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Business Analyst System

Location:
Edison, NJ
Posted:
April 10, 2023

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Resume:

CONTACT Shalu Gupta

Phone

732-***-****

PROFESSIONAL EXPERIENCE

Email

**********@*****.***

Product Owner

Capgemini

Managing a $10M portfolio of projects, which included Re-engineered legacy business processes and implement client’s future state applications, identifying common reusable process/frameworks by conducting simplification and synchronization exercise, and other dependencies across multiple projects for 3 large Healthcare clients( BCBS, Metlife, Liberty Mutual) Mar 2019 – PRESENT

PROFESSIONAL SUMMARY

Strategic and result driven Product

owner/Lead Business system analyst

with 13+ years of broad-based

experience in business operation,

account management, client relations

and new business development across

various domains such as Healthcare,

Insurance, Pharmaceutical and Clinical

domain. Recognized as a visionary and

creative thinker with strong analytical

skills adept at conceptualize solutions

that align advance analytics with

business strategy to meet the business

objectives with acceptable level of risk.

Equipped with strong communication

skill, work ethics and possess strong

sense of leadership and commendable

level of accomplishment

Managing overall requirements of projects and successfully delivering results on-time and within budget.

Conducted business process analysis and identify critical issues and gap for established organization process.

Involvement in Program and Portfolio level/Large Scale SAFe implementation. Developed road map for short- and long-term work, manage prioritization and monitor the work to meet objectives.

Lead the project for digital transformation of the forms, moved from legacy system to a Customer Communication Management (CCM) Tool called Quadient Inspire.

Managed the project where Fineos platform (Industry leading insurance product) was used to serve customers under the Disability program. Integrated the Fineos web services with MetLife (mapping the data fields to entities) and creating new eforms in Fineos.

Worked on SDOH(Social determinants of Health) project has a new program called Education Works.

Lead the effort for creating a new company called Braven health where Horizon and Hackensack Meridian Health came together to provide health care Insurance for Medicare Advantage customers.

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 Enrollment hence analyzing and documenting related business processes.

Work with stakeholders to design the road map and measure the production values ensuring cost effective processes.

Worked with subject matter experts and managers to design advanced analytics analysis that supports energy delivery and applying the appropriate statistically modelling techniques utilizing various platforms and applications to store data.

Conducted risk analysis and mitigation, identifying business impacts, and determining lasting solutions. .

Product Owner/Lead Business analyst April 2012 – Feb 2019 Cognizant

CORE COMPETENCIES

AND TECHINICAL SKILLS

Data gathering and analysis

Business process improvement

Strategic and Business planning

Statistical method and Techniques

Communication Strategies

Risk analysis and Decision making

Agile Methodologies (CSM,CSPO)

Critical and Analytical thinking

Cross- Functional Collaboration

Product Development

Technology Integration

Gap Analysis

BPM tools: Pega, IBM Blue works

Program Management tools: safe

Agile, Scrum, Kanban, Smartsheet, MS

Visio, MS Project, MS PowerPoint,

SharePoint, JIRA, Confluence.

Developed business plan, determine key performance indicators((KPI) and coordinate the measurement result.

Lead the Specialty Transformation project which included removing redundancy and optimizing by segregation of duties between various systems, Limit or Remove batch jobs, move toward real-time event driven and Real- time system to system feedback loop.

Worked as Board member for SOA governance.

Conducted evaluation of organization’s workflow, implemented process improvement on Microsoft SharePoint to optimize internal processes and to determine cost drivers in processes using detailed methodologies. Lead the group which was involved in Data discovery were we analyzed the data from various legacy Source system (EPIC, ECW, PRISM) which included Payer, Billing, Medical (Claims, Encounter), Pharmacy claims, Lab Claims and Member Eligibility etc to rebuild into new system(Patient Encounter Profile-PEP), CERTIFICATION

Pega Certified Business Architect (CBA).

CSM and CSPO

Qualified National Eligibility Test for

Junior Research Fellowship conducted

University Grants Commission (UGC),

Govt. of India.

Oversaw multiple client implementation projects. Managed company’s initiative to replace their legacy system with a more efficient cloud-based product that resulted in enhanced customer experience, better data management, reporting and analysis of the data (Express Scripts and Horizon BCBS of New Jersey, Emblem Health, Mount Saini Hospital)

Business Analyst

Parexel International, MA

Business Analyst for a large global Clinical Research Organization (CRO) in Medical Imaging division.

March 2011 – Mar 2012

Facilitated kick-off meetings and requirement gathering sessions for business, technical and functional requirements.

Wrote user stories and their acceptance criteria, developed process flow diagrams, wireframes throughout the Agile process. Prepared documentation and assured compliance with all applicable GCP, FDA/EMA regulations, 21 CFR part 11 and SOPs.

Prepared weekly project reports for upper management Managed relationships with cross-functional team members to promote understanding.

Conducted periodic application walkthroughs with all the stakeholders Business Analyst

BJC HEALTH CARE, MO

Feb 2010 – Jan 2011

EDUCATION

Post Graduate Diploma

Business Studies and Information Technology, India Master of Science

University of Delhi, India

Bachelor of Science

University of Delhi, India

Technically managed the new platform development and data migration of technology assets from their legacy tool.

Managed Daily Scrums and offered necessary support throughout agile life cycle- from Product backlog prioritization to Sprint planning, execution, and Sprint retrospection.

Led the development of a new API product that allowed vendors to integrate their existing systems with our platform, reducing integration time by 50% Mitigated risk by identifying, escalating, and resolving issues across multiple delivery groups and/or projects.

Led process improvement initiatives resulting in reducing overall operational cost.



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