Summary
Overview
Work History
Education
Skills
Accomplishments
Timeline
Generic

Lisha Amin

McKinney,TX

Summary

More than 11 years of experience in business analysis, system analysis, design, business re-engineering, requirement gathering/analysis, internal control reviews, development and implementation of Business Applications, and project team management in Healthcare and Retail Domain. Widespread experience gathering detailed user requirements, analyzing and in preparing Business Requirement Document (BRD) and Functional Requirement Document (FRD) using appropriate documentation techniques. Lead successfully a team of 6-8 BAs on project team, have worked on several high visibility and time crunch projects. Extensive experience in working with users and stakeholders to elicit, analyze, communicate and validate requirements using JAD and Brainstorming sessions, Widespread understanding of organizational framework that help to map the current and future model using GAP Analysis and plan. Demonstrated ability to work enthusiastically in different phases of Software Development Life Cycle (SDLC) using Agile (SCRUM), Waterfall and in house CVS Agile methodologies. Experience in creating Use Cases, Workflow Diagram, Process Flow Diagrams using Unified Modeling Language (UML) using MS Visio and Rational Rose. Experienced at creating wireframes and mockups and have good understanding of web development process. Exceptional Problem solving and sound decision making skills together with excellent communication and interpersonal skills. Excellent track records for meeting deadlines and submitting deliverables on time even when assigned to multiple projects. Received several awards for exceptional work and contribution to project and company. Experienced in AS400 query and Ad-hoc SQL queries using joins, group by and aggregate functions to extract data from different databases for timely reporting, Data Analysis and Validation.

Overview

13
13
years of professional experience

Work History

Sr Business Analyst

CVS Health
03.2023 - Current
  • Supported leadership team with reporting, analysis, and business presentations to inform divisional strategies.
  • Surveyed clients to ascertain requirements and expectations for product.
  • Worked on some highly complex projects related to analyzing and impacting 700+ applications and performing current state and GAP analysis to understand changes needed in system.
  • Leading effort with another project related to 2 complex functionalities that needs to be merged for Medicare Part D Line of Business impacting 10+ applications.
  • Executed analysis of risks and identified risk mitigation strategies.
  • Identified dependency on other ongoing projects and communicated to concerned project teams.
  • Collaborated with stakeholders to define project objectives and criteria.
  • Interacted with internal customers to understand business needs and translate into requirements and project scope.
  • Performed gap analysis to identify areas of improvements or enhancements.
  • Conducted surveys/ interviews with key business users to collect information on business processes and user requirements.

Sr. Business Analyst

Randstad - CVS Health
02.2022 - 03.2023
  • Refined Agile techniques throughout journey and evolution of delivery cycles, establishing documentation framework to support Agile methodology implementation with Waterfall-centric delivery team for several high profile clients
  • Conducted interviews with key business users to collect information on business processes and user requirements.
  • Worked with clients that had lot of red tapes around process and guided them throughout requirements phase.
  • Worked on high visibility Regulatory Affairs project for Medicare Part D - Inflation Reduction Act with estimated cost of $30K that needs to be implemented in 4 months.

Sr Analyst

Pizza Pizza Inc
05.2018 - 11.2021
  • Leadership role and leading multiple projects related to POS system and other internal systems
  • Actively participate in understanding business requirements from stakeholders and responsible for identifying impact to existing system because of enhancements
  • Assists business team to do gap analysis and translate high level business requirements into functional requirements along with risks, scope, time constraints etc
  • Assists business and technical teams to negotiate requirements throughout project lifecycle
  • Responsible for preparing UI designs, wireframes for new screens etc
  • Actively provided project plan and updates to project plan if any to Project Manager.

Sr Analyst

CVS Health Inc
04.2012 - 03.2018
  • Business Analysis
  • Adjudication: Benefits (Plan), Contingent Therapy, Co-ordination of Benefit (COB), Single Transaction COB (STCOB), Pricing, Transition Fill (TF), Transition of Coverage (TOC) & Accumulations
  • Non Adjudication: Enrollment (Eligibility), Claim Experience Tape (CET) & Reporting
  • Adjustment: Enterprise Adjustment System (EAS) - RxCLAIM Adjustment System (RAS) and R&R
  • Line of Business: Medicaid, Commercial, Medicare Part B and Medicare Part D
  • Played leadership role in business problem solving and take ambiguous, complex business problems using research plus business assessment capabilities to define problem, drive innovative ideas, define requirements, and recommend actionable next steps
  • Analyze business and user needs, translate high-level business requirements into functional requirements documentation for IT organization, and manage changes to BRD and FRD
  • Coordinate with project manager and technical partners to help identify business, operational and technical tasks, scope, time constraints, risks, and task interdependencies.
  • Negotiate agreements and commitments by facilitating communication between business and IT representatives from initial requirements through final project implementation.
  • Worked on several high profile projects like MedHOK electronic Prior Authorization Solution/ Project Insight/ MVP MOOP
  • Played key role in defining new in house SDLC methodology (CVS Agile), BA Work plan, Team building activities etc.
  • Interacting with Business users to get better understanding of current problem domain and client expectation for project.
  • Created functional diagram in Visio Application to represent As-Is and To Be process.
  • Created Business Requirement Functional Requirement (BRFR) to document all scenarios and requirements for new application and process.
  • Worked on AS400 Database for Data analysis and Data validation by running AS400 work query.
  • Worked intimately with Onshore/offshore model due to strict project timeline to ensure same understanding for project functionality.
  • Involved in Design, Development and Testing phase to resolve functional query and involved with Business users to validate Test Results with Business and functional requirement.

System Solution Manager

EyeMed Vision Care
03.2011 - 01.2012
  • EyeMed Vision Care is in business of providing Vision Care programs and Services and is Vision Care Provider and are having both retail and claims processing units.
  • In this project Client is transitioning from AS400 Database to Facets
  • With this migration, there were lots of changes with client structure and Plan Hierarchy.
  • Working on User facing applications like Provider Locator, Cura, Member site, Exclaim and Online Pricing and Quoting application
  • Gathered good and in-depth knowledge migration from AS400 to Facets and how applications would be impacted by them
  • Proficiently learnt about business rules and prepared User Stories for development in accordance to business rules and Business requirements
  • Worked with Agile Methodology for this project and used Jira Tool to load and create User Cards
  • Also created RTM by extracting user cards from Jira
  • Facilitated Daily Scrum sessions as Scrum Master and reported obstacles to PM and assisted him in resolving them
  • Created UI and Web Services Use Cases to assist development task
  • Indepth knowledge about Eye Claims of Members, Member Eligibility and other claim related functionality such as Benefit Plan, Service Classification etc.
  • Conducting impact analysis, actively involved in Planning Session, Retrospective Session for Sprints and also provided Status update and resolved queries (if any) in daily standup
  • Assisting PM to manage Project Plan and also helped in assisting of Project Timeline
  • Conducted Demo Session of newly developed application to business and was actively involved in getting official Sign Off from business
  • Assisting Developers and testers in their development and testing tasks and making sure that they understand requirements.

Jr. Business System Analyst

Logic Planet Inc
10.2010 - 03.2011
  • Had 3 months training and 2 month internship with various projects assignments given by Logic Planet Inc in Healthcare and pharmaceutical domain
  • Learned about requirement planning and scope to freeze approach to cater client expectation as per management needs
  • Describing responsibilities in communicating project requirements
  • Conducted JAD session with given Business contacts and created high level business process to represent business needs.
  • Created approach document, Business requirement and functional requirement documents as per project assignment needs.

Education

MBA - Leadership

The University of Findlay
Findlay, OH
12.2010

Bachelor of Pharmacy - Pharmacy

Parul Institute of Pharmacy
Gujarat, India
05.2008

Skills

  • Technical Skill:
  • Requirements Gathering Tools JIRA
  • Modeling & Designing Tools Rational Rose, MS Visio
  • Testing Tools Quality Center
  • SDLC Methods Agile, Waterfall
  • Databases AS400, Facets
  • Other Tools Microsoft Project, MS Office, SharePoint

Accomplishments

  • Coordinated cross functional teams and provided business analysis for around 100+ applications for estimated project cost of $100k for Med D Redesign project.
  • Worked on complex project related to 2 complex functionalities for Smart PAs and Transition Fill and formalize its solution approach and improve overall processing of pharmacy claim and to merge them.

Timeline

Sr Business Analyst

CVS Health
03.2023 - Current

Sr. Business Analyst

Randstad - CVS Health
02.2022 - 03.2023

Sr Analyst

Pizza Pizza Inc
05.2018 - 11.2021

Sr Analyst

CVS Health Inc
04.2012 - 03.2018

System Solution Manager

EyeMed Vision Care
03.2011 - 01.2012

Jr. Business System Analyst

Logic Planet Inc
10.2010 - 03.2011

MBA - Leadership

The University of Findlay

Bachelor of Pharmacy - Pharmacy

Parul Institute of Pharmacy
Lisha Amin