C C. Email & Phone Number

Bellevue, Washington, United States

Business Analyst with over 6 years of experience in the Healthcare domain. Expertise in various areas like EDI, Medicaid and Medicare Services, Claims Processing, Billing, Insurance and Reimbursement. Having a good experience with different project methodologies including Agile-Scrum Methodology, Waterfall, Modified-Waterfall, Iterative, Incremental and RUP.

Pleasanton, California, United States

Create a Data Mapping document and work with businesses and vendors to write transformation rules.Analyze the business requirement to develop the functional and non-functional specification.Prepare the Business Requirement Document BRD and functional requirement document FRD for the enhancement of the existing services.Conduct JAD sessions with business.

Dover, Delaware, United States

Built an Information Security Risk Assessment (ISRA) for the secure exchange of health insurance data as part of the Affordable Care Act (ACA).Responsible for implementing payers onto the Health Care Exchange (HIX) for the Affordable Care Act. Thorough knowledge of ICD-10 codes and CPT codes for both Mental and Medical Health and worked extensively with.

Springfield, Illinois Metropolitan Area

Facilitated JAD sessions to collect requirements from system users and prepared business requirements that provided appropriate scope of work for the technical team to develop prototype and overall system.Responsible for creating working documents to document provider agreement information, gathering and documenting Participating Specialist, Ancillary &.

India

• Experience of managing multiple stakeholders across the organization, and in QA integration of systems. Involved in detailing project mission, data process flow diagrams, and timelines.
• Designed and developed Use Cases, Activity Diagrams and Sequence Diagrams.
• Documented business requirements, and communicated the requirements with the development team for design and implementation of business solutions.
• Worked with the Business Analysis team to prepare a detailed Business Requirement document (BRD) and System Requirement Document (SRS).
• Analyzed Business Requirements to develop functional and detail design specifications.
• Conducted Requirement Gathering Sessions with the stakeholders. Incorporated stakeholder feedback throughout the project lifecycle to ensure project quality and customer satisfaction.