Description
PROFESSIONAL SUMMARY Over eight years of experience as a Business Systems Analyst in the Healthcare industry with primary focus on Iterative Software Development Lifecycle (SDLC) principles of Agile Methodology as well as the Waterfall methodology. * Very experienced in the Agile Scrum environment performing the Agile ceremonies - Stand Up, Iteration Planning, Sprint Review and Sprint Retrospective * Proficient in Requirements Analysis working with techniques such as User Stories/Acceptance Criteria, Use Cases, Prototypes, Interviews, and Storyboards. * Experienced in analyzing and defining business processes, needs and problems. Good documentation experience developing Project Charter, Business Requirement Document, Functional Requirement Document, Issue Log. * Skilled in gathering business and application requirements, Business Processes, identifying risks, impact analysis and expertise in creating Use Case diagrams, Activity diagrams, Data Flow Diagrams (DFD), Sequence diagrams, State diagrams based on UML Methodology and business process flow diagrams using MS Visio/Enterprise Architect/Rational Rose. * Extensive experience with Documentation Repository tools like JIRA and SHARE POINT. * Experienced in writing requirements and specification like Business Requirements Document (BRD), Functional Requirements Specifications, Systems Design Specification (SDS), Systems Requirements Specification (SRS), Data Dictionary, Business Continuity Plan (BCP), Requirements Traceability Matrix (RTM), Defect Traceability Matrix (DTM) and knowledge Transfer manuals, User Guides, Release Notes and Training Material. * Excellent experience and advance knowledge of the Systems Development Life Cycle (SDLC), Waterfall, Spiral, Rapid Application Development (RAD), Extreme Programming (XP), Rational Unified Process (RUP) * Highly experienced with Relational Database Management Systems, including ERD, Normalization, Constraints, SQL Query, Joins, Keys, Data Import/Export. * Experienced in conducting GAP analysis, SWOT analysis, GAP analysis, Moscow Analysis, Cost Benefit analysis, Risk analysis and return of interest (ROI) Analysis as a business systems analyst. * Conducted User Acceptance Testing (UAT): Planning, Designing User Acceptance Test Scripts, Test Cases, Logging Defects, and Sign Off. * Experience on creating Source to Target mapping documents, gathering business requirements from business/user, creating Process Flows and Data Flow Diagram (DFD). Working directly with ETL team for data extraction, data quality (DQ) team for validation. * Involved in preparation of Test data to test the functionality of ETL Sources Mappings and Targets. * Excellent knowledge of Health Insurance Portability and Accountability Act (HIPAA) transaction, code set rules such as EDI 837, 270, 271, 276, 277, 834, 835 and ICD9-ICD10. * Very Good understanding of Health Insurance Plans (Medicare Part A, B, C and D), managed care concepts (Medicaid and Medicare) and is also experienced in determining the membership eligibility, billing experience within life and disability in health plans. * Good knowledge of PPACA (Patient Protection and Affordable Care Act) and Health Insurance Exchange. * Experienced in conducting Joint Application Development (JAD) sessions for requirements gathering, analysis and design. * Proven track record with handling Change Requests by the Clients. And Experienced with Rational tools like Requisite Pro, Clear Quest, and Rational Rose. * Good Knowledge of Test Plan, Test Scripts and Test Cases for Functional, System, Integration, UAT, and Regression Testing based on the Design Document and User Requirement Document for the Functional, Security, and Performance Testing.
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