Syed Jaffer Email & Phone Number

Madison, Wisconsin, United States

• Analyzed and documented requirements, creating BRDs, FRDs, and SRS/SDSs, ensuring clarity between stakeholders and dev teams, utilizing RTM to track requirements and traceability throughout the lifecycle.• Utilized wireframing tools to design intuitive UI/UX dashboards, ensuring effective communication of requirements and prioritizing user experience for enhanced usability.• Implemented AI solutions leveraging AWS cloud services for modernization initiatives, optimizing operations and enhancing scalability for improved efficiency and performance.• Expertise in developing Power BI dashboards & reports using SSAS & SSRS for IT service management within ServiceNow, enabling real-time data visualization and analysis of IT service metrics.• Proficient in implementing robust data security measures across databases & data warehouses, including encryption protocols and access controls, to safeguard against potential data breaches.• Skilled in designing and implementing machine learning models, including supervised and unsupervised learning algorithms, to predict patient outcomes, optimize treatment protocols, and enhance diagnostic precision.• Created & employed Use Cases, User Stories, Story Boards, and Story Mapping techniques to articulate project requirements and user journeys effectively, aligning with KPIs and Epics to ensure project success.• Designed and implemented a Snowflake schema to ensure data integrity and minimize redundancy in the database.• Employed Safe Agile SDLC Methodology, including its ceremonies like, PI Planning, Scrum of Scrums, and Inspect and Adapt sessions, alongside artifacts like Backlogs, Agile Release Trains, and Charts, ensuring alignment, transparency, and continuous improvement for project execution.

Westlake, Ohio, United States

• Performed GAP (As-Is & To-Be), Cost-Benefit, SWOT, ROI, and Feasibility analyses, utilizing RFPs, BPO, and BPMN methodologies for solution implementation for enhanced business outcomes.• Integrated machine learning models with Electronic Health Records (EHR) systems and Health Information Systems (HIS) to generate actionable insights and support clinical decision-making.• Generated BRDs, FRDs, SRSs, and SDSs utilizing RTM to translate high-level functional documents into detailed, actionable items such as Use Cases, User Stories, Storyboards, KPIs, and KBRs, ensuring traceability and alignment with project objectives to highlight SOWs and SIWs.• Translated complex ML outputs into actionable insights using data visualization tools like Tableau and Power BI, facilitating informed decision-making among healthcare providers.• Coordinated UAT and QA activities within CI/CD pipelines, leveraging JIRA for test case tracking and ensuring seamless integration of testing processes throughout the development lifecycle.• Implemented enhancements to payors and providers systems using technologies like blockchain for secure medical records management, telehealth solutions for remote patient monitoring, and revenue cycle management software for billing optimization.• Utilized UML diagrams, including Process Flow, Swim Lane, DFD, ERD, and Class diagrams, to represent and analyze system architectures, data flows, and interactions, ensuring clear communication.• Organized the modernization of existing Medicare and Medicaid systems, leveraging cloud computing, microservices architecture, and containerization to enhance scalability, agility, and performance.• Developed and tracked key performance indicators (KPIs) such as accuracy, precision, recall, and F1-score to assess the performance of ML models in clinical applications.

San Jose, California, United States

• Worked on utilizing UML diagrams such as Process Flow, Entity-Relationship, DFD, and Class diagrams to visualize system architecture and facilitate comprehensive analysis and design.• Involved in leveraging wireframe mockups to theorize interface design & refined UI/UX, integrating Use Cases, User Stories, Story Mapping, KPIs, & KBRs for user engagement & performance metrics alignment.• Directed the implementation and optimization of the MMIS to enhance claims adjudication and EDI claims processing for medical, hospital, and dental services using advanced algorithms and RPA.• Utilized ML algorithms for automating and optimizing healthcare workflows, reducing manual data entry, and enhancing operational efficiency through process automation tools.• Involved in executing SQL Queries and handling NoSQL databases, including Teradata, for efficient data retrieval and management.• Worked on ETL processes using Informatica and SSIS, ensuring seamless data integration and transformation within Azure DevOps environments.• Participated in utilizing Big Data processing, alongside tools like SSRS, Power BI, and data modeling techniques, to create insightful reports and analytics within data warehouses.• Involved in utilizing ALM and QC for test management, while employing LoadRunner for performance testing and Selenium for automated testing, ensuring robust software quality.• Leveraged managed care models, including HMO and DSNP, to improve care coordination and optimize resource management, using predictive analytics and data mining techniques.

Chicago, Illinois, United States

• Involved in implementing SDLC methodologies (Agile) throughout the SDLC, fostering iterative development, continuous feedback, and adaptability to evolving requirements.• Contributed in ensuring adherence to data governance and security protocols within Asana.• Worked on utilizing the Traceability Matrix (RTM) to track and manage project requirements.• Created clear Use Cases and User Stories by utilizing JIRA to capture system requirements effectively.• Involved in generating UML diagrams like process flow diagrams and swim lane diagrams to visualize system architecture and processes.• Facilitated in implementing and integrating cutting-edge claims systems with Facets, leveraging APIs to ensure unified data exchange, facilitating efficient healthcare administration.• Participated in optimizing initiatives within the PBM framework, employing advanced algorithms and NLP techniques to enhance diagnostic and procedural coding (CPT) accuracy, bolstering patient care.• Involved in ensuring compliance with HIPAA and EDI standards through robust encryption protocols (AES-256) and secure data transmission methods, maintaining data security and regulatory adherence.• Contributed in implementing EDI claims processing enhancements, utilizing MuleSoft for validation and transformation of electronic claims, resulting in administrative processes and increased efficiency.• Participated in managing quality assurance initiatives to ensure compliance with HIPAA, HITECH, and CMS guidelines, conducting audits and assessments to maintain data integrity and mitigate risks.• Contributed in utilizing JIRA, Confluence, Rational Requisite Pro, MS 365 Dynamics, and MS Suite for project management and requirements gathering, alongside ALM and Selenium for defect tracking and automated testing.• Conducted training sessions and created documentation for healthcare professionals on ML tool usage, model interpretation, and integrating ML insights into clinical practice.

India

• Facilitated in conducting JAD/JRP sessions, brainstorming workshops, and One-to-One Interviews with stakeholders, SMEs, and end-users to gather requirements, while applying BPMN and BPO methodologies.• Gathered detailed business and technical requirements and participated in the definitions of business rules and data standards• Facilitated functional requirement gathering from system users and prepared business requirement documents (BRD).• Worked on Waterfall methodology to configure and develop process, standards, and procedures.• Worked on coordinating in store operations and administration including scheduling, reports, inventory, and customer service• Involved in implementing RAD waterfall SDLC methodology, blending structured waterfall with iterative development to expedite project timelines while maintaining adherence to quality standards.• Facilitated in ensuring full compliance with HIPAA standards, utilizing encryption and secure data transmission protocols to safeguard patient data privacy and security throughout the integration process.• Contributed in leveraging EDIFECS technology to optimize EDI transaction processing, improving efficiency and accuracy of data exchange for HIPAA EDI transactions between healthcare entities.• Involved in draft modified specifications for ‘Suggestive Sales’ to create add-on sales at POS.• Worked on MS-Visio for flow-charting, Use- Case process model and architectural design of the application• Implemented the Agile methodology guidelines with its various workflows and artifacts in Requirements Management and Development.• Involved in identifying use cases, actors and writing use case narratives. Created use case diagrams and activity diagrams using MS Visio.• Created JIRA tickets for defect logging & tracking. Interfaced with developers, analysts, customers, and project managers to discuss requirements and recommended solutions, to help resolve issues.