Business Analyst - Healthcare Resume Search
Business Analyst - Healthcare Resume Search
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Business Analyst Resume


Desired Industry: Healthcare SpiderID: 79571
Desired Job Location: columbia, South Carolina Date Posted: 7/12/2017
Type of Position: Contractor Availability Date: 1 week
Desired Wage:
U.S. Work Authorization: Yes
Job Level: Experienced with over 2 years experience Willing to Travel: No
Highest Degree Attained: Bachelors Willing to Relocate: Yes


Objective:
To take a challenging role on business operations as Business Analyst and give cost effective and efficient solution that would enable organization to increase its productivity and lead the market.


Experience:
Business Analyst, Tester/ MBA
Objective:
To take a challenging role on business operations as Business Analyst and give cost effective and efficient solution that would enable organization to increase its productivity and lead the market.
Summary:
• Professional Experience of 7 years as a Business Analyst, Tester and worked extensively in diverse business and technical environments.
• Extensive knowledge of HIPAA transaction codes 4010/5010 (Standard Transactions) and X12EDI transaction codes such as 270/271 (Eligibility Transaction Processing), 276/277 (Claims Inquiry Transaction Processing), 278(Service Authorization Processing), 835 (payment or remittance advice), 837 (Claims Submission Processing) and 834 (benefit enrollment).
• Knowledge of Healthcare insurance including Medicaid information technology, Medicare part A, B, C, D and Medicaid management information system (MMIS).
• Strong knowledge of EDI formats and HIPAA 4010 to HIPAA 5010 changes to these formats. Hands on experience with ICD-9 to ICD-10 conversion, CPT and other code sets.
• Detailed knowledge of standard EDI messaging protocols (FTP, SFTP, X12, XML, HL7. CSV, SOAP and others).
• Extensive experience and knowledge about HL7, V2 and V3.
• Solid understanding of all phases of Software Development Life Cycle (SDLC) methodology (such as requirement, analysis, design, data modeling, business process modeling, implementation and deployment), Waterfall and Agile Methodologies.
• In-depth knowledge of Rational Unified Process (RUP); risk engineering, data modeling and mapping, and design using UML (Unified Modeling Language), and Visio.
• Extensive experience in conducting Joint Application Development (JAD) sessions/ workshops for project definition, requirement analysis and user interface.
• Profound experience in preparing Use Cases, diagrams (Activity, Class, Sequence), Business Requirements Document (BRD), Functional Requirement Document (FRD), Requirements Traceability Matrix (RTM). Experience in conducting SWOT Analysis, Cost Benefit.
• Excellent oral and written communication skills with a demonstrated capability for dealing with all levels of client management personnel and staff.

Technical Skills
Databases MS SQL, MS Access
Languages Visual Basic
Methodologies SDLC, RUP, UML, CMM
Operating Systems Microsoft Windows (XP and above)
Project Management MS Office Suite (Word, PowerPoint, Excel, MS Project)
Change Management Rational Clear Quest
Business Modeling Tools MS Visio, Rational Rose
Other Packages Business Objects Crystal Reports, Tableau

Work Experience:
State of Connecticut, Department of Public Health Dec 2015-Apr 2017
Business Analyst II/Tester IIS-EHR Interoperability Project Description:
This project enhanced interoperability between electronic health records (EHRs) and the Connecticut Immunization Registry and Tracking System (CIRTS) using HL7 standard messages. The main focus was to complete the onboarding process to move a practice from the testing process, perform data quality assessment (DQA) in staging, and move into production.
Moreover, CIRTS had 3.2 and 3.3 releases for 2 years and I played a role of a QA/ Tester during the time of UAT process working with CT DPH Test Tracker tool as an admin.
Job Responsibilities:

• Created and modified EHR-IIS Onboarding Checklists for Preparation, Readiness, Testing and Implementation Phases, Project Queue, and other relevant artifacts.
• Performed the testing with test messages sent by practices in the EHR end-to-end testing in the staging environment.
• Prepared a Gap Analysis for AIRA MIROW DQA guide and Best Practices documents when compared to DQA Tools for the State Immunization Registry (CIRTS).
• Conducted Risk Management assessment and data validation.
• Developed EHR-IIS Onboarding Process Workflow.
• Developed EHR-IIS Onboarding Procedure’s Document for Readiness and Implementation Phases.
• Prepared Demos of Immunization Registry for CT vendors
• Developed Roster List Process Document (What the Roster list means and how it has to be updated) and Prepared Roster List Mapping.
• Worked directly with stakeholders in Requirement Gathering Process for CIRTS Release 3.2 and 3.3.
• Created and executed Test Plan in DPH Test Tracker Tool for the State of CT Immunization Registry release 3.2 and 3.3.
• Developed Requirement Traceability Matrix for CIRTS 3.2 and 3.3 releases.
• Conducted Program Area User Acceptance Testing (UAT) for Data Quality Web Modifications for CIRTS System Test and Staging at BEST.
• Conducted interviews with the business team to help the state to run the AFIX Project.
• Acted as liaison between business owners, developers and QA team to ensure enterprise data needs were met










Skills:
Databases MS SQL, MS Access
Languages Visual Basic
Methodologies SDLC, RUP, UML, CMM
Operating Systems Microsoft Windows (XP and above)
Project Management MS Office Suite (Word, PowerPoint, Excel, MS Project)
Change Management Rational Clear Quest
Business Modeling Tools MS Visio, Rational Rose
Other Packages Business Objects Crystal Reports, Tableau


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