Post Job Free

Resume

Sign in

Healthcare Business analyst

Location:
Philadelphia, PA, 19103
Salary:
$57/hr
Posted:
May 11, 2020

Contact this candidate

Resume:

Habiba A Tajak

Scranton, PA

Phone: 570-***-**** E-mail: adc56c@r.postjobfree.com

Accomplished Business Analyst with 7+ years of experience working in Agile/Scrum & Waterfall environment in all phases of the Software Development Life Cycle (SDLC) with excellent communication and strong requirements gathering skills.

Summary of qualifications:

Excellent in understanding client requirements, summarizing client needs, and translating into Functional and Technical options for solutions that meet end user business needs.

Broad experience with SDLC requirement gathering and Software deployment using Agile Scrum and Waterfall Process.

Experience in Use Case Methodology, creating UML diagrams like Use Case diagram, Business Workflow Diagram and Activity Diagram using tools like, MS Visio, Blismiq, Gliffy.

Ability to plan and coordinate all testing phases including making Test Plans, conducting User Acceptance Testing (UAT) and creating Test Cases and highly involved with Regression Testing, Integration Testing and System Testing.

Generated Requirements Traceability Matrix (RTM) to ensure that all the requirements are covered by the test cases.

Design Business Flow Diagram, Mockup Screens and rapid prototype to drive stakeholder and user consensus.

Experience in writing and maintaining the Requirement Definition Document that included Business Requirements (BRD) and Functional Requirements (FRD), Use cases and UML Diagrams.

Strong experience in healthcare domain- Claims Processing, Benefit Administration, EDIs (837, 835, 834, 270, 271, 276, 277), ICD 9, ICD 10, Membership system, Provider Information system, Revenue Cycle Management (RCM).

Researched, defined and analyzed changes to both state and federal laws affecting the Medicaid Management Information System (MMIS).

Experience working on various Healthcare Portals such as Member Portal Employer Portal, Agent Portal & Provider Portal.

Tools and Technical Skills:

Methodologies

Agile (SCRUM), Waterfall, Agile-Waterfall development methodologies

Project Management Tools

MS Share point, MS Project, Skype for Business, IM, MS Office

Business Modeling Tools

Confluence, TFS, Lotus Notes, MEGA, HP ALM, JIRA, TFS, Daptiv, DocuShare, Tableau, ServiceNow

Databases

SQL Server, MS Access, Visual Basic

Data Modeling/UML

Gliffy, Rational Rose, iRise, MS-Visio

Applications/Testing Tools

HP Quality Center/HP ALM, SoapUI, JIRA

PROFESSIONAL EXPERIENCE

Company- Optima Health Plan, Scranton, PA Sep 2019 – Present

Role: Sr. Business Analyst

Responsibilities:

Created User Stories, UML Diagrams and Data Flow Diagrams to determine the data flow via various Systems.

Actively participated in Product Backlog/Refinement meeting, Sprint planning, Daily Scrum, Sprint review and Sprint retrospective meetings.

Elicited requirements, created As-Is and To-Be process, Cost Benefit analysis, Risk assessment and SWOT analysis for the project.

Worked on adding functionalities for payment processing system which allowed users to process payments to selected payees

Updated Current internal systems to integrate New data and functionalities of the payment arrangement system.

Worked on securing all patient data that was exchanged within systems and made sure the exchanges fell within HIPAA guidelines and mandates.

Assisted QA team by reviewing Test plan and Test cases and clarifying requirements to ensure complete coverage of requirements

Company- Health Alliance, Champaign, IL Feb 2019 – Aug 2019

Role: Sr. Business Analyst

Responsibilities:

Attending various meetings such as project discovery session, review session, project health meeting, sprint meeting, daily scrum, CRB (Change Review Board) meetings, etc.

Preparing and updating IA (Interface Agreement) for the clients and working with operartions team to review the requirements captured.

Working with the Project Manager, CME (Client Management Executive), ASM (Account Services Management), and business owner to document the business requirement.

Maintaining project’s timeline based on the requested release date along with next sprint release.

Preparing and maintaining business requirements and/or functional requirements, identifying current client state, future state and changes required to address changing business needs.

Interface with external clients and internal programming staff to ensure requirements meet all parties’ needs.

Working with technical staff to ensure requirements will be incorporated into system design and testing.

Taking ownership and apply time management skills to adhere to project timeline and deliverables.

Company- Rush Copley Medical Group, Aurora, IL April 2017 – Dec 2018

Role: Business Analyst

Responsibilities:

Gathered business requirements by driving user-group meetings and working with various global, cross-functional and virtual teams.

Prepared project deliverables through business workflow analysis, process analysis, user requirement documents (Use Cases & Use case diagrams) and managed the requirements.

Documenting artifacts including, but not limited to, Functional Specifications, and the Use Case Specifications.

Identified all use case components including basic, alternate and exception flows.

Worked on Health Level-7 or HL7 international standards for transfer of clinical and administrative data between software applications used by various healthcare providers.

Prepared Business Process Models, which included modeling of all activities of the business from conceptual to procedural level.

Company: Harmony Health Plan, Chicago, IL Sept 2015 – March 2017

Role: Business Analyst

Responsibilities:

Working on highly prioritized projects focusing primarily on Harmony’s applications used to service external constituents (Members, Plan Sponsors, Brokers, and Providers etc.)

Coordinated with Product Manager to develop and adept the product vision for Medicare, Medicaid and other commercial business.

Facilitated architect in resolving business concerns regarding Billing on-line payment system enhancements.

Working with other Product Owners to manage dependencies and prioritizing the backlog through business cases.

Participated in Daily-Scrum, Product Backlog refinement meeting, sprite review, sprint retrospective meetings.

Working closely with QA Team to specify acceptance criteria for User-Stories and helping writing Acceptance Tests.

Extensively worked on ANSI X12 EDI 834 & 837 file format and in Medicare & Medicaid eligibility requirements.

Company: Kaleida Health, Buffalo, NY Feb 2014 – July 2015

Role: Business Analyst

Responsibilities:

Interacted with stakeholders and Quantitative Risk Analysts team to gather requirements about Patient Portal.

Analyzed data obtained from different groups and created various reports and presentations using MS Excel.

Analyzed and prioritized user and business requirements as system requirements that must be included while developing the software.

Planned and defined system requirements to Use Case, Use Case Scenario and Use Case Narrative using the UML.

Created Use Case Diagrams, Activity Diagrams, Sequence Diagrams and ER Diagrams in MS Visio.

Performed ‘As is – to be’ Gap Analysis to check the compatibility of the existing system infrastructure with the new business requirements.

Worked with Provider Area to understand the network requirements for various plans such as HMO, PPO, POS, DPOS, etc.

Company: Costco, Issaquah, WA May 2012 – Dec 2013

Role: Business Analyst

Responsibilities:

Worked in an Agile-SCRUM environment gathering requirements to create User Stories and defining their Acceptance Criteria.

Liaised with Engineering teams to gather requirements and ensure successful delivery of the working product.

Maintained all the current dashboards and monitored data QA to ensure accurate and timely reporting.

Built and managed the planning, creation, and execution of all new dashboard visualization launches in Power BI.

Responsibilities included meeting with the stakeholder and POs to gather and document business requirements, as well as drive effectiveness and efficiency across all departments for the project delivery.

Education:

Bachelors in Computer Science, Penn State University (Dunmore, PA – 2011)

Pursuing CBAP



Contact this candidate