Project Management Business Systems

Abdullah Jan

Email id: *********@*****.***

Contact # 571-***-****.

Summary:

Experienced and skilled professional with diverse experience of over ten years in Information Technology and Project Management emphasis on Business Systems Analysis, including Project Coordination and Software Quality Assurance and Testing.

Experience in Software Analysis & Design, Data Profiling and Analysis, Data management and Data Governance and Data Modelling.

Gathering Functional and Business Requirement Specifications, Writing user stories and Acceptance Criteria, Test Cases and Test Plan.

Used Teradata, Metadata, MS Office including Excel, Visio, and Power Point for calculations, analysis, and documentation in the project.

Data analyst and design through Pega methodologies, processes, and construction of Pega application.

Used Epicor for data access of the clients on AWS data center and enterprise data catalog for accessing Euclid’s products and web testing.

Having strong knowledge of Pega terminologies and delivery processes, Pega design and case life cycle.

Interacted with IRS Business Architect end-users to gather business requirements for reporting, writing user stories, and reviewing business requirements. Resolved client issues and documented related processes.

Modeled requirements, managed, and communicated requirements throughout the project life cycle, performed Gap and Impact Analysis against requirement specifications.

Strong knowledge of agile methodology to use JIRA tool for project management, documentation, and issue tracking.

Worked on customers and Access Management tasks for CMS partners, using API.s to enroll customer in the marketplace.

Accomplished particular purpose by wireframe tools to provide visual frameworks of websites.

Strong knowledge on food and Drug Administration (FDA) Rules. Regulations and Guidelines for software/tools used in manufacturing companies.

Provided technical and functional support to the partners of CMS to ensure effective and efficient enrollment of customers in the Marketplace.

Experienced in claims adjudication processing, including AGP Facets and Central Facets and GBD Facets, through 837 EDI transactions in a cloud-based data center.

Expertise in developing testing documents - Test strategies, test plans, test design specifications, test case specifications and test procedures. Sound knowledge of defect reporting and tracking tools like Quality Center.

Experienced in backend testing, web, and performance testing of applications by executing command in Teradata SQL Assist, Vertica, Sybase, DB2 and relational databases.

Highly motivated team player with ability to lead, manage and work in all environments to meet deadlines. Possess ability to work individually even under pressure to meet the targeted deadline. Possess excellent interpersonal skills, effective written & oral communication, and presentation skills. Proven ability to work in team-environment as well as independently.

Technical Skills: Tools: HP Quality Center/ALM, UML, AWS, XML, JSON, Epicor, ServiceNow, Visio, Jenkin, Perfecto Mobile, MicroStrategy Facets 5.1, QTP. REST, SoapUI, Postman API’s, UFT, LoadRunner and Performance Center.

Methodologies: SDLC, Agile/Scrum, Waterfall, Modern Waterfall, and Pega Case Life Cycle.

Databases: MS Access, SQL Server, and Oracle. Metadata, Teradata SQL Assistance, Mark Logic and Splunk

Operating Systems: Windows XP/NT/2000/98/95, UNIX.

Office Tools: MS Excel, MS Word, MS Power Point, MS Excel, Visio, MS Project.

Education: Bachelors in mathematics & Statistic from University of Baluchistan, Pakistan Year 1998.

Clearance: Currently Active, IRS Public Trust

Certification: Certified Pega Business Architect (CPBA)Ver8.7.

March 2024 to till Date APPDEVLOGIC INC

Senior Business Analyst

Client: Internal Revenue Services (IRS)

Responsibilities:

Actively participated in meetings with clients and gathered change requests as directed by project managers.

Engaged with IRS Business Architect end-users to understand their needs for reporting purposes. Subsequently, translated these requirements into user stories, which are concise descriptions of software features from an end-user perspective.

Collaborated closely with Development teams to facilitate a comprehensive understanding of client requirements. This collaboration likely included clarifying technical aspects of the requirements and ensuring alignment between client needs and technical implementation.

Translated the gathered requirements into user stories, which were then documented and uploaded into Agile Studio.

Attended daily Change Request Management meetings to stay updated on any changes and updates in the requirements and ensured that all stakeholders were informed of these updates.

Developed mockups and wireframes to visually represent the requirements.

Documented non-functional requirements, which define the quality attributes of the software system, such as performance, security, and usability. These requirements were explained to both the Development team and business stakeholders.

Feb 2020 – Feb 2024 Consult America

Senior Business Analyst

Responsibilities:

Worked with Government and Business Communication section for the client Medicaid and Medicare Services.

Responsibilities:

Worked on content management of the EOC (Evidence of Coverage) ANOC (Annual Notice of Change) for MAPD, DSNP and EGWP plans for the Medicare Advantage and provided access to the partners.

Gathered business requirements by interacting with business and end users for reporting. Write user stories and review business requirements, resolve client issues and document related processes.

Data Analysis and Profiling for claim processing in data warehouse, using Teradata.

Worked on Teradata, Metadata, AWS data storage, management, backup and recovery through data center.

Prepared Business Requirement Document (BRD) and then converted Business requirements into Functional Requirements Document (FRD).

Get and pull specific data information using REST APIs for analysis.

Write business requirements documents and design specification documents.

Reviewed Medicare Advantage letters of expiration management through remediation process and updated, activated, de-activated and retired letters.

Facilitated expiring letters approval routing process and coordinated audit trail letter change for requirements with business and stakeholders using Identity and Access Management software.

Built communications and ensured unified branding standards across all communication contents that align with business and systems requirements.

Provided back up support to other analysts on day- to- day activities and document repository management.

Used Microsoft Team for incident management to store, assign, define priorities and evaluate the tasks requested by partners.

Attending meetings with stakeholders and gathering system requirements and provide feedback.

Described current systems through As – Is and To – Be, using workflows and Visio’s.

Performed in depth Gap Analysis with different business groups by arranging meetings at their location or via teleconference calls with the groups on weekly/biweekly basis to ensure that the system initiatives are met, analyzed, and documented.

June 2019 – Jan 2020 Mastech Digital Inc

Client: Accenture Federal Services (Reston Virginia)

Service Management Senior Analyst

Worked on Enhanced Direct Enrollment (EDE) program to support client, The Center for Medicaid, and Medicare Services (CMS) through Accenture FFM EDE Support Team to create Access for CMS partners us Rest API’s.

Responsibilities:

Provided technical and functional support to the partners to ensure effective and efficient enrollment of customers in the Marketplace using AWS.

Analyzed business processes and designs, identified defects with eligibility and certain indicators not yielding the correct results.

Investigated any issues received from partners to further triage and responded with feedback and guidance on issues.

Created access for CMS partners in the data center through open APIs to register customers online and provided Business Intelligence BI reporting.

Used workflows and diagrams to assist partners enrolling customers through marketplace.

Used Visio and workflows to explain the process for customers and internal developers.

Created and modified API requests using Postman and SoapUI to recreate and resolve partner’s issues.

Used MarkLogic and Splunk to analyze and triage FFE data and performance monitoring,

Convert JSON files into XML to evaluate and review performed Web Testing.

Attended daily scrum calls and made actions items to track internal team tasks and overall project status.

Used ServiceNow tool for creating tickets and for internal IT service requests. Used JIRA for creating tickets and tracking project issues and recordings.

Used ServiceNow for incident management to store assign, define priorities and evaluate the tasks requested by partners.

Used Azure for wireframe the shapes and elements building page and blocks for UI

Completed multiple online and in person technical and functional trainings to keep up to date with new processes/technologies.

Identified gaps in knowledge between functional Visio’s and technical API documentation and report to proper personnel.

Worked FFM EDE Support team members to enhance business and technical knowledge among team members.

Performed Gap Analysis with different sectors programs teams, to ensure that the issues have been resolved with the help of other entities.

Oct 2018 - May 2019 Kforce

Client: Euclid’s Systems Corporation, (Sterling Virginia)

Business Analyst

Responsibilities:

Review Food and Drug Administration (FDA) guidelines and regulations applying on software’s used for manufacturing and documentation.

Create technical documentation, reviews, analyzes, and evaluated business systems for end user needs through remediation, including companion guides, business process reengineering, including GAP analysis and documenting requirements, documenting processes, workflows.

Described current systems through as – Is and to – Be, using workflows and Visio’s.

Used wireframe for creating workflows and diagrams for the projects.

Used APIs for customer easy access and feedback.

Created access of the clients on data center for accessing Euclid’s products through Identify and Access Management procedures.

Write business regulatory requirements documents and design specification documents.

Created structures for web API’s and landing pages through wireframe tools.

Write software validation plans and software regulatory requirement documents.

Create user stories, acceptance criteria and upload them in JIRA and perform User Acceptance Test (UAT).

Perform GAP analysis identifies the gaps, logged issues relating to the identified gaps and worked with the SME to get clarifications and rectifying the issues.

Used REST APIs to provide serves and feedback to the partners and clients.

Created Use Case documents and Process Flow diagrams using MS Visio for all System Functionalities.

Involved in processing change requests from the client by filling Change Request Forms Euclid’s Help Desk Software.

Analyze and validate Epicor software for quality products using MicroStrategy tool and coordinate with QA team for testing software components.

Oct 2017 - Sept 2018 Aspire Systems Inc

Client: Anthem, Richmond VA

Sr. Business Analyst (Claims and Provider)

Responsibilities:

As a Business Analyst and team member of Anthem Health Care Analytics (HCA), worked on multiple projects of claim processing systems including Medicaid and Medicare.

Involved in claim adjudication process from data entry phase to disposition phases.

Gathering business requirements by interacting with business and end users for reporting.

Data Analysis and Profiling for claim processing in Anthem data warehouse EDWard, using Metadata,

Teradata SQL AWS, assist for data modelling and management.

Worked on Teradata, Metadata, AWS data storage, management, backup and recovery through data center

Had close collaboration with Center for Medicaid and Medicare (CMS) for claim processing, including Medicare Part A, Part B and Medicare Advantage.

Facilitate periodical JAD sessions with the management and IT teams, technical design walk-through to gauge extent of compliance with stake holder’s expectations.

Creating workflows and technical diagrams for data flow in the systems by using Visio and UML tools.

Created analytical reports, using datasets and applying data lifecycle.

Working with multiple sources systems such as WGS, CS90, NASCO, AGP Facets and Central Facets p

Created user stories and uploaded it to JIRA and give walkthroughs to business and development team.

Worked on claim adjudication processing used EDI 837, 835 transaction set to process claims in Care Management System Audit project. Used EDI 835 transection set to repay the overpayments made by providers.

Conducted daily project status calls and document the outcomes and make actions items to track the projects status and attend daily scrum calls

Involved in all stages of the software development life cycle to develop necessary test strategy.

Worked on multiple claims processing project, adopting holistic approaches, including agile and modern waterfall methodologies.

Used JIRA for creating user stories and tracking project issues and recordings

Analyzed concept of operation (con ops) for explaining the application process used in the claim process.

Used wireframe for creating workflows and diagrams for the projects.

Prepared Business Requirement Document (BRD) and then converted Business requirements into Functional Requirements Document (FRD).

May2016- Sept 2017 Acclaim Systems Inc

Client: Blue Cross Blue Shield, (Geneia Products) Harrisburg PA.

Quality Analysts QA/Business Analyst

Responsibilities:

Analyze requirements designed and implemented the test plans from user stories using MicroStrategy tool.

Develop Test plans, Test cases and requirement traceability matrix for mobile and software project.

Involved in claim adjudication process to assess the benefits and payments

Demonstrated experience with Agile development designing, creating and configuring ServiceNow ITSM solutions.

Created and modified API requests using Postman and REST to recreate and resolve issues.

Facilitated Joint Application Development (JAD) sessions with different stakeholders to communicate their perspectives, resolve pending issues and come to consensus for the for-data migration.

Monitor and manage resistance, dependencies and risks population health management process.

Problem investigation and diagnosis through ServiceNow problem management process

Submit profile to clients using REST APIs

Monitor and manage resistance, dependencies, and risks through remediation and change management process.

Problem investigation and diagnosis through ServiceNow problem management process

Perform regression, functional, integration, end-to-end, positive, and negative, compatibility and Ad-Hoc testing on mobile devices.

Tested and verified batch process of EDI 837, 835 claim processes, including Medicaid and Medicare Part A, Part B and Part C, pseudo claims, at receiver, pear reviewer and approver levels.

Used agile tool for maintaining Test cases, defects and Test run Results and working as scrum master in absence of project manager.

Access cloud base AWS data center for data mapping, data modelling and created Business Intelligence BI Reporting.

Responsible for documenting testing artifacts like Test Plan, Test Strategies, Test Cases, RTM, Test Execution Reports (Test Summary Reports), Defects reporting and Impact Analysis.

Perform debugging in-app errors using web service test harness tool Browserstack,st performed Web and performance testing

Coordinate user acceptance testing to make sure that the software application functions as per the client requirements.

Update the defect status to developer lead, business analyst and project manager through emails and Daily Stand-Ups.

Used ServiceNow released management process to co-ordinate with technical team for defect review and change request as well as release signs off.

Feb 2014 – April 2016 Aspire Systems Inc

Client: Hewlett Packard Enterprise WI

Business Analyst

Responsibilities:

Analyze and gather business/system enhancement requirements and perform User Acceptance

Participate in periodical JAD sessions with the management and IT teams, technical design walk-through to gauge extent of compliance with stake holder’s expectations.

Used RALLY as agile tool for maintaining Test cases, defects and Test run Results, performed web testing online and working as scrum master in absence of project manager.

Manage and organize child immunization data center and Perform Performance testing for Web Service using API Soap UI.

Co-ordinate with technical team for defect review and change request as well as release signs off.

Feb 2013– Jan 2014 Consult America Inc

Client: Blue Cross Blue Shield, VA

Business Analyst

Responsibilities:

Gathered business requirements, writing user stories and acceptance criteria by interacting with the end-users.

Involved in all stages of the software development life cycle to develop necessary test strategy.

Prepared Business Requirement Document (BRD) and then converted Business requirements into Functional Requirements Specification document (FRD).

Performed in depth Gap Analysis with different business groups by arranging meetings at their location or via teleconference calls with the groups on weekly/biweekly basis to ensure that the system initiatives are met, analyzed and documented.

Involved in analyzing and testing the current ICD-9 Diagnosis codes with the ICD-10 Diagnosis code set. The scope of the project was to collect the detailed information about the impacts of the ICD 9 to 10 code changes.

Involved in testing various EDI/HIPAA Transactions like 837, 835, 820, 276, 277, and 278.

Get and pull specific data information using REST APIs for analysis.

Managed the process of gathering functional requirements from key stakeholders and Subject Matter Experts (SME’s).

Performed GAP analysis identifies the gaps, logged issues relating to the identified gaps and worked with the SME to get clarifications.

Created Use Case documents and Process Flow diagrams using MS Visio for all System Functionalities.

Involved in processing change requests from the client by filling Change Request Forms (CRF).

July 2012- Jan 2013 Consult America Inc

Bank of America, VA

Business Analyst

Responsibilities:

Analyzed and gathered business/system enhancement requirements and perform User Acceptance Testing (UAT) to maintain the integrity of the company’s various business platforms.

Provide generic IT support for clients enduring technical difficulties with their servers and/or software.

Used wireframe for creating workflows and diagrams for the projects.

Successfully Gathered, documented business requirements and obtained sign off from business users / sponsors.

Conducted JAD sessions for communicating with all Project directors and stakeholders.

Used MS Office including Excel, Visio, UML, Power Point, Outlook and Project for calculations, analysis, in the project.

Oct 2004- June 2012 US State department

(Political and Program Development Manager)

Worked as Political and Program Development Manager with the US State Department in EAP region Prior to my State Department service, I had the opportunity of working on USAID and World Bank supported projects for establishment of Information Management Systems and establishing Girls schools for Government of Baluchistan, Pakistan.

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