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Location:
Edison, NJ
Posted:
July 06, 2020

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Resume:

TAMMA S

Sr. Business Analyst

Contact: 571-***-****

Email: **********@*****.***

PROFESSIONAL SUMMARY:

●4+ years of experience as Senior Business Analyst with strong Analytical and strong problem solving skills, uphold excellent interpersonal communication while working on long, complex and tedious assignments.

●A motivated, committed, quick learning, detail-oriented team player with good communication, analytical, leadership, interpersonal and problem solving skills.

●Effectively employed multifaceted projects using methodologies of SDLC like Agile, Waterfall, and RUP.

●Facilitated optimal internal communications by serving as liaison between services organization and product development, product management, and technical teams

●Proficient in executing resource management and finance projects while applying nuance software tools for better management control.

●Expertise in generating and evaluating Business Requirements Documents (BRD), Functional Requirement Documents (FRD), System Requirement Specification (SRS) and Work Breakdown Structure (WBS) and recommend changes as per the applicable internal and external requirements gathered for process improvement.

●Proficient in gathering business and technical requirements from both formal and informal sessions through interviews.

●Partner with subject matter expertise to gather and develop detailed business requirements for system implementation and service requests.

●During process development, documented and verified with the help of Requirements Traceability Matrix (RTM).

●Skillful in directing Joint Application Development (JAD) meetings, project meetings, reviews, walk-ins, and customer interviews.

●Had good experience in creating Use Case Scenarios, process modeling using Use Case Diagrams, Data Flow Diagrams, Activity diagrams and Sequence Diagrams using MS Visio and Rational Rose.

●Expertise in Rational Unified Process (RUP) methodology, Use Cases, Software Development Life Cycle (SDLC) processes and Object Oriented Design Technologies.

●Extensive knowledge of Medical Management Information Systems (MMIS), Medicaid, Medicare, Procedural and Diagnostic codes and Claims Process

●Strong experience in all phases of Software Development Lifecycle(SDLC) using Waterfall, Agile/Scrum and Software Testing Life Cycle

●Experienced in White Box/ Black Box Testing, UAT, Unit, Integration, Functional, Stress, Load and Interoperability testing

●Experienced in Data Flow Diagram (DFD), Use case, activity diagram, sequence and UML.

●Strong experience in creating wireframes, mockups using tools like MS Visio and Balsamiq.

●Skilled in team building, conflict resolution & escalation awareness

●Drive solution development, Change management, customer communications, monitoring of department efficiencies, and managing both long and short-term customer delivery plans.

●Knowledge on medical necessities, software validation and healthcare compliance auditing.

●Working knowledge on Medicare and Medicaid.

●Medical Claims experience in Process Documentation, Analysis and Implementation in 811/835/837/834/270/271/277/997(X12 Standards) processes of Medical Claims Industry from the Provider/Payer side

●Worked on healthcare standards such as HIPPA 4010, 5010, ICD-9 ICD 10.

●Strong experience and understanding of Medicaid and Medicare Services in health care industry, claims management process.

●Managed health plan oversight for approving all claim system change requests as well as claim work process.

●Experienced in collaborating with agile teams and participating in sprint planning sprint retrospectives and daily scrum meeting.

●Involved in the full HIPAA compliance lifecycle from GAP Analysis, mapping, implementation and testing for processing of Medicaid claims.

●Experienced in conducting GAP Analysis between the "AS-IS" and the "TO-BE" system. Performed SWOT Analysis and Cost-Benefit Analysis during project inception phase.

●Strength lies in identifying methods of improving recourse allocation and working with teams to design and implement systems and procedures which maximize efficiencies and optimize profitable growth

Technical skills:

Methodologies

SDLC, RUP, UML, Waterfall, AGILE, SCRUM

Business modeling tools

Ms Visio, Balsamiq, Rational Rose,

BA tools

MS Office Suite( Visio, Project, Word, Excel, Power point, Office)

Business Skills

Business Definition Requirements, Business Process Analysis, GAP analysis, Use Case Modeling Analysis, User Stories, etc.

Defect tracking Tools

Remedy, Rational Clear Quest, JIRA

Other tools

Packet Tracer, VHDL, Simulink, AUTOCAD.

Work Experience:

Client: Express scripts, St. Louis MO Jan 2018-Present

Role: Sr. Business analyst

Responsibilities:

●Facilitated conduction of stakeholder interviews for identifying requirements followed by analysis of requirements

●Supported in collecting HIPAA related EDI transactional data from data warehouse

●Worked on changes of implementation, expected of HIPAA transactions EDI 837,835, 270/271,278,834 in future upgraded system.

●Conducted analysis on existing system and gathered user needs, programming needs for development of new product, For Coming up HIPAA changes.

●Conducted status report meetings with developer’s team and business team on weekly basis.

●Designed process flows for the enhanced system as well as the existing system

●Created Use cases, Test cases, Process flows, Test plans for QA team and noted user observation during testing product before release.

●Analyzed and documented the scope of the project and kept track of changes throughout the life cycle of the product

●Assisted in logical and physical design sessions and also in documenting developed designs.

●Worked on health records providing system as a part of Customer Relation Management

●Assisted business users by providing support about the application and database after project went live.

●Interaction with Subject Matter Expertise (SME’s), understand business needs and determine technical solutions. Identifying use cases, system documentation in the form of written narratives and flowcharts (activity diagrams).

●Worked with the Business community and Tech Lead in gathering their data transaction information.

● Acted as a resource in understanding how the upgraded system carries out the business functions and assisted in ensuring the timely and effective implementation for customer facing interface.

●Scheduling peer-reviews for all requirements and analysis artifacts.

● Provided cost estimates to define the business value of the desired features.

●Facilitated JAD (Joint Application Design) sessions and coordinated extensive communication networks(interviews, written correspondence, reports, implementation requirements, project status reports, oral presentations, e-mails, etc.) to keep executive staff and team members apprised of goals, project status, and resolving issues and conflicts.

●Recorded project plans, Business Requirement Document, Business Specification Document and data models for the iteration.

●Interacted with the stakeholders, Business users, system architects, developers to understanding data model and structural data hierarchy.

●Translated business requirements into functional and Non-functional specifications to communicate with development team.

●Played a key role in project planning activities, User Acceptance Testing (UAT), and implementation of the system enhancements and conversions.

●Used MS Excel to build the Requirements Traceability Matrix (RTM's).

●Wrote and managed all of the business and functional requirements of the new applications, as well as added features for the older application, in Rational Requisite Pro.

●Analyzed functional requirements segregated them into use case specifications and created use case diagrams using MS Visio, according to UML methodology.

●Designed the system to work with programs such as Medicare, Medicaid, Childcare, SNAP and TANF.

Environment: MS Visio, MS Office, JIRA, SQL, CONFLUENCE, SAFE AGILE, Windows XP

Client: LA Care, LA, CA Feb 2017-Dec 2017

Role: Sr. Business analyst

Responsibilities:

●Worked at different stages of Software Development Life Cycle (SDLC) with business users, developers, and stakeholders.

●Web Page Mock-Ups using MS Visio and thus defining the Business Process Model and Data Process Model.

●Solid experience with eligibility &enrollment rules (life events), benefit structures and claim processing.

●Involved in open enrollment period

●Involved in HIPAA 834, 820, billing administration, and/or commissions in the health insurance industry.

●Excellent elicitation skills in gathering requirements using tools such as interviewing, probing and brainstorming and also conducting JAD sessions.

●Participate in design walkthroughs and offer constructive feedback. Also, assist the business to understand the design clearly and keep communication open through-out the design phase.

●Successfully used Agile/Scrum Method for gathering requirements and facilitated user stories workshop. Documented User Stories and facilitated Story Point discussions to analyze the level of effort on project specifications.

●Performed GAP Analysis for HIPAA 4010 and 5010 transactions.

●Supported the EDI (x12). Concentrated on 270/271 (eligibility, coverage and benefits)

●In depth knowledge of Medicare and Medicaid.

●Developed training material and trained the users on newly developed application.

●Prepared and presented monthly collection reports.

●Involved in training and quality of the overall workflow process.

●Documenting workflow and results of analysis for the aging accounts.

●Verified the software and applications according to the requirement specifications (SRS) and generated detailed test coverage reports and graphs twice a week.

● Worked on and managed all types of functional change requests in the ‘patient’ module of the application, including defects, enhancements, issues and documentation changes with a flexible workflow process using Quality Center.

●Responsible for logging and tracking the issues in JIRA.

●Creating different types of diagrams (using MS-Visio) & project artifacts such as Scope Document, Gap Analysis Documents, Functional Requirements Documents and Technical Requirements Documents.

●At an individual project level worked cross functionally to define plans and schedule timelines to meet project objectives.

●Analyze various email and reporting patterns and provide them with concrete solution to address the client correspondence effectively.

●Analyzed and worked with HIPAA specific EDI transactions for claims, member enrollment, billing transactions.

Environment: JIRA, AGILE/SCRUM, Rally, MS Office, MS Visio, MS Project, JIRA, Smart Bear, MS Access, Windows XP/2000, Java, SOAP, EXCEL

Client: US Tech Solutions, Hyderabad, India June 2015- Dec 2015

Role: Associate IT Analyst

Responsibilities:

●Analyzed impact of proposed solution across the business, develop use cases to explain/demonstrate business requirements/specifications to IT team, and contribute a business process perspective during design reviews.

●Made a detailed analysis of the existing systems and developed a model to develop a common Fixed Income trading platform with expertise in Fixed Income securities and trading for Fixed Income portfolios. Performed Market risk analysis.

●Software development process involved Agile Methodology.

●Assets & Liability and Liquidity reporting by Preparing and reviewing daily Stress testing reports on ForEx, Fixed Income and Equity Portfolio.

●Prepared BRDs for Consumer loan lending process, ALS Loan Booking Process, Payment Applications.

●Developed tables, Views, Stored Procedures and Triggers using SQL Scripting.

●Established Inner Join, Outer Join and created Indexes whenever necessary.

●Writing Standard SQL queries and optimizing SQL Queries.

●Interacted extensively with business through JAD sessions and one on one interview sessions to write use cases, drawing UML diagrams and designing graphical user interface prototype. Using Gliffy constructed online diagrams and flow charts for SWOT analysis & Wire frames.

●Worked closely with on-site and off-shore team members, resolving issues that surfaced during this stage of the software development lifecycle.

●Applied Iterative Model technique in every stage of the SDLC. Managed the workflow process using SDLC methodology and Iterations.

●Documented reconciling financial data submitted by Servicers and Trustees for a mortgage loan servicing application.

● Prepared Detail Business requirements documents (BRD) and assessment of current OTC derivatives Equity SWAP’S, Interest Rate Derivatives, Interest Rate SWAP’S.

●Extensively used ER (entity relationship) diagrams and performed data modeling.

●Worked with Information Architect to create wire-frames / prototypes of the web based application. Manipulated data using pivot tables, pivot charts and macros.

●Worked directly with senior development engineers to identify areas to focus testing activities, report and track defects and project schedules.

●Helped them wherever they needed. Created test plans on newly boarded loans and produced test plan documentations for newly built applications and modifications.

●Extensively involved in user acceptance testing, performance management and documenting user manual.

Environment: Rational Requisite Pro, Treasury, iRise, Mortgage, credit products, SOAP, HTML, FIXML, XML, Data flux,, Rational Rose, Waterfall, Gliffy, UML, Calypso, SQL, RUP, MS Word, MS Excel, MS PowerPoint, MS-Project, MS SharePoint, Crystal Reports, MS Visio.

Client: VFSTR University, Vadlamudi, India April 2012-Dec 2014

Role: Jr. Network Analyst

Responsibilities:

●Formulated test plans, test scenarios and test cases for core subsystems.

●Interaction with SMEs, understand business needs and determine technical solutions. Identifying use cases, system documentation in the form of written narratives and flowcharts (activity diagrams).

● Assisted in enhancement of training materials for new technology and process improvements.

●Supported IP Network Infrastructure.

●Supported WAN, DNS, DHCP and Proxy server technologies.

●Responding to user questions through calls, emails and correspondence.

●Travelling to local and national sites to complete networking projects.

●Facilitated the productivity growth by involving in creation of cross training documents and processes.

●Monitoring with university’s security policy and reporting security issues.

●Performed packet analysis and involved in identification of malware packets.

●Part of a SME team to gather requirements from the users through interviews and process them along with the technical team.

●Identified and documented best practices for the product offering and provided analytical support and problem resolution for existing customers.

●Assisted quality assurance team in testing different releases and in designing test plans and test cases.

●Responsible for working with the manager and other users and creating Work flow diagrams as per the data analysis.

●Facilitated and attended JAD (Joint Application Development) sessions.

●Provided the IS Developer business solution requirements for application enhancements.

●Prepared and compiled workflows through various process flow diagrams using VISIO.

●Provided helpdesk, systems support, and service to client.

●Managed and supported client projects; annual enrollments, version updates, upgrades, periodic and adhoc requests.

Environment: Rational Requisite Pro, MS Office, Power Point, Excel, Word, UML, Waterfall and Windows 2000, Packet Tracer, AUTOCAD.

Education:

●Bachelors Major in Electronics and Communication Engg. With minors in Humanities and Project Management at VFSTR University.

Certifications: CCNA R/S Certified.



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