LAVANYA MADASSU

Phone: 518-***-****

Personal Email: ad04hx@r.postjobfree.com

CAREER OBJECTIVE

A highly motivated independent self-starter who meets project deadlines and requirements while performing multiple tasks within fast-paced environments. Flexible to rapidly and appropriately respond to changing circumstances by evaluating problems to make astute decisions in order to effect positive change and refocus on new priorities. Detail and dedication describe my work ethic.

TECHNICAL SKILLS

Business Modeling Tools

MS Visio, UML

Project Methodologies

Agile Scrum, Waterfall, RUP

Defect Testing & Version Control Tools

Quality Center, ALM, Version One, Informatica and JIRA

Operating Systems

Windows NT/98/2000/XP/Vista

Technology

.Net, Java, HTML, PHP

Reporting Tools

Crystal Reports

Software

MS-Word, Excel, Power Point, MS-Visio, VFE, DB Visualizer

Databases

MS SQL Server, Oracle, DB2, Access

PROFESSIONAL SUMMARY

10+ years of cumulative experience as a Business Analyst, with expertise in Healthcare Industries with a solid understanding of Business Process Flows, Case Tools, QA Testing and Project Management skills.

Experience in developing UML use case diagrams, Work Flow Diagrams using tools like MS Visio.

Experience in working with QA testing teams, while interacting with business users and gathering user requirements to develop necessary Test Plans, Test Cases and Test Scripts.

Understand application requirements of the clients and provide specifications to software developers.

Excellent Business writing skills in creating Business Requirements Document (BRD), Use Case Specifications, Functional Specifications, and Systems Requirements Specification(SRS).

Expertise in Rational Unified Process (RUP) methodology, Use Cases, Software Development Life Cycle (SDLC) processes used during all four phases of RUP: Inception, Elaboration, Construction and Transition.

Excellent Customer interaction skills. Ability to research and learn new technologies quickly.

PROFESSIONAL EXPERIENCE

Sentara Health: Business Systems Analyst Nov 2022 – May 2023

Sentara is an integrated, not-for-profit health care delivery system, recognized nationally for clinical quality and safety and is strategically focused on innovation and creating an extraordinary health care experience for our patients and members.

Roles & Responsibilities

Actively involved in PMO activities, working on intake demands (requests) and leading the projects assigned, working with business, stakeholders and functional areas & PMO and updating the status in SharePoint. Document and present the Gate 1, Gate 2 decks and seek approvals and ensure the regulatory requirements gathered are compliant. Maintained the documentation in Teams sites.

My role was to gather and review requirements/assignments on new projects, bug fixes coordinating tasks to ensure prioritization falls within the corporate strategic direction. Drafted detailed business requirements, functional specifications and mapping documents.

Carelon (Beacon) Health Options: Corporate Business Systems Analyst Feb 2018 – Nov 2022

Beacon has undergone rebranding to Carelon during the merger with Anthem. It is now a subsidiary of Anthem Companies. Beacon offers superior clinical mental health and substance use disorder management, a comprehensive work/life support, specialty programs for autism and depression, and insightful analytics to improve the delivery of care.

Beacon offers access to a broad network of behavioral health providers and facilities, encompassing all levels of specialty mental health and addiction services so members can receive the right care at the right intensity and at the right time.

At Beacon the EDI operations has provider and clinical projects to implement the file exchanges between the Clients and Beacon in compliance with HIPAA following standard processes.

Roles & Responsibilities

Actively involved during the migration of provider data between two systems.

My role was to gather and review requirements/assignments on new implementation/projects, coordinating tasks to insure prioritization falls within the corporate strategic direction. Drafted detailed business requirements, functional specifications and mapping documents.

Identified data and/or conversion issues and proactively report issues to both internal and external clients.

Served as a subject matter expert (SME) for Level III (end-user) testing, as needed.

Ensured that project timelines are monitored, met, and reported on a weekly basis. Ensure that project timelines and objectives are reviewed with the Team Lead and/or Manager.

Monitored and resolved production issues within established turnaround times

Effectively communicated with stakeholders to resolve task obstacles and provided weekly status reports.

Gathered the business requirements and thoroughly translated into functional requirements communicating effectively with developers.

Ensured projects are proactively managed to meet required delivery time frames and constantly updated the project status using JIRA tool.

Coordinated and executed end to end testing cycles with internal and external stakeholders.

Worked on IBM (AS 400) mainframes system for Clinical - provider related EDI projects. The work involved the creation of files, exchange of data between the entities on sftp platform/application. Adhered to encryption of files during data interchange tasks.

Attended team meetings and project related meetings.

I have worked on tickets using Service Now application for EDI and helped resolve the issues related to researching and reporting data as per stakeholder’s request.

Active part of building a new system where only fee schedules for the provider data are integrated and maintained. My role involved mapping the data fields and data from legacy system to the new system for the conversion project.

Run jobs in dev environment to generate files to clients in Informatica. Monitor the event list for the file failures and help troubleshoot the issue.

Environment: DB2, Oracle, Informatica, UML, Windows, MS Office, MS Visio.

Center for Disability Services New York (CFDSNY): Business Analyst Oct 2016 – Feb 2018

The Health Care IT Project’s goal was to implement the system for EMR (Electronic Medical Records) and E-Prescribing & to replace the manual processing for all the business processes within the Center. The Project was called Centricity Practice Solution, CPS for EMR.

Roles & Responsibilities

I was an active part in the implementation of the system, working on multiple application involving all the phases of SDLC, design, developed and enhanced reports based on end user need.

Analyzed requirements for new and existing reports.

Works closely with reporting team as well as business users to create complex reports, queries and reporting structures

Also ensures the integrity of reports across multiple systems.

Assisted in design and documentation of database structure in relation to reporting structures.

Created debug scripts for task automation in relation to reporting structures

Developed complex SQL queries to manipulate data to create reports from the scratch using crystal reporting tool and increate run-time of reports. Worked very well in conjunction with the team members & across the cross functional teams. Experience working with CMS forms in the billing module for EMR system.

Environment: UML, Windows, MS Office, Crystal Reports, Oracle

NYS-ITS: Information Technologist Specialist – April 2016 – Sept. 2016

NY License Center is a one stop shop for all the business licenses in the New York State. NY License Center defines a license as any required permit, registration, or similar form of authorization required by New York State to start a business.

Roles & Responsibilities

I was actively involved in writing test cases for the business wizard and incentive wizard modules of the application for the NYBE project; the main goal of the system implementation was to replace the manual processing of business license applications and automating it to online processing through NY License Center.

Experience analyzing and creating documentation of business processes by describing relevant factors including work flow processes, data input and output activities, describing data elements, and meeting project deadlines.

Researched the content and updated it in the master content file as part of the requirement for the NYBE portal. I have worked on updating the redesign documents with the current enhancement requests and maintained requirements status update log.

The role in content and portal management team actively involved in creating redesign requirements by interacting with business users, stakeholders and technical team members to ensure the requirements are meeting the system specifications.

Created test plan and test cases for the Business wizard and Incentive wizard applications on New York Business Express project. Verified and validated the test cases in ALM. Performed the smoke testing, sanity testing, and regression testing, retesting and functional testing.

Validated the test cases by executing them in ALM, logged the defects and routed them to triage team to further investigate the defects and assign back to the concerned development team.

Worked on a fast pace environment and I have attended scrum meetings and discussed the day to day activities for the ongoing project.

Environment: UML, Windows, MS Office, MS Visio and ALM.

Center for Disability Services New York (CFDSNY): Quality Analyst – Feb 2016 – April -2016

The Health Care IT Project’s goal was to implement the system for EMR (Electronic Medical Records) and replace the manual processing for all the business processes with in the Center.

Roles & Responsibilities

I was actively involved in creating and analyzing the data from the work flows created for the super users in the business process of the center.

Created Test plans, test cases and requirement traceability matrix and mapped the requirements to the test cases. Verified and validated the test cases using waterfall methodology.

Performed the smoke testing, sanity testing, regression testing, retesting, functional testing and database testing.

Experience Logging the defects in ALM quality center and assigning them to the developer. Retesting the application and ensuring that the software is bug free and client specified.

Researched the existing client processes and guided the team in aligning with the HIPAA rules and regulations for the systems for all the processes throughout the implementation.

Actively involved in UAT testing and created user training manuals for the sake of users across the project to easily navigate through the system

Environment: UML, Windows, MS Office.

Elective Systems: Business Analyst - March 2012 to Jun 2015

The Client was Medco – Express Scripts. The project was to implement a solution for automated adjudication system which deals with different phase of claim process such as intake phase, adjudication phase and reporting phase. As a Business Analyst, the tasks focused on implementation of the automation of the system, as well as the implementation of ACAS to generate automated claim submission, processing and creating a report and claim payment with remittance advice.

Roles & Responsibilities

Gathered Business Requirements, interacted with the Users, Designers, Developers, Project Manager, and SMEs to get a better understanding of the Business Processes, analyzed and optimized the process; continuously involved in researching and communicating information to the team members.

Actively involved in the entire Software Development Life Cycle (SDLC) Process.

Address all the aspect of the claim processing life cycle starting from identifying a claim right up to the closure under HIPPA privacy and security rules.

Experience working with HIPAA transactions such as 835-claim payment/ Advice.

Validate EDI Claim Process according to HIPAA compliance facilitated demonstration of a major ACH software systems and performed evaluations with a group of experts to select a package that best suits the need of the business.

Provide requirement document walkthroughs to developers; Worked collaboratively with members of technical and database teams in maintaining and updating information.

Ensure all changes in requirements are documented & communicated to required folks.

Created process flow diagrams, use cases, test cases, defect log in HP Quality Center & provided testing support in QA, staging & production

Developed Traceability Matrix for maintaining/updating current and new system requirements using MS Excel.

Researched/Analyzed the various steps in the claims processing lifecycle and then wrote the Business Requirement Document and Functional Requirement Document in such a way that the developers could construct the system to identify and monitor the riskier claims.

Responsible for ensuring data integrity and coordinating efforts with testing and implementation and also for the development and execution of test plans.

Conducted User Acceptance Testing (UAT) sessions with business users and prepared document for enhancements and bug fixes.

Completely involved in supporting and maintaining the system, in order to facilitate the daily operation of the application as well as provide support to maintain hardware units of the company.

Environment: Rational Unified Process (RUP), UML, Windows, MS Office, SQL, Oracle, Java, MS Visio and HP Quality Center.

Education: Bachelor’s in Micro Biology

University: Kakatiya University, Warangal, Telangana, India

Year of graduation: 1998

References: will be provided upon request

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