Senior Business Analyst
RAMNEET KAUR NAGI
*** * ***** ** *** York,
C O N T A C T
E D U C A T I O N
UNIVERSITY OF UTAH
Salt Lake City, UT
M.S. Physics (Dec 2014)
THE ICFAI UNIVERSITY
Diploma Business Management
Awards & Honors
Performance Award for
improving Cash Flow - Huawei
Business Planning, Market Research,
Direct Customer Interaction,
Process Optimization & Modeling,
Work ow Design & Automation,
Business Rules de nition
Electronic Data Interchange (EDI)
X12 837/835/270/271, Invoice
Creation, Remittance Posting
Database Modeling, SQL, Data
Analysis, SSRS and Excel
Reporting solutions, MS (Visio,
UI/UX Wireframing & Prototyping,
System Design & Development,
Product Deployment & Support
Project Management, Account
Receivables and Account
Payables Management, Account
A D D I T I O N A L
S K I L L S
C A R E E R O B J E C T I V E
Progressive 8+ yrs.’ experience in providing Interactive User Interface Portal, EDI Billing/Claims and Accounting Systems Designing & Development Solutions, with proven record of taking initiatives, increasing productivity, and user engagement for feedback and enhancements. I am open to relocation on a Global Level. P R O F E S S I O N A L E X P E R I E N C E
SENIOR ANALYST, BUSINESS SYSTEMS & APPLICATIONS
Monte ore Medical Center, Yonkers, NY / Sep 2016 – Present Designed HIPAA-compliant Web-based Medicaid Care Management platform – Customizable and con gurable, with real-time update, to facilitate PMPM data ow related to Fee-For-Service and Managed Care Plan’s Member Assignments and Referrals, POC, Medicaid Health Assessments, and Medicaid Billing and Financial Transactions. Implemented ‘Continuity of Care NYSDOH State Policy’. Prepared Business Requirement Document (BRD), Functional Requirement Speci cation (FRS/FRD), Use Case Speci cation, and Change Request (CR) documents. Created Data Models and scenario- based complex Process Flow/Use Case/Activity Diagrams, to elucidate complicated Business Processes and proposed enhancements. RDBMS experience (SQL Server, MySQL) – Stored Procedures, Data Analysis, Data Mapping, Data Validation.
Process Work ow Automation for Invoice Creation & Claims X12 File Generation – (a) Modi ed and maintained updated complex DB stored procedures to generate invoice & claim transactions (New, Void, or Adjustment), per current business rules. (b) Data Mapping - DB Objects & X12 837, Front-end & Back-end Parameters. (c) Automated Batch File Generation & SFTP File Transfer for Claims X12 837, Remittance X12 835, and Claims Response X12 277CA les. Automated Process Work ow & designed Front-End User Interface UI/UX (with Back-End con guration) for, (a) Remittance le (X12 835) Data Preview, Check/Wire Payment Posting, Claims Denial Management (Write-o A/R or Re-Bill), Accounts Receivable Management, Suspense Management, Explanation of Bene ts (EOB) Report Creation. (b) Data Mapping - DB Objects to X12 835 data elements, Front-end to Back-end Parameters.
Led 3 cross-functional teams (Front-end Development and EDI) comprising of 7 developers, 3 business analysts, and 3 data analysts – worked as a liaison between development teams and the business through all stages of SDLC by managing communication, mitigating risks and roadblocks for successful on-time delivery. BUSINESS ANALYST
Adroit Associates Inc., Iselin, NJ / Nov 2015 – Sep 2016 Claims Billing System (X12 837/835/277CA/270/271) – Designed Business Processes and automated Process Work ows, created BRD Scrum Master Accredited
Certi cation (ID:
L I C E N S E S A N D
C E R T I F I C A T I O N S
/ FRD, QA/UAT Test Plans. Created Business Process Models (UML), Use Cases, Activity Diagrams and Entity Relationship Diagrams. SQL Data Analysis, Reporting and Data Validation.
Performed Impact & Gap Analysis (AS-IS/ TO-BE) to access existing functionalities and proposed enhancements.
Designed wireframes using Azure RP and Balsamiq to revamp User Interface and support expanding user base.
Designed HIPAA-compliant Systems for Medicaid Care Management. Direct interaction with NYS DOH and Managed Care Orgs. BUSINESS ANALYST
RSR Unlimited inc., Brecksville, OH / Aug 2015 – Nov 2015 Designed Billing and Accounting systems and processes that use HL7 and Electronic Data Interchange (EDI) ASC X12
Experience with Project Management, Requirements Traceability, Defects Tracking tools - JIRA, MS Team Foundation Server, Application Lifecycle Management (ALM). Prepared BRD, FRD, Use Case, Requirements Traceability, and Change Request (CR) documents. Performed SWOT Analysis, Impact Analysis, and Gap Analysis. Experienced in delivering web-based applications and developing Service-Oriented Architecture (SOA).
Analyzed data using SQL, MySQL, and ETL, created Test Plans, conducted User Acceptance Testing (UAT).
Collaborated with Clients to achieve enhanced Customer Satisfaction, and coordinated with development teams, identi ed and clearly de ned problems, proposed solutions.
BUSINESS DEVELOPMENT MANAGER
Inspira Enterprises, New Delhi, Delhi / Feb 2010 – Aug 2010 Performed Business and Market Research and Cost-Bene t Analysis. De ned end-to-end Business Network Solution per identi ed client requirements; prepared Technical Proposals, formulated bid response matching client’s perspective.
Identi ed business problems, produced solution designs and presented them to clients for feedback; enhanced client satisfaction by incorporating suggested changes to the proposed solution. Led a team of Pre-Sales Executives, Solution Architects and on- site/o -site Network Engineers.
Performed SWOT and Market Analysis; developed Sales Plan for the new, future business ventures.
SENIOR EXECUTIVE–PROJECT FINANCE
Huawei Telecommunications, Gurgaon, Haryana / Jul 2008 – Feb 2010 Monitored IT/Telecom Project Finance and Payment Collection activities, tracked projects progress and monitor budget costs, analyzed outstanding balances data and processed write-o s. Managed accounting and reconciliation for 6 larger accounts, resolved account receivable issues by renegotiating contract payment terms, prepared accounts receivable aging reports. Developed detailed Project Payment Milestones Tracker. PROJECT COORDINATOR
ORG Telecom Ltd., New Delhi, Delhi / May 2007 – Jul 2008 Successfully identi ed and resolved project issues and improved Project Management processes.
Performed Project Plan Trend Analysis, monitored project expenses, budget costs, goals and measures, performed Risk Management. Request Management, Resource Allocation, Project Prioritization; conducted orientations and training sessions for resources.