Business Analyst Project Management
Resume:
Business Analyst Manager
*********@*****.***
New York, NY, 10035, USA
Experienced Business Analyst with over seven years in gathering and translating business requirement into functional specifications for technical teams. Proficient in business process analysis, developing As-Is and to Be documentation, and creating Use Case Modeling to Functional Support development. Strong background in project management, with expertise in Office Suite and Google Docs for project planning and advanced Excel for data analysis. Skilled in querying databases using SQL Server and performing quantitative and graphical analyses. Experienced in user acceptance testing, developing test cases, and ensuring quality control across various interfaces. Knowledgeable in Data Warehouse, business intelligence concepts, and Agile Methodology. Familiar with tools like Azure DevOps, TFS, and JIRA to support project execution and performance tracking.
Bhavik Modhvadiya
Work Experience
Business Analyst Manager
CVS Remote from NYC
• Acted as a strategic advisor for projects, providing high-level oversight and guidance to cross-functional teams.
• Demonstrated a strong business acumen by offering valuable insights and recommendations to stakeholders on project scope and objectives.
• Managed cross-functional teams to deliver a strong Business Case for new product development
• Assumed mini project management responsibilities, ensuring project deliverables were on track and aligned with business
• Worked closely with external clients to integrate their health plans into our claims processing system, ensuring seamless transitions and full compliance with HIPAA and other regulatory requirements.
• Demonstrated commitment to team success by volunteering for a finance role, contributing to the successful setup of the Ignite event, and receiving recognition from the EVP for outstanding contribution.
• Oversaw the customization of claims processing systems to fit the specific needs of third-party clients, optimizing system functionality and ensuring accurate data migration.
• Coordinated testing efforts, including UAT (User Acceptance Testing), to ensure system functionality met client expectations. Provided comprehensive training to client teams on the use of the claims system post-implementation.
• Gained hands-on experience in setting up PI Planning sessions, where I meticulously configured the Miro board for the entire Agile Release Train (ART). Maintained a consistent in-person presence at every PI Planning event organized by the company, ensuring effective facilitation and alignment with our strategic objectives.
• Utilized SAFe Scrum Master and SAFe Agilist certifications to foster an Agile mindset and behaviors among team members, promoting efficiency and productivity.
• Improved communication between business side stakeholder teams with difficult business partners to tackle miscommunications.
• Collaborated with business/design teams to better understand project objectives through brainstorming sessions.
• Communicated with all business levels, as well as external partners and vendors, during requirements analysis.
• Interacted with Claims, Payments and Enrollment hence analyzing and documenting related business processes.
• Defining and documenting High level and Functional requirements into Agile stories.
• Reviewed Product backlogs and prioritized Agile stories accordingly in every sprint.
• Used the agile methodology guidelines to carry out every step of the business modeling process.
• Conducted Training sessions for the Client to become familiar with the Systems.
• Handled various agile sprints and program increments in a SAFE framework at Organizational level.
• Analyzed and worked with HIPAA specific EDI transactions for claims, member enrollment, billing transactions.
• Involved in mentoring specific projects in application of the new SDLC based on the Agile Unified Process, especially from project management, requirements, and architecture perspectives. Jan 2021 - Present
• Created Requirement Traceability Matrix (RTM) to trace the requirements and to make sure the project requirements are being met.
• Participated in daily stand-ups, Sprint planning and Sprint retrospective meetings to ensure the team members do not have any roadblocks and participated in SCRUM ceremonies. Sr. Business Analyst
Humana Inc Wilmington
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Communicated with all business levels, as well as external partners and vendors, during requirements analysis. Defining and documenting High level and Functional requirements into Agile stories. Worked on Scaled Agile Methodology (SAFE) and SCRUM based iterative incremental development showing increasing business value every SPRINT.
Utilized C# to develop and implement business analysis tools which improved data-driven decision making Implemented Appropriate Development strategies to improve overall business processes and operations efficiency Managed a team responsible for the creation and implementation of detailed project plans Reviewed Product backlogs and prioritize Agile stories accordingly in every sprint. Used the agile methodology guidelines to carry out every step of the business modeling process. Involved in the maintained team to support the warehouse and user queries on day to day activities. Data cleansing and merging, query optimization, fixing bad data, finding and fixing of duplicates in the production tables Conducted Training sessions for the Client to become familiar with our ECams System. Handled various agile sprints and program increments in a SAFE framework at Organizational level Analyzed and worked with HIPAA specific EDI transactions for claims, member enrollment, billing transactions. Involved in mentoring specific projects in application of the new SDLC based on the Agile Unified Process, especially from the project management, requirements and architecture perspectives. Created Requirement Traceability Matrix (RTM) to trace the requirements and to make sure the project requirements are being met.
Participated in daily stand-ups, Sprint planning and Sprint retrospective meetings to ensure the team members do not have any roadblocks and participated in SCRUM ceremonies. Actively interacted with the client and technical team to gather requirements regarding Technical specifications. Performed SWOT and GAP analysis for new functionality requirements and worked as per HIPAA rules and regulations to draft business rules and claim process. Developed and maintained Confluence page in JIRA through the scope of the project. Documented Process flows in approved VZ tools, Word, Excel, PowerPoint, Access and Outlook Leveraged Technology Capabilities to optimize business processes, resulting in improved efficiency and increased profitability Performed the daily status meetings, the sprint planning meetings, sprint review meetings, retrospective meetings, and other Agile rituals prescribed by SAFE Agile methodology Created test cases and test scripts to check the functionality of application (UAT) Performed Code Testing, Migration and Validation per SDLC standards. Conducted client workgroups to discuss and agree upon requirements. Utilized Oracle Development tools TOAD, SQLPLUS while writing PL/SQL Stored Procedures and Database scripts. Performed Functional and Integration Testing.
Worked with Development Team to generate transaction set Companion Guides. Sep 2019 Nov 2020
Business Systems Analyst
Assurant Health
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Business analyst for multiple projects and systems across the Library analyzing requirements and specifications to determine the feasibility of proposed projects and solutions, to include risk assessment of current production systems, project estimation using agile methodology, writing communication and technical documentation. Successfully provided Ongoing Support to cross-functional teams resulting in increased productivity and efficiency Product Owner on projects and manage and ensure that all required meetings are running under the Scrum/Agile Methodology.
Gathered Business Needs by driving user-group meetings and working with various global, cross-functional and virtual teams Apr 2018 Aug 2019
Managed data analysis for key projects using Advanced Excel, resulting in significant efficiency improvements Prepare the document for Claims Editing & Resubmission and verify the backend process to resubmit the claim by transferring correct X12 files.
Followed SAFE framework on agile methodology.
Responsible for business system analysis of customizing the BPS Risk Management product with involvement through the whole SDLC
Teamed up with both internal and external software development groups to provide functional requirements specifications in form of use cases, business process flows, and prototypes and management reporting requirements Validated the following : 837 Health Care Claims or Encounters, 835 Health Care Claims payment/Remittance, 270/271 Eligibility request/Response, 834 Enrolment/Dis-enrolment to a health plan . Worked on analytics with th insurance system and its modules for business users. Lead JAD Sessions for gathering of Business requiremenets Designed and developed Use Cases, Activity Diagrams, Sequence Diagrams, OOD using UML Responsible for data mapping of HL7 messages into relational database Involved in Business Process Flows and other documentation in a Scaled Agile Methodology (SAFE) methodology environment.
Working with EDI programmers, came up with many complicated business and technical solutions to customers' requirements.
Converted various SQL statements into stored procedures thereby reducing the Number of database accesses. Coached and developed a distributed team of business executives and technical professionals regarding Agile roles, routines and responsibilities resulting in a more thorough understanding of Scrum and a faster start up time to developing software. Maintained data quality by Data Analysis, Data Profiling row/column level, statistics, pattern, etc., Data Validation, reviewing logs and repository tables and making sure there are no duplicates, bad data, rejections, empty data in null columns, etc. Business System Analyst
Kaiser Permanente Oakland
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Gathered requirements by coordinating and interviewing with Subject Matter Experts (SME) s and Product Owner Conducted Joint Application Development (JAD) sessions and developed Business Needs and design document based on business user concepts and specifications.
Worked on SAFE on the product Trains, IP Iteration, Vision backlog. Implemented new strategies for soliciting feedback from team members resulting in significant improvements in project execution
Created Use Case document that contained the Use Case defining role of users receiving claims, processing claims and adjudicating claims.
Also created UML diagrams to validate EDI claim process as per HIPAA compliance. Creation of new JIRA Projects and setting up the projects based on user requirements Collaborated Agile and Scaled Agile (SAFE) methodology throughout project to ensure potentially usable product was readily available to stakeholders
Worked on EDI transactions processing : 270, 271, 834, 835, and 837 P.I.D to identify key data set elements for designated record set. Interacted with Claims, Payments and Enrollment hence analyzing and documenting related business processes. Validated the following : 837 Health Care Claims or Encounters, 835 Health Care Claims payment/Remittance, 270/271 Eligibility request/Response, 834 Enrollment/Dis-enrollment to a health plan Analyzed trading partner specifications and created EDI mapping guidelines. Extensive use of Excel to create Functional Specification Documents & Templates. Designed the process flow diagrams for flow of information and report creation process. Worked with Product Owner to solicit Business Needs and create User Stories for development of customer facing applications using Agile methodology.
Project Management working in an Agile environment Analyzing the story point prioritization of Product Backlog, Sprint Backlog to manage current and subsequent release was done using JIRA.
Responsible for ensuring client functional/technical requests are captured, documented and communicate to the project management team for prioritization.
Oct 2017 Mar 2018
Used MS Visio to design detailed business process flow diagrams and created UI Wireframes and Mockups using Snag its tool.
Responsible for analyzing and validating Claims processing in FACETS Automated testing is done with ALM tool and selenium. Manual testing is performed for selected Created test cases as per the test plan to ensure the user stories are as per the compliance and accurate. Develop Third Party Administrators (TPA) to handle all member benefit and payment. Core Skills
SQL, Data management, Data analysis, MS Office Suite (Word, Excel, Access, PowerPoint & Outlook), MS Visio, Rational Rose, Rational Requisite Pro, Adobe Acrobat, MS Project, MS Office FrontPage, Lotus Notes, Visual Studio 2010, Performance Testing Tools : Virtual User Generator, Load Runner, BI Tools : Powe BI, Tableau / Reporting Dashboards, Processes / Technologies : Rational Unified Process (RUP), Agile SCRUM, Waterfall, UML & Microsoft Office SharePoint 2010, Automation Tools : Requisite Pro, Win Runner, QTP, Jira, HP Quality Center / ALM, JUnit, Business Intelligence : Azure DevOps, Building Performance, Business Intelligence Tools, Client Interaction, Dashboard Reporting, Data Models, Database SQL, Developing Project Plans, Fit / Gap Analysis, Google Docs, Manage Users, Microsoft Office Suite, Operational Procedures, Operations and Maintenance, Performance Tracking, Planned Giving, Planning Projects, Manage Projects, Process Documentation, Product Requirements, Product Specifications, Quality Control, Regression Testing, SCRUM Software, Team Foundation Server, Testing Web Applications, Tracking Systems, Business Needs, User Acceptance Testing, User Interfaces, Research, Partnership, Presentations, Communication Skills, Building Relationships, Empower Others, Encouraging Leadership, Reliable, Written Communication, Data governance, Data sourcing, Master Data Management, Business requirements documentation, User acceptance testing, Communication skills, Stakeholder management, Risk management, Performance tracking, Data quality management, Data Mapping (Source to target mapping), SAFe, API's, Requirements Documentation & System Design Documentation, QA (Test Case Development), JAD Sessions, Implement Solutions, SDLC Methodologies, Systems Integration, Conceptualization, Logic Skills, Motivated, Work Ethic, Healthcare knowledge, Problem-Solving Skills, Team-Oriented, Multitasking Abilities, Written and Verbal Communication Skills. Education
Nirma university Oct 2017
Bachelor of Computer Science
Certificates
SAFe Agilist
Scrum Product Owner Certified
SAFe Scrum Master
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