Pega Business Analyst

Sharanya Unnam

PEGA Business Architect : 601-***-**** : ********.*******@*****.***

Education

Masters in Information and Security Systems, University of the Cumberlands, Aug 2018.

Masters in Health Service Administration, Dec 2015.

Certifications

Academy for Healthcare Management (AHM 250), 2018.

Pega Certified System Architect (CSA).

Employment Summary

Working with Cognizant Technology Solutions as Senior Associate (Pega Business Architect) from November 2017 to till date.

Worked with Teknaux LLC as Pega Business Architect from August 2017 to Nov 2017.

Worked with Brainware Inc as Pega Business Architect from February 2016 to July 2017.

Worked with ARK Infotech Spectrum as Business Analyst from January 2012 to December 2016.

PROFESSIONAL EXPERIENCE

Employer

Cognizant Technology Solutions

Client

Excellus BCBS, Rochester, Newyork Feb 2019 – Till date

Role

Pega Business Architect

Environment

Pega Infinity 8.1, PCS Framework, Lotus Notes/Outlook, MS-Visio 2013, MS Share Point 2013, Windows 10, ALM

Description

As part of Project one, PCS Downstream Artificacts is to generate consolidataed products and plans documents from within the PCS which would be used by various other teams (Ex: sales team) for their analysis purpose

Rate Load is another module where the rate information will be loaded in to Pega and tied to a specific plan in PCS based on matching HIOS ID

SERFF (The System for Electronic Rates & Forms Filing) another module where plans and corresponding cost shares are filed every year with state of Newyork every year in a state provided template

Responsibilities:

Worked on multiple modules associated with Project one which includes downstream PCS Artifacts, Rate Load in to Pega, SERFF Filing, SBC/Contracts

Continued working on additional modules of project one ie, IRN (Initial Rate Notice) & ARN (Annual Rate Notice)

Interacting with internal business Subject Matter Experts (SME's), and members of the development team to gather, define and document business and system requirements.

Working with offshore team to review the requirements with them and ensure they have same understanding as per the business expectations.

Drafted high level requirements and developed a mockup for the UI, reviewed it with business and offshore team and got a sign off from the business

Documented Mapping information by analyzing the information we have currently in PCS and the final output (what attributes need to considered for document output)

Drafted templates for final output documents and successfully got a sign off from the business on same.

Analyzed complex logics as defined by State for SERFF Filing and documented, communicated the same to developers

Worked collaboratively with business when business is not clear on requirements that should abide by state provided guidelines

Maintained track of changes when requirements were modified multiple times as business was not completely sure of state accepted guidelines in some areas

Simplified the more confusing and huge information in to more meaningful and concise document sheets which can be followed for future document generation.

Assisted developers with troubleshooting using clipboard and in identifying accurate information in pega flattened data

Performed smoke testing and identified any critical issues and reported to developers before it is released to system testing

Uploaded the requirements in ALM and updated the defects with required clarifications in it

Understood the concepts of Excel Macros and performed testing using state defined macros and customized macros developed by the cognizant team as part of SERFF document generation

Involved in gathering integration related requirements (Integration to Filenet, Document composition system, and Product ODS)

Employer

Cognizant Technology Solutions

Client

Anthem Inc, Norfolk, VA Nov 2017 – Feb 2019

Role

Pega Business Architect

Environment

Pega 7.1.6, 7.2, MS-Visio 2013, JIRA, MS Share Point 2013, Windows 10, Claims Web services, Facets (Cognizant Trizetto 5.4), Pharmacy Appeals, SOAP UI, MS-Access

Description

Next Gen is a Enterprise Pega Applications for Appeals, and Grievances which enables users (members, providers and their representatiaves) to report an Appeal or Grievance. On Reporting the claim or auth appeals, decisioning on the same is provisioned in the same application where analysts, nurses or MD can take appropriate actions. The application is developed for various LOB’s like GBD Medicare, Medicaid, Commercial and FEP (Federal Employee Program)

Responsibilities:

Working on multiple projects associated with NextGen Enterprise Application (Medicaid Migration to 7.2, 600 Payment Disputes, Mega Regs, Project Retina)

Interacting with internal business Subject Matter Experts (SME's), and members of the development team to gather, define and document business and system requirements.

Working on Data Mapping documents for multiple integration requirements between Nextgen application and various external applications.

Working on outbound integration with CSA Application (FEP Pharmacy tool) where updates are sent out from Nextgen in real time.

Working on both inbound (PA Inquiry API) and outbound integrations (Spool file mechanism, APIs).

Provided requirements support during the Design, Development, and Testing phases of a project.

Analyzed existing system information as part of the change management and change control process.

Developed data mapping documents between legacy (Claims Web Services) and user interface systems.

Worked on Reporting requirements and ensured that required data is made reportable (BIX jobs, staging and reporting database).

Performed Data Analysis and Data validation by running a request in Web Service (Swagger).

Worked on Integrations to External Applications like Rightfax (where documents from Nextgen are routed for Faxing), DCC & Erlanger (where documents from Nextgen are routed to folders for Mailing), Macess & Filenet (Document Repositories).

Leading the Project Retina (Pharmacy appeals) from Nextgen perspective and supported both intake of appeals (inbound) from PA Hub (pharmacy application) and sending updates back to PA Hub. Successfully implemented the bilateral communication for Medicare Pharmacy Appeals between Nextgen and PA Hub.

Co-ordinated among the different scrum teams to ensure the deliverables are delivered on time for Project Retina.

Prepared the UI Mockup frameworks and provided it to developers.

Working on requirements for Reconciliation files (XML), preparing mapping documents for same which includes running SQL queries (select, select distinct), viewing scripts etc.,

Used Jira as an Agile project management tool for monthly planning, reporting and Issue Tracking.

Created project specific artifacts including Meeting Notes, User Stories, and User Story Elaboration using JIRA.

Been part of production support and assisted users in resolving the issues.

Assisted quality assurance team in testing different releases and business in UAT Testing.

Worked on Facets frontend application with respect to understanding the requirements and in performing data validation when required.

Employer

Teknaux LLC

Client

Anthem BCBS, Louisville, Kentucky August 2017 - Nov 2017

Role

Pega Business Architect

Environment

Pega 7.1.6, MS-Visio 2013, JIRA, MS Share Point 2013, Windows 10

Description

This project is about automating the process of resolving the discrepanices (orphan

records) with regards to member enrollment and maintenace data. The discrepancy is

between data from FFM Exchange and ISG & WEM (Anthem Systems). The records which cannot be automated, unmatching records are routed to users who take actions manually in pega system and update the outcomes

Defined and documented the high level future state conceptual model

Documented story level conceptual models

Participated in grooming sessions with Product owner and SME’s to understand the requirements and

documented user stories, acceptance criteria in JIRA

Participated in Planning sessions and explained the user stories and acceptance criteria to developers

Created UI Mock ups using Axure RP and provided to Dev Team

Documented Data Dictionary and Role Matrix, shared it in share point so that it is accessible to team

Maintained version history for every artifact documented

Participated in Sprint planning sessions and assisted the Scrum Master in assigning user stories to various

Sprints

Participated in Daily Stand up meetings and provided status on tasks, and informed the team on any potential impediments

Performed Unit testing on Pega Application and reported the Issues to respective developers for fix.

Reviewed the Application Post SIT and made sure that the built is in accordance with business requirements

Troubleshooting issues that arise during the lifecycle of a project and escalates as appropriate.

Employer

Brainware Inc

Client

Sonepar USA, Philadelphia, PA February 2016 – July 2017

Role

Pega Business Architect

Environment

Pega 7.1, SQL Management Studio, MS-Visio 2013, JIRA, MS Share Point 2013, Windows 10

Description

BPM Action Tracker is an inventory tracking application to automate the inventory management process by building a workflow and/or case management application to support Sonepar’s purchasing department in managing underperforming inventory. The overall process includes product identification (outside BPM system) and review, action planning, and execution status tracking (inside BPM system).

Responsibilities:

Defined and documented the AS-IS and To-BE Business Processes

Prepared Scope Document, the Functional Overview Document and the Business Requirement Document.

Responsible for Business & Data Analysis, Customer interaction, and interfacing with Application Development team

Worked on Pega 7.1 Application, used clipboard to understand the data on work pages.

Translated business requirements into functional specifications for the IT organization, and managed changes to such specifications

Acquired data from primary or secondary data sources and maintain databases/data systems

Identified, analyzed, and interpreted trends or patterns in large data sets

Documented detailed use cases and provided it to offshore team for development of application

Involved in Design Review sessions with SME’s in the process of designing a compatible mobile application version of the web application

User Tracer in Pega 7.1 while assisting developer in tracing the errors and production issues.

Provided recommendations on improving the design of the mobile inventory tracker application

Prepared test cases, performed functional and regression testing both front end and back end

Updated analyzed and manipulated the SQL database.

Reported bugs to the offshore development team and made sure that bugs are resolved

Documented Defect Log, UAT-Issue Log and Version Change Log

Created JIRA tickets for all the requirements, raised tickets for development defects and used it for project tracking

Analyzed & troubleshooted mobile application version

Trained the end users on the usability perspective of the mobile application (Inventory Tracker)

Performed back end testing using SQL queries in SQL Management Studio

Performed end to end final integration testing before UAT to deliver an error free system for users testing.

Conducted UAT review and feedback sessions, created UAT-Issue Log, communicated to developers and made sure that issues are resolved

Ensured that delivered product meets functional requirements based on business requirements defined and approved by the client. Worked with the technical architect and the Business across all phases of implementation.

Create detailed user guides and training manuals for all internal users, support personnel, and external customers on system changes and new procedures.

Driven delivery hygiene (Unit testing, guardrail compliance, requirements control etc.

Employer

ARK Infotech Spectrum

Client

Web Wizards, Hyderabad, India January 2012-July 2014

Role

Business Analyst

Environment

Waterfall, MS Office, MS Project, Windows 2000, Rational Requisite Pro, Rational ClearQuest, Test Director

Responsibilities:

Involved in all phases of Software Development Life Cycle in Waterfall framework. Analyzed, documented, and managed all project requirements and changes to requirements throughout the SDLC using RequisitePro. Conducted one-on-one interviews, attended Joint Application Development (JAD) sessions, and documented analysis in requirement gathering.

Extensively interacted with both user group and development team, and came up with Structured Charts, Class and Sequence diagrams for application using Rational Rose and assigned to prepare the detailed work flow diagram based on the proposed enhancement for the system.

Identified the Use Cases from the gathered requirements and prepared a comprehensive Use Case Specifications document. Verified and Validated Data Model with changes to business information & rules.

Responsible for Status Check at regular timeframe. Controlled and tracked defects using Rational Clear Quest. Created Vision and Scope document along with the Project Manager as part of business modelling to assess success criteria, schedule tasks, duration, and assign resources for the project.

Created Wireframes and mock ups to effectively communicate the user-interface platforms to the system development teams.

Assisted in increasing Data Integrity by performing Data Normalization and adding Data Verification and Data Validation to maintain accuracy and effectiveness of data

Involved in creating Data mapping specifications document for integration related requirements.

Wrote SQL Queries to extract data from different data sources to document the data mapping sheet.

Helped Testers for executing system/Integration testing and on working with Test Director.

Over 6 years of experience as Business Analyst in gathering requirements, with good amount of exposure in retail and healthcare insurance industries. Worked as a PEGA Business Architect exclusively for 4 years with strong understanding of PEGA system software and DCO capabilities

Professional Summary:

Knowledge and understanding of Health insurance and its components which includes Benefits & Enrollment, Billing, Claims, Appeals and Grievances

Knowledge and working experience on Pega frameworks like PCS (Product composition system) and CRM (Customer relationship management)

In depth knowledge of the Software Development Life Cycle. Expertise in employing SDLC models like Waterfall model, and Agile methodology (Scrum Methodology)

Knowledge and experience on Agile concepts like Epic, Backlog, PI Planning, Sprint Planning and Sprint Reviews

Have a complete understanding of business processes, interacting with stakeholders, understanding user requirements and articulating them into User Requirements Specifications.

Proven expertise in gathering, analyzing and documenting business requirements and developing Business Requirement Document and Functional Requirement Document

Experienced in facilitating Joint Requirement Planning (JRP) with Business User Groups, Subject Matter Experts, and IT to limit the change process

Capable of producing various other documents like functional specifications, use cases, user stories, test cases, business process documents, business rules, user manuals, and user interface specifications

Experienced in creating Storyboards with in depth knowledge of Object Oriented (OO) analysis

Excellent Analytical skills to understand the business process and Functionality, Requirements and to translate them to System Requirement Specifications

Knowledge in business process design, diagramming data & process mapping, and applying Unified Modeling Language (UML)

Proven ability to understand interface /integration technologies and a good understanding of customers’ needs so they can be translated into requirements

Experience in analyzing and producing mapping documents for Integration requirements

Experience in creating mockup screens for user interface requirements

Experience with Gap Analysis to check the compatibility of existing systems with new business requirements

Experienced in working with the QA Testing Team, creating Test Plans and Test Cases

Experienced in ensuring that the requirements management and facilitation best practices are adhered to include management of artifacts through traceability, version control and change control

Excellent problem solving skills with attention to detail and Persistence, Teamwork and Communications

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