KAUSHA AMIN

IT Business Analyst Edison NJ *****

adynpy@r.postjobfree.com

903-***-****

SUMMARY

Over 5 years of industry experience as a Business Analyst with an excellent understanding of Business Requirement Gathering, Business Analysis, Business Process Modeling.

Excellent communication, writing, and presentation skills. Experience working with business users and senior management.

Solid understanding of all phases of Software Development Life Cycle (SDLC) methodology (requirement, analysis, design, data modeling, business process modeling, implementation, and deployment).

Broad knowledge of test plans, test cases, and test scripts from the Requirements Document.

In-depth knowledge of Rational Unified Process (RUP); risk engineering, data modeling, and mapping, and design using UML (Unified Modeling Language), Rational Rose, and Visio.

Experience in interacting with stakeholders like business clients, end-users, vendors, SDLC team, configuration manager, and production team to identify information needs and initiate process change.

Expertise in creating various artifacts like BRDs, Functional Specs, Used Cases, UML Diagrams, Data Mapping Documents, Test Plans, and Test Strategies, pre and post RTMs and Status Weekly Reports, etc.

Expertise in using various tools like Requisite Pro and Microsoft Office for requirement gathering, Quality Center and ClearQuest for Defect Management/Defect Tracking, MS Visio for UML Diagrams, Outlook, and SharePoint for information sharing.

Conducted successful projects with the help of teams to achieve deadlines timely and proficiently.

Created Requirements Traceability Matrix to keep the stakeholders informed of the progress of the project.

Strong expertise in the Health Insurance Claim process, social services, and Medicaid.

Belief in teamwork, dedication, and professional ethics within the working environment.

Extensive experience in conducting Joint Application Development (JAD) sessions for project definition involving analyzing requirements, creating prototypes, user interface, database schema, and system design.

Extensive experience in gathering Business/Functional user requirements, creating Use Cases as per user requirements, developing/designing diagrams such as Activity, Class, and/or Sequence Diagrams, and in addition to creating Business Requirements Documents (BRD).

Organized, goal-oriented, self-starter, and able to master new technologies, manage multiple tasks while following through from start to completion.

Excellent knowledge of HIPAA transaction codes such as 270/271 (inquire/response health care benefits), 276/277 (claim status), 470 (benefit codes), 835 (payment or remittance advice), 837 (health care claim), and 834 (benefit enrollment).

Flexibility in adaptation to a wide range of work environments.

Good in requirement gathering including JAD and requirement analysis.

Extensive experience in working in a customer-oriented environment.

Ability to inculcate new relevant skills with ease in a time-sensitive frame.

EXPERIENCE

Business Analyst Optima Health – Edison NJ March 2021 to Present

As a BA Worked on 834 Re-enrollments/Renewals and Reconciliation of patient encounter data

Performed business research designed to improve business processes and contribute to cost savings and increase efficiency.

Conducted requirement elaboration sessions and documented business requirements and business solutions.

Developed use cases, workflows, screen mock-ups, and conversion requirements.

Analyzed the data and created class diagrams and ER diagrams for designing databases.

Planned and defined Use Cases created Use Case diagrams, Scenarios and Use Case Narratives using the UML methodologies.

Utilized RUP to configure and develop processes, standards, and procedures.

Documented various workflow diagrams like As-Is and To-Be processes.

Used Rational ClearQuest for handling change requests.

Involved in Inception Phase and prepared vision statement and initial data models that contain Business Requirement Documents and supporting documents that contain the essential business elements and detailed definitions.

Executed SQL queries and managed databases.

Performed data mapping and data migration.

Interacted with other team members and participated in daily scrum meetings to ensure all team members were on the same page.

Prepared test cases based on business requirements and business rules for HIPAA EDI Transaction 834, 837, 835.

Involved in processing 834 Files upstream and downstream, identifying Enrollment Scenarios and deriving test scripts from the scenarios, and adjudicating Claims effectively.

Defined a repeatable process that is followed in the early stages of the Concept phase which defines risks and impact of product development.

Performed Data mapping and data modeling and used Canonical data model to map data from X12 834 transactions.

Worked with cross-functional teams to define KPIs for each stage of the Product Development and Release Process.

Worked with functional teams in an Agile environment, analyzed factors and components of systems and processes to manage interrelationships and facilitate change. Detected inefficiencies or conflicts in systems and processes and helps to identify effective improvements.

Business Analyst Charles Schwab Corporation - Remote November 2018 to February 2021

As a BA Conducted weekly meetings for deciding the Policies and Procedures to be followed while constructing new sites.

Created Business Process Mapping Diagrams and Documentation for the process improvement recommendations.

Used MS Visio for flowcharting, Use Case process model, and architectural design of the application.

Implemented the RUP methodology guidelines with its various workflows and artifacts in Requirements Management and Development.

Gathered and documented functional requirements and use cases for automation of operational and administrative business processes.

Provided overall project management of multiple projects; successfully completed on-schedule and on-budget.

Documented the "AS-IS" Business Workflows adhering to UML standards. Conducted JAD sessions to define requirements and finalize the FRD.

Gathered detailed business & technical requirements and participated in the definitions of business rules and data standards.

Identified/documented data sources and transformation rules required to populate and maintain data warehouse content.

Facilitated functional requirement gathering from system users and prepared BRD.

Designed and developed Use Cases, Activity Diagrams, Sequence Diagrams, OOD (Object-oriented Design) using UML and Visio.

Interfaced with team leaders to identify, and analyze the given information, procedures, and decision flows, evaluated existing procedures, methods, and technical documentation. Communicate with executives, managers, and other stakeholders regarding project scope.

Responsible for business process analysis that includes requirements facilitation, definition & analysis, alternatives, software selection, prototyping, business process design, and mapping.

Maintained a Traceability Matrix to ensure that all functional requirements are addressed at the use case level as well as the test case level.

Involved in identifying use cases, actors, and writing use case narratives. Created use case diagrams and activity diagrams using MS Visio.

Conducted meetings and JAD sessions for project definition, resource identifications, and deliverable prototype identification.

Interfaced with Developers, Analysts, Customers, and Project Managers to discuss requirements and recommended solutions, to help resolve issues.

Substantial role in the process definitions and business and functional requirements gathering to develop a practical technology solution for automating sales methodology.

EDUCATION

B. Pharm + MBA (Narsee Monee Institute of Management Studies (NMIMS))

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