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Manager Pharmacy

Location:
Charlotte, NC
Salary:
$85/HR
Posted:
May 27, 2020

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Resume:

Mohammed Ikramuddin

SUMMARY:

A RPA Business Analyst with over 10+ year’s hands-on experience including the understanding of Business Process Flow and Business Analysis and an extensive experience in all the stages of Software Development Life Cycle (SDLC). Possess experience in the Pharma and Health care Industries and Life Sciences. Proficiency in gathering business requirement, analyzing them and break it down to relate the whole lay out for rest of the team. A good team player with a blend of proven excellent interpersonal skills, healthy relationship management with the managers, effective communicator and problem solver adept in providing superior client services, relationship building and business support, and have performed efficiently as a leader in the need of hour.

TECHNICAL EXPERTISE:

Expertise in collecting, understanding and transmitting as well as documenting the business requirements and business processes for the project, and translating them into functional specifications.

Around 10 years of Pharmaceutical and Life Science experience including IT Business analyst.

Proficient in the Rational Unified Process and all the associated workflows and artifacts.

Experience in the field of Information Technology in the Healthcare-Life Sciences / Pharmaceutical / Pharmacy Benefit Management PBM / encompassing business systems planning, procedural development, reporting and validation.

Experience with Robotic Process Automation or Process Optimization

Knowledge of Python and R for analyzing data.

Experience in design and development of Enterprise products in life science and healthcare domain.

Expertise and experience in Object Oriented Analysis and Design (OOAD) and UML as a business analysis methodology for application functionality designs. Expertise in using CASE tools.

Assisted senior investment bankers and management in execution of private placements, bridge loans, and secondary offerings primarily in the life-science, bio-tech, healthcare and technology sectors.

Dataflow analysis using use cases, dataflow diagrams, state diagrams, activity diagrams, state chart diagrams, communication diagrams, behavioral state machine diagrams, class diagrams, sequence diagrams, deployment diagrams, data flow diagrams (DFD), entity-relationship diagrams and collaboration diagrams using Rational Rose and MS Visio.

Support the testing, validation and implementation of large-scale regulated systems for pharmaceutical and life science clients.

Excellent knowledge and deep understanding of industry standard methodologies like Software Development Life Cycle (SDLC), Iterative Software Development Life Cycle Process as per Rational Unified Process (RUP), CMM (Capability Maturity Models), ISO9000, Capability Maturity Model Integration (CMMI) and Six Sigma and Rational Tools used during various phases of RUP such as Inception, Elaboration, Construction and Transition.

Sound knowledge of HIPAA, HL7, LOINC, ICD9 CM, NDC, CPT4, EDI, ASTM, DICOM,HMO, PPO, Sarbanes-Oxley Act (SOX), ACORD, BASEL II, SOPs (Standard operating Procedures) and forms, GMP’s terms and Practices.

Interacting with stakeholders, gathering requirements, rating them and assigning priorities to each of them.

Worked extensively on Pharmacy Benefit Manager (PBM), NCPDP, PBM Migrations, Claims, Enrollment, Membership, Billing, products/benefits etc. at all clients.

Worked on different EDI healthcare transactions like 837 for submitting claims, 835 for payments, 834 for benefit enrollment, and 820 for premium payments to insurance products, 270,271 for health care benefits and eligibility, 275 for patient information, 276, 277 for claims status and 278 for transmitting health care service information.

Managed defect lifecycle for all software bugs detected throughout the SDLC (software development lifecycle).

Worked on HIPAA AS compliance to ensure standardized electronic transmission of healthcare data, claim & payment transactions. Conducted NASCO claims analysis, NASCO membership analysis, testing and validation.

Experience in 21 CFR Part 11 (Electronic Records and Electronic Signatures) remediation planning and implementation across all aspects of the business operations.

Knowledge of cGxPs for Pharmaceutical, Biologics, Medical Device, and Quality Systems: 21 CFR Parts 210, 211, & 820.

Conducted analysis of HIPAA rules to ensure that the new applications are HIPAA compliant

Acted as a liaison between the client and technical teams. Ensured that the business requirements were clearly and unambiguously communicated to the IT team.

Strong SQL Server 2005 skills to build optimal database structure. Familiarity with TOAD. Knowledge of Relational Databases, Data Warehousing. ETL concepts.

Knowledge of Anti Money Laundering (AML) Guidelines, Bank Secrecy Act (BSA), OFAC and Patriot Act.

Experience analyzing and debugging all areas of an EDI transaction data flow. Maintained EDI transaction tracking.

Experience in conducting System Integration Testing (SIT), User Acceptance Testing (UAT), Performance Testing, Functionality Testing, Stress Testing, Load Testing as per HIPAA. Experience with testing process that complies with FDA regulations, particularly 21 CFR, part 11,including Validation plan and Protocol, Installation Qualification (IQ), Operation Qualification (OQ),Performance Qualification (PQ) specifications.

Expertise in negotiation, short and long range planning, developing and making presentations to clients, business users and senior management, communicating technical information effectively, prioritizing and maintaining effective relationships with various IT teams.

Leading and conducting JAD sessions to develop architectural solution that meets the business requirements, resolve open issues and change requests.

COMPUTER SKILLS:

Methodologies

OOAD, RUP, UML, SDLC, JAD, Six Sigma, CMM, RAD, SCRUM,

Languages

C, C++, Java, C#, XML, SQL, UNIX

Operating Systems

Window NT/95/98/2000/XP/Vista, Unix

Change Management Tools

Rational Clear Quest, Test Director

Business Modeling Tools

Rational Rose, Rational SODA, Requisite Pro, Clear Case, Clear Quest, Microsoft Visio

Project Management

MS Office Suite, MS Project, MS Visio

Databases

Blue Prism MS SQL server, MS Access, Oracle 11i, RDBMS Concepts, Database Development,

Version Control Systems

Rational Clear Case, PVCS

Web Technologies

ASP, HTML, XML, Adobe Photoshop, Adobe Light room, Dreamweaver, Flash

Testing Tools

Rational Test Manager, Mercury Test Director, Win Runner, Load Runner, Rational Robot, Quick Test Professional, Python, R

PROFESSIONAL EXPERIENCE:

Stryker Corporation — Kalamazoo, MI Aug 2015- Present

RPA Business System Analyst / Project Manager

Dialysis System, Patient Record System Upgrades and Pharmacy Benefit Manager- MDM (Master Data Management) Implementation

I worked on requirements, analysis, design, testing and implementation for Dialysis, Patient Record Systems etc.

Provide guidance and direction to ensure adherence with Company quality and customer service standards, clinical initiatives, ethical business practices, and ensure business unit goals are aligned with national and global Company objectives. Develop and implement programs, action plans, educational materials, policies, and procedures based on best practices collaborating with field teams to c-level stakeholders and vendors to improve the lives of those we serve through the utilization of technology.

Analyzed XML Queries to Publish data to downstream users from MDM.

Developed Robotic Process Automation software to provide businesses and with a more agile digital workforce

Life Sciences operations knowledge in Clinical Trial Management and Pharma Sales & Marketing industry e.g., knowledge in Protocol Design, Site Administration, Enrollment, Fields Monitoring, Medical Affairs, Regulatory Affairs, Project Management, Grants Administration, Drug Safety/Pharmacovigilance, Clinical KPIs, Sales & Marketing KPIs, Segmentation, Targeting, Call Planning, Sampling, Territory Management, Formulary, etc.

Identify and promote best practices for Robotic Process Automation

Work with process experts to assist in process optimization.

Used Python scripts to update content in the database and manipulate files.

Monitored SQL queries, PL/SQL stored procedures, triggers on back end as a part of data analysis and data validation.

Bridging the gap between technology and compliance by implementing systems for the life science industry.

Worked on Blue Prism and UI Path & worked on RFP proposals for correct RPA tool selections by conducting in-depth analysis and checks.

Serve, as a liaison between business and technical teams translating technical/architectural specification into relatable business needs in the development of applications, databases, and reports.

Worked on HP ALM/QC Tool Support, Customer Ticket resolution and Interface with HP Support and also did Setup and configuration of HP ALM/QC.

Wrote and executed various MYSQL database queries from Python using Python-MySQL connector and MySQL dB package.

Expert in report creation for Life Sciences Operation Team.

Gathered requirements for MDM tool implementation and user workflow processes.

Worked on PBM, NCPDP, Specialty Pharmacy, COB’s etc. including Mail Order Pharmacy.

Identified and interpret trends and patterns in complex datasets using R and Python.

Project Manager facilitating technical and educational acquisition efforts converting electronic health data, human resource applications, SharePoint migration, other corporate technical resources, and the creation of audit tools while maintaining the integrity of all data, minimizing the impact to resources, patient care and billing processes.

Experience with Robotic Process Automation or Process Optimization

Prepared and operationalized strategic and tactical marketing plans and budget for life science products.

Developed materialized views, stored procedures, functions, triggers, packages in MSSQL for various business requirements.

Analysis and support for Master Data Management team (MDM)

Gathered business requirements, designed and developed, implemented, and cross-trained corporate employees in SharePoint solutions including web pages, content, custom lists, and managing permissions.

Developed professional training materials supporting EMR documentation utilized nationwide driving a 25% reduction in acquisition life cycle.

Identified redundant system transactions which were impacting the overall productivity by keeping track of all the data using SQL Server. Participated in the research and evaluation of new products, services and proposed AML solutions.

Involved in MDM Process including data modeling, ETL process, and prepared data mapping documents based on graph requirements.

Export Requirement from MS Word/MS Excel to HP ALM.

Improved requirements prioritization process enterprise wide. Led cross-functional (Business, Dev, QA, UAT, Education, Legal, Compliance) teams in streamlining HP Quality Center application tracking capabilities, successfully implementing a 30 day reduction in SDLC, improving workflow and resources utilization.

Master data management experience, with a good understanding of MDM full-life cycle concepts/techniques.

Supported and approved all clinical system enhancements, following complete SDLC/product workflows from inception to completion assuring all stakeholders’ business needs were met or exceeded.

Liaised between multiple development teams and business user groups to create an enterprise wide e-scribe solution streamlining and improving patient medication management and medical staff compliance.

Ensure quality improvement activities were within scope providing detailed reports aimed at reducing effort, improving reimbursement and improving end users moral.

Acted as a liaison between the business and development team in gathering requirements and supporting the MDM team.

Develop and execute excel macros and vba as part of RPA Task creation and execution.

Analyzed user requirements to set up HP ALM to support client requirement.

Prioritized requirements and resolved Clinical Services helpdesk tickets documenting in Remedy Ticketing and HP Quality Center meeting 100% of weekly goal. Wrote scripts for knowledge base to assist internal clients in faster technical resolutions.

Environment: SQL, IMS, EMC Documentum, .Net, HTML, Python, R, XML, Master Data Management(MDM), Oracle, SAP, Rational Requisite Pro, Rational Rose, Blue Prism UML, SQL, MS-Office, MS Project, MS Visio, Test Director.

Bristol-Myers Squibb — New York City, NY Sep 2012 to July 2015

RPA Business Analyst

EMR, LMS and MDM (Master Data Management) Implementation- Pharmacy Benefit Management Systems (PBMS)

I worked on EMR’s, LMS systems MDM Implementation other suite of web applications and did requirements gathering, analysis, design and testing and I also worked as the Business Analyst in Life Science Domain.

Responsible for supporting divisional and clinical level educators in the use of Company EMR (CMS certified MIQS), document imaging methods, LMS, Kronos, ADP, Microsoft Office Suite, SharePoint, intranet, and associated applications.

Acted as a liaison between the business and development team in gathering requirements and supporting the MDM team.

Determines RPA best practices and suggests how to improve current quality processes, standards and practices.

Worked on designing DB2 database for the application.

Determines RPA best practices and suggests how to improve current quality processes, standards and practices.

Designing and Implementing solutions around RPA software like Blue Prism, Automation Anywhere and UI Path and to advise our clients on RPA tool selection

Involved in a mission to help customers create a healthier and safer world by providing innovative healthcare and life-science products and services solutions around the globe.

Ensure patients receive safe and effective dialysis treatment; the clinic meets the new Conditions of Participation found in the Federal Register at 42 CFR Part 494 (Subpart A-Subpart D; sections 494.10-494.180) and; to ensure the clinical staff comply with all policies and procedures.

Strong experience in MDM (Master Data Management) - Lead/facilitate meetings with business/functional SMEs to gather business/functional requirements around MDM.

Project managed and provided business system analysis for acquisitions and new clinics in major software and system implementation and conversions, directing training in all company systems including Microsoft Outlook, EMR, HR onboarding, SharePoint, clinical education, clinical policy and procedure implementation, ESRD network communications, CMS CROWNWeb and NHSN notifications and tracking, ensuring regulatory compliance through entire process.

Support business development activities, responding to the proposals as a RPA subject matter expert, by coordinating with key stake holders in the company.

Identified and documented issues, risks, gaps and their impact to the project life cycle.

Ensured 100% clinical compliance with state and CMS regulations and billing compliance during acquisitions.

Worked on Master Data Management (MDM) for maintaining the customer information and also for the ETL rules to be applied.

Developed and maintained all operational and technical flows using Visio and Power point and worked on Specialty Pharmacy, mail order pharmacy, COB, Formulary, claims etc.

Programmed Excel Quality Analysis Improvement Program tools improving moral and retention

Worked on Automating Web portal, Excel, PDF, TXT and Email automations using UI PathStudio.

Wrote and edited over 100 clinical and technical policy and procedures for existing, startup and acquisition use including document controls utilizing Access database, Excel, and SharePoint

Collaborate with vendors in maintaining compliance in reporting metrics to CMS through process mapping, QA, UAT and system implementation.

Designing and Implementing solutions around RPA software like Blue Prism, Automation Anywhere and UI Path and to advise our clients on RPA tool selection

Provided architectural design and create solutions for the customers to showcase the functionality of Informatica Master Data Management (MDM) and other products integrated with the MDM hub.

Developed BI solution using SharePoint and Microsoft Excel, tracking facilities progress in appropriately registering and participating in CMS required programs, NHSN (infection reporting) and CROWNWeb.

Streamlined access and facilitated consistent reporting at the facility level by working with ESRD Networks and staff to implement a national standardized form for patient data collection and reconciliation reducing administrative level of effort.

Authorized operational compliance trending reports utilizing SharePoint custom lists feature reducing the amount of rejected claims.

Support business development activities, responding to the proposals as a RPA subject matter expert, by coordinating with key stake holders in the company.

Worked cross-functionally with other business groups for understanding MDM related issues.

Supported multiple physician practices during denovos, acquisitions and regulatory changes in writing sustainable best practice reports and educating professionals on documentation relative to CMS Quality Payment Program (QPP)

Implemented electronic documentation strategies to ensure internal quality improvement activities were monitored and reportable leading to a 98% initial Department of Health survey passing rate.

Worked extensively and individually with department leads to elicit requirements and identify business needs, designing, developing, testing and deploying custom built SharePoint sites providing training for all users.

Partnered with HR to implement new onboarding program to include tracking Patient Care Technician certification status as required by CMS.

Identified need and established professional development programs. Developed Clinical Nurse Manager training program in collaboration with other Corporate Educators and VP of Operations improve retention by 18% within first 3 months of implementation.

Participate online meetings to demonstrate the capabilities of RPA for on-going projects and potential clients

Created internal audit tool leading to a 98% deficiency free initial surveys for all new clinics.

Developed, published, and implemented nationwide staff development programs, organized and led webinars to provide updates on company systems and policy and procedures to include open line Q & A session

Environment: J2EE, Blue Prism SQL Server, XML, HL7, UML, Master Data Management(MDM), Oracle, MS Visio, MS Office, MS Project, Filenet.

Synthes (West Chester, PA) Oct 2008 – Aug 2012

Business System Analyst

CFR, Grants System and Datwarehouse Upgrades & Pharmacy Benefit Management Systems

Synthes is a leading global medical device company. Synthes develop, produce and market instruments, implants and biomaterials for the surgical fixation, correction and regeneration of the skeleton and its soft tissues. Synthes offers a variety of programs and services to help hospitals better manage the purchasing process, from inventory management to data cleansing and electronic pricing systems. In order to ensure the best patient care, Synthes is proud to offer services to the non-clinical side of the hospital. These various programs help hospital administration and materials managers through online ordering and other business services that help hospitals gain efficiencies.

This project was based on Code of Federal Regulation (CFR) Sunshine Act – Aggregate Spend Reporting Requirement (Physician Payment Sunshine Act) by federal government FDA. Major modules are Spend Tracker, Arrangements Keeper, Automated Grant Agreements, Consulting Arrangements and Conflict of Interest element).

Responsibilities:

Upgrade HP ALM 11.0 to HP ALM 11.5 and Setup and configuration of HP ALM/QC.

Studied and assessed the clients systems and business processes. Developed project plans and managed scope.

Worked with Life Sciences in the Large enterprise Pharma space.

Worked with Project Manager for Vendor Assessment and Proof of Concept (POC).

Authored Project Charter documents.

Scoping business requirement and document User Requirements Specification (URS).

Develop System Requirements Specification (SRS), System Design Specification (SDS) and System Configuration Specification (SCS).

Build UML diagrams and developed workflows and lifecycle around business rules.

This Project governed by 21 CFR Part 11, 21 CFR Part 820.70(i) and CFR Part 210/211, 606.

Develop Test Plans, Test Scripts & reported bugs passed, failed & retested.

Created and managed project templates, use case project templates, requirement types and traceability relationships in HP ALM.

Authored EMC Documentum (DCTM) scripts in document life cycle and work flows.

Developed test scripts for IQ, OQ, and PQ to validate Documentum, WebTop & DQL systems.

Execute manual/ automated test script in Integration, Regression, OQ, PQ & UAT test cycle.

Maintained the Test Matrix and Requirement Traceability Matrix (RTM).

I am the Liaison between departments such as Accounting, Pharmacy Operations, and Clinical Pharmacy and worked extensively on PBMS, coordination of benefits, Mail Order Pharmacy as required.

Used Testing Methodology throughout Software Development Life Cycle (SDLC).

Encountered Issues during Test execution documented and track till issue resolved and closed issue after re-testing Issue.

Performed Issue Management, communicated with vendor/developer and closed after retested.

Conducted internal audits for validation packages of applications.

Documented Expectation Report and Validation Summary Report after each testing life cycle.

Carry out full project lifecycle and taken business approval for production.

Environment: SQL, IMS, EMC Documentum, .Net, HTML, XML, Oracle, SAP, Master Data Management(MDM), Rational Requisite Pro, Rational Rose, UML, SQL, MS-Office, MS Project, MS Visio, Test Director.

Educational Qualification: Masters in Computer Science from Governors State University, Illinois, USA



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