requests and participated in system testing.

Worked within project team to identify and interpret state Medicaid policies as applicable to customer defined algorithm research as well as assist with internal development of new healthcare analytics.

Conducted Impact analysis when there is any change in the requirements and updated the Business Requirements Document (BRD) and Systems Requirements Specification (SRS).

Facilitated meetings with the technical team and client team to analyze the current process and gather requirements for the proposed process.

Created functional requirement specification documents such as UML diagram, use case diagram, scenarios, activity diagrams and mapping.

Developed the User Interface (UI) prototypes to capture and validate requirements and spike solutions to the current problem.

Analyzed requirements for developing a cross-walk for understanding major changes from ICD-9 to ICD-10 with the help of SME’s.

Facilitated JAD sessions for Requirement Validation with Dept. of Cleveland clinic to gather requirements for the new MMIS.

Participated in developing test plan, test scripts, and test scenarios and designed user documentation.

Examine the system design deliverables &validating it against the SLA.

Developed UAT test cases associated with the functional requirements.

Environment: MS Office, Windows, .NET, Agile, MS Visio, MS SharePoint, TFS, MS Project, MS Visio, SQL, Oracle, SOA, HTML.

Feb 08 to March 09 Qualchoice Inc, Little Rock, AR

Business Analyst

Requirements gathering from various insurance companies to develop a system to check for the outstanding balance from various accounts using highly efficient RUP process of software development.

Liaison between the Business needs (business users and sponsor) and the Technical solutions (development and testing staff), ensuring technical solutions satisfied business requirements.

Web Page Mock-Ups using MS Visio and thus defining the Business Process Model and Data Process Model.

Ensured that the claims processing is strictly under the HIPAA compliance regulatory document to safe guard patient information.

Authored Business and Functional requirements with supporting diagram, use cases, traceability matrices, and training manuals for Provider Portal web-based application.

Analyzed and wrote technical documentation for risk analysis on customer support issues.

Part of the team assisting in documentation involved in this project such as RFP, proposal, evaluation criteria, proposal approval, design document, project plan, project scheduling, project report, release document.

Prepared and presented monthly collection reports.

Involved in training and quality of the overall workflow process.

Documenting workflow and results of analysis for the aging accounts.

Environment: RUP, Rational Requisite Pro, UML Use Cases, VB.NET, SQL Server, Rational Rose, XML, Use Case Documentation.

Feb 07 to Jan 08 Bank of the West, Fargo, ND

Business Analyst

Participated in structuring, underwriting and documentation of credit facilities.

Facilitated in compiling and structuring data using SQL.

Documented financial and industry analyses to support portfolio decisions.

Authored Business Requirement Document (BRD) for development of software to support Black & Scholes Model, CAPM, and Sharpe Ratio for investment decisions, in keeping with risk regulations that were in place.

Monitored bank’s credit risk exposure to its new and existing clients.

Periodically reassessed and updated internally assigned risk ratings.

Conducted ROI analysis for competing portfolio candidates.

Evaluated risk-return ratio to facilitate most efficient allocation of capital.

Introduced newer areas of clients that could be nurtured for long term deposit flows.

Introduced newer ways of competing with existing big banking institutions.

Developed models to determine the effects of possible mergers with other banks.

Conducted JAD sessions with merger and acquisition (M&A) SMEs, the management of charter one, and research and management teams of other banks.

Prepared documents and conducted interviews and JAD sessions to facilitate a smooth transition during merger.

Documented changes that needed to be done before, during and after possible mergers.

Documented website availability and availability of dashboard reporting and other resources before, during and after merger.

Introduced banking procedures to business analysts and other members of merged entity.

Performed data analysis and gap analysis to keep projects on track.

Helped in user acceptance tests (UAT) and other tests.

Authored user manuals for customers of merged entity.

Was instrumental in a smooth transition of entity, and in a much broader client base.

March 05 to Feb 07 Chrysalis Softwares& SystemsPvt Ltd (Ahmednagar, India) Business Analyst

Responsible for analyzing customer requirements while suggesting best possible options for functionally sound product.

Estimation of time, cost and resources for the development of the product.

Finding ways to maintain the balance between the development complexity and customer requirements.

Act as bridge between customer representative and development manager and team members to maintain a consistent communication.

Worked as an analyst to analyze the product in accordance with customer requirements.

Finding an alternate solution for functionally complex issue occurring during development.

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