Mahesh K.S

# **, *** *****, *** ******* Layout,

Kodigehalli, Bangalore.

Mobile: 961*******

E-Mail: adhobc@r.postjobfree.com

Objective

Qualified Business Analyst/Product Analyst with more than 14 years of experience in the IT field. Extremely observant and detail-oriented. Highly organized with the ability to keep accurate records and manage time wisely. Comfortable working alone or as a group. Strong leadership skills are an asset to any company.

Professional Summary

Overall 14+ years of experience in the software development

As a Product Analyst have 4+ years of experience in the Product Management

As a Business Analyst have 10+ years of strong knowledge in Health Care domain

Exposure to US HealthCare Domain (Population Care Management System)

Exposure to Hospital Management System

Exposure to Human Resource Management & Staffing

Exposure to Retail Chain Management (Sales & Purchase)

Exposure to Agile Methodology - Scrum

Effective communication skills, good analytical abilities and zeal in learning new tools

Good exposure in documentation and Project Reports (Jira and Visio)

Exposure to MS-SQLServer Database

Exposure to Data Analytics

Have US B1 Visa

Professional Experience:

Organization

Designation

Duration

Cerner

Manager Lead Solution Designer

Sep-2019 to till date

ZeOmega

Sr. Business Analyst

August-2011 to Sep-2019

Arctern

Business-Analyst

April-2010 to July-2011

SourceEdge Software Technologies

Functional-Analyst

June-2006 to April-2010

Responsibilities

Primary owner of the Product/Clients for new, enhancements / modifications and Support of the cerner pop health Application

Understanding the new / modified requirements Participating in requirements prioritization

Participating in requirements prioritization

Participating in testing of product releases to ensure that the requirements were interpreted correctly

Managing requirements traceability information and tracking requirements status throughout the project

Identify ways to assist product management in product planning through requirements development and analysis. Propose new product features and updates

Creating and maintaining release notes, user guides and training materials

Training and helping end-users in adapting to new solutions

Assisting Sales and Demo team

Documenting process workflow using Business Process modeling tools such as Visio

Technical & Managerial Skills

Run effective meetings

Active listening skills

Conduct formal and informal presentations

Write clear emails, memos, and status reports

Have used Balsamic tool for Mockup and Jira for tracking requirements

Certification

Certification on Core Business Analysis from ESI International

Certification on How to Gather and Document User Requirement

Certification on the Product Management and Engineering

Certification on Agile Scrum process

Training

Have undergone Training on Agile Estimation and Planning

Have Undergone Training on Core Business Analysis from ESI

Have Undergone Training on How to Gather and Document User Requirement from ESI

Have Undergone Training on Microsoft Dynamics - Navision (Trade & Inventory)

Have attended BA conference held at Thought works and Christ University

Educational Background: B.E (Computer Science), Year 2002, PESIT, Bangalore.

Projects related to Health Care

Cerner

Product: HealtheIntent (Population Health Management)

Duration: Sep-2019 to till date

Reference: Varied

Team Size: 15

Cerner HealtheIntent is a cloud-based, programmable population health management platform that is vendor-agnostic, which means it can receive data from any EHR, existing HIT system and other data sources, such as pharmacy benefits managers or insurance claims.

The near real-time platform enables health care systems to aggregate, transform and reconcile data across the continuum of care, creating a longitudinal health record for individual members of the population that the organization is held accountable for. It enables organizations to identify, score and predict the risks of individual patients, allowing them to match the right care programs to the right individuals, and helps to improve outcomes and lower costs for health and care.

Modules Derived: Healthe Registries and Analytics

The following are the registries included:

Chronic disease registries, including Atrial fibrillation, Asthma, COPD, Depression, Diabetes, Heart failure, Hepatitis C, Lipid Management, Hypertension, IVD/CAD, Chronic Kidney disease, Rheumatoid arthritis

Cancer registries, including Breast cancer, Colon cancer, Leukemia, Prostate, Myelodysplastic syndrome

Acute condition registries, including Ambulatory urgent care, Back pain

Wellness registries, including Adult wellness, Adolescent wellness, Childhood wellness, Children w/ medical complexity, Maternity, Senior wellness

Contribution: As a Manager I was involved in

Maintenance of requirements in the Jira (Wiki)

Requirements planning and participating in Requirements Prioritization meeting

Interacting with the Clinicians/Clients to gather the requirements

Involved in all requirement gathering and impact analysis activities.

Reviewing the Client Requirements and Business Specifications, analyzing the impacts and feasibility.

Documenting the requirements in the form of User scenarios

Design Process Diagram, Activity Diagram, Use Cases, end to end data flow and also preparing the screen mockups.

Involving in the estimates

Involvement in Root Cause Analysis meetings

Managing the team and addressing the team issues

Documentation and knowledge sharing sessions across teams

Interacting with the developers to make them understand the requirements

Identification and review of Test Cases

Zeomega:

Product 1: Jiva (Care Management System)

Duration: Aug-11 to Sep-2019

Reference: Varied

Team Size: 10

Jiva, integrated care management solution transforms traditional episodic-based care management into proactive and collaborative population healthcare management through electronic health record (EHR) enabled care plans, point of care tools, decision support, and user-configurable workflows for care management. Portal services connect stakeholders for a collaborative process. This web-based care management application is built using AJAX based-web technology. Jiva's modular design allows companies to easily configure the tool for Medicare, Medicaid and commercial line of business. Jiva is HIPAA and ICD-10CM/PCS compliant.

Jiva revolutionizes care management by delivering real time rules-driven workflow application that promotes transparency between Utilization Management, Care Management and Disease Management functions.

Embedded clinical analytics to stratify the population risk, identify gaps in care, and deliver personalized care plans.

Integrated workflow for health, wellness and lifestyle support programs complemented by content from health risk assessments and clinical protocols and business rules.

Modules Derived:

Case Management

Case management is a collaborative process of assessment, planning, facilitation, care coordination, evaluation, and advocacy for options and services to meet an individual’s and family’s comprehensive health needs through communication and available resources to promote quality cost-effective outcomes.

Disease Management

Disease Management is a system of coordinated healthcare interventions and communications for populations with conditions in which patient self-care efforts are significant

Utilization Management

UM is the evaluation of the medical necessity, appropriateness, and efficiency of the use of health care services, procedures, and facilities under the provisions of the applicable health benefits plan; sometimes called “utilization review.”

Assessments and Sentinel

SRE is rules-based expert system that transforms the medical management process from being a passive workflow into an active intelligent solution. SRE is an events processing or reactive rules engine which mimics the event driven care management model. It is based on the Event Condition Action (ECA) paradigm.SRE detects sentinel events and prevents process errors and missed opportunities. In addition, the SRE also implements rules-based predictive models.

The following Clinical packages were derived with the help of the Clinicians:

1) Disease Management Algorithms - Disease Management Identification (DMID) Ruleset in Jiva can reliably identify and systematically categorize the population that is either at high-risk of developing chronic conditions or are currently not being well-managed through the claims data (ICD9 and CPT codes). Enrolled populations can be proactively identified and managed through clinical criteria and risk assessment.

Example: Disease management algorithm to identify members who are Diabetic

2) Assessments - A clinical assessment is a documented process that is used to evaluate, diagnose, and treat individuals. The results also can be used to improve the health and productivity of individuals through the proper care plans. These assessments provide results that only take into account the individual that is being evaluated, rather than evaluating individuals based on data that is compiled from multiple sources.

Example: Diabetes, Asthma, HF, CKD, COPD, Cancer, Pregnancy, Hypertension etc.

3) Gaps In Care measures: Gaps in Care program uses health insurance claims based on the Diagnosis and procedure codes to identify members who have missed opportunities to receive recommended medical care. Information about these opportunities is notified to the member and nurse to resolve. This analysis evaluates the improvement in clinical compliance and associated cost savings delivered by the Gaps in Care program.

Example: HEDIS GIC measures for Diabetes to identify complaint and non-complaint members

4) MCG/IQC/Healthwise: worked on the integration with the third-party tools for auto approvals and sending the education materials to members based on the disease conditions

5) Cost and Utilization Monitors: High Cost Claimant use clinical guidelines to identify and manage High Cost members. Clinical history that manifests through claims is captured to identify the members. Members are qualified for Cost & Utilization Monitors by the presence of total claim amount => 50,000$ in last one year and presence of specific disease conditions. Early detection of High Cost Claimant helps members to manage effectively. It will prevent future high cost claims.

6) Never Events: Never events are inexcusable actions in a health care setting, the "kind of mistake that should never happen". They are defined as "adverse events that are serious, largely preventable, and of concern to both the public and health care providers for the purpose of public accountability.

Example: Surgery performed on the wrong body part

7) Complex Case Management: These use clinical guidelines to identify and manage complex case members. Clinical history that manifests through claims is captured to identify the members. Members are qualified for complex case management initially by the presence of specific disease conditions and followed by identification for high risk members among those qualified as CCM.

Example: Members with multiple chronic conditions or complex conditions are identified through claims from Reference Table

Contribution: As a Business Analyst I was involved in

Maintenance of requirements in the Jira (BRD and FRS)

Participating in Requirements Prioritization meeting

Interacting with the Clinicians/Clients to gather the requirements

Involved in all requirement gathering and impact analysis activities.

Reviewing the Client Requirements and Business Specifications, analyzing the impacts and feasibility.

Documenting the requirements in the form of User Stories/Usecases

Design Process Diagram, Activity Diagram, Use Cases, end to end data flow and also preparing the screen mock ups.

Configuring the tool to reflect the features based on the line of business Medicare, Medicaid and commercial plans

ICD9/10 conversions

Involved in NCQA process

Review the application structure and database design with development and testing teams.

Interacting and follow-up with Stakeholders to get the some sample data and understand the source data and get clarification if any

Interacting with the developers to make them understand the requirements

Identification and review of Test Cases

Provide the support to users during UAT and also providing the Root Cause of a particular issue

Creating and maintaining release notes, user guides and training materials

Training and helping end-users in adapting to new solutions

Responding to the daily issues raised by the stake holders

Facilitate effective and timely product backlog and release plans

Product 2: Hospital Information System

Duration: Nov-09 to March -10

Environment: Visual Studio 2005, C#.net, Sql 2005

Team Size: 6

Description: The HMT Hospital Management system takes care of HMT employees and other Patients in general. They also have tied up contract with customers like ISRO, Tata Housing, and BMRCL etc. HMT Hospital Management System can be broadly classified into following Modules: -

Modules Derived:

1. Patient Registration & Billing

This module takes care of complete Patient Registration and Reception Enquiries. Reception is the first point of interaction for anybody coming to the Hospital. It has all the information of the patients, doctors, departments and activities of the Hospital. All enquiries and appointments are scheduled through this module. All information available here are in real time and any enquiry about the patient status, Room Status, Doctors availability or tariff's for various services is on actual status since the data is constantly updated.

2. Administration

This Module helps in handling the overall activities of the Hospital. This helps in creating various Users and their Roles. The consultant Doctors Timing can be scheduled, and various rate lists can be created. This also helps in setting various Rates for Contract Clients for Surgery, Consultation, OPD and Other rates List.

3. Stores Inventory

This module deals with the inventory of all Hospital Equipments, Materials, Consumables, and Medicines in different departments of the hospital along with their purchase and supplier details. Requisitions for different items/equipment are sent to this store from different departments and accordingly the Central Store issues items/equipment to various departments and generate purchase orders for purchases.

4. Accounts

This module describes the overall accounts payables and receivables. This gives the description of payments made towards the consulting doctors and vendors. This covers the receipts from the customers. This also covers general payments and general receipts apart from the hospital activities.

5. Ward Management

This module deals with the overall activities of the Ward. The In-Patient medical records treated by the Nurses and Doctor are maintained. The Statement of medicines used in the ward is maintained and updated for Accounts for final billing. It also covers the Inventory which is received form stores and issued to Patients.

6. Casualty Management

This is an emergency department in the Hospital and covers all the activities of the casualty. The Patients are admitted in Casualty in case of emergency and later will be shifted to Wards. The Patients based on the Prescription given by the Doctor and the Payment receipt comes here for taking Injection, Dressing, POP, strapping etc. It also covers the Inventory which is received form stores and issued to Patients.

7. OT Management

This module deals with OT activities. Detailed breakup of operation charges, OT consumables, anesthetist charges, Operation details etc are recorded separately and updated to Accounts for Billing. This also covers the maintenance of Linen Accounts (washing of Cloths) and Gas Cylinders. A mini inventory will be maintained, and stock register will be updated based on the procurement from stores and issue to patients. This module comprises of the following components

8. Laboratory Management

This module deals with the investigation reports of the Patients. The Lab Tech will perform the test based on the prescription given by the doctor. The Investigation reports will be generated and submitted to the Doctor for further action. This also contains a mini Inventory where materials will be procured from the Stores and will be used for the Testing purpose.

Contribution: As a Business Analyst I was involved in

Client Interaction for Information Gathering.

Deriving As Is and To Be process

Gap Fit analysis

Preparation of Data Model – Use case and Activity diagrams

Deriving BRD

Identification of Test Cases

Implementation

UAT and Training

Interacting and follow-up with Customer to get some sample data and understand the source data and get clarification if any

Preparation of the draft Report templates and get signoff from the business user

Projects related to Human Resource Management System

Project 1: Arctern Information Management System (AIMS)

Duration: May-10 to July-11

Environment: Visual Studio 2005, C#.net, Sql 2005(Web Application)

Team Size: 10

Description: The “Arctern Information Management system” comprises of a series of web applications geared up towards automating critical business processes, tracking events and activities, capturing data relevant to crucial business functions, report on key business performance indicators and provide mechanisms for interdepartmental interactions with the right amount of checks & balances in place. The main components of the AIM system are as follows:

1. AIM Portal: This is a Web Application that manages all necessary Information and data pertaining to the business entity and it’s over all process. It also functions as a self service Portal for many Employee related activities like Leave tracking, Loan, Attendance tracking etc. In addition to this it functions as a backend system to store all necessary data elements and provide data Interfaces to other software systems like the Alert system, Hire craft, MS Navision etc.

2. Alert system: This Module is geared towards sending notification to preconfigured stakeholders based on the events and activities that takes place within the Business process.

Modules Derived:

1.Human Resource

This module of the AIM Portal contains various functionalities which includes Employee Personal details, Attendance, Leave, Loan & Separations. The employee has an option to apply for leave & Loan and request approvals from his/her manager.

Employee Personal details

Employee Clock In/Out

Attendance Tracking

Leaves

Loans

Employee Separation

Exit Interview

2.Recruitment

3.Payroll

4.Transport

5.Help Desk

Contribution: As a Business Analyst I was involved in

Maintenance of Product Backlog

Participating in Requirements Prioritization meeting

Documenting the requirements in the form of User Stories

Interacting and follow-up with Stakeholders to get the some sample data and understand the source data and get clarification if any

Interacting with the developers to make them understand the requirements

Identification and review of Test Cases

Participating with Stake holders for UAT

Creating and maintaining release notes, user guides and training materials

Training and helping end-users in adapting to new solutions

Responding to the daily issues raised by the stake holders

Facilitate effective and timely product backlog and release plans

Project 2: PayEdge (HRMS Product)

Reference1: www.namdhariseeds.com

Duration: Jan-09 to May-09

Description: Namdhari Seeds ranked as "Number One” in Production of Vegetable Crops.

The New varieties in different vegetable crops have set new standards and trends among the growers and consumers. Hybrids developed by Namdhari Seeds in tomatoes, watermelons and melons continue to dominate the market. They have also achieved considerable success in International market.

Reference2: http://Vetcareindia.com

Duration: August-08 to Dec-2008

Description: Tetragon Chemie Pvt. Limited is popularly known as VETCARE. It has ranked as "Number One" Animal Health and Nutrition Company is celebrating its 25 years, has recorded a turnover of Rs. 2080 million (42.91 million USD) by Manufacturing and Exporting Veterinary Pharmaceutical products.The name stands for Innovation, Customer Satisfaction and Technology Transfer in the farming community. VETCARE follows the tradition of Innovation and has several "firsts" in its milestones of growth for the last 25 years in Poultry, Small and large animals and Aquaculture.

This Project consists of the following Modules:

Loan Management

Leave Management

Income Tax

Payroll

Recruitment

Appraisal

Team Size: 5

Contribution: As a Business Analyst I was involved in

Client Interaction for Information Gathering.

Deriving As Is and To Be process

Gap Fit analysis

Preparation of Data Model – Use case,Activity,Sequence Diagram

Deriving BRD

Identification of Test Cases

Implementation

UAT and Training

Interacting and follow-up with Customer to get the some sample data and understand the source data and get clarification if any

Preparation of the draft Report templates and get signoff from the business user

Projects related to Logistics and Retail Management

Project 3: Logistics Management (Deluxe Road Lines)

Reference: http://deluxeroadlines.com

Duration: Feb-07 to Dec-07

Environment: Visual Studio 2005, C#.net, Sql 2005

Team Size: 5

Description: Deluxe Roadlines is one of the leading freight forwarders in the field of Logistics (Transportation), more than four decades. The area is spread all over India. They have their own fleet and well-experienced field staff. They are in the transport trade since 31 years. They have maintained their reputation as one of the fastest transporters. They provide value added services such as Storage Facility (Ware Housing), Time Bound Deliveries and Door To Door Services. This Project consists of the following Modules:

Finance(Payments,Receipts,JV,Debit,Credit)

Operations(Goods consignment,TripSheet,Delivery)

Warehouse (Goods Allocation)

Transhipment

Data Synchronization

Administration

Contribution: As a Business Analyst I was involved in

Client Interaction for Information Gathering.

Deriving As Is and To Be process

Gap Fit analysis

Preparation of Data Model – Use case,Activity,Sequence Diagram

Deriving BRD

Identification of Test Cases

Implementation

UAT and Training

Interacting and follow-up with Customer to get the some sample data and understand the source data and get clarification if any

Preparation of the draft Report templates and get signoff from the business user

Project 4: Retail Management (Sapna Book House)

Reference: http://sapna.com

Duration: June -09 to till date

Environment: Visual Studio 2005, C#.net, Sql 2005

Team Size: 5

Description: Sapna - India’s largest showroom for books is anchored in the heart of Bangalore - India’s Silicon Valley. Spread across 40,000 sq.ft the showroom caters to information, education and entertainment products. There are products for every possible book buyer. Books for general reading, management, sciences, textbooks for graduate courses and competitive exams, engineering, computer and medicine, enticing collection of children’s books and Sapna showcases all of them. It has branches in Sadashivnagar, Jaynagar & other elite areas of Bangalore that has helped Sapna to touch even greater heights.

This Project consists of the following Modules:

Finance

Sales

Purchase

Inventory

Warehouse

POS

Contribution: As a Business Analyst I was involved in

Client Interaction for Information Gathering.

Deriving As Is and To Be process

Gap Fit analysis

Preparation of Data Model – Use case,Activity,Sequence Diagram

Deriving BRD

Identification of Test Cases

Implementation

UAT and Training

Interacting and follow-up with Customer to get the some sample data and understand the source data and get clarification if any

Preparation of the draft Report templates and get signoff from the business user

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