AnnieAwan

IT Business Analyst I Dallas TX

Email – advamg@r.postjobfree.com Phone 817-***-****

PROFFESSIONAL SUMMARY

• 7 Years of industry experience as a Business Analyst with thorough understanding of business requirements gathering, business analysis, and business process re-engineering with proven ability to articulate business values with expertise in Healthcare Industries

• Served as a liaison between IT and the Business to help understand key business processes, business data and requirements, as well as analyzed processes for technology service solutions

• Planned and defined system requirements to narrative use cases and use case scenarios using the UML methodologies. Created UML Diagrams like use case diagrams and activity diagrams using MS Visio.

• Responsible for conducting JAD Sessions with different IT group department managers and refining the requirements

• Experience working with Agile using tools like VersionOne and JIRA

• Assessed scope and impact of business needs throughout analysis and completion of all enhance11_1ent specifications using detailed knowledge of application features and functions.

• Directed and managed the Change Control process for the project by facilitating group meetings, one-on one interviews and correspondence through emails with work stream owners to discuss the impact of change request on the project.

• Conducted JAD Sessions periodically with internal teams at various phases of the Software

Development Life Cycle (SDLC) to discuss open issues with the application and to help resolve them

• Expertise in writing and implementing test scenarios, test cases and maintaining Traceability Matrices for baseline documents

• In-depth knowledge of Software Development Life Cycle (SDLC) methodologies and extensive experience in Waterfall and Agile (Scrum) methodologies

• Efficient in reformulating strategies through Change Management, Release Management and Process improvements

• Involved in deliver) of projects in production environment with release engineers

• Expertise in gathering, analyzing, and documenting business requirements and developing Business

Requirement Documents (BRD) and Functional Requirement Specifications (FRD)

• Worked extensively with SMEs in understanding and documenting requirements

• Expertise in Unified Modelling Language in designing and developing use cases and business flow diagrams

• Experience in conducting in-depth Root-Cause Analysis, GAP Analysis, and SWOT Analysis to derive requirements for existing system enhancements and to check the compatibility of the existing system infrastructure with the new business requirements

• Analyzed user problems, including automated and manual business processes and identified, researched, investigated, defined, and documented business processes

• Developed SQL Queries to fetch data from different tables in remote databases using joins and formatted the results into reports

• Worked on functionality testing, tracking the defects, and preparing the defect reports using HP Quality Centre

• Worked with test managers to interact with clients to present future functionality of the application and gathered information from them to understand their needs

• Worked closely with the application development team, design team, and testing team to resolve technical issues and interacted with them to ensure overall quality of the software

• Expertise in detailing user stories from Product Backlog, Sprint Backlog and clear understanding of Burndown charts

TECHNICAL EXPERTISE

Modelling Tools - UML, MS Visio, Rational Rose, MS Project

Concepts - SDLC (RUP, Agile/Scrum, Waterfall); Change Management; Cost-Benefit; Six-Sigma,

Quality and Risk Management (QRM), QA, QC

Applications/Project Management/ Version control - MS Team Foundation Server (TFS), JIRA, SharePoint,

MS Teams, Project, Requisite Pro, Clear Quest, Clear Case, VersionOne

Bl Tools - Advanced Excel, Power Pivot

Change Management - Clear Case, SharePoint

WORK EXPERIENCE

Global Health - Tulsa Oklahoma

Business Analyst

Mar 2019-2022

●Prepared the Business Requirement Document (BRD) and ensured that technical delivery team has full understanding of business goals and objectives as stated in the requirements

●Created and Updated Issues (Epic, Stories and Tasks) using JIRA

●Guided the development teams to breakdown large and complex user stories into simplified versions for executions

●Actively involved in designing EDI transactions using the new HIPAA version and analyzing HIPAA compliance and EDI transactions

●Maintained close interaction between business users and developers to avoid any gaps in understanding requirements that could hinder implementation

●Analyzed and documented system release/deployment issues as per version management, backward compatibility, and load balancing of components in production environment

●Performed data analysis and impact analysis for changing requirements and coordinated with business users for prioritizing the testing/release of the changes

●Worked with Data Analysts and HIM's and assisted in creating data mapping and maintaining data interface documents to keep the documents up to date with changes in requirements and functional

Specifications

●Assisted in the design and implementation of test cases for testing the web portal of New MMIS system and assisted in the User Acceptance testing (UAT)

●Hands on experience with various sub-systems of MMIS - provider subsystem, claims subsystem, reference subsystem and recipient subsystem

●Experience in claims processing subsystem - enrolment and eligibility verification for recipients and providers, claims processing, claims pricing, claims adjudication, payment scheduling, and claims reporting.

●Maintained Requirement Traceability Matrix (RTM) to make sure that all the requirements are covered in test cases

●Developed use case diagrams, activity diagrams and system design diagrams

●Conducted GAP Analysis by creating process flows highlighting the differences between the current

●(As-ls) environment versus the target (To-Be) environment

●Documented Sprint Backlog to manage User Stories

●Participated in Sprint Planning, Daily Scrums, Sprint Reviews and Retrospective

●Processed Medicaid claims and worked on X12 format of EDI 837 for Medicaid claims

●Test the user stories for accuracy to ensure undisputed acceptance and validating stories

●Created authorizations and attached them to medical claims for payments, entered demographics, and verified insurance

Environment: Windows XP, SQL, MS-Visio, UML, Agile SCRUM, JIRA

StratiFi Health - Plano, TX

Business Systems Analyst

October 2016- February 2018

• Involved in all phases of software development life cycle (SDLC) in RUP framework

• Analyzed current billing and claims data using existing BRD's

• Provided input to the HEDIS system that used Quality Compass to provide a selection base for various healthcare plans.

• Performed data analysis using SQL on various source systems including Oracle and SQL Server

• Performed daily validation of batch files for Enrolment, Billing, and discussing error with internal and external parties

• Experience working with Facets Application Groups: Claims Processing, Guided Benefit

Configuration, Medical Plan, Provider, Subscriber/Member, Utilization Management

• Worked on HIPPA compliance and knowledge of Medicare (Parts A, 8, C, D) & Medicaid, FACETS,

EDI, HL-7, CPT and ICD-10 codes.

• Worked on EDI transactions: 270, 271, 834, 835, and 837 (P.I.D) to identify key data set elements for designated record set. Interacted with Claims, Payments and Enrolment departments for analyzing and documenting business processes.

• Defined and developed specs for federal reporting specific to Medicare Advantage

• Worked closely and collaboratively with other team Business Analysts, System Architects, Data

Architects, Development team, and QA team to clearly articulate the defined requirements

Environment: Agile Scrum, JIRA, MS Office (Outlook, Word, Excel, Visio, Access, etc.), MS SharePoint

MISD - Mansfield Independent School

Substitute Teacher

August 2013 - 2016

. Working with kids

. Meeting parents

BIG Lots

ASSASSIN'S MANAGER

JANUARY 2010 - 2012

. Dealing with customers

. Handling Cash registers

EDUCATION

• Associates in Arts (Tarrant County College)

●

Contact this candidate