ALEX RUBAN

Business Analyst – Health Care Vertical, Cognizant Technology Solutions

KEY CANDIDATURE HIGHLIGHTS

A stellar Business Analysis & Testing professional in the Healthcare space with 3.5+ years of experience in handling 4 major healthcare projects Provider Management & Reimbursement

(PMR), NASCO Payment Engine (NPE), Capitation Migration

(CAPM) and Value Based Program (VBP) at Cognizant

Technology Solutions, globally.

Key areas of responsibility include expertize in Business Development and Quality Assurance.

Expertize in Primary and Secondary Market Research and Analytics. Utilized SPSS analytics tools for competitor profiling, financial ratio analysis and positioning map development to gain useful insights and thereby develop relevant go to market strategies.

Result focused and customer oriented QA lead with professional expertise in functional testing (Designing test strategy, test plan, test estimation, leading testing effort for large/complex project).

Strong understanding of QA Principles, QA Process, Use cases and Software Development Life cycle - Agile and Waterfall.

Involved in many client engagement activities to enhance existing relationship with clients.

Collaborate effectively with business and onsite counterparts to ensure project deliverables remained on track and aligned with business goals and expectations.

Strong experience in QA Process Improvements, introducing innovative ideas for building Metrics, Dashboards and Effort Estimations into QA organization.

Good Experience in Health Care Domain.

Acted as Subject Matter Expert in Provider Area (Mainly focused on Provider Management and Reimbursement).

Specialized in HP ALM – Test/Defect Management tool.

Possess good knowledge on NASCO applications.

ROLE AND RESPONSIBILITES

Analyzing the testing requirements and gathering knowledge of applications under test based on the artefacts like detailed product specification document, business-operating procedures shared by the client. Coordinate with BA at the client side to seek clarity on the requirements.

Reviewing the requirements document created by BA at the client side to ensure the total coverage of requirements.

Validating the requirements in coordination with development team and BA to ensure consistency in understanding of the requirements.

Identifying testable requirements and creating traceability matrix if not existing or provided by customer.

Creating artefacts (like functional understanding document with screen flow and process flow diagrams) for better understanding of the requirements by the team.

Analyze the requirement document and identify the business positive and negative scenarios for the team.

CAREER OBJECTIVE

Passionate, methodical and detail-

oriented, professional seeking a

Business Analyst position at your

esteemed Organization using a

deep understanding of business

change needs, assessing the

impact of change and analyzing

the requirements to meet the

needs.

CONTACT

PHONE:

+91-944-***-****

EMAIL:

ada16w@r.postjobfree.com

ADDRESS:

7/168 – 3, I Homes,

Athipalayam Road,

Keerantham Village,

Saravanampatti,

Coimbatore – 641035

EDUCATION

Master of Business

Administration – Human

Resource & Operations

Sri Krishna Engineering College

Anna University Chennai

[2017-2019]

Bachelor of Engineering –

Electronics & Communication

Sri Sakthi Engineering College

Anna University Coimbatore

[2011-2015]

WORK EXPERIENCE SUMMARY

FUNCTIONAL

EXPERIENCE

HEALTH CARE PURSUIT MANAGEMENT

During my tenure at Cognizant, prepared multiple compelling proposals for business transformation of key strategic areas to a managed services model

(Provider Management & Reimbursement (PMR), NASCO Payment Engine (NPE) to name a few). These deals culminated in huge wins to the tune of USD 45+ Million for the organization.

Allocated to the bucket of the top performing talent at Cognizant during appraisal.

Other wins include identifying processes that can be automated using intellectual business knowledge in health care domain, which turns into huge savings translating to nearly USD 5 Million in terms of capital for the organization.

End to end Bid Management encompassing Opportunity Qualification, Schedule Development, Teaming Identification, Requirement mapping.

Financial modelling for revenue estimation using capacity based, Time and Material based and unit based pricing models.

Response formulation based on an in depth analysis of customer requirements, Proposal Strategy Win theme Development, Solution Story Boarding.

Managed multiple client visits end to end including visits from client CTO, which included anchoring town halls, planning various booth sessions pertinent to the client’s interest, client interaction and logistics arrangements. HEALTH CARE DOMAIN KNOWLEDGE

Worked across multiple bids cutting across Provider, Membership and Claims area.

Acted as Subject Matter Expert in Provider area with vast knowledge working on Provider Management and Reimbursement application.

Expertise in Provider Capitation Payment (PMPM payment) with cutting-edge cognizance working on NASCO Payment Engine application.

Significant amount of exposure working on Member Billing and Payment - Fully Insured/Self Insured.

Created E2E, business process and functional workflows for complete Healthcare Provider applications.

Developed functional, business process and End to End models for Healthcare Provider Business Chain – Generic

Facilitation for Customer/Client demos on the developed functional, business process and End to End models.

Conducted feasibility study to identify tools /methodologies /frameworks to meet the client's requirements.

Managed bids spanning multiple geographies (US, Japan, EU) Client Relationship Management.

ACCOLADES

RECEIVED

Received Cognizant Healthcare Spotlight award ‘Pat on the Back’ for exceptional performance in the bids handled for two consecutive years.

Received various mails of appreciation from Onsite Account Managers appreciating the overall bid approach, solution formulation and the perseverance shown while delivering quality responses in very limited timeframes.

Bagged ‘Deal of the year’ award for winning one of the strategic deals in IT security.

Received the topmost rating (during appraisal) in my entire team for my exceptional performance for the year 2016.

CORE COMPETENCIES

Specialized in the Following Test/Defect Management Tools o HP Quality Center

o IBM Rational Quality Manager

o JIRA

o Rational Clear-Quest

Expert in MS Visio workflow modeling tool

Good Knowledge on the Project Estimation Techniques

Market Research and Analytics using SPSS, End to End Bid Management, Financial Model development, Client Relationship management, Complete knowledge of Software Testing Life Cycle (STLC), MS Excel PROJECT EXPERIENCE SUMMARY

PROJECT #1 : PMR (Provider Management & Reimbursement) Client : Blue Cross Blue Shield of Massachusetts - USA Role : Quality Assurance

PROJECT DESCRIPTION:

BCBSMA is Non-Profitable Health-Insurance Company from USA. PMR is the NASCO’s next-generation repository for Provider data. The user-friendly product was developed to respond to changes in health care industry that make it necessary for plans to capture a broader range of provider data. CONTRIBUTION:

Analyzed requirements to understand business needs.

Produced and managed detailed project plans for tracking test activities.

Involved in review of functional test cases, test case execution and preparation of traceability matrix.

Consistently interacted with the Business Analyst and updated the Test cases for any requirement changes.

Interacted with the team members, work stream developers and Onsite coordinator to get the detailed information about the requirement.

Involved in System Integration Testing, Regression Testing and End to End Testing.

Executed the Test Cases Manually.

Reported and logged the defects using HP – ALM (QC) PROJECT #2 : NPE (NASCO Payment Engine)

Client : Blue Cross Blue Shield of Massachusetts - USA Role : Business Analyst-cum-QA Team Lead

PROJECT DESCRIPTION:

NASCO Payment Engine (NPE) application is the best option for enabling the calculation of a PMPM (Per Member Per Month) payment for provider organizations participating in the PPO incentive program. It works by accepting a feed from the provider system indicating the Physicians of Choice (POC), accepting a feed from the membership system indicating attributed members. Thereby it identifies PMPM charges for provider organizations participating in the program, calculate charges incurred toward Host members, and generates systematic settlement transaction to enable reimbursement of those charges from the control plan. CONTRIBUTION:

Understanding the requirements and creating artifacts for better understanding of the requirements.

Developing detailed documents for knowledge portals, identifying reusable assets and preparing artefacts with the objective of driving knowledge management and thereby ensure total coverage of client’s requirements within the company guidelines.

Analyzing the client’s processes and identify the gaps/needs to implement the solution accelerator to optimize cost and effort.

Performed static testing through requirements analysis enabling 'defect identification' early in SDLC for the NPE project.

Provided inputs to the test strategy (in terms of the business flow, scope of testing etc.) based on the understanding of the requirement document.

Created test scenarios to capture testable requirements and seek approval from the client. Reviewed the test cases and proposed test case design approach to QA team for complex requirements.

Performed adhoc testing to cover end-to-end solution.

Identified test cases for regression testing during change request after analyzing testing impact of the change post an approval from the client.

Provided support during root cause analysis and clarifications from a domain perspective. DECLARATION

I hereby declare that the above-mentioned information is correct to the best of my knowledge and I bear the responsibility for the correctness of the particulars. Date: 10/29/2019

Place: Coimbatore ALEX RUBAN

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