|Desired Industry: Healthcare
|Desired Job Location: Chicago, Illinois
||Date Posted: 6/15/2015
|Type of Position: Contractor
||U.S. Work Authorization: Yes
|Job Level: Experienced with over 2 years experience
||Willing to Travel:
|Highest Degree Attained: Bachelors
||Willing to Relocate: Yes
Over 7 years of experience as a well-qualified Business System Analyst in diversified industries like Healthcare, Banking and Finance Industries to implement staff and managementís business requirements into software applications.
Strong working knowledge of complete SDLC process and four phases and adept at various methodologies. Used Rational Unified Process (RUP) to develop, manage and test applications and different distributed client/server heterogeneous environments.
Enthusiastic to work in a challenging platform with admirable communications, interactive and presentation skills while motivating team members.
Thorough knowledge of creating use cases, class diagrams, sequence diagrams, functional design specifications, activity diagrams, logical, component and deployment views to extract business process flow.
Highly skillful in working with users to gather functional and non- functional requirements, analyze them and consequently use the Rational project and design tools to model the requirements.
Through knowledge in Business Analysis, SWOT Analysis, Gap Analysis, Risk Analysis, Disaster Recovery Planning, Testing and Project Planning.
Conducted JAD sessions, created UML Diagrams, Work Flows, Screen Shots and Power Point Presentations for the Web Applications.
Experienced in preparing Business Process Re-engineering Models.
Skilled in HIPAA and EDI transactions, Inbound Claims 837-Institutional, 837-Dental, 837- Professional, 837-Claim Payment/Remittance advice, 270/271-Eligibility Benefit Inquiry/Response, 276/277-Claim status Inquiry/Response Transactions and testing in Mainframe and Client Server system applications and MMIS.
Skilled in conversion of HIPAA X12 4010 codes to X12 5010 codes and ICD 9 codes to ICD 10 codes.
Broad knowledge in Medicaid, Medicare, Procedural and Diagnostic codes and Claims Process.
Expertise in understanding and supporting the client with Project Planning, Project Definition, Requirements Definition, Analysis, Design, Testing, System documentation and User Training.
Tremendous skills in Project and Performance Management to support Strategic Planning, Strengthen Accountability, Goal Setting, Improve Customer Service and Enhance Decision Making.
Conducted requirement gathering sessions, feasibility studies, Impact Analysis and used Rational RequisitePro to organize software requirements to track the development process.
Good knowledge of Workflows and Content Management Tools.
Skilled in Change Management Process (Identify, Analyze, Evaluate, Plan, Implement, Review and Close).
Used Rational ClearCase for Version Control of requirement documents.
Used Rational ClearQuest for tracking and prioritizing defects and for enhancements after base lining the requirements.
Experienced in documenting scripts for Data Analysis and QA reporting and testing.
Experience in implementing Microsoft Office SharePoint 2007.
Conducted User Acceptance Testing (UAT) and familiar with User Certification Testing (UCT) and Operational Readiness Testing (ORT) and assisted in developing Test Plan and Test cases.
CIGNA Healthcare, Coventry Health Care Inc, Baxter Pharmaceutical,HCA Mountainstar Healthcare, Nationwide Mutual Insurance
BCA- from India
Programming Languages C, C++, Java, HTML, XML, PHP, SQL, PL/SQL
Database MS Access, Oracle , MS SQL Server, MYSQL
Operating Systems MS-DOS, Windows, Linux, Apple McIntosh
Software MS Office Suite( Word, Excel, Access, PowerPoint & Outlook), MS Visio, Rational Rose, Rational Requisite Pro, Adobe Acrobat, MS Office FrontPage, Lotus Notes, Clear Quest, Clear Case
Performance Testing Tools Quick TestPro (QTP), Virtual User Generator, Load Runner
Processes/Technologies Rational Unified Process(RUP), Agile, Waterfall, UML, Microsoft Office SharePoint 2007
Reporting Tools Crystal Reports, sql Server Reports (SSRS)
Automation Tools Requisite Pro, Win runner, QTP, Test Director, Quality Center
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