Business Analyst Project Management

CHITRALEKHA SADHANKAR

******.*********@*****.*** +1-713-***-**** Troy, MI 48098, USA

LinkedIn: https://www.linkedin.com/in/chitralekha-sadhankar-4a284b217/ Summary

• Business Analyst with 8+ years of experience, IIBA-certified and currently pursuing PMI-ACP

(2025), with a strong background in technical business analysis, workflow configuration, and project management within Agile environments.

• Demonstrated success in gathering and documenting technical requirements across cross- functional teams using JAD sessions, GAP analysis, and UML diagrams.

• Proficient in SQL for data extraction and analysis, with hands-on experience in developing and refining workflows, supporting both system configuration and integration efforts.

• Industry expertise in healthcare claims and electronic data interchange (EDI), along with knowledge of HIPAA compliance and Electronic Content Management systems (NASCO and internal web platforms).

• Strong foundation in business/process improvement, using data-driven insights to streamline operations and support decision-making.

• Excellent communication and stakeholder management skills, with the ability to lead initiatives independently or as part of a collaborative Agile team.

• Tools & Tech: JIRA, Cherwell, SQL, NASCO, Agile, Waterfall, internal web apps. Skills

• Business Analysis: Requirements Gathering, Business Process Improvement, GAP Analysis, Data Modeling, User Acceptance Testing (UAT), Stakeholder Management, KPI Monitoring, Data Analysis, Process Flow Diagrams, Use Case Diagrams

• Healthcare Expertise: EDI (835, 837I/P, 276/277, 270/271), NASCO NPS, Healthcare Claims Processing, Provider Management, HIPAA Compliance

• Technical Skills: SQL (MS Access), JIRA, Cherwell, MS Visio, MS Office Suite (Word, Excel, PowerPoint, Outlook), Availity, UI, EOS, BFM, BFAST, SharePoint, Web-Denis, NPPES, Crosswalk, Portico, SFTP, FTP

• Methodologies: Agile, Waterfall, SDLC

• Testing: Test Case Creation & Execution, User Acceptance Testing (UAT) Work Experience

Business Analyst

BCBS MI - Detroit, MI Jul 2024 to Feb 2025

Project: Auto MESSA Benefit Configuration

• Analyzed complex requirements using BFM, BFAST, and XCT/PFT tables to facilitate accurate benefit configuration

• Collaborated in breaking down Business Requirements Documents (BRDs) into detailed Service Request (SER) tickets, streamlining project execution

• Contributed to Auto and MESSA cost share change projects, ensuring precise implementation

• Developed comprehensive test scenarios and test cases, ensuring thorough quality assurance

• Documented and designed QA and test approval workflows, enhancing process efficiency

• Managed and updated User Acceptance Testing (UAT) documentation, ensuring accurate project loading

Work Experience

Business Analyst

BCBS MI – South Lyon, MI Apr 2022 to Feb 2024

Project: EDI Helpdesk Analyst

• Provided expert healthcare system analysis, supporting external clients and internal management with problem resolution and process improvements

• Managed the migration of 45,000+ providers from Blue Cross EDI clearinghouse to Availity, significantly improving data exchange efficiency

• Performed in-depth analysis of EDI transactions (835, 837, 276/277, 270/271), resolving complex claims and eligibility issues

• Utilized NASCO Processing System (NPS) to analyze and resolve claim edits (P445, P016, P017, P001) for professional and institutional claims

• Processed claims for major clearinghouses (Waystar, TriZetto, Change Healthcare, Med Data Health), ensuring timely and accurate transactions

• Managed Trading Partner Agreements (TPAs) and provided daily support to providers via email and phone

• Trained and mentored colleagues on EDI transition processes, fostering team independence and efficiency

• Utilized internal web applications (UI, NPPES, Crosswalk, Portico, Web-Denis, EOS, SharePoint, BCN Crosswalk) for data management and analysis Work Experience

Business Analyst

BCBS NJ- Horizon Jun 2016 to Mar 2022

Project: Member Portal and Claims

• Collaborated with product owners and business users to gather and document functional and non-functional requirements, ensuring alignment with business objectives

• Translated requirements into user stories within an Agile Scrum environment, utilizing JIRA for project management

• Extracted, transformed, and loaded data using SQL (MS Access), supporting data analysis and reporting

• Developed Business Requirement Documents (BRDs) and Functional Requirement Documents (FRDs), managing project documentation in SharePoint

• Designed and executed test cases using NASCO (script-based) and EOS (UI-based) tools, ensuring system functionality and quality

• Conducted GAP analysis and developed business process models, improving operational efficiency

• Provided UAT support and led functional requirement specification reviews with the Scrum team

• Created process/data flow, activity, and use case diagrams using MS Visio Education and Training

• PMI Agile Certified Practitioner (PMI-ACP) - 2025

• IIBA Certified Business Analysis Professional (CBAP) - 2021

• Python Data Structure - 2021

• Python Programming for Everybody - 2021

• Diploma in Software Testing - 2008

• Diploma in Information Technology (IT) - 2008

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