Business Systems Analyst

EMERY NGANSI

**** **** *****, ***********, ** ***84 202-***-**** ********@*****.***

Results-driven Business Analyst with core strengths in healthcare client management, system analysis, Software Development Life Cycle (SDLC), business process reengineering for increased productivity, process improvement and customer satisfaction. Comprehensive background in change management ideation and execution. Proven ability to work both independently and as a team player while managing multiple projects and meeting tight deadlines.

SKILLS:

• Several years of experience and advance knowledge of the Systems Development Life Cycle (SDLC), and project life cycles like Waterfall, Agile, Rational Unified Process (RUP), and Prototyping.

• Strong knowledge and working experience of industry standards such as HIPAA, ICD-9, ICD-10, EDI, transaction syntax like ANSI X 12.

• Strong knowledge of EDI Claims, member enrollment, billing transactions, claims management process, Medicaid and Medicare Service.

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

• Gathering requirements and creating Business Requirements Document (BRD) and Functional Requirement Document (FRD), facilitating Joint Application Development (JAD) sessions, developing Use Cases, User Acceptance Testing (UAT), Requirements Traceability Matrix (RTM), UML modeling, Sequence and Activity Diagrams.

• Developed Test plans, test cases and Test scenarios to be used in testing based on business requirements, technical specifications and /or product knowledge.

AREAS OF EXPERTISE:

- Exercising broad knowledge of Software Development Life Cycle (SDLC) methodologies including Agile Scrum and Waterfall to enhance system flexibility for emerging business realities.

- Aligning IT assets to deliver business value using ITSM and CMDB tools, and applying ITIL processes to enhance service across the lifecycle.

- Creating and managing tasks using MS project management software, triple constraint modeling, and risk management tools.

- Optimizing software development using TFS and carrying out functions of Agile designated roles, e.g., Scrum Master, Product Owner, and Tester.

- Facilitating Joint Application Development (JAD) and Joint Application Requirement (JAR) sessions to obtain domain-level information and define cross-functional system requirements.

- Communicating effectively with stakeholders, subject matter experts, tech leads, and business users throughout each project’s process path to meet established goals.

PROFESSIONAL EXPERIENCE:

Healthcare Systems Analyst, Universal Site Technologies, MD Oct. 2014 - Now

Project Summary

The project involved working on updating the FACETS Claims Processing System to handle a large number of claims with little change to the system framework for HIPAA 5010 compliance. Worked on the functionality related to 5010, HIPAA Gateway, and ICD10. Mapped the old system to the new one to route claims out to Gateway Systems, wich belonged to different payers, in the Facets database.

Conducted Business Process (As Is/To Be) sessions with various department directors and staff to ensure the testing Plan and Test Approach would meet the identified Business Requirements, and the Training Program covered all identified new and changed processes.

Analyzed837 and 835 EDI files including syntax and business rules for X12 HIPAA 4010 and 5010 validation for loops, segments, elements, qualifiers and code sets.

Processed medical claims (P, D and I) in FACETS and gathered requirements for integrating them into the FACETS front end and back claims processing system.

Performed User Acceptance Testing (UAT) for HIPAA 5010 projects including HIPAA requirements and compliance mandates.

Gathered requirements documents for transition from ICD-9 to ICD-10.

Incorporated Rational Unified Process (RUP) and analyzed User Business Requirement Document (BRD), Technical Requirement Specification and Functional Requirement Specification (FRS) using Doors and MS Visio.

Performed Gap analysis of the Business needs and Business Process validation, client requirements, generated work flow process, flow charts and relevant artifacts.

Business Analyst, Rollins Inc., Lorton VA March 2013 Sep. 2014

Project Summary

The project involved the design and implementation of a computerized order management system. The system was developed to enhance customer interaction, and track job delivery and completion. My task was to specify and document business needs, and visualize them in GUI prototypes to aid developers in delivering a customizable application that helps the organization manage its business more efficiently.

Responsible for eliciting requirements using JAD interview sessions, document analysis, requirements workshops, visits to sites, business description, use cases, task and workflow analysis.

Facilitate JAD sessions with project stakeholders in order to capture business rules, processes, system requirements and management needs of Orkin’s order system.

Expedite interviews with end users to capture user requirements, business procedures, and identify system requirements.

Analyze customers’ needs and determine requirements to anticipate and resolve issues and find solutions by means of automated systems.

Lead the effort to effectively communicate and collaborate with external as well as internal customers to analyze information needs and functional requirements, and deliver the following artifacts as needed: functional requirement document, business requirement document, use cases, process flow diagrams, GUI interface design (mock-up screens).

Assisted in developing an overall change management strategy for Orkin.

Serve as the SME for the software change request process (SCR) in order to effectively manage all the change requests to the application.

Responsible for preparing User Interface and Mock Ups.

Developed User Acceptance criteria.

Junior Business, Ameritox LLC Columbia, MD January 2011 January 2013

Project Summary

The project was to develop an application for the hospitals to use as a central repository for storing reports from different departments of the hospital. Major modules included Enrollment/Registration, Billing and Reports. This System was being developed using X12 guidelines and regulations which keeps track of Healthcare transactions like Eligibility Request, Claims Status Request, Prior Authorization, and Claim/Encounter.

Coordinated and conducted system requirements walk through sessions (JAD) with business Owner / stakeholders / SMEs as well as design / development teams.

Analyze business requirements and segregated them into high level and low level Use Cases, activity diagrams / Stats Chart Diagrams according to UML methodology thus defining the Data Models.

Participated in data modeling, planning, designing, and implementation of the data warehouse, Produced data mapping and data definition documentation.

Performed the User Acceptance Test (UAT) for HIPAA 5010 projects including HIPAA requirements compliance mandates and suggested recommendations for the applications.

Coordinated and conducted system requirements walk through s/sessions (JADs) with business Owner/stakeholders/SMEs as well as design/development teams.

Managed and maintained Requirements Traceability Matrix (RTM).

Conducted elicitation requirement for transition from ICD-9 to ICD-10, Created activity diagrams, sequence diagrams and other UML diagrams.

Utilized Rational Unified Process (RUP) to configure and develop processes, standards, and procedures.

Involved in the calculations and documentation using MS Excel, MS word, MS Access and PowerPoint.

Wrote SQL Queries to pull data from the database.

Business Analyst, Accor Group, Washington DC March 2010 December 2010

Project Summary

The project involved specifying and documenting requirements for integrating Franchisee’s third-party billing application to Accor’s payment application. Worked closely with data analysts in creating data mapping documents, actively participate in the system and database change control process, provide timely feedback regarding proposed system updates to meet current and future business needs.

Served as the SME for the software change request process (SCR) in order to effectively manage all the change requests to the Accor’s payment application.

Compiled mapping of data.

Updated existing requirement and system design document. Selected, assembled, and graphic presentation of all relevant information required for the preparation of a map or chart.

Responsible for Performance Measurement in developing measurable indicators that could be systematically tracked to assess progress made in achieving predetermined goals.

Coordinated user acceptance test activities including documentation of test strategy, test scripts and test results.

Facilitated interviews with end users to capture user requirements, business procedures, and identify system requirements.

Utilized Team Foundation Server software in managing Scrum processes involving user stories creation, backlog grooming, updating burn down charts, and defect management.

Involved in planning, defining and designing data based on business requirements and providing documentation.

Provided options analysis for decision making and specific analyses such as Schematics.

Defined project requirements by identifying project milestones, phases, and elements; forming project team and establishing project budget.

Created an Excel data sheet for mapping document to determine gaps between existing and future systems.

Data modeling tools: Microsoft Visio, Jira, Doors, UML (Unified Modeling Language), Team Foundation

Operating System: Windows 2000, Windows XP, Windows Vista, Windows 7, Windows 8, MS Access, Share Point, PowerPoint, MS Excel

EDUCATION & CREDENTIALS:

- Bachelor of Science, Industrial Engineering, (2002) University of Moncton, New Brunswick, Canada

- Certified Scrum Master, (July 2015/ID 824***********) International Scrum Institute, Zurich, Switzerland (HQ)

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