Business Analyst Pharmacy Technician
Resume:
PADMAJA
*************@*****.***
H4 EAD
PROFESSIONAL SUMMARY:
A seasoned professional with 12 years of experience. Out of which 7 years was as a Business Analyst and 5 years in Human resource Management. Business Analyst role revolved in managing IT initiatives of various scales and complexities with a solid understanding of Business Requirements Gathering, Business Process Mapping, Evaluating Data Sources, Data Mapping, Translating Requirements into Specifications, and Application Design. Extensive knowledge and involvement in various phases of Software Development Life Cycle (SDLC) in Waterfall, Agile and Hybrid Agile. In Agile I have worked on scrum framework. I have used backlog management tools such as Azure Dev Ops/JIRA/Confluence to document user requirements and business needs, translating them to detailed user stories and acceptance criteria. Have extensively used Service Now to streamline workflows and automate routine tasks for Incident Management, Problem Management, Change & Release Management.
Current Job at Walgreens as Pharmacy technician has helped me to understand the complete floor operations of a pharmacy and all the automated tools used for inventory, sorting medicines and filling prescriptions to ensure smooth delivery to the customers.
I have done FACETS training to understand the entire claim adjudication process. Well versed with all product components in FACETS such as AIAI (Administrative Information), ARAR ( Administrative Rules), CBCB (Coordination of Benefits), TPCT
(Service Procedure Conversion Application), RCCT ( Revenue Code Conversion Application), BSBS ( Benefit Summary), SEDF, AGSE, SEPY, LTLT, IPRS,DEDE, CSPI, and SCQG applications. Strong understanding of Claims, Clinical Edits, Claims Pricing, Benefit Plans, Premium Billing, Enrollment, Payments,EDI (834, 835, 837, 278, 270/271, 276/277 etc.), HIPAA, etc. HEDIS certified from Care National and hence I have a good understanding on HEDIS report development and metric design for all categories of NCQA and CMS for NCQA/HEDIS DM Quality improvement/HEDIS Health Plan/CMS HEDIS/STARS CAHPS data requirements for accreditation HIPPA Certified covering HIPPA legislation that provides data privacy and security provisions for safeguarding medical information. HIPAA included regulations that govern the use and disclosure of Protected Health Information (PHI) and the Enforcement rule to investigate violation and establish penalties to ensure compliance. EXPERTISE:
• Good understanding of SDLC and product management.
• Gathered and documented requirements by conducting meetings with SMEs and Stakeholders. Researched business processes, related rules and regulations.
• Skilled in conducting and facilitating Requirement Gathering Activities to collect SMART requirements using various elicitation techniques including, but not limited to Interviews, Requirement Workshops, JAD sessions and Brainstorming
• Strong experience instakeholders/customers management, conducting workshops, and facilitating discussions on business processes, identifying and analyzing risks using appropriate templates and tools
• Proficient in preparing requirements documentation such as Business Requirements Document (BRD), Functional Requirements Document (FRD), Product Roadmap, EPICs, etc.
• Involved in Sprint Planning, Sprint Review and Retrospective meetings and experienced in deriving requirements by breaking down Epics into User Stories
• Excellent interpersonal skills. Good at maintaining a smooth flow of communication with senior management, client stakeholders and technical team.
• Able to maintain Cross Functional Team Collaboration with On-Shore and Off-shore teams
• Good at preparing mockups, wireframes, flowcharts for proposals on upcoming or existing Business Requirements. Experience in constructing UML diagrams like Activity diagrams, Business Context diagrams, Data flow diagrams and Use Cases
• Knowledge of UI/UX design methodologies such as wire framing, prototyping, Use Cases, Work Flow Diagrams and Activity diagrams
• Experience working with UI/UX designing tools such as MS Visio, Balsamiq,Lucid charts, Figma & Mockplus
• Identified test scenarios and wrote test cases for conformance of technical, functional, UI and data requirements. Conducted User Acceptance Testing (UAT) and worked closely with business stakeholders for product acceptance and approvals.
• Good understanding of Claim Adjudication tools such as FACETS and underlying healthcare standards such as HIPAA, EDI healthcare transactions like 837, 835, 270, 271, 276and 277, Medicare, Medicaid.
• Experienced in working with an Application Lifecycle Management (ALM) tools (JIRA,AZURE DEVOPS), Service Now
• Possess strong analytical, verbal, documentation and inter-personal skills. TECHNICAL SKILLS:
SDLC Methodologies Waterfall, Agile, Hybrid
Business Skills Process Modeling, Change Management, GAP Analysis, Impact Analysis, SWOT Analysis, and Root Cause Analysis
Project Management Tools Microsoft Project, MS Excel Agile Project Management Tools Microsoft Dev Ops, JIRA Business Modeling Tools Microsoft Visio,Balsamiq,Lucid charts, Figma & Mockplus Content Management Tools Microsoft SharePoint
Other Language & Tools MS SQL Server, SAP BPC
Reporting Tools MS Excel, PowerPoint
PROFESSIONAL CERTIFICATIONS
• Scrum Master Certification
• HIPAA certified
• Certified Learning & Development Manager
• FACETS
• EDI X12
• HEDIS
• Pharmacy Technician License
EDUCATIONAL CREDENTIALS
• MBA
• B.Tech
PROFESSIONAL EXPERIENCE
1) Walgreens Louisville, Kentucky, USA June 2024 – Till Date Pharmacy Technician
Job Responsibilities:
o Proficient with Walgreens prescription data entry procedures and guidelines to processes new patient registration by entering data into appropriate system. o Handled patient prescription requests within HIPAA guidelines and entered fill orders for processing. o Well versed with the Intercom plus system to create exceptions related to data entry and to resolve the same.
o Hands on experience on prescription filling & affixing the labels by using Intercom plus. o Completely aware of the protocols to be followed while handling controlled substances like Oxycodone, Hydrocodone, Gabapentin etc
o Preparing mixing medicines by using automated systems o Responsible for resolving Third Party Rejects by reviewing, gathering information, making corrections and resubmitting for processing according to individual plan requirements. o Supporting the Pharmacists by coordinating with doctor’s office, answering patient calls and taking necessary action
o Interface with the customers and providing the medications which are filled by handling the drive through and the front register.
o Have obtained an active technician license within 30 days. 2) GMR Hyderabad, India Oct 2011 – Feb 2018
Business Analyst, Strategic Planning Group- CEO’s Office Job Responsibilities:
o Conduct strategy workshops, prepare plans and strategic roadmaps o Participated in Value Stream Mapping workshops to streamline processes o Oversee various business & operational approvals on behalf of CEO’s office o Monitor progress of approved projects, work with stakeholders to achieve milestones o Perform risk assessment and work on mitigation plan o Provide daily, weekly and monthly progress reports to CEO and Strategic Group o Support in managing the overall business & operations of the Hyderabad Airport Ecosystem o Responsible for the quarterly newsletter and publishing critical updates, events for the dashboard o Support in application writing for Business Excellence and Sustainability reporting standards o Participate in preparation of Annual Operating plan. The AOP consists of preparation of
Vision, Mission Statement,
SWOT of the organization,
Setting the Strategic Objectives,
Formulate the Strategic Action Plan to achieve the Strategic Objectives
Setting up Quarterly follow up sessions to review the status of the action plan o Facilitate CEO’s Balance Score Card
o Preparation of the Budget of the organization.
o Support Group Housing Board initiatives
o Prepare response to Parliamentary Questions, MoCA & communication from other Govt. agencies o Write briefs and presentations for CEO and Strategic Group Key Projects:
• EDI transactions – To streamline procurement process:
• SAP Business Planning and Consolidation (SAP BPC)
• CEO Dashboard
• GLEAMS: GMR Learning Management System
• Few key Milestones for Airport Expansion project which included:
FAS Tag car park system at the airport
E-Boarding
Express Security Check facility for passengers traveling with only hand baggage.
Self Bag drop
Interim International Departures Terminal (IIDT) Achievements & Accolades:
● Was awarded the star of the month for Feb’12. Was among the few employees who were awarded this within 4 months of the joining.
● Implemented in house Learning Management System-GLEAMS (GMR Learning Management System) was then replicated across group.
● Was the Employee of the Month/ Star team of the month for successful completion of projects.
● Was the first employee to redeem the Thank you and Well done cards 7 times (the EE initiative).
● Business Excellence awards for Kaizen & CIP’s.
● Was consistently rated in the top 30% of the employees
● Was selected for the Young Leaders Program and have successfully completed the course.
● Accredited Certified Learning & Development Manager (CLDM) by Middle Earth.
● Promoted to Manager and was given market correction twice.
● Won the silver recognition for the paper submission on HR & IT initiatives conducted by ACI.
● Was shortlisted by CII & AIMA till the regional round in National Competition for Young Managers. 3) Reliance Communications, Hyderabad, India – May 2008 to Oct 2011 Assistant Manager- HR (May 2008- October 2011)
Job Responsibilities:
A) Talent Acquisition:
o Handled end-to-end recruitment for enterprise business. o Focus on networking and referral’s to cut down recruitment cost. o Efficient recruitment practices (role directory and average cost as per designation). o Campus selection for Management Trainees.
B) Talent Management:
• Learning and Development
o Need base Analysis, enabling employees to select appropriate modules to meet the desired objective. o Imparting sales, soft skills, and behavioral trainings. o Imparting product trainings (Wireless products and Wireline - FLP and broadband) trainings. o Responsible for generating business, training man days (TMD), from multiple verticals across business o Coordinating and conducting various training programs that include induction trainings, refresher courses, and skill development programs.
o Ensuring accurate, timely, and efficient analysis of weekly and monthly training reports and calendar management.
● Succession Progression & Career Development
• Succession planning process for identification of successors for leadership and critical roles o Reviewing Hi Pots, drive Multi-tier leadership development programs across different levels called YounGen, STEP, ELP and facilitate the Individual Development Process (IDP) process. o Partnered with E & Y to develop the career Management framework by identifying unique roles and develop Job Descriptions and Career Paths to nurture growth and take care of employees’ potentials and aspirations
o Supported Talent Review process by conducting Professional Development Dialogues (PDD) process for all identified employees.
● Competency Mapping
o Conduct Skill Gap analysis & execute Competency mapping exercise for various departments o Developed the Competency based training calendar
● Employee Engagement (EE)
o Conduct Skip Level meeting and HR Connect meetings, develop action plan to address the points. o Managing and Implementing Reward & Recognition initiatives o EE action plan implementation for every dept. to ensure the EE score is improved o New Manager Assimilation process for AGM’s and above hires within 100 days of their joining
● Performance Management Process (PMP):
o End to end PMP process which includes Goal Setting, Confirmations, mid-year review process, annual appraisal, market corrections and promotions.
Achievements:
o Ranked 7th across all branches in talent acquisition. o Ranked 2nd across all branches in talent management. o Completed Six Sigma Yellow Belt project on TRAINING EFFECTIVENESS o Achieved 94% of the target given in man-days and overachieved the man-hours target in the financial year
’08-‘09.
o Initiated and rolled out a training module called ‘Secrets of Revenue Assurance’, to on-roll employees. o Initiated tailored modules including Managing Sales for ASM Retail and Microsoft Word and Excel. 4) Manpower Services Private Limited - Jul 2006 to Apr 2008 Associate Consultant
Responsibilities
o Managing end-to-end recruitment cycle for major companies o Client relationship management and anchoring.
o Mass recruitment drives through networking, headhunting, database building, and web resources. Achievements
o Promoted from Research Associate to Associate Consultant in a span of one year. o Awarded for the best performance for 2007 for achieving targets of recruitment.
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