Business Analyst Revenue Cycle

Mohammed Ishaq

Ph.no - 415-***-****

Email id: *************@*****.***

Professional Summary:

● Business Analyst with over 7 years of experience in healthcare technology, specializing in EHR and EMR systems, particularly Epic, driving enhancements in revenue cycle management and clinical applications.

● Successfully applied Agile methodologies by collaborating with Product Owners to define and prioritize user stories, utilized Jira and Confluence for project tracking and documentation, conducted sprint reviews to gather stakeholder feedback,resulting in enhanced collaboration and streamlined workflows.

● Skilled in gathering and analyzing business requirements through effective collaboration with stakeholders to ensure alignment with organizational goals and successful project outcomes by utilizing Jira for task tracking, workflow optimization, and communication to ensure smooth project execution.

● Skilled in designing and executing comprehensive user acceptance testing (UAT) plans, employing testing frameworks and tools to ensure effective software deployment and enhance user adoption.

● Experienced in working with data warehouse applications and database reporting features, delivering actionable insights for strategic decision-making. Strong ability to analyze and present large datasets to optimize organizational performance.

● Skilled in integrating Anaplan with EHR systems to improve financial planning and reporting, utilizing data analytics to support strategic decision-making and enhance operational efficiency within healthcare organizations

● Proficient in SQL for data extraction and analysis, utilized advanced querying skills to support reporting efforts and drive data-informed decision-making across various business functions.

● Led Agile processes Conducted HL7 messaging testing and validation to meet national standards and performed HL7 data mapping, validation, and data analysis as per HL7 specification.

● Developed and maintained customized reports and dashboards within EMR and leveraged reporting tools such as Tableau and Power BI to provide actionable insights into financial performance, billing, and resource utilization. TECHNICAL SKILLS:

Project Management skills/Tools Microsoft- Project, Excel, SharePoint, confluence, notion Business/Reporting Tools

Microsoft- Word, Excel, Power Point, Access, Tableau, SSIS, SSRS, Crystal Reports, Epic, Power BI, EHR, Anaplan.

Languages SQL, RDBMS, Python, R-studio

Workflow Management ServiceNow, BMC remedy, JIRA, Azure DevOps Professional Experience:

Senior Healthcare Business Analyst – CVS health Oct 2023 – Sept 2024 Responsibilities:

● Collaborated with revenue cycle stakeholders, including clinicians and IT teams, to gather and document business and technical requirements for healthcare systems, ensuring alignment with organizational goals.

● Worked with Product Owners to prioritize user stories and translated business requirements into actionable tasks for Agile iterative development.

● Analyzed and Reviewed existing workflows and processes within the healthcare organization to identify areas for improvement and optimize operational efficiency, resulting in enhanced patient care and service delivery.

● Utilized Jira and Confluence for tracking project progress and managing workflows,while documenting requirements to ensure clear communication across teams.

● Oversaw the data migration process, ensuring accurate transfer of data from legacy systems to new applications, while maintaining data integrity and compliance with healthcare regulations.

● Conducted data analysis using Anaplan in conjunction with EHR systems to identify trends in patient care and operational performance, driving initiatives for process improvement and cost reduction

● Collaborated with cross-functional teams to develop Anaplan models that leverage EHR data for strategic decision-making, improving visibility into patient volumes, billing, and resource utilization

● Utilized SQL for data extraction and querying to support reporting and testing efforts, performing extensive data analysis with complex SQL scripts within Caboodle to capture necessary data from the Clarity Database.

● Provide updates to the Patient Access Team on medical providers employment status with BCM to remain in compliance according to federal and state regulations, CMS and Medicaid.

● Applied expertise in HL7 messaging protocols (e.g., HL7 v2.x, HL7 v3, FHIR) to effectively analyze and document data structures, including segments, fields, and data types, ensuring accurate data exchange and interoperability across healthcare systems.

● Utilized knowledge of specific HL7 messages such as ADT (Admission, Discharge, Transfer), ORM (Order Entry), and ORU (Observation Result) to inform requirements gathering and system design, facilitating improved communication and data flow within clinical applications.

● Ensured compliance with HIPAA regulations by conducting thorough risk assessments and audits of healthcare systems, implementing necessary safeguards to protect patient information and maintain data security throughout the project lifecycle.

Business Systems Analyst – Reid health Dec 2022 – Sept 2023 Responsibilities:

● Collaborated with clinical and administrative stakeholders to gather and document requirements for Epic EMR implementations, ensuring alignment with organizational workflows and regulatory standards.

● Conducted comprehensive gap analyses of existing processes and systems, providing actionable recommendations for optimizing workflows within the Epic platform to enhance patient care and operational efficiency.

● Managed business requirement documents (BRDs), ensuring clear communication with stakeholders across departments.

● Configured Epic modules, including Ambulatory, Inpatient, and Revenue Cycle Management, to meet specific organizational needs while ensuring data integrity and adherence to best practices.

● Worked in an Agile environment, collaborating closely with developers and stakeholders to prioritize and implement system changes efficiently.

● Led User Acceptance Testing (UAT) for Epic system enhancements and upgrades, developing test scripts and coordinating feedback sessions to ensure system functionality aligns with user expectations.

● Developed and maintained customized reports using SQL and dashboards within Epic Clarity and Caboodle, providing real-time insights into clinical and operational performance metrics for data-driven decision-making.

● Acted as a liaison between clinical staff and technical teams, effectively communicating project updates, resolving issues, and ensuring successful implementation of Epic solutions.

● Conducted systems testing, including unit, integration, and user acceptance testing (UAT), to validate and improve system performance.

● Acted as the liaison between business users and technical teams, ensuring smooth communication and resolution of technical challenges.

● Leveraged data warehouse applications and reporting features to provide data-driven insights for management decision-making.

● Utilized Jira to track project progress, manage backlogs, and ensure successful sprint execution in Agile projects.

● Ensured compliance with healthcare regulations, including HIPAA, by implementing data protection measures within Epic applications, safeguarding patient information throughout the project lifecycle. EPIC Business Systems Analyst – Deloitte Oct 2018 – Aug 2021 Responsibilities:

● Gathered and analyzed business requirements through effective collaboration with revenue cycle stakeholders to ensure alignment with organizational goals and successful project outcomes.

● Utilized SQL for data extraction and analysis, utilizing advanced querying skills to support reporting efforts and drive data-informed decision-making across various business functions.

● Worked on analysis, backlogs, refinements, prioritizations, sprint refinement, planning, estimations, and release planning in close collaboration with Product Owner and Scrum Teams.

● Led the development and execution of user acceptance testing (UAT) plans to validate system functionality and ensure successful software deployment and user adoption.

● Utilized Agile methodologies to enhance project management, fostering iterative development and continuous improvement through regular feedback loops and stakeholder engagement.

● Created customized reports and dashboards to provide real-time insights into operational performance, facilitating informed decision-making and strategic planning.

● Conducted thorough analysis of healthcare operational and financial data using Epic EMR systems, contributing to improved revenue cycle management and operational efficiency.

● Facilitated training sessions for end users on system functionalities and best practices, enhancing user proficiency and promoting effective utilization of applications. Senior Systems Analyst - Infosys June 2016 – Sept 2018 Responsibilities:

● Analyzed key metrics to identify opportunities for improvement, leveraging data to inform process enhancements across the organization.

● Worked closely with development teams to create tools that connect EMR with other healthcare applications for improved data exchange.

● Developed functional UIs that enable seamless interaction between EMR and integrated systems, enhancing user experience.

● Created user acceptance testing (UAT) plans, including test cases to validate system changes and updates for optimal user functionality.

● Participated in change management activities to support successful system deployments and enhancements, ensuring alignment with organizational goals.

● Led the development of policies and procedures in collaboration with business units and IT management to improve system usage and performance.

● Participated in the escalation of issues with appropriate internal resources, ensuring timely resolution and minimal disruption.

● Participated in workflow and business process discussions to align initiatives with strategic objectives.

● Conducted needs assessments, software design, and implementation while providing ongoing support to enhance business processes.

Education:

Master in Business Administration, Boston, MA Sept 2021 - Dec 2022 Major: Business Analytics, Minor: Quantitative finance Bachelor of Engineering, Hyderabad, India Sept 2012 – May 2016

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