Raj Amin 267-***-****

acxed4@r.postjobfree.com

SUMMARY

Extensive Experience in Information Technology with Business Systems Analysis, Business Analysis, Technical Writing, and project coordination in HealthCare domain.

Expertize include Creating Business Requirements Documents (BRD), Functional/Technical requirement document (FRD/TRD), Change requests, Use Cases, RFP’s, Business Systems Design and Requirements Traceability Matrix (RTM).

Experience in effective project management techniques and creating project plan, project budget, tracking project milestones and resource allocation for senior management reporting.

Experience in monitoring and reporting on project KPI and project success factors

Thorough knowledge of Software Development Life Cycle (SDLC) methodologies like Agile, Waterfall, RUP and understanding of various phases like Requirements, Analysis, Design, Development and Testing.

Designing UML diagrams- Sequence Diagrams, Activity Diagrams, Process flow Diagrams and Data Flow Diagram using MS Visio and Rational Rose.

Extensive experience writing SQL and Access queries for data extraction and reporting purposes

Extensive experience with User Acceptance Testing (UAT), GUI Interface testing, Functionality Testing, System testing including Integration, Performance, Stress, Load and Regression Testing of Web and Client/Server based applications

Possess good knowledge Medicare, Medicaid and regulatory standards such as HIPAA, X12, HL7

Strong Technical writing skills for Validation Deliverables such as Quality Assurance Plan (QAP), Validation Strategy Document, Requirement Specifications, Design Specifications, Standard Operating Procedures (SOP), Traceability Matrix (RTM), Qualification Protocols (IQ, OQ, PQ) and Validation Summary Report.

Extensive experience documenting User manuals, Training materials, FAQ’s, service level agrements (SLA's) and Standard operating procedures (SOP)

Experience in designing test plans, defining test cases, developing and maintaining test scripts, analyzing bugs and interacting with development team members in fixing the defects.

TECHNICAL SKILLS

Regulations: HIPAA, X12 (EDI), FDA guideline, 21 CFR Part11, cGXP, SOX

OS: HP-UNIX, Windows 95/98/NT/XP/7/10

Software: RPM, Rational Suite, MS office suite, CaliberRM, HP Quality Center, HP ALM, Optimal Trace, Frame Maker Photo Shop, Kofax document capture, HP Teleform, Adobe Illustrator, SnagIt, Robohelp

Applications: Microsoft FrontPage XP, Microsoft IIS, HTML, XML, UML, SQL, Adobe suite

Testing Tools: HP Quality Center, HP ALM, Quick Test Professional, Load Runner, Test Director

Databases: Microsoft Access and MS SQL Server, Relational database, Teradata database

Content Management: Documentum, eRoom, SharePoint, Filenet, Clear Case

EDUCATION

Bachelors in Business Information Systems, DeVry University, Philadelphia

PROFESSIONAL EXPIRIENCE

HealthNet, MI Jan 2016 – Sept 2016 Business Analyst

Project: 1

The project was to build new low cost and competitive products (Platinum, Gold, Silver and Bronze mandated as per the Reform Act) to be administered on the HealthCare Exchange (HIX) under the HealthCare Reform Act.

Project: 2

The project was to implement a new program offered by NYSDOH and CMS for full dual eligible, which require 120 days or more of Long Term support and services. (LTSS) This new program would provide an entire range of Medicare and Medicaid services along with and extensive list of LTSS services.

Project: 3

Project was to update the current Claims editing tool “Mckesson ClaimsCheck” to “Mckesson ClaimsXten” for robust claims editing and process, for better savings in medical expense

Project: 4

The project was to update the current systems impacted by ICD - 9 to ICD - 10 conversions

Responsibilities:

Performed extensive analysis on system's 'As Is' and 'To be' flow to identify the GAP and build User Requirements Specification

Developed scrum artifacts such as User Stories, Product Backlog, Sprint Backlog and Sprint Burn down chart

Facilitated Sprint planning meetings and developed Sprint backlog based on inputs received from the meeting

Actively conducted daily Scrum meetings to prioritize and track the Sprint backlog items

Worked with the development team to prepare the completed Product Demo for Sprint Review meetings.

Performed GAP analysis to identify and measure details in current business process and the future business process in conjunction with Subject Matter Experts (SME’s)

Performed JAD sessions and interviews with the vendor, to understand their system and gather requirements accordingly

Created Use Cases and BRD then converted them into FRD using Rational RequisitePro

Provided effective project management assistance by Developing project plan, Tracking project timelines using M.S. Project & preparing weekly project status report.

Provided high-level management with monthly project presentation using M.S. PowerPoint.

Monitored and reported on Project KPI and Project success factors post implementation

Uploaded project documents on Sharepoint. Maintained document versioning and approval process via Sharepoint.

Developed UML artifacts such as Activity diagram, Class diagram, Process flow diagram, Data flow and Swim lane diagrams.

Scheduled JAD sessions, created/distributed meeting minutes using M.S. Outlook.

Worked to develop the Requirement Traceability Matrix (RTM) for future references and audit purpose

Ran MS Access queries for Ad-Hoc reporting requirements and all wrote requirements for setting up systemic report parameters.

Involved in documenting User manuals, training materials, Online help User Access Guides, FAQ’s, End user guides and Standard operating procedures (SOP).

Wrote business rules, worked with Business Intelligence professional and Sr. data architect for successful application of the business rules to the business processes

Prepared and delivered business/system/functional requirements documents, Created requirements traceability matrix using business requirements document, Functional design document and technical design document

Developed Test Plan and Test Cases/Test Scripts and also managed defect tracking and triaging process on HP ALM.

Humana Healthcare, NJ May 2014 – Nov 2015

Business Analyst

The project was to modify the member portal for accommodating the paperless enrollment functionality.

Responsibilities:

Performed extensive analysis on system's 'As is' and 'To be' status to build the Requirement Specification.

Created complex Use Cases, BRD, FRD, Business Processes and Work Flow Diagrams using MS Visio and MS Excel.

Prepared RTM (Requirement Traceability Matrix) using HP Quality Center to link all requirements with Test scripts.

Created Project plan, and tracked critical project milestones effectively and reported them to management on weekly basis.

Also created and maintained project budget and resource allocation reports.

Developed UAT scripts for the system and performed dry run to find out the issues in system workflow

Interacted with developers and various members of team to discuss and resolve defects arose during the UAT (User Acceptance Testing) execution with the help of HPQC.

Active participation in creating system User Access Guides, Training materials, FAQ’s and End Users manuals.

Identified opportunities for improvement such as updating SOPs, creating templates and modifying defect-tracking process.

Involved in documenting Requirements Traceability Matrix (RTM)

Created and Ran Test scripts for QA and UAT testing.

Worked on writing SQL queries for data extraction and reporting purposes.

Worked on QA/UAT defect triage and management process.

Create test cases and document in ALM application; ensure requirement traceability is maintained;

Execute test case for the UAT team (scripted and ad-hoc test cases); Identified and created test data for the test cases;

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