Vinitha M. Email & Phone Number

Hoover, Alabama, United States

Participated in a project focused on enhancing current processes and integrating new featuresand technologies. Specifically, I led the implementation of upgrades to Claims modules in the system.Additionally, I analyzed EDI transactions, such as 837, 835, and 270,271, and performed mapping to ensure compliance with CMS requirements.• Conducted Joint Application Development (JAD) sessions to gather business requirements and documented them in the Agile project manager Azure DevOps.• Identified User stories from business requirements and created UML diagrams, including Use Case Diagrams, Activity Diagrams, and Sequence diagrams with Microsoft Visio.• Managed EDI transactions 837 for claim process, 835 payment processes, 270 benefit inquiries, 271 benefit response under Health Insurance Portability and Accountability (HIPAA).• Participated in ETL requirements process and mapping to track all data elements used in the application from the user interface through different interfaces to the target databases in which they are stored.• Delivered timely, accurate, meaningful, and standardized data and reporting to meet the information demands of business users.• Created Data-Mapping best practices document including visual processes and generated wireframe mockups for claim processing EDI transactions 837 and 835.• Assisted Testers to test the Web Application, Business and Subject Matter Experts during the User Acceptance Testing• Scheduled Bug/ Defects prioritization meeting created and prioritized user stories by using JIRA and updated daily status of the Requirement traceability matrix of all user stories and test cases.• Proficient in generating and distributing Power BI reports and dashboards to various stakeholders across the organization.• Designed interactive dashboards and visualizations with Tableau.• Leveraged Python to connect with SQL databases for data retrieval, manipulation, and loading.

The project was involved in Medicare and Retirement, claims auto adjudication scope and definitions, financial transactions ID cards, Membership, Enrollment

The project was to build an Enterprise Reporting system for the performance analysis of the creditcard system in use. This further supported the portfolio management services of the bank.Responsibilities:- Facilitated meeting and arranged JAD sessions with business users for requirement gathering.- Performed requirements analysis, formulate and define systems scope and objectives through userneeds and an understanding of business systems and industry requirements.- Developed documentation for various stages of the Software Development Life Cycle (SDLC), includingFunctional Designs and Test Cases. Provided functional support and guidance to application changes.- Served as a liaison between business team and the project team by assisting the business inidentifying, understanding and documenting their business needs and requirements.- Created AS-IS and TO-BE business process flow diagrams, integrate process flow diagrams to showend-to-end business model including swim lanes for the elicited business requirements.- Responsible for preparing Software Requirement Specifications (SRS) and Functional RequirementSpecifications and performing Gap Analysis to check the system compatibility with the newrequirements.- Created use cases and designed use case diagrams class, sequence diagrams and activity diagrams.- Used SharePoint for content management and document management. Assisted in gatheringrequirements for the GUI (Graphical User Interface) Screens.- Added and configured various transformations like lookup, derived column, data conversion,aggregate, conditional split, merge, row count, and union, select and join pertaining to data.