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Exp Location: San Antonio, Texas
Exp Program Manager for CTO Architecture and Strategic Research/Innovation Group at USAA
Exp Primarily focused on handling team providing innovative research and approach towards business problems faced by Business and Architects in the IT strategic roadmap planning and execution
Exp Responsibilities include leading a team of Research Analysts performing market profiling, identifying desirable functionalities/approach and providing actionable business solutions and approach
Exp Understanding the client needs, prioritizing the research with Architecture board and responsible for presenting team KPI and performance metrics to client senior management.
Exp An integral part of profile includes bringing product vendor solutions in the lab and performing specific business use cases to validate functionality and client requirements to prepare a comparison score card
Exp The deliverables include detailed Project plan, performance metrics, Team forecast, Budget adherence, Research whitepapers, product/approach recommendation and business use case validations
Exp Company: HCL Technologies Ltd Feb ‘10 – Apr ’15
Exp Role: Deputy Manager
Exp Location: Bangalore, India
Exp Client Name: Genworth - a leading provider of Lenders Mortgage Insurance (LMI)
Exp Industry Sector: Insurance
Exp Project Description: We were working with the client in claims administration area. The client was using Guidewire Claims center for Mortgage claims. The scope of work included Application Maintenance, Enhancement and Support and product version upgrade for :
Exp Oxygen – This is a claims application based on ClaimCenter V5.0. It includes claims application interfaces, Reporting and Configuration
Exp Duration: (Mar 2014 – Apr 2015)
Exp Role: SCRUM Master/Business Analyst
Exp Responsibilities:
Exp Mentored the core IT team to follow Agile practices instead of waterfall and deliver the project using Scrum
Exp Gathered requirements from various business teams
Exp Created stories out of various requirements and planned for implementing them in various iterations
Exp Created a story backlog in JIRA and keeps on updating them accordingly
Exp Base lining of all the business artifacts and requirements implemented in each iteration and release accordingly
Exp Compliance to schedule and containment of defect leakage
Exp Duration: (Feb 2010 - Mar 2014) – Business Solutions Group
Exp Proactive proposals, Response to RFP’s and collateral preparation
Exp Responsible for end-to-end opportunity life-cycle including bid management & planning, proposal handling, win strategy formulation, solution development, estimations, bid pricing, deal reviews & approvals, proposal defense, due diligence, best & final offer (BAFO) and contract negotiation.
Exp Understanding customer pain points and recommending solutions, Market research, and competitive intelligence based on sales pursuits.
Exp Strategic Initiatives
Exp Spearheaded Solution workshops with clients to validate scope and refine the solution offerings
Exp Worked extensively in giving joint proposals with product partner like eBao, CSC etc. to cement long term partnership and evolution of go to market strategy
Exp Company: Office Depot Reliance
Exp Role: Management Trainee, IT, Supply Chain and Merchandising Jul ‘09 – Feb’10
Exp Locations: Navi Mumbai, India
Exp Identified problem areas and suggested ways to tackle business issues by data generation and analysis for catalogue marketing campaigns.
Exp Redesigning SKU creation process to improve follow ups by defining department specific response time and escalation matrix
Exp Involved in process improvements for transparency and better compliance during Supply Chain training.
Exp Company: Schneider Electric India
Exp Role: Software Engineer Aug ‘04 – May’07
Exp Locations: Bangalore, India
Exp Led a team for a prestigious firmware verification project, coordinating across four countries.
Exp Responsible for project execution, planning, resource requirements, duration, risk analysis and mitigation.
Exp Member of steering committee responsible for obtaining quality certification (CMMI Level 3).
Exp SUMMER INTERNSHIP TATA COMMUNICATIONS (Corporate Strategy Department)
Exp Formulated Market Entry Strategy for TATA Communications in middle-east markets (U.A.E., Qatar and Bahrain)
Exp Assessed market attractiveness from the macroeconomic, regulatory and telecom market perspective
PI Avanthi Katta
PI Sr. Business Analyst
PI Ph No: 916-282-9259
PI Email ID: sam@vishconsultingservices.com
Sum SUMMARY
Sum Over Seven years of experience as a Sr. Business Analyst/Quality Analyst.
Sum Solid understanding of Business Requirement gathering, Business Process flow, Business Process Modeling and Analysis, design documentation.
Sum Experience in all phases of the Software Development Life Cycle (SDLC) including Requirement gathering, Design, Development, Testing and Deployment.
Sum Organized Joint Application Development (JAD), workshops and interview sessions.
Sum Expertise in Documentation and Review of Software and Business/Technical Requirement Documents.
Sum Managed complex business initiatives to balance requirements for functionality, efficiency and quality.
Sum Excellent knowledge of Health Insurance Portability and Accountability Act (HIPAA) transaction, code set rules such as EDI 837,270,271,276,277,834,835, NCPDP and ICD9-ICD10.
Sum Experienced with Rational tools like ReqPro, Clearquest, Clear Case, Rational soda, Rational Rose.
Sum Experienced working in Obama care, Medicare and Medicaid projects.
Sum Exceptional Documentation Skills for writing Use Cases and Functional Requirement Documents.
Sum Design and review of various documents including the Software Requirement Specifications (SRS), Business Requirements Document (BRD), Use Case Specifications, Functional Specifications (FSD), Systems Design Specification (SDS), Requirement Traceability Matrix (RTM) and testing documents.
Sum Strong experience with MS Visio for creating visual representation of Software/Data Architecture, Use Case diagrams (specially in an Agile environment), Sequence diagrams, Class diagrams, Business Process Flows and basic flowcharts.
Sum Extensive experience in configuring data mapping of files using Edifacs Specbuilder.
Sum Through knowledge of various phases of Edifacs Specbuilder- Analyzer and Mapper.
Sum Conducted JAD Sessions to develop an architectural solution that the application meets the business requirements, resolve open issues, and change requests.
Sum Good Knowledge of Test Plan, Test Scripts and Test Cases for Functional, System, Integration, UAT, and Regression Testing based on the Design Document for the Functional, Security, and Performance Testing.
Sum Excellent written and verbal communication.
Sum Consistently demonstrated ability to achieve tight deadlines.
Skill AREAS OF EXPERTISE
Skill Operating Systems: Win 98/XP/Vista/Windows 7, UNIX, LINUX, Mac.
Skill Languages: C, C++, Java, SQL, HTML, XML, C#, VB, ASP, .Net
Skill Databases: Oracle, MS SQL server, MS Access, MY SQL
Skill Tools: MS Office: Word, Excel, Access, Power point, Project, Visio, Front Office, Rational Rose, SoDA, Software Modeler, Team Test, Doors, PROLOG, Clearcase, Clearquest, WinRunner, LoadRunner, WebSphere, Business Modeler, HP Quality Centre, Ultra Edit, TOAD and Test Director, MMIS, JIRA.
Skill Industry Standards: HIPAA 5010, ICD 10, PPACA (Patient Protection and Affordable Care Act)
PI PROFESSIONAL PROFILE
PI West Virginia State Medicaid, Charleston, WV
PI Sr. Business Analyst
PI MAY 2014–Present
PI The delivery of the 5010 transactions executed in multiple integrated releases along with system upgrade from ICD 9-10 in MMIS.
Exp Another project involved helping the department in creating documents for Integrated Eligibility Determination system for Medicaid, QHP and SNAP so it can help later vendor to implement the project effectively.
Exp Roles and Responsibilities
Exp Worked with client to gather Business/Technical Requirements, Approval of CR (Change request), Design and Implementations for State MMIS.
Exp Responsible for designing future state processes for ICD 9-10 Crosswalk Table and drafted High Level Business Requirements for ICD 9-10 conversion mapping.
Exp Worked on creating State based Rule requirement document with Rule ID (CFR number).
Exp Researched on state based rules, configuration to be implemented in integrated eligibility system.
Exp Gained extensive experience in designing/modifying the CICS screens for various areas such as Enrollment, Billing, Provider Record and Reimbursement Status in MMIS..
Exp Wrote clear, concise detailed System Requirements Specification(SRS) documents and user documentation in accordance to guidelines and standards of a level where developers can interpret, design and develop the application with minimum guidance
Exp Experience in implementation of ICD-9-CM codes and ICD-10-CM codes changes in the current claim processing modules in MMIS.
Exp Worked on HP Quality Center 10.0 which include Defects Management, Test Plan and Dashboard.
Exp Talking to the client based on requirements of that particular defect, uploading document required, checking history, status notes, setting up resources to handle and fix it.
Exp Worked on Rational Requisite Pro application to handle various requirements including Functional requirements, High-level requirements, Non-functional requirements, Scope statement and User requirements.
Exp Provided online support to users for various applications such as IPCS (Internet Professional Claims Submission).
Exp Environment: HP ALM, JIRA, Salesforce, MS Office, Windows 7, MS Visio, HP SharePoint, MS Project, MS Visio, SQL, SOAP, XML, MMIS, Agile.
Exp Medica health Plans, Minnetonka, MN
Exp May 2013-MAY 2014
Exp Sr. Business Analyst
Exp Project was involved working on the design and configuration changes as per the PPACA (Patient protection and Affordable Care Act) in the current healthcare plans
Exp Roles and Responsibilities:
Exp Responsible for gathering and documenting Legislative, Business, Functional requirements for all the provisions and their impact on the existing products and systems.
Exp Responsible for integrating with Facets. Designing test scripts for testing of Claims in Development, Integration and production environment.