Summary
Overview
Work History
Education
Skills
Websites
Certification
Timeline
Generic

Girish Changlere

Aurora,IL

Summary

Sr. Business /System Analyst, Consultant and Certified Scrum Master (CSM) with 12+Yrs of experience along with lean thinking, effective SDLC, facilitating and mentoring to agile area, coaching, and mentoring scrum framework and knowledge with SAFe Agile. Experienced in package implementation – ITSM, ITOM, Service Catalogue, OCM, Product Catalogue, Order Management- B2B, B2C, vendor management, Contact Center knowledge. Experienced in EDI, ETL, CPT code, EHR EMR, and Organization Change Management by effectively communicating with Stakeholders (internal and external) and presenting the impact analysis with data visualization tools (PBI) Visio specialist to prepare organization work flow, E2E process Flow, Data Flow diagram. Being an analyst, understanding business processes and market trends and can foresee potential challenges or opportunities, crafting plans for them accordingly. Learning more about their specific skills, such as adaptability and project management, can help improve system performance. leveraging business data to guide strategy and improve results by comprehending complex business issues and assisting corporate decision-making. Based on data analysis, which helps to define and interpreting what actions will ensure the achievement of strategic objectives. In past work experience, managed requirements by extracting requirements from Executive Business Stakeholders and/or Sr. Management for enterprise software solutions for computers and mobile devices. Maintaining stories in JIRA based on Epic and chunks of their subtasks. Experienced interfacing with business stakeholders and technical teams, facilitating requirements work sessions and writing detailed Business Requirements for complex projects. Identified and analyzed upstream and downstream dependency among user stories and presented the dependency to product owner for prioritizing purposes. Translate business needs and desired user experiences into comprehensive and executable user stories to ensure understanding by all project members. Handled Performance Tuning and Optimization requirements, with strong analytical and troubleshooting skills for quick issue resolution in large-scale production environments. Used strong analytical and product management skills to interpret customer business needs and translate them into application and operational requirements. Designed client user acceptance testing database and process documentation to accommodate beta testing dependent on successful completion of sequential steps. Coordinated application development, coding, testing, user acceptance testing and production to ensure business requirements were consistently satisfied. Driven collaboration between business analysts, active user group members and developers to vet proposed changes to ensure optimal implementation strategies. Contributed in major responsibilities included gathering and analyzing business requirements of the heritage clients and coordinating the implementation of projects using SDLC. Analyzed enterprise business processes and requirements utilizing various meetings, direct observation, data analysis, document review, and questionnaires.

Overview

15
15
years of professional experience
1
1
Certification

Work History

Business Consultant

03.2022 - Current
  • Been as a Lead Consultant for Program for Managed Care, working in agile scrum practice include Change Owner (OCM), requirement discovery session for package implementation and on Digital Platform by providing solution for Customer enrollment, Operation, Automation and Delivered along with the ITSM and Digital Platform service and facility catalogue through APIC microservices along with EDI
  • Service Now Implementation
  • Delivered the discovery session set of documents for current business and provided the solution by discussing with the architecture team
  • Understanding the Contact Center structure and preparing flow diagrams for system references
  • Participating in the weekly business meetings for all the change management team, planning for deliverables, tracking on development, and testing for quality delivery to the stakeholders
  • Using MSOffice – Excel, Word, Visio, and PPT, JIRA, ADO to create stories and needed deliverables
  • Creating daily reports by using PowerBI to monitor the ticketing lifecycle in specific area for service requests and decision making
  • Single PoC for all internal and external stakeholders, vendor management for all the integrations
  • Writing User Story and preparing backlog along with the acceptance criteria in Azure DevOps and performing UAT session from End to End
  • Updating the Service Catalog and Data Warehousing for customer services and customer data record for analysis
  • IT service management (ITSM) and APM is the end-to-end tracking and management of IT assets to ensure that every asset is properly used, maintained, upgraded, and disposed of at the end of its lifecycle
  • Creating Data, Process and structure flow Diagram in Visio for deliverables
  • Communication and Digital Platform
  • Being Sr BA on AEM and Salesforce CRM application based Digital (Communication & Service) platform member, working with Source and Target systems (Salesforce - Contact Center, Mobile, Web, Fax, Print, SFMC, Product Catalogue) for customer services, HL7 data communication end users’ communication purpose for customer services and coordinating CAB (OCM) board for testing and release planning
  • Worked on PowerBI reporting tool for daily communication transaction with multiple channels on excel sheet
  • The SQL language enables them to conduct complex analysis by retrieving data from multiple tables simultaneously, making it an ideal tool for addressing complex questions
  • Working on business process modeling from scratch as new interface, enhancement, or production issue to improve the business performance and effectiveness of expectations
  • Handling the requirements based on the priorities them in JIRA ticketing and working closely with Architect and Technical teams by sharing the requirement details
  • Working with Historical data load by using data transformation under PHI rules and business rules through microservices and system to system communication compliances
  • Supporting the technical team by delivering the supporting documents as Spec documents and mapping documents along with the functional (FRS) documents
  • Document data migration requirements, including source system analysis and source to target
  • Analysis & acquired data from primary and secondary data sources – creating S2S mapping specifications for use by ETL development resources for historical data load for HER and EMR
  • Documents, plans for collection, data cleansing, and normalization of data assist in creation of Test cases with QA testing team and business
  • Maintaining clear and detailed integration requirement specifications in spec doc, ensuring the design is of the most efficient streamlined flow without redundancies
  • Recognizing common requirements and document re-usable code and procedures to improve the team's efficiency and productivity
  • Working with the development team to handover the detailed data layer mapping for coding.

Sr. BSA/OCM (Change Owner)

Cognizant
Riverwoods, IL
01.2020 - 03.2022
  • Being a Team Member for Pharmaceutics Managed Care domain ESB API integration for E2E
  • Responsible for elicitation, facilitators across all cross functional, new requirements, business and eCommerce process modeling from scratch and system enhancement and responsible for all SNow Organization Change Management and Application Portfolio Management, Order Management in AbbVie
  • Working to facilitate weekly CAB meeting and to bring all the topics in forum to discuss and start work on new/old brand’s requirement or enhancement
  • Initiating the stakeholders and vendors (Internal and External) like: iEngage, Salesforce, OPUS, RxCrossRoad, iQVIA, Epsilon CRM for Patient, AssistRx, ScriptMed, Veeva CRM for HCP etc
  • In communication and supporting the team members in analysis
  • Gathering the requirements and maintaining them in JIRA ticket for Digital data transformation with respect to data compliance (Data Governance for customer data protection) and for Patient Support Platform (Digital Platform) order management portal, Benefit verification, Patient Management, Insurance Contact Center and Supply Chain, Total Inventory Management (TIM), Order Management, RCM (Revenue Cycle Management) CRM , SAP, CRM, Geo-Locator, DocuSign, zPaper, etc in agile practice
  • Being a CAB (Change Authority Board) owner, managing and maintaining the CAB sheet by sending the notifications along with the MoM and Action Items to the requestors, maintaining the details in Smartsheet for tracking purpose
  • Worked in implementing the applications to manage patient account and services like Real Time Eligibility test for benefit verification, Copay and Ambassador (Agents) by enrolling the patients from multiple channels like Mobile Application, Web Portal, DocuSign, Geolocator, Product/Service Catalogues, vendor’s portals, Fax, and Contact Center
  • Analyzing the data for commercial data transactions for internal and external vendors for multiple applications like CRM (Salesforce, Veeva), Data Warehousing, Medical service, Supply Chain etc
  • Contributed in RCM team for Denial and Held reason process through RTE process with the help RCA and improved in claim package preparation
  • Preparing deliverables by using MSOffice suites like- Specification document, Mapping, FRS, Flow Diagrams, BRD, etc for requirement gathering and sharing to the stakeholders and technical team
  • Analyzing current system and business requirement and understanding the system impacting, justifications and facilitating the stakeholders (internal, external) to reach the organization objective
  • With the help of PowerBI tools reporting the patient services in salesforce CRM & SFMC application with multiple specialty-based services and to analyze the quality services
  • Creating the stories in JIRA as a ticket along with the acceptance criteria, Service Now change owner and creating the Demands in SNow and getting them approved for all QA and Prod required deliverables as per the deployment plan, tracking them using the smartsheet for the timelines
  • In big projects, handling and eliciting the system connectivity and data flow from E2E API integration, every Use Cases/User Stories for service Bus Integration and facilitating to support the business team and technical team to clear the objective and helping to reach the integration objective
  • Preparing system data flow in XML and ETL data mapping documents in coordination with source team supporting and managing the customer & product data compliance parameters to bring all integration to bind in healthcare frameworks for database and data warehouse
  • Facilitating and driving elicitation meetings with Front End (FE) vendor/stakeholder and downstream systems vendor/stakeholders by facilitating the meeting and preparing integration specification documents and data integration and applying the transformation/business rules for downstream system/vendors
  • Analyzing the data integration and finding the gap, resolving the issues, and providing the suggestions by investigating both the Source and Target Systems (E2E) terminologies for API integrations along with the Data Warehousing
  • Supporting technical team by giving KT for development and testing team to reach the business objective of integration, supporting story grooming, estimations, removing blockers and spring retrospection for continuous improvement
  • Responsible for Change Management Demand, Enhancement, Release and Change tickets for every LMIC and its approval process for QA and Prod deployment
  • Preparing functional requirement specification (FRS), enhancement changes, re-engineering based on high-level and detailed business requirements gathering and maintain them as per Product wise
  • Supporting to understand the postproduction deployment issues and supporting in continuous improvement of business applications.

Sr. Business Consultant

Medline Industries
Mundelein, IL
07.2019 - 01.2020
  • Medline is one of big DME (Durable Medical Equipment) healthcare manufacturing and supply chain company in DME (Durable Medical Equipment), Order Management (B2C/B2B) and eCommerce domain in Triage application for patient and user services
  • Being as a analyst for RCM (Revenue Cycle Management) preparing integration with multiple system integrations (under EDI transaction based) for XML based claim process for Payer, analyzing and finding gap between order management system for successful claim process, and providing effective solution from scratch business process by elicitation program with HCP agents, Claim Advisory Operation Managers, Veeva CRM Agents, Health Care Officers, Compliance Team, Inventory and logistic team which helps to develop the application to reduce operation efforts and manual process for billing and managing ETL transactions for the database and warehouse
  • Performing as multiple roles during Medline, contributed in following projects in agile methodology
  • Real Time Eligibility (RTE)
  • Eliciting and analyzing in existing system to find gap and solution for eligibility test in current order management system to reduce the claim reject/decline
  • Testing and finding existing RTE tool error in current performance, which is cause of human error and the cause of incomplete documentation which causes in Denial and Held reason ICD 9-10 code
  • Testing system performance for 271 request and 270 responses for DME (HIPAA level 2) criteria, procedure code and claim eligibility to process order for quality claims
  • Understanding current systems user experience and challenges (Held and Denial codes) to provide successful solution in new application in order and billing tool
  • Providing RTE standard steps that will help to reduce system and human error, which can help to reduce mistakes and can help to improve order management
  • Working close to developers to understand their blocker and clearing stories against to objective to understand Product Owners expectations from project
  • Delivering task and solutions to Product Owners by helping with ASC regulation for claims
  • Master Person Index (MPI)
  • Finding and analyzing human and system errors to create duplicates in person and patient ID into the system to manage patient accounts for new and existing patients/customers
  • Finding accurate algorithm, which can help to create MPI ID for de-dup’s for Salesforce and Veeva CRM patient services
  • Defining multiple IDs to maintain the patients and persons record in database and creating Master Person Index records
  • Creating solutions for admin to find person/patient history to find and tracking exact patient and their transactions in orders/reorders which should built under PHI compliances for HER and HIE
  • Providing MPI ID performance to control misplace of order, information, and documents in cycle of claim
  • Helping developers to understand the objective and removing the blockers to create tables and data mapping and recording the data history in with data warehousing
  • Delivering documents, flowcharts, and solutions to Product Owner to meet his objective from the project
  • Billing and Revenue Cycle Management (RCM) and Document
  • Eliciting and interviewing the stakeholders to understand EDI claim (835/837) process of current system and workflow for GAP analysis
  • Analyzing and working on RCA regular denials which leads to payer claim terminations which may impact on cost and lengthy process
  • Reprocessed on claim packaging with Denial and Hold reasons to smoothen the Claim processing from RTE and Documentation process
  • Understanding current Order Management, B2C business flow, preparing flowchart, and presenting GAP in claim process
  • Preparing documents to present current situation to find GAP, solution and point of improvements in new system, which will help to reduce manual process and to improve claim process
  • Helping vendors to understand Medline current system and working close their architect for integration system
  • Using PHI Compliance regulation, helping to develop claim process for successful sales to cash (STC) management
  • Analyzing existing Sales to Cash (STC) reports to manage AR, transferring to new RCM tool for successful report generation
  • Managing the document collection and handling claim process, denial management and cash posting
  • Changed in Eligibility testing, Diagnosis code for claim process and implemented in daily practice for which leads the Denial and Held process.

Business Analyst

Comcast
Philadelphia, PA
06.2018 - 06.2019
  • Comcast were looking for Modular Business Digital (Service Now) Platform, ITAM, CMDB, APM and IAM which will help to control on Contact Center & operational and automation usage which will control on access and security systems for tool and safety management with the help of SNow application from centralize control management from PA location
  • The Discovery and package implementation for multiple entities in USA different location operation control for daily incidents and issues
  • This project is related to bringing their all-different issues and problems to a single platform to analyze and improve their service quality within the time and with cost effective way
  • Being as a facilitator, encouraging for self-organizer in action of Scrum Master and Business Analyst in handling Process Analyst in SDLC
  • Preparing BRD, Model Diagram, Business Process Flow Diagram, Flow Chart in Visio and all technical supporting deliverables for development and analysis purpose for Web and Mobile applications
  • Preparing Functional and non-functional documentation and providing recommendation for each entity which will help to improve their existing system for Web and Mobile Applications workflow
  • Being a Change Admin for billing process, responsible to create and closing the Demand and Change ticket for SDLC process
  • Creating Demands for major efforts from development perspective, sending the Estimates to the client for their review and approvals
  • Upon Demand Approval, creating the Change Ticket to process required Deliverables and sending them for Change Manager from client for review and approvals
  • Educated and reinforced scrum methodology and agile framework to team members and key stakeholders
  • Creation and Confirmation of existing high-level process flows for Incident, Change and Problem Management Processes for Central and connecting 5 Entities nationwide with centralized operation platform
  • Analyzing current workflow and finding barriers in existing application and workflow, recommending solution to improve system and quality
  • Educating change management and helping to adopt new system in organization for productivity
  • Using single sign in software for various applications to control Asset and Incident management to control operational activity
  • Participate in Scrum of Scrums forum within the Agile Release Train to communicate agile team’s progress, dependencies, and impediments
  • Analyzing existing process and workflow of service management and incident and access management, recommending to latest and effective solution
  • Preparing high level documentation in Knowledge management and Change management process for supporting to handle incidents and issues in operation team
  • Working preparing documentation on integration system with different applications and merging with ITSM
  • Heading the Kickoff meeting, Sprint Pre-Planning, Sprint Planning, Sprint Review, Sprint Retrospective using JIRA
  • Played a critical role in agile transformation by constantly monitoring the process and getting feedback from fellow scrum masters
  • Helping to maintain ITIL, IAM, Service catalog and knowledge management for supporting operation system.

Scrum Master

Vadilal Industries
Chicago, IL
01.2017 - 05.2018
  • (Retail – eCommerce B2B/B2C)
  • Vadilal group is one of the second oldest dairy product and food company in India (since 1908)
  • They have targeted to acquire Indian market and targeting their Ice cream product for US market with help of Web and Mobile application-based eCommerce platform and Order Management
  • This project could help them to place the order from target customers, sales and marketing team for order management and their supply chain management, which will help to maintain inventory and logistic operation process management through web and mobile application
  • Utilized Scrum an Agile Methodology to develop process, standards and procedures for everyday inventory and supply chain management through the application with handling inward and outward
  • Facilitating agile adoption retrospective for the organization with leadership and guide team with effective outcome resulting in enhancement performance as per PO expectation in application
  • Sprint planning, Release planning, coordinating with the Product owner for productive outcome from the SDLC, Prioritizing Product backlog, collaborating with the Product owner and the Team on Sprint Goals and forecasting the product backlog item for the successful Sprint delivery and completion on time delivery
  • Based on requirement elicitation, workshop session to gather the functional, non-functional requirements and prepare the business flow diagram and swim-lane diagram to convert the business language into technical deliverables
  • Working closely with SME, Tech Lead and PM finding the solutions for objective of the new-interface, enhancements
  • Facilitating the sessions to discuss the functional/technical discussions and to bring all stakeholders on same page and clearing the vision
  • Performing the manual functional/non-functional testing based on the business rules and acceptance criteria to ensure the requirement fulfilment for the user acceptance letter to deploy the application in production
  • Preparing articles for applications cheat sheet for user’s manual/guidance.

Business Analyst

Overnite Express Limited, Overnite Express Ltd
, India
03.2012 - 03.2014
  • Is one of the oldest and well known in Industrial courier and logistic company in India
  • They are using Salesforce CRM & ERP, Web Application (AEM) and Mobile Application system to track and monitor their operation through the web application
  • They planned to launch the fastest courier service at the domestic level with supporting of new application, which can communicate with every office
  • Investigating the operation, execution, and existing system to improve the new application and preparing the documents for technical team use
  • Generating Business Requirement Document (BRD), System Requirement Specification (SRS) and Functional Requirement Document (FRD) to avail both communicable project report and documentation
  • Communicating stakeholders, end users for understanding their business process, suggesting new features for effective data input data and output reports from the system.

Business Analyst

Enigmatic Infotech, Enigmatic
, India
02.2011 - 03.2012
  • Infotech Pvt
  • Ltd
  • Is based in Pune market
  • They are soundly recognized in Engineering Cloud ERP system and in-service industries, EDI Claim (Life Sciences), RCM and Denial and Held reason code processing XML based web application service provider
  • On the global market, after big achievement in E-commerce and EDI (835/837) Claim processing tool, RTE (270/271) team developed cloud base ERP system to serve latest technologies for their existing and new customers.

Jr. Business Analyst

Vedant Equip Sales and Services
, India
06.2010 - 02.2011
  • Supply Chain Domain (Shell Lub)
  • Vedant is well known industrial equipment and service provider in Pune industrial market
  • They are working with more than 9 global brands in the selling and service market
  • By expanding their business, they planned to improve with their database and integrate in system with more feature in existing ERP system
  • Waterfall Methodology was implemented to develop and configure the process
  • Elicited requirements through Brainstorming, Joint Application Development (JAD) sessions, and Requirement Workshops to analyze existing and new application
  • Working on inventory and supply chain management process flow and preparing documentation for application development for delivery updates, Inventory updates and payment transactions
  • Created Business Requirement Document (BRD), System Requirement Specification (SRS) and Functional Requirement Document (FRD) for new ERP application development.

Education

Master of Science - Information Studies

Trine University
Fort Wayne, Indiana
01.2017

Master of Business Administration -

University of Pune
Pune, Maharashtra, India
01.2010

B. Com -

SRTMU of Nanded
Udgir, Maharashtra, India
01.2007

Skills

  • SDLC Methodologies
  • Waterfall
  • Agile-Scrum
  • Certified Scrum Master
  • SAFe Agile (PI)
  • Organization Change Management (OCM)
  • Application Portfolio Management (APM)
  • EDI
  • Digital Platform
  • ERP
  • CRM
  • E-commerce
  • Healthcare
  • Revenue Cycle Management
  • Retail
  • Logistic
  • Supply Chain
  • Finance
  • GxP
  • Non GxP
  • GDPR
  • DPA
  • Claim Processing
  • Real Time Eligibility Test
  • Benefit Verification
  • Process Modeling
  • Gap Analysis
  • Change Management
  • Impact Analysis
  • Root Cause Analysis
  • SWOT Analysis
  • Project Planning
  • Budgeting
  • Scheduling
  • JAD Sessions
  • Asset Management
  • ITIL
  • JIRA
  • Service Now
  • Kneat
  • MS Project
  • MS SharePoint
  • MS Office Suite
  • MS Visio
  • Mockup Screens
  • Service Catalog
  • UML
  • Smartsheet

Certification

Certified Scrum Master (CSM Certified), 000775843

Timeline

Business Consultant

03.2022 - Current

Sr. BSA/OCM (Change Owner)

Cognizant
01.2020 - 03.2022

Sr. Business Consultant

Medline Industries
07.2019 - 01.2020

Business Analyst

Comcast
06.2018 - 06.2019

Scrum Master

Vadilal Industries
01.2017 - 05.2018

Business Analyst

Overnite Express Limited, Overnite Express Ltd
03.2012 - 03.2014

Business Analyst

Enigmatic Infotech, Enigmatic
02.2011 - 03.2012

Jr. Business Analyst

Vedant Equip Sales and Services
06.2010 - 02.2011

Master of Science - Information Studies

Trine University

Master of Business Administration -

University of Pune

B. Com -

SRTMU of Nanded

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Girish Changlere