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Title: |
Business Analyst
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Location: |
US-Illinois-Chicago
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Work History: |
HCSC(Health Care Service Corporation)-Blue Cross Blue Shield May 2008-Current
Line of Business: Healthcare
Role: Business Analyst (ITG)-Center of Process Excellence
Process/Model Tools/Database: MS Project, MS Visio, Rational Unified Process (RUP), Rational Rose, Rational Requisite Pro, UML, Use Case Diagrams, Datamodelling TOAD, Activity Diagrams, State Diagram, MS Office, Crystal Reports,Teradata, WebSphere Portal, Sharepoint.
Test Tools : Test Director, Win Runner, Load Runner
HCSC is an Insurance company that operates the Blue Cross and Blue Shield Plans in IL, NM, TX and OK.
The project was on Provider Transactional and Utilization, to focus across all the transactions, Administration, Clinical and Financial across all channels (Web, IVR etc).
Facilitated JAD sessions with business users of all the levels and development team/technical team to drive out detailed business requirements.
Prepared the Process flows, Flowcharts and Information Value Chain for the Current state for all the transactions across all channels.
Verified the current state documents by the Business and IT group in the respective meetings.
Analyzed IT and Process Gaps on the identified Current state for all channels and transactions.
Recommended the 150+ Opportunities and areas of Improvement, beneficial to the organization.
Identified Metrics for Future state opportunities/Recommendations.
Did Value proposition for the recommendations.
Prepared the Business case and Business Specifications for the PTU project.
Prepared Project specification and Scope document
Identified various dimensions and data fields for DataModelling Phase 1 and 2.
Worked with the Technical Architecture to Identify and build a Data Integration Architecture. Got it approved by the respective department heads.
Identified and worked on various Dimensions for Reporting.
Identified various Metrics for all the transactions, got it approved by the head of the department.
Discussed and Validated on the recommendations with the respective department councils.
Prepared the Presentation for the Council.
Performed risk analysis of the requirements to identify the key business risks areas for the project and prioritized the application development and testing.
Worked on the Test Cases and Test Plans for two other simultaneous works assigned.
Facilitated the weekly meetings with the review teams to continuously improve the QA process for the application development.
Facilitated user acceptance testing and test strategies with developers and testers.
Performed manual front-end testing to check all functionalities of different modules.
Activecare Network Jan 2008 April 2008
Line of Business: Insurance/Pharmacy
Role: SME/ Project Manager/ Business Analyst
Environment:
Process/Model Tools/Database: MS Project, MS Visio, Rational Unified Process (RUP), Rational Rose, Rational Requisite Pro, UML, Use Case Diagrams, Datamodelling, Activity Diagrams, State Diagram, MS Office, Crystal Reports, .NET, C, C++, SQL Server, Sharepoint.
Test Tools : Test Director, Win Runner, Load Runner
Activecare Network is a start-up company. It offers their clients with needs of Biologics Infusions and Injections unprecedented access to a national clinic network.
Responsibilities:
Have been involved with the project from its inception phase to transition and production rollout phase.
Project Manager to the Application Plan Design. Have also helped various other applications simultaneously.
Updated and modified progress and resources allocation in MS project for the team.
Have also helped the System architect with the design on the application.
Application Plan design was to enroll Insurance companies and various employers. The entire project was well-Identified and Defined by me. I was the SME for the project and had gathered requirements extensively.
Have provided projects with pre-project planning expertise; high-level and detailed project definition, as well as acted as the primary liaison between IT and Business Partner(s) on a daily and project basis. Have followed project management principles to develop project plans in order to deliver the project product.
Worked closely with the Business Partners and IT teams to mentor and share their specialized knowledge base.
Arranged JAD sessions with business users and various Users across the department to drive out detailed business requirements.
Have prepared Sitemap, Datamodel, and Screen Specifications for the Plan design application.
Prepared the BRD (Business Requirement document), FRD (Functional requirement document) UCN (Use case narrative), Screen Specification details, GUI documentation for the project.
Have developed and prepared the Datamodel for the application.
Implemented the RUP methodology to help analyze the problem, understand users needs, and manage requirements.
Have good experience of using MS Visio, Enterprise Architect, Rational Requisite Pro, Rational Clearquest and Rational Clearcase.
Facilitated and managed meeting sessions with Business Users to review business requirement capture. Have set-up weekly status meeting and JAD Sessions with the Stakeholders and Business Users.
Analyzed and designed the workflow to show users and client how the system would realize in the implementation phase.
Worked with the users to prioritize and schedule the enhancement requests with the business needs.
Designed and developed Use Cases, Activity Diagrams and Sequence Diagrams using UML.
Closely interacted with technical team and development to ensure they understood the applications functionality and navigational flow.
Have prepared various report formats using Crystal Reports.
Defining test cases, creating test scripts, analyzing bugs, interacting with QA / dev teams in fixing errors and User Acceptance Testing (UAT)
Prepared the Test plans and Test cases to successful perform the system integration testing, functional testing.
Analyzed system requirements and developed detailed Test plan and Test cases for testing the functionality.
Responsible for meetings with users and stakeholders to identify problems, resolve issues and improve the process to ensure a stable and accurate solution.
Designed the look-n-feel requirements of the application through wire framing using MS Visio, for better illustration of the application to research team and portfolio managers.
Performed risk analysis of the requirements to identify the key business risks areas for the project and prioritized the application development and testing.
Facilitated the weekly meetings with the review teams to continuously improve the QA process for the application development.
Facilitated user acceptance testing and test strategies with developers and testers.
Performed manual front-end testing to check all functionalities of different modules.
Worked with business users and technical team to monitor the deployment of the application.
American Family Insurance Jan 2007 Dec 2007
Line Of Business: Insurance
Role: Business Analyst
Environment:
Process/Model Tools/Database: MS Visio, Rational Unified Process (RUP), Rational Rose, Rational Requisite Pro, UML, Use Case Diagrams, Activity Diagrams, State Diagram, MS Office, Windows XP/2000, SQL, Java/J2EE, HTML, Pegaworks, XML, Mainframe, AS400.
Test Tools : Test Director, Win Runner, Load Runner
American Family Insurance is the leading Insurance company in US. The project involved in re-engineering the Health, Life and P&C Insurance application to cater to End-user needs.
Responsibilities:
Have been involved with the project from its inception phase to transition and production rollout phase.
Have provided projects with pre-project planning expertise; high-level and detailed project definition, as well as acted as the primary liaison between IT and Business Partner(s) on a daily and project basis. Have followed project management principles to develop project plans in order to deliver the project product.
Worked closely with the Business Partners and IT teams to mentor and share their specialized knowledge base.
Arranged JAD sessions with business users and development team to drive out detailed business requirements.
Writing specifications for enhancements by using existing legacy system documentation and procedures.
Prepared the BRD (Business Requirement document), UCN (Use case narrative) and Project document for the project.
Implemented the RUP methodology to help analyze the problem, understand users needs, manage requirements.
Have good experience of using Rational Requisite Pro, Rational Clearquest and Rational Clearcase.
Interacted closely with End users from Underwriting & Claims teams and SMEs to understand and gather the business needs and requirements.
Facilitated and managed meeting sessions with users and SMEs to review business requirement capture.
Analyzed and designed the workflow to show users and client how the system would realize in the implementation phase.
Worked with the users to prioritize and schedule the enhancement requests with the business needs.
Analyzed data and created class diagrams and ER diagrams for designing the application.
Designed and developed Use Cases, Activity Diagrams and Sequence Diagrams using UML.
Closely interacted with technical team and development to ensure they understood the applications functionality and navigational flow.
Defining test cases, creating test scripts, analyzing bugs, interacting with QA / dev teams in fixing errors and User Acceptance Testing (UAT).
Prepared the Test plans and Test cases to successful perform the system integration testing, functional testing.
Analyzed system requirements and developed detailed Test plan and Test cases for testing the functionality.
Responsible for meetings with users and stakeholders to identify problems, resolve issues and improve the process to ensure a stable and accurate solution.
Designed the look-n-feel requirements of the application through wire framing using MS Visio, for better illustration of the application to research team and portfolio managers.
Updated and modified progress and resources allocation in MS project for the team.
Performed risk analysis of the requirements to identify the key business risks areas
Worked with business users and technical team to monitor the deployment of the application.
Meijer Pharmacy June 2006 Jan 2007
Line of Business: Corporate Finance and Technology
Role: Business Analyst
Environment: RUP, Rational Requisite Pro, Rational XDE, Rational Rose, UML, Use case, Activity/ state diagram, MS Visio, Test Director, MS Office, Windows 2000/XP, Visual Basic, Oracle 8i, Java, J2EE, MS Office, SQL, DB2
My prime role as a Business Analyst at Meijer Pharmacy was to help implement the Government and HIPAA regulatory compliance for the Pharmacy application. Implemented the Prescriber NPI update for all states around United States. Facilitating the business modeling process as well requirements gathering and analysis as a liaison between the line of business and the technology team.
Responsibilities:
Interacted and arranged meetings with Business and End users to gather business requirements for changes triggered by Government regulations and HIPAA, Business needs and Process improvement.
Worked closely with project manager in setting realistic project expectations and in evaluating the impact of changes on the organization and plans accordingly.
Received the Client and Business users appreciation for the implementation of Prescriber NPI update and E-prescribing changes.
Gathered the business requirements and prepared the analyzed data/workflows for business users.
Analyzed business needs and created Business Requirement Document (BRD) Application Use Case (AUC) documents for business and end user review.
Translated user needs to business requirements using Unified Modeling Language (UML).
Worked with the software architects / developers to ensure that the applications conform to customer requirements.
Prepared Requirement and Business Specification documents and arranged user reviews.
Prepared Business Object / Business Process Models that included modeling of all the activities of business from conceptual to procedural level.
Maintained Project Glossary for the entire project team.
Conducted JAD sessions between the end users and the development team.
Followed a structured approach to organize requirements into logical groupings of essential Business Processes, Business Rules, and Information Needs, thus ensuring that Critical Requirements are not missed.
Followed the RUP based methodology using Rational Rose to create Use Case, Activity/ State Chart, Sequence, and Collaboration Diagrams.
Performed Defect Tracking and Change Control Procedures using Rational Clear Quest, and Configuration Management and Version Control using Rational Clear Case.
Involved in the peek review of Test Plans, Test Cases with the QA team to verify implementation of new features and enhancements.
Have exposure of working on Pegaworks for the project.
Prudential Insurance Jul 2003 May 2006
Line Of Business: Insurance.
Role: Business Analysts
Process/Model Tools: MS Visio, Rational Unified Process (RUP), Rational Rose, Rational Requisite Pro, UML, Use Case Diagrams, Sequence Diagrams, Activity Diagrams, MS Office, SAP, WebSphere Portal.
Test Tools : Test Director, Win Runner, Load Runner
Prudential Insurance has widened their business in Health, Life, Auto and Home insurance.
Worked as the Business Analysts and interacted with Business users to set the Group and Individual life, Health and P&C Insurance applications.
Writing specifications for enhancements by using existing legacy system documentation and procedures
Have worked on projects in claims department of Claims Re-pricing, Claims Processing.
Managed the project as Business Analyst to implement Automation Underwriting.
Worked and successfully implemented WORKFLOW to automate the underwriting process.
Worked on P&C Project for Home Mortgage and Auto Insurance Project.
Was awarded with the best employee and Best Project.
Third project with the company was on Centralizing the training and Appraisal Cycle.
Worked on SAP HR Implementation in the company.
Worked on Sub-Modules Like, PA, Benefits, Time Management and Payroll for the company.
Analyzed and synthesized results from Joint Application Development (JAD).
Strong experience in RUP and waterfall Business Modeling process, complete UML artifacts related to Business Modeling and Requirements using MS Visio.
Have good experience of using Rational Requisite Pro, Rational Clearquest and Rational Clearcase
Deep understanding of Various Software development life cycle (SDLC) aspects such as Requirement Analysis, Design, Development, Testing and Deployment.
Ability to create read and comprehend process-level and system-level documents including functional specifications, project scoping, project planning and GAP Analysis.
Worked on Test Cases and Test Plans using Different Testing Methodology like Functional, Regression, Integration, and User Acceptance testing (UAT).
Serdia Pharmaceutical Jan 2002 June 2003
Line Of Business: Pharmaceutical
Role: Business Analysts
Environment:Windows 2000/XP, Linux, MS SQL Server, Clear Quest, MS Office, MS Visio, MS Project, Java, J2EE, .NET, Win Runner, LoadRunner, Test Director
Serdia pharmaceutical is the leading pharmaceutical company in Europe. Was managing the product development team for Serdia to help maintain its market leadership.
Managed and worked with product management team on Product planning and branding for pharmaceutical products.
Performed Market analysis and Market strategic planning for the product.
Arranged JAD sessions with product management team and sales team to drive out detailed business requirements for product promotion.
Implemented the RUP methodology to help analyze the problem, understand users needs, manage requirements.
Exceptional documentation skills for writing use cases and functional requirement documents as well as for creating Use Case diagrams, Activity diagrams, Sequence diagrams, State diagrams based on UML Methodology and business process flow diagrams using MS Visio.
Defined test cases, creating test scripts, analyzing bugs, interacting with QA / dev teams in fixing errors and User Acceptance Testing (UAT).
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Skills: |
A resourceful and dynamic Business Analyst with over 6 years extensive experience in all phases of the Software Development Life Cycle (SDLC) including requirements gathering, analysis, design, implementation, testing and deployment as well as software engineering methods like Rational Unified Process(RUP), RAD, Waterfall, Agile..
Was awarded as Best project and Best Employee with Prudential Insurance co.
Worked and have extensive knowledge in various industries like Insurance (Healthcare, Group and Individual Life, and P&C), Re-Insurance, Pharmaceutical, Retail-Pharmacy, Mortgage, IT- SAP HR softwares for Insurance. Also have knowledge on Retail firm-distribution-Supply chain, POS. Have the ability to understand the AS-IS business.
Have extensive knowledge in Insurance products like HMO, PPO, POS, Managed Care, Life Insurance various products like annuity, family Plan, Investment, Childcare Guidelines and HIPAA and Regulations.
Worked and Implemented Projects like Plan Design for Insurance and Employers, Underwriting Automation (Jet cases) and WORK FLOW, State Regulatory Changes, Sales Underwriting Automation, and Training and Appraisal Software for Insurance Industry.
Extensive Knowledge and Experience on Claims Billing, Claims re- pricing, Claims Payment Processing.
Worked on Pharmacy application like E-Prescribing, Specialty Pharmacy, NCPDP Number changes, HIPPA Knowledge, Changes and Implementation.
Also worked with Insurance Industry in Training and Appraisal, working as Business Analyst to work for the SAP HR Sub modules like Benefits, PA, Time Management and Payroll.
Worked on product analysis, Product Development, product marketing details.
Excellent in performing Gap Analysis to check the compatibility of the existing system infrastructure with the new business requirements
Have designed the entire Project Plan for the application using MS Project.
Facilitated JAD sessions with business users and development team to drive out detailed business requirements
Extensive success in translating business requirements and user expectations into detailed specifications employing Unified Modeling Language (UML) and business process flow diagrams using MS Visio, Rational Rose.
Have prepared Sitemap, Datamodel, Screen Specifications for the Plan design application.
Performed Defect Tracking and Change Control Procedures using Rational Clear Quest, and Configuration Management and Version Control using Rational Clear Case.
Have excellent experience in preparing and executing Test cases, Test plans for functional, regression and UAT.
Created User Training Manual.
Excellent verbal and written communication skills combined with interpersonal, strong analytical skills, desire and ability to research and formulate appropriate analytical technology and conduct Interviews and resolve problem situations and document results.
Facilitated and conducted weekly status meeting with Stakeholders, Business Users.
Self motivated, diligent, ability to adapt to new environments and situations quickly, good grasping ability, capable of forming and maintaining positive and productive working relationships in internal, external, independent, and team environments.
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Education: |
Bachelor of Science
Post Graduate in Business Management
Attended Training from Re-Insurer Company like Swiss-Re and RGA to gain Insurance Domain knowledge.
Trained on SAP HR by the company for the project of SAP HR implementation.
Gained knowledge on LOMA 280 on Principles of Insurance Life, Health and Group.
Pursuing LOMA 290 for Insurance Company Operations.
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