Ashmi Das Prema Kumari
Richmond,VA
Summary
Experienced and enthusiastic Consultant with track record of success across wide range of Health care industries software development life cycle over 11 years. Possesses exceptional interpersonal, problem-solving and analytical skills to provide advice and expertise to client organizations improving business performance. Experienced in all aspects of operations, strategy and finance with successful records in managing multiple priorities to meet team goal.
Overview
15
15
years of professional experience
1
1
Certification
Work History
Solution Design Consultant
Kaiser Permanente
09.2022 - Current
- Improved client satisfaction by effectively managing multiple projects and consistently meeting deadlines.
- Developed innovative strategies for clients, resulting in increased revenue and business growth.
- Collaborated with cross-functional teams to successfully deliver comprehensive solutions for clients.
- Identified areas of improvement for clients'' operations, implementing targeted solutions to increase productivity.
- Evaluated client needs and expectations, establishing clear goals for each consulting engagement.
- Analyzed problematic areas to provide recommendations and solutions.
- Created and developed detailed work plans to meet business priorities and deadlines.
Sr. Business System Analyst/Product Owner
ADVANTASURE
03.2020 - 08.2022
- Streamlined business processes by analyzing system requirements and implementing improvements.
- Worked with data modelling concepts
- Read Data Model and Data Mapping documents.
- Troubleshot incidents reported by end-users to schedule system changes and identify permanent solutions.
- Reduced manual data entry errors by designing and deploying automated ETL processes to transform raw data into usable formats.
- Optimized database performance, implementing indexing strategies and partitioning techniques to reduce query times.
- Championed a culture of data-driven decision-making by promoting the importance of analytics throughout the organization.
- Developed and implemented data collection systems and other strategies to optimize statistical efficiency and data quality.
- Assessed large datasets, drew valid inferences and prepared insights in narrative or visual forms.
- Performed root-cause analysis on data-related system problems to recommend or execute corrective action.
- Analyzed data to identify root causes of problems and recommend corrective actions.
- Developed and maintained data warehouses and data marts to support business operations.
- Assisted with creating data cubes and OLAP models to improve data analysis.
- Developed and implemented data governance policies and procedures.
- Developed data mining algorithms to identify and classify patterns in data.
Sr. Business System Analyst/Data Analyst
ANTHEM
09.2018 - 03.2020
- Supported the integration of new software applications by liaising between development teams and end users throughout all stages of the project lifecycle.
- Consolidated business rules for system enhancements.
- Developed diagrams to describe and lay out logical operational steps.
- Presented business leaders with ROI estimations to drive project planning.
- Troubleshot incidents reported by end-users to schedule system changes and identify permanent solutions.
- Improved decision-making processes with accurate data analysis and visualization techniques.
- Identified, analyzed and interpreted trends or patterns in complex data sets.
- Provided technical support for troubleshooting analytics and reporting issues.
- Optimized data access and storage to improve performance of analytics systems.
- Developed and maintained data warehouses and data marts to support business operations.
- Developed and implemented data governance policies and procedures.
Sr. Business System Analyst
HUMANA
04.2018 - 08.2018
- Worked on Agile Scrum environment
- Conducted user interviews, gathered, analyzed and documented business requirements (BRD) based on the analysis of business process, workflow model, existing use cases and workflows
- Facilitated Joint Application Development (JAD), sessions to identify business rules and requirements and then documented them
- Created use cases after accessing the scope and status of the project and understanding the business processes from USER perspective
- Played a key role in the planning, User Accepted testing and implementation of system enhancements and conversions
- Developed and maintained all operational and technical flows using Visio and Power Point
- Conducted preliminary Gap analysis based on user requirements
- Created "As Is" and "To Be" architecture to show the current and proposed functionalities of the system
- Consulted end users to identify requirements and created conceptual design for online screens and reports for a Marketing inquiry system used by Marketing service representatives
- Generated periodic reports using Report Builder Tools like Microsoft Word and Excel
- Conducted Unit testing for all the queries developed through concepts like group, sub query, joins, primary key and foreign key constraints.
Business System Analyst
SD InfoTech
11.2010 - 12.2015
- Gathered Business Requirements by Interacting with the Agents, Medicare Users, Business Users and SME's
- Facilitated Joint Application Development (JAD), sessions to identify business rules and requirements and then documented them for inter and intra departmental review
- Accomplished experience from requirement analysis till deployment, using highly efficient RUP Methodology process of software development
- Analyzed the business requirement as per the HIPAA rules and regulations
- Developed Requirement Traceability Matrix (RTM) & also RACI matrix
- Followed a structured approach to organize requirements into logical groupings of essential business processes, business rules, and information needs, and ensures that critical requirements are not missed
- Used SQL and Data Cleansing for the arrangement of customer data
- Assisted in developing detailed Test plan, Test Cases, Test scripts for testing the functionality, GUI and security testing
- Documented the organizations policies and procedure in the system functional requirement.
Business Analyst
SD InfoTech
05.2009 - 10.2013
- Studied and assessed the clients/patient's systems and business processes (HIPAA requirements)
- Conducted user interviews, gathered, analyzed and documented business requirements (BRD) based on the analysis of business process, workflow model, existing use cases and workflows
- Facilitated Joint Application Development (JAD), sessions to identify business rules and requirements and then documented them
- Created use cases after accessing the scope and status of the project and understanding the business processes from USER perspective
- Played a key role in the planning, User Accepted testing and implementation of system enhancements and conversions
- Developed and maintained all operational and technical flows using Visio and Power Point
- Conducted preliminary Gap analysis based on user requirements
- Created AS IS and TO BE documents to show the current and proposed functionalities of the system
- Analyzed FACETS bank draft, commission payment, ID card/insert generation, billing, eligibility, product set up and claims processing capabilities
- Consulted end users to identify requirements and created conceptual design for online screens and reports for a Marketing inquiry system used by Marketing service representatives
- Established business analysis methodology after assessing the corporate and HIPAA compliance procedures
- Claim validation and Pend/Denied Claims Analysis for the Health plans Medicaid programs
- Assisted in using FACETS for integrated claims management, arbitration and adjudication and mapping, migration conducted for new authorization in FACETS
- Perform Data analysis for Segregation, classification and analysis of data and Identifying major trends
- Compilation of reports based on data analysis.
Education
Master of Science - Electrical & Computer Science
SUNY At New Paltz
New York, NY07.2017
Master of Science - Electrical, Electronics And Communications Engineering
NI University
Tamil Nadu05.2011
Bachelor's - Electrical, Electronics And Communications Engineering
Kerala University
Kerala 06.2008
Skills
- SQL Server management tool, MySQL
- PEGA 74, RPA, Work Fusion, Automation Anywhere
- TFS, Jira, Confluence, MS Project, MS Visio, MS SharePoint, LUCID, Note
- Certifications on RPA, ADVANCED AUTOMATION ANYWHERE, WORK FUSION, PEGA Business Architect
- Research & Development, Problem Solving, GAP Analysis, Cross- Functional Collaborations, Process Analysis, Data Analysis
Certification
- a
- b
- c
Timeline
Solution Design Consultant
Kaiser Permanente
09.2022 - Current
Sr. Business System Analyst/Product Owner
ADVANTASURE
03.2020 - 08.2022
Sr. Business System Analyst/Data Analyst
ANTHEM
09.2018 - 03.2020
Sr. Business System Analyst
HUMANA
04.2018 - 08.2018
Business System Analyst
SD InfoTech
11.2010 - 12.2015
Business Analyst
SD InfoTech
05.2009 - 10.2013
Master of Science - Electrical & Computer Science
SUNY At New Paltz
Master of Science - Electrical, Electronics And Communications Engineering
NI University
Bachelor's - Electrical, Electronics And Communications Engineering
Kerala University
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