Business Analyst Software Development

Nahidul Islam

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

929-***-****

CAREER SUMMARY

●With over 7 years of expertise as a seasoned Business Analyst within the dynamic Healthcare Industry, I have cultivated a profound understanding of software development methodologies, prominently Agile/SCRUM AGILE, and adeptly applied project management principles. My skill set extends to validating acceptance criteria for user stories in collaboration with product owners, ensuring precision and alignment with project objectives.

●Developed modern web applications using MEAN / MERN Stack (MongoDB, Express, Angular/React.js, Node), User experience design and development.

●Website’s remediation to make websites GDPR-CCPA compliant.

●Data modeler with strong conceptual, logical and physical Data modeling skill, Data profiling skills, Maintaining Data quality, experience with JAD sessions for requirement gathering, creating data mapping documents, writing functional specifications, queries.

●Attended PI planning meetings and hosted read outs for future plans and sprints for the new PI.

●Extensive in project planning tracking, meeting deadlines, JAD sessions, conducting sprint meetings etc,.

●Created QA test plans, test cases for functional, Integration testing and participated in UAT.

●Gathered requirements and created BRD/DMD (data mapping documents) documents for API documentation.

●Wrote User Guide for business owners providing remediation to be implemented for CCA compliance.

●Configured the DNS and DSAR workflows, created and implemented webforms, and configured workflows.

●Scanned websites and classified cookies. Implemented Cookie Consent tool with dual behavior: GDPR and CCA using Geo-Policy templates.

●Hands-on experience with wire management platforms, facilitating real-time tracking, validation, and exception handling of wire transfers.

●Expert in implementation insurance Technology solutions like Guidewire includes Personal P&C and Commercial Automobile Product knowledge with in - depth knowledge in the Underwriting, policy administration, PolicyCenter, ClaimCenter BillingCenter, Data Warehouse, Rating, Reinsurance and Claims process.

●Proficient in end-to-end payment processing, including initiation, validation, settlement, and reconciliation of domestic and international wire payments.

●Strong understanding and practical application of SWIFT message formats, including:

●MT1XX: Customer payments and cheques (e.g., MT103 for single customer credit transfer).

●MT2XX: Financial institution transfers (e.g., MT202 for bank-to-bank payments, MT202 COV for cover payments).

●MT9XX: Cash management and customer status messages (e.g., MT940 for account statements, MT950 for confirmation of entries).

●Experience with configuring and interpreting SWIFT messages to support transaction transparency and compliance with global banking standards.

●Collaborated with cross-functional teams to ensure seamless integration of payment processing systems with internal financial platforms and external banking networks.

●Familiar with compliance requirements related to wire transfers, such as AML, OFAC screening, and regulatory reporting.

●Experienced in Providing complete Assumed and ceded Reinsurance processing of pro-rata and excess of loss.

●O In-depth knowledge of USA Property & Casualty Insurance Market, Reinsurance market, Large Account Risk Pricing Tools, Business reporting (both Facultative and Treaty), Ceded - Assumed, Retro Business, Reinsurance Accounting, CAT Bonds, ART (Alternative Risk Transfer) Tools.

●Knowledge in Underwriting, Policy Administration, PolicyCenter, ClaimCenter, BillingCenter, Data Warehouse, Rating, Reinsurance and Claims process.

●Accomplished professional with diverse business analysis, quality assurance, financial reporting, insurance, and reinsurance experience in search of next challenge.

●Experience in Reporting and addressing various Insurance industry

●Worked on Commercial lines P&C Insurance including both policy and claims processing and reinsurance.

●Managed the implementation of Image Right (a paperless solution) for the Reinsurance Claims Division -- oversaw and planned the "Go Live" process training.

●Analyzed and documented Reinsurance Claims, Billing Collections, and accounting modules of the application.

●Proficiency in crafting comprehensive use case scenarios has been a cornerstone of my role, leveraging tools such as Rational Requisite Pro and JAWA, Wrike, JIRA/Confluence, and adhering to the Software Development Life Cycle (SDLC) methodology. This includes a nuanced grasp of MS Visio, UML, Rational Rose, MS Access, SQL, and Data Warehousing, constituting a robust toolkit for application design and development.

●Within the realm of healthcare data standards, I am well-versed in HIPAA EDI transactions (834, 835, 837, 276, 277), demonstrating a commitment to compliance and data integrity. Furthermore, my extensive knowledge encompasses MITA, Claims, and Pharmacy Benefit Management (PBM), contributing to a holistic understanding of the industry landscape.

●In the context of application testing, I have meticulously developed test cases for Unit Testing, Regression Testing, and User Acceptance Testing (UAT), reinforcing the quality assurance process. My commitment to agility is evident in my proactive efforts to support the application of Scrum and Agile methodologies throughout the application development lifecycle.

●Analyzing skills are a forte, particularly in Claims Migration Projects, Due Diligence, and scrutinizing RFPs from vendors and PBM's. I bring valuable insights and strategic vision to the development of Data Warehouses, proficiently performing data analysis and mapping from Operational Data Store to Enterprise Data Warehouse.

●Database creation and structuring on SQL and Sybase servers, coupled with expertise in diverse technologies, including Microsoft Project, MS Excel, MS Access, and MS Visio, underscore my technical versatility. My documentation prowess shines through in the creation of User Stories, Use Case Documents (USD), Business Requirement Documents (BRD), and Functional Requirement Documents (FRD).

●Adept at Unified Modeling Language (UML) and Rational Unified Process (RUP), I have seamlessly integrated Rational tools such as Requisite Pro, Rose, and SODA into my workflow. My role extends beyond documentation and analysis to facilitating organized user acceptance tests (UAT) and bridging communication

between users and development teams, offering insightful recommendations for Application Change Requests (ACR).

●Finally, my extensive experience in process modeling using UML, flow charts, system data flow, task diagrams, sequence, data mapping, and use cases underscores my ability to collaborate with product owners, employing Acceptance Test Driven Development (ATDD) within Agile project methodologies to crystallize business/system requirements and process maps.

Skill Set

Tools Used

Requirements Elicitation and Management

JAMA, WRIKE, JIRA, Confluence, IBM Engineering Requirements Management, Trello, Microsoft Project

Use Case and User Story Development

Rational Requisite Pro, Axure

Data Analysis and Modeling

SQL, Tableau, Power BI, Access VBA

Process Modeling and Workflow Analysis

Microsoft Visio, Lucid chart, Balsamiq, IBM Rational Software Architect

Technical Documentation

Microsoft Word, Excel, PowerPoint

Quality Assurance and Testing

Selenium, JIRA, Azure

Stakeholder Communication and Management

Microsoft Teams, Slack, Skype, Zoom, Webex

Problem-Solving and Critical Thinking

Techniques like SWOT analysis, Fishbone diagrams

PROFESSIONAL EXPERIENCE

CVS Health, New York, NY April 2023 - Present

Sr. Business Analyst

Responsibilities

●Working with platforms such as Medicare NextGen, health edge for HRP (health rules payor) and mark logic components dealing with data bases.

●Gathered requirements and created BRD/DMD (data mapping documents)documents for API documentation.

●Working with IIB applications for aetna integrations, and working with different Medicare and Medicaid plans for different stakeholders.

● Knowledge in Underwriting, Policy Administration, PolicyCenter, ClaimCenter, BillingCenter, Data Warehouse, Rating, Reinsurance and Claims process.

●Worked and Developed modern web applications using MEAN/MERNStack (MongoDB, Express, Angular/React.js, Node), User experience design and development.

●Conducting stakeholder meetings, using orchestration diagrams/process flows using ms visio. ● Help create deployment diagrams for production signs offs.

●Website’s remediation to make websites GDPR-CCPA compliant.

●Wrote User Guide for business owners providing remediation to be implemented for CCA compliance.

●Configured the DNS and DSAR workflows, created and implemented webforms, and configured workflows.

●Scanned websites and classified cookies. Implemented Cookie Consent tool with dual behavior: GDPR and CCA using Geo-Policy templates.

●Expert in implementation insurance Technology solutions like Guidewire includes Personal P&C and Commercial Automobile Product knowledge with in - depth knowledge in the Underwriting, policy administration, PolicyCenter, ClaimCenter BillingCenter, Data Warehouse, Rating, Reinsurance and Claims process.

●Experienced in Providing complete Assumed and ceded Reinsurance processing of pro-rata and excess of loss.

●O In-depth knowledge of USA Property & Casualty Insurance Market, Reinsurance market, Large Account Risk Pricing Tools, Business reporting (both Facultative and Treaty), Ceded - Assumed, Retro Business, Reinsurance Accounting, CAT Bonds, ● ART (Alternative Risk Transfer) Tools.

●Knowledge in the Underwriting, Policy Administration, PolicyCenter, ClaimCenter, BillingCenter, Data Warehouse, Rating,

●Reinsurance and Claims process.

●Accomplished professional with diverse business analysis, quality assurance, financial reporting, insurance, and reinsurance experience in search of next challenge.

●Experience in Reporting and addressing various Insurance industry

●Worked on Commercial lines P&C Insurance including both policy and claims processing and reinsurance.

●Managed the implementation of Image Right (a paperless solution) for the Reinsurance Claims Division -- oversaw and planned the "Go Live" process training.

●Analyzed and documented Reinsurance Claims, Billing Collections, and accounting modules of the application.

●Maintain product backlog on Rational Rose(RTC) project management system.

●Created user stories and acceptance criteria and followed the invest criteria and definitions of ready and SMART criteria to write effective user stories for the new sprints.

●Worked in a scaled agile environment, and collaborating with different scrum teams within the domains fb cross domains.

●Attended PI planning meetings and hosted read outs for future plans and sprints for the new PI.

●Hosted user story grooming sessions and sprint planning meetings for new sprints.

●Ran daily standing up meetings for scrum master if absent.

●Embracing an Agile approach throughout projects, I meticulously monitored team activities and updated the Rally software for streamlined collaboration.

●In the realm of database management, I took charge of creating a robust SQL Server database, encompassing Tables, Schemas, Views, Accounts, and Application Roles. My involvement extended to ensuring adherence to REST HTTP standards and Domain naming standards for the design of REST APIs, emphasizing a meticulous approach to data management.

●A significant aspect of my responsibilities involved UAT requirements analysis and the execution of UAT scenarios for diverse CIM Customer Information Management FUSION projects. This included active participation in the

●Development and testing of functionalities, particularly within the subgroups module, focusing on PBM Pharmacy Benefit.

●Managed worker's compensation claim workflows, from initial reporting through resolution, enhancing process transparency and ensuring timely claim closures

●Provided support in the adjudication of worker’s compensation claims, working with adjusters and legal teams to resolve complex cases and minimize claim liabilities

●Developed and implemented training sessions on worker’s compensation policies, ensuring team members adhered to regulatory standards and improved handling of sensitive cases

●Worked with data analytics teams to track claim outcomes, creating metrics that aided in the early identification of high-risk cases

Virtix Health, Phoenix, Arizona March 2022 – April 2023

Sr. Business Analyst

Responsibilities

I successfully implemented a HIPAA-compliant system adept at handling EDI transactions such as 834, 835, 837, 276, and 277. My role extended to the comprehensive requirement gathering, design, reporting, testing, and implementation of HIPAA 5010 and claim processing systems.

Engaging in collaborative efforts across various SDLC stages, I actively contributed to building a business analysis process model utilizing tools such as Rational Rose, RequisitePro, and Visio. This encompassed defining source-to-target data mappings, business rules, and key identifiers.

Expertise in developing modern web applications using MEAN/MERN Stack (MongoDB, Express, Angular/React.js, Node), User experience design and development.

Assessed claims processes to identify bottlenecks, proposed solutions that increased efficiency by 15%, and supported system enhancements for smoother claim handling.

Partnered with stakeholders across departments to refine claim policies and procedures, enhancing compliance and improving overall claim resolution times.

Reviewed and validated claims data in alignment with regulatory guidelines, ensuring accuracy in submissions to prevent penalties and claims rejections.

Supported implementation of new claims management systems, providing insights on requirements and ensuring seamless migration of claims data.

Knowledge in Underwriting, Policy Administration, PolicyCenter, ClaimCenter, BillingCenter, Data Warehouse, Rating, Reinsurance and Claims process.

I played a pivotal role in requirements documentation for Pharmacy Benefit Managers (PBMs) in health insurance carriers, conducting JAD sessions, user interviews, and detailed research meetings. A key accomplishment involved ensuring the normalization of tables for data integrity within SQL Server.

Throughout the Agile/Scrum methodology, I crafted business vision documents, business architecture documents, and mock reports. Leveraging MS Visio, I conducted Business Use Case Modeling and Business Object Modeling for comprehensive business architecture development.

Utilizing Unified Modeling Language (UML) methodologies, I designed Use Case Diagrams, Activity

Diagrams, Sequence Diagrams, ER diagrams, and Data Mapping to provide a visual representation of

system specifications. I actively contributed to the HIPAA compliance lifecycle, encompassing mapping, implementation, and testing for claims processing.

Website’s remediation to make websites GDPR-CCPA compliant.

Wrote User Guide for business owners providing remediation to be implemented for CCA compliance.

Configured the DNS and DSAR workflows, created and implemented webforms, and configured workflows.

Scanned websites and classified cookies. Implemented Cookie Consent tool with dual behavior: GDPR and CCA using Geo-Policy templates.

Ensuring timely document delivery to the development team, I utilized Agile User Story for requirements documentation and created User Stories and Acceptance Criteria in Rally. I deployed Atlassian JIRA / Confluence software for multiple projects, managing users, project roles, time tracking, and security.

In collaboration with stakeholders, I conducted JAD sessions to comprehend current state processes and high-level interfaces, contributing to Facets Data models like Gateway, Claims, Membership, Provider, Billing, Capitation, Invoice, Benefits, Product, and Plan.

As part of the Agile methodology, I provided technical support using JIRA and Confluence collaboration tools and granted users access to the ticketing system. My engagement included collaborating with stakeholders to gather requirements related to restful APIs, reviewing API documentation, and transforming data formats for analysis, demonstrating my commitment to delivering actionable insights and facilitating informed decision-making.

Cigna, Bloomfield, CT April 2020 to Mar 2022

Business Analyst

Responsibilities

Seizing opportunities to embrace the agile process ahead of schedule, I actively contributed to the implementation of Master Data Management (MDM) solutions, addressing data inconsistencies, identifying duplicates, and establishing valuable relationships to enhance overall business performance.

In the pursuit of effective team communication, I leveraged Confluence to provide comprehensive online documentation. This initiative not only facilitated enhanced communication within the team but also seamlessly linked JIRA issues with online documentation, creating a centralized hub for project information.

My involvement in MDM extended beyond data management, actively contributing to strategic decisionmaking and process improvements. This encompassed streamlining data sharing among personnel and departments, thereby fostering a more efficient and collaborative organizational environment.

In the realm of requirements gathering, I conducted meticulous sessions, both formal and informal, to gather and document Business Requirement Documents (BRD) and Functional Requirement Documents (FRD). My proficiency in UML Diagrams, including Use Case Diagrams, Activity Diagrams, Sequence Diagrams, and ER Diagrams using MS Visio, proved instrumental in visualizing system specifications.

During sprint planning, I conducted workshops to assist the implementation team in determining user story points, fostering a collaborative approach to project planning. My responsibilities further extended to writing and executing system test cases, handling defect resolution using Compuware Track Record, and actively participating in User Acceptance Testing (UAT).

Knowledge in Underwriting, Policy Administration, PolicyCenter, ClaimCenter, BillingCenter, Data Warehouse, Rating, Reinsurance and Claims process.

Engaging in Joint Application Development sessions with Subject Matter Experts (SMEs) and development teams, I meticulously documented functional business requirements as product backlogs using JIRA. Additionally, I utilized Excel and Access VBA, interfacing with SQL/T SQL scripts, modules, and classes to design and enhance process technology solutions, expediting report processing.

To support Master Data Management, I effectively utilized MDM tools to remove duplicates, standardize data through mass maintenance, and incorporate rules to eliminate incorrect data, ensuring data filtration as per specific requirements. I actively conducted user interviews, gathered requirements, and analyzed them using Rational Rose, Visio, and Requisite Pro - RUP.

As part of my responsibilities, I created test cases for functional and systems testing, developed QTP automation scripts, posted a successful iteration of a build, and assisted in UAT testing. Additionally, I crafted various Traceability views to determine feature and use case dependencies, creating workflow diagrams, UML diagrams, process models, activity diagrams, and use cases to incorporate design changes in the system.

Serving as an enterprise MDM subject matter expert, I took on the responsibility of delivering customer information systems across North America and Canada. This involved integrating diverse data systems and meticulously managing cutover activities for the smooth deployment of MDM to production, ensuring a seamless transition.

Cardinal Health Insurance,Whitestone,NY Jan 2017 to Apr 2020

Business Analyst

Responsibilities

●In the realm of requirements gathering, I actively participated in both formal and informal sessions, meticulously documenting Business Requirement Documents (BRD) and Functional Requirement Documents (FRD). To ensure the needs of business stakeholders were met, I validated these requirements and documented various Data Quality mapping documents, contributing to data refinement processes.

●My role extended to providing analyst support for problem resolution, transaction processing, and data management within the HRIT & HRIS departments. Additionally, I took charge of managing and mentoring a team of HRIS Professionals, creating tailored business analyst training programs and offering guidance in

resolving production issues.

●Employing tools like MS Visio, I crafted UML Diagrams, including Use Case Diagrams, Activity Diagrams, Sequence Diagrams, and ER Diagrams. As part of sprint planning, I conducted workshops to assist the implementation team in determining user story points, fostering collaborative project planning.

●In the testing phase, I wrote and executed comprehensive system test cases, handled defect resolution using tools such as Compuware Track Record, and actively participated in User Acceptance Testing (UAT). This commitment to testing also extended to creating test cases for functional and systems testing and developing QTP automation scripts after successful iterations of builds.

●Actively participating in Joint Application Development sessions, I collaborated with Subject Matter Experts

(SMEs) and development teams, documenting functional business requirements as product backlogs using JIRA. Furthermore, I utilized Excel and Access VBA, designing modules and classes interfacing with SQL/T SQL scripts to enhance process technology solutions and expedite report processing.

●Gathering requirements for system application solutions, I created different Traceability views to determine feature and use case dependence. This involved developing workflow diagrams, UML diagrams, process models, activity diagrams, and use cases, facilitating the incorporation of design changes in the system.

●In the realm of API specification, I collaborated with different stakeholders, including API provider teams and business owners, actively using JIRA and Confluence to track user stories and ensure effective communication channels.

●For HRIS documentation, I maintained and managed the HRIS system using Workday to ensure efficient operations, processing, and reporting. Additionally, I performed data mapping from source to target, created Use Cases for functional requirements using UML and MS Visio, and revised TSQL/SQL queries and stored procedures to process, analyze, and move big data.

●Functioning as a liaison between the software development team and business users, I played a pivotal role in mentoring specific projects, applying the new SDLC based on the Agile Unified Process. This involved breaking down requirements into User Stories in JIRA and participating in all phases of the SDLC in both Agile and Waterfall environments, gathering technical requirements for testing in Agile/Waterfall methodology.

EDUCATION

Associate degree in computer science from City College of Technology (Passing year 2020)

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