• Assisted in JAD sessions, conducted GAP analysis, and implemented Medicaid Claims processing.• Managed company's EDI catalog, gathering requirements for Medicare systems under ACA.• Implemented services via MMIS for Medicaid, working closely with customers and system engineers.• Utilized Facets software for enrollment, billing, and healthcare claims management.• Responsible for regulatory management in pharmacy services.• Extracted reporting data using SQL queries and performed joins in Tableau Desktop.• Led JAD sessions, utilized HP Quality Center for test documentation and defect management.• Assisted in writing System Requirements Documents (SRD) and provided Tableau user support.• Proficient in FHIR messaging, Power BI, SQL, Oracle general ledger, and Hyperion Financial Management.• Conducted testing for Medicare, Medicaid, and MMIS claims.• Developed understanding of customer workflows and business needs.• Skilled in requirements gathering, modeling, data analytics, and using BI tools.• Expertise in SQL programming and UML modeling using Rational Rose and Visio.• Created and maintained data mapping documents for HIPAA transactions.• Interpreted Medicaid and Medicare policies, performed ad-hoc analysis, and documented ICD9 to ICD10 mappings.• Implemented ICD-9 to ICD-10 conversion and worked on EDI transactions (X12, 835, 837 P.I).• Collaborated with Claims, Payments, and Enrollment for analyzing and documenting related business processes.

Authored Business Requirement Documents to enhance the functionality of a P&C Policy Administration System.Analyzed forms and rules based on ISO circulars, and wrote BRDs applying circular rates, rules, and forms.Prepared application function flow and created Page Mock-ups and screens using MS-Excel.Responsible for functional design and collaborated with technical teams for optimal implementation.Participated in Underwriting Rules and Rating sessions, understanding U/W rules and conducting rating impact analysis.Managed policy lifecycle and responded to new product demands using Guidewire Policy Center.Collaborated closely with Billing Center, Integration, Conversion, Agent Portal, and Forms streams.Gathered business requirements through interviews, JAD sessions, and observations, creating Business Requirements documentation for UI development in Guidewire Policy Center.Implemented Commercial General Liability and Property lines of business for Guidewire Policy Administration System using Agile methodology.Worked on Renaissance P&C Insurance Billing System implementation projects.Collaborated with Property underwriters to issue policies, prepare slips, and review policy information for underwriting.Gathered and defined customer requirements for data import/export from Insurity Property and Casualty Insurance Enterprise View (IEV) system.Provided client solutions using P&C Insurance background and Guidewire software.Collaborated with architects/development teams to identify and capture interface requirements and map them with functional requirements.Utilized modelling techniques such as USE case diagram, workflow/sequence diagram to clarify functional and data requirements.Defined rules for data transfer in data mapping and prepared Traceability matrix for project progress tracking.Conducted project analysis, impact analysis, and gap analysis against requirements.Managed requirements, performed requirements analysis, and created Use Case Scenarios