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Health Care Power Bi

Location:
North Carolina
Posted:
March 26, 2024

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Resume:

Kavitha Sudini

254-***-****

ad4ldb@r.postjobfree.com

Education Details: Bachelor’s of IT from JNTUH in 2013

Professional Summary:

10+ years of experience in various domains like Private Equity (US Tax), Health Care, Retail, Claim Management & Mortgage industry practicing scrum from past 6 years.

Strong knowledge about Pharmaceutical/Medical device regulations like FDA: 21 CFR Part 210, 21 CFR Part 211 and 21 CFR Part 820 and involved in implementation of CFR Part 11 rules (Electronic Records, Electronic Signatures, Audit Trails and Security events).

Highly skilled in conducting GAP Analysis, SWOT Analysis, Feasibility Analysis, Cause & effect Analysis, Risk Analysis and Impact Analysis.

Designed, developed and implemented power BI Dashboards, Scoreboards & KPI Reports.

Functional knowledge of Medicaid Management Information Systems MMIS.

Exposed to Medicare and Medicaid domains of the healthcare systems and industry for inpatients, outpatients and Reimbursement Methodology.

Expertise in analysing and documenting artefacts like Business Requirement Document (BRD), Functional Specification Document (FSD), Functional Requirement Document (FRD) and System Requirement specification (SRS) and Requirements Traceability Matrix.

Proficient in process modelling and created UML Diagrams (Use Cases, Sequence Diagrams, and Activity Diagrams) Workflow diagrams employing MS Visio, and Gliffy.

Possess thorough knowledge in designing Prototypes, Mock-up screens, and Wireframes using MS Visio and Gliffy tool during developing Graphical User Interface based application.

Responsible for interfacing with clients and to gain understanding of requirements through meetings and discussions using agile methodology.

Insight experience on COTS migration projects.

Insight experience with Project Portfolio Management to improve the project management maturity across the process.

Writes test plans and test cases to ensure modification made to the application in order to meet client needs where application integrity is maintained.

Worked on evaluation impact of new and changing level and regulatory requirements to the security office, identify potential gaps within security office governance structure and communicate to affected policy owners.

Capable of adapting to new and fast changing technologies quickly to deliver quality product on time.

Lead the team with process improvement efforts, from discovery to implementation, monitoring and enhancement fostering a proactive management culture within Agile teams.

Assist in the planning, execution, and tracking of significant strategic and operational initiatives, associated with Operations.

Extensive experience in writing User Stories by breaking down Epics into smaller user stories with the help of Product owner and cross-functional development team.

Technical Skills:

SDLC Methodologies

Waterfall, Agile (Scrum), SAFE 4.0

Modeling Tools

Joint Application Development (JAD), Unified Modelling Language (UML), Object Oriented Analysis and Design (OOAD)

Reporting Tools

Tableau, MS Visio, Power Point, JIRA, IBM DOORS, Power BI

Healthcare

HIPAA compliance, Medicare, Medicaid, MMIS, ICD-10, HL7, Meaningful use of EHR,Hospital Order Entry System

Databases

MS Access, MS SQL

BA Tools/ repositories

TFS, SharePoint, Team Site, ADO

Operating Systems

Microsoft Windows /XP/ vista/7/8.

Professional Experience:

Client: Abbott Mar’22 – Present

Location: Burlington, MA

Role: Business Analyst/Requirements Engineer

Job Description: Abbott offers a broad scope of innovative and outcome-driven solutions for comprehensive heart failure treatment and management. The products are designed to address the continuum of care—from monitoring for symptoms to advanced stage therapy. Major goal of this project is to help keep patients with heart failure moving forward with the best possible quality of life and this application supports to organizations to manage all clinical documentation, including comprehensive assessments, physician orders, medication profiles and maintain the EHR.

Responsibilities:

Elicited, analysed and documented the requirements for business processes, policies, COTS and information systems.

Interacted with Subject Matter Experts (SME’s) and stakeholders to get a better understanding of client business processes and gather business requirements.

Conducted JAD sessions with the users and developers to analyse and understand the product development process.

Led requirements gathering sessions utilizing Agile techniques such as user story mapping, backlog grooming, and prioritization techniques, resulting in clear and actionable user stories with business objectives.

Has the ability to articulate the needs of the business into written documentation that provides clear and concise requirements.

Created Business Requirements Document by emphasizing on documenting Assumptions, Dependencies, Constraints, Business Requirements, Key Business Indicators, Business Risk Assessment and Critical Success Factor.

Performed requirements analysis to prioritize, organize, validate and verify requirements.

Created and maintained the Requirements Traceability Matrix (RTM).

Designed and developed Use Cases, Activity Diagrams, Sequence Diagrams, using UML and Visio/lucid charts.

Assist business stakeholders with the generation and completion analysis of system testing scripts including identifying use cases and developing acceptance criteria.

Involved in writing and implementation of the test plan, and various test cases for UAT.

Created security and project related documents to support the controls and plans.

Designed and implemented multiple dashboards using Power BI – PowerPivot & Power Query tools for in house metrics.

Conduct meetings with cross-functional stakeholders to address business issues and develop resolutions.

Worked with Business SME’s and IT staff to identify and translate business requirements into system requirements.

Documented Traceability Matrix and High-level Design Documents.

Engaged in the development of functional, technical specifications, and use cases aimed at driving the creation of new CTMS reports, thereby enhancing data analysis capabilities.

Managed various components of the Clinical Trial Management System (CTMS) for post-clinical trials monitoring.

Integrated Clinical Trial Management Systems (CTMS) to streamline clinical trial coordination and data management for various COTS systems.

Worked on a database-driven web-based CTMS solution for tracking regulatory and clinical data in a clinical trials environment.

Environment: MS Visio, Gliffy, JIRA, UML, MS Excel, MS Project.

Client: Alcon Sep’18 – Mar’22

Location: Lake Forest, CA

Role: Business Analyst/Team Lead

Job Description: Alcon is the global leader in eye care, dedicated to help people see brilliantly and is one of the largest eye care device company in the world – with complementary businesses in Surgical and Vision Care. This project includes a process of integration in which Alcon is making changes/updates to the existing services and plans to meet customer needs and patient demands.

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Responsibilities:

Lead the team with process improvement efforts, from discovery to implementation, monitoring and enhancement.

Assess proposed solutions to determine which solution best fits the business need, identify gaps and shortcomings in solutions and determine necessary workarounds or changes to the solution.

Assist business stakeholders with the generation and completion analysis of system testing scripts including identifying use cases and developing acceptance criteria.

Elicited, analysed and documented the requirements for business processes, policies and information systems for COTS system.

Managed and prioritized product backlogs in collaboration with product owners and development teams, ensuring that backlog items were refined, estimated and ready for sprint planning sessions following agile methodology.

Interacted with Subject Matter Experts (SME’s) and stakeholders to get a better understanding of client business processes and gather business requirements for web app.

Identified the key stakeholders and the business users of the application and managed stakeholder’s expectations effectively.

Conducted JAD sessions with the users and the developers to analyse and understand the product development process for COTS system.

Managed information security risks as part of the Intarcia Security Governance Program.

Primary objective is to elicit business requirements and translate them in detail.

Responsible for creating current state vs future state process map to help perform gap analysis and reviewing the same with Veeva team to provide better future solutions.

Led comprehensive sessions with stakeholders to analyze business needs and gathered detailed requirements for the implementation of Veeva CRM, ensuring a thorough understanding of user workflows and objectives.

Has the ability to articulate the needs of the business into written documentation that provides clear and concise requirements.

Created Business Requirements Document by emphasizing on documenting Assumptions, Dependencies, Constraints, Business Requirements, Key Business Indicators, Business Risk Assessment and Critical Success Factor.

Performed requirements analysis to prioritize, organize, validate and verify requirements.

Created and maintained the Requirements Traceability Matrix (RTM).

Designed and developed Use Cases, Activity Diagrams, Sequence Diagrams, using UML and Visio/lucid charts.

Involved in writing and implementation of the test plan, and various test cases for UAT.

Acted as a liaison between business and IT, requirements elicitation, process mapping, and system integration and facilitated change management process to support Agile adoption within the organization.

Worked with Business SME’s and IT staff to identify and translate business requirements into system requirements.

Documented Traceability Matrix and High-level Design Documents.

Environment: MS Visio, Gliffy, JIRA, UML, MS Excel, MS Project.

Client: Kroger Nov’17- June’18

Location: Houston, TX

Role: Business Analyst

Job Description: The Kroger Company is the largest grocery store chain in the U.S., the second-largest general retailer by revenue, and fourth-largest retailer in the world. The Kroger Company store formats include supermarkets, hypermarkets, department stores, convenience stores, and mall jewelry stores. This project involves working on Online Help System for the retail shopping. The system aimed to help customers more efficiently with all their basic queries regarding buying items.

Responsibilities:

Involved in business analysis and project management, coordinating between the team members according to the business requirements.

Created and maintained procedures and documentation.

Organized and conducted meetings, briefings, demonstrations, conducted JAD sessions and wrote minutes of project meetings.

Worked with e-marketing team for online advertising and marketing of various products of the company.

Gathered requirements, developed Process Model and detailed Business Policies. Participated with Network Administrator and Technical Team in network security design using various network protocols for E-Commerce online application.

Hands-on-experience on Axure tool which runs on Microsoft IIS with a MySQL database.

Worked on PMO’s to understand the needs of stakeholders and addressed the business issues.

Worked with the Project Manager for planning and organizing the project activities, and in communicating with other business centre managers and stakeholders of the project.

Met with various groups including Business Owners, SME’s and marketing team for requirements gathering in definition stage.

Involved in all major cycles and phases of the project form scope definition risk analysis to user acceptance testing and monitoring the release of the product.

Prepared the Business Workflow using MS Visio with input, output, pre and post conditions.

Responsible for submitting status reports to management summarizing completed projects/tasks.

Worked on requirements for various modules covered under Retail and Global E- Commerce (POS) apps that included modules include FI (Account Receivable, Account Payable and General Ledger), SD (Sales Order Process, Order Delivery), etc.

Assisted with user testing of systems, developing and maintaining quality procedures, and ensuring that appropriate documentation is in place.

Gathered and analysed business requirements and translated the same into technical Requirements.

Involved in preparing the Business Requirements, Use Case, and Detailed Design documents.

Facilitated Meetings and JAD sessions to allow users / stakeholders from multiple teams to communicate with each other, resolve issues, and reaching consensus.

Environment: MS Visio, JIRA, UML, MS Excel, MS Project, SQL Server.

Client: SunTrust Mortgage Jan’16 - Nov’17

Location: Richmond, VA

Role: Sr. Business Analyst

Job Description: The project involved analyzing the steps and identifying processes for upgradation and integration of company’s core mortgage system. Worked on the pre-qualification system which provides functionality if applicant is pre–approved for a loan for a given price subject to verification. It provided a real-time status of mortgage loan applications, by converting its labor intensive and time tracking process into an automated and integrated system.

Responsibilities:

Acted as the liaison among stakeholders to elicit, analyze, communicate, and validate requirements for changes to business processes, policies, and information systems.

Interacted with SMEs to understand and define business requirements.

Documented business processes using customized Business Process Modeling Notation (BPMN) in MS Visio.

Facilitated Agile Scrum daily stand-up meetings, sprint planning meetings, release planning meetings, demo meetings and sprint retrospective meetings to assess progress, define requirements.

Understood the business environment and needs to document the comprehensive functionality requirements documents into User Stories and Acceptance Criteria.

Established Requirement Traceability Matrix (RTM) to trace completeness of requirements in different SDLC stages.

Controlled, tracked, and monitored changes in requirements to enable successful interactive development.

Analyzed and mapped data between existing internal databases and user interfaces.

Collaborated with the business and technical stakeholders to define needs and documentation of business requirements using discovery analysis.

Delivered the artifacts within the stipulated timelines and excelled in the quality of deliverables.

Developed in-depth analytical reports using Tableau creative charts and interactive graphics for company executive teams, board meetings, strategy meetings etc.

Created Power BI visualization of Dashboard & Scorecards.

Designed and implemented a Monthly Resource Allocations system using Excel Power Query and Power Pivots to be included in dashboard reporting.

Confidently handled denials/appeals for outpatient/inpatient claims billed incorrectly or under paid.

Posted and adjusted payments received from insurance carrier.

Submitted electronic/paper claim documentation for timely filing.

Interacted with providers and other medical professionals regarding billing/procedures/government regulations.

Reviewed incorrectly billed claims to identify more appropriate coding based on CMS Regulations and guidelines

Researched CPT and ICD-9/ICD-10 coding discrepancies for compliance and reimbursement accuracy.

Environment: Version One, MS Project, MS Office suite, Tableau, Oracle.

Client: American Express Jan’13 - Dec’15

Location: Hyderabad, India

Role: Business Analyst

Job Description: This project deals with insurance and claims for automobile and housing where insurance and claims can be processed through internet and intranet. Performed usability analysis and testing including user interface design throughout the development life cycle, provided Client meetings, Artifacts and end-user training on application usage and General IT knowledge.

Responsibilities:

Served as Communication Bridge between non-technical users and technical solution developers.

Performed GAP analysis and prepared workflow diagrams, designed new process flows and documented the business process and various business scenarios.

Segregated business requirements by analysing them into low level and high level. Converted Business Requirements into Functional Requirements Document.

Worked with UI team to create the User Interface screenshot and presented to the business for their approval.

Developed wireframes to fully define the customer needs and requirements in brainstorming and review sessions.

Used MS VISIO to create Use Case diagrams and Sequence diagrams so that the development team and other stakeholders can understand the business process.

Created and maintained Sprint burndown chart and release/product burndown charts.

Performed duties of educating the team on prioritization techniques and estimation techniques.

Worked on challenges like team issues where the team is supposed to be self-organizing, but the cultural background of the team members made hard for everyone to share responsibility without being authoritative.

Helped team to maintain optimal velocity, and complete story points in each sprint consistently.

Managed Product Backlog with the help of Product owner and Scrum development team by using JIRA also generated reports to analyse the performance of the project.

Assisted the Product Owner and the cross functional team in break down the epics into appropriately sized User Stories.

Utilized Agile Methodology to configure and develop process, standards, and procedures to create a Business Requirement Document (BRD)

Identifying and assessing the risk, mitigating the risk, handling exceptions & problems.

Monitoring the project activities against the approved budget and schedule.

Ability to use Six Sigma/lean methodologies combined with data analytic findings for business process improvement. Also used Six sigma tools for analysis activities.

Review and understand new agreement terms and documentation.

Set-up agreement terms regarding collateral in credit systems for ongoing compliance monitoring. If credit systems cannot support the monitoring of the arrangement, set-up the agreement for monitoring offline.

Monitor collateral daily and identify non-compliant scenarios. Confirm the accuracy and escalate to Credit and Bankers for resolution plan and date determination.

Manage requests for intraday transactions and approve if collateral position and/or covenant compliance is adequate. Intraday transactions are inclusive of cash and security movement within pledged accounts as well as loan and letter of credit draw downs.

Manage third party pledge scenarios when the client’s exposure secured by assets held internally is external to JPM AND when the client’s exposure secured by assets held externally is internal to JPM. Regularly update credit system valuations regarding the external assets.

Respond to Hotline enquiries.

Work to improve the operations and collateral monitoring capabilities.

Effectively communicate with IT to test and implement development of collateral management offering.

Utilize TriResolve to develop, provide and publish collateral reports to clients.

Initiate collateral payments in accordance with controls, manage settlement instructions and track payments through settlement.

Review and setup of client collateral terms found in ISDA, GMRA or similar docs.

Process cash and securities transactions through internal systems.

Resolve breaks for any settlement issues related to collateral activity.

Determine eligible securities for use in agreeing collateral demands; administer process to deliver and exchange securities in accordance with client’s eligibility rules.

Environment: Windows, MS Office, Oracle, Crystal reports, UML, SQL, SWOT analysis, GAP Analysis, Win Runner



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