Job Search Status
Open to workDesired start date: Immediately
Open To Work
Naveen Buyankar
Middleburg Heights
Work Preference
Summary
Business Analyst specializing in healthcare and insurance, driving impactful data solutions and improving operational efficiencies. Delivered a comprehensive transformation roadmap that enhanced release speed, quality, and security while aligning cross-functional teams with business objectives. Expert in facilitating collaboration and executing Agile methodologies for optimal results.
Overview
8
8
years of professional experience
1
1
Certification
Work History
Consultant Business Analyst
Brillio
Dallas
11.2025 - Current
- Led a Centene DXE modernization assessment evaluating maturity across Application Development, Testing, DevOps, SRE, and Security. Identified delivery bottlenecks, environment conflicts, automation gaps, and governance issues. Delivered a 12–24-month transformation roadmap to improve release speed, quality, stability, and security.
- Conducted stakeholder interviews, SME workshops, and process walkthroughs to gather insights and refine collaboration across Dev, QA, DevOps, SRE, and Security teams.
- Performed maturity assessments, value-stream mapping, and root-cause analysis to identify improvement opportunities across environments, CI/CD pipelines, and testing workflows.
- Analysed Jira boards, CI/CD pipelines, test frameworks, and vulnerability data to pinpoint gaps in automation and enhance agile execution.
- Synthesized findings into themes and scorecards, defining KPIs and a future-state Target Operating Model.
- Contributed to a prioritized 12–24-month roadmap based on effort vs. value and executive priorities.
Business Product Analyst
Echo Health Inc.
Westlake
10.2024 - 09.2025
- Simplicity Rx is a specialized application designed to support Medicare Part D sponsors and Pharmacy Benefit Managers (PBMs) by providing fully compliant features aligned with CMS regulations. The application has portals to managed and sync up with real-time data, this Simplicity RX system tracks the full lifecycle of participant activity—from enrolment through payment processing and reconciliation for each Plans and PBMs.
- Closely worked with Product directors and stakeholders to define business requirements, prioritize the product backlog, and ensure alignment with business goals.
- Aligned team with product vision and goals to ensure cohesive direction and focus.
- Utilized SQL to extract, analyse, and interpret data, resulting in the creation of insightful and actionable reports.
- Led User Acceptance Testing (UAT) to ensure quality before deployment and considering stakeholder satisfaction.
- Transformed business team needs into functional improvements, enhancing product features and user satisfaction.
- Removed impediments, coordinated with cross-functional teams, and fostered a collaborative Agile environment to improve delivery efficiency.
- Prepared various functional documents including Business Specification Import files, Data files, Audit files, and Acknowledgement files to support development and compliance needs.
- Supported UAT and system integrations by querying backend databases to compare expected vs. actual results.
- RCA of production issues to identify issue or new requirements, ensuring timely resolution or escalation.
- Collaborated with the QA team during regression testing and conducted post-sprint validations of production.
- Utilized Azure DevOps for managing user stories, sprint tracking, delivery estimation, backlog prioritization, and task assignment.
- Environment: MS Office suite, SQL, Azure Devops, Confluence, Deskpro Ticketing tool.
Business System Analyst
UMass Memorial Healthcare
Worcester
07.2023 - 10.2024
- Initiate Exchange – UMass Memorial Healthcare
- Liaised with clinical, business, interoperability, and technical teams to elicit and document requirements for data exchange workflows, enhancing cross-functional collaboration.
- Translated business and interoperability requirements into functional and non-functional specifications, aligning solutions with healthcare data standards to ensure compliance.
- Analyzed end-to-end data flow across source systems, ETL pipelines, and downstream consumers to ensure data accuracy, timeliness, and integrity.
- Collaborated with data engineering teams to define ETL requirements, data mappings, transformations, and validation rules.
- Performed SQL-based data analysis to validate exchanged data, support defect investigation, and assist with UAT and production verification.
- Supported UAT planning and execution, including test case review, defect triage, and validation of interoperability scenarios.
- Ensured solution met HIPAA, security, and data governance requirements for healthcare data exchange platforms.
- Developed and reviewed Power BI dashboards and reports to support operational monitoring, subscription usage, and data quality metrics.
- UMass Memorial Healthcare launched Initiated a SaaS-based, subscription-driven health data exchange platform aimed at improving interoperability between internal systems and external community providers.
- Environment: MS Office Suite, ETL, SQL, JIRA.
Business System Analyst
Molina Healthcare
Dallas
07.2020 - 07.2023
- Worked on Molina Healthcare Medicaid and Commercial plan initiatives, supporting plan design, provider enrollment, claims adjudication, and CMS compliance reporting. Acted as a bridge between business stakeholders, compliance teams, and IT, translating regulatory and operational needs into clear functional and non-functional requirements.
- Translated business, regulatory, and operational requirements into clear functional and non-functional requirements for IT delivery teams.
- Analysed end-to-end claims adjudication workflows, enhancing processes for eligibility verification, provider validation, benefit coverage, pricing, edits, and exceptions.
- Developed audit-ready compliance reports, ensuring alignment with CMS and state Medicaid regulatory requirements.
- Authored and managed user stories, acceptance criteria, and defects using JIRA; maintained project artifacts in Confluence.
- Performed SQL-based data analysis across multiple internal applications and portals to support reporting, issue resolution, and UAT validation.
- Collaborated with business, compliance, QA, and technical teams to streamline UAT execution, defect triage, and ensure production readiness.
Business System Analyst
Drucare Healthcare IT
Hyderabad
03.2018 - 07.2020
- Gathered and translated business requirements into Features and user stories under Agile Scrum methodology, supporting iterative delivery and stakeholder alignment.
- Defined and maintained product vision, facilitated sprint ceremonies, backlog refinement, and led user acceptance testing (UAT) sessions.
- Analyzed healthcare workflows to identify opportunities for process improvements and optimizations, enhancing patient care and operational efficiency.
- Facilitated requirement gathering workshops to communicate with stakeholders and clarify user needs, project objectives, and business goals.
- Combined deep understanding of healthcare processes with business acumen to deliver insights for healthcare IT projects.
- Described Drucare's mission as a Healthcare IT company focused on developing cloud-based Hospital Management Information System (HMIS) applications.
- Environment: Jira, MS Excel, MS PowerPoint, MS Visio, MS SharePoint, SQL Server.
Education
Masters - Pharmaceutical Sciences
University of Greenwich
UKBachelor of Pharmacy -
Osmania University
Hyderabad, IndiaSkills
- Requirements analysis
- User story development
- Acceptance criteria
- Agile methodologies
- Process flow mapping
- Gap and impact analysis
- Regulatory compliance
- Data analysis
- Data visualization
- Data interchange standards
- Health data standards
- Data format management
- Data transition planning
- Workflow mapping
- Process visualization
- Document creation
- Task management
- Cloud collaboration
- Knowledge management
- User testing coordination
- Solution identification
- Critical analysis
- Team collaboration
- Client engagement
Certification
Salesforce Certified Business Analyst
Timeline
Consultant Business Analyst
Brillio
11.2025 - Current
Business Product Analyst
Echo Health Inc.
10.2024 - 09.2025
Business System Analyst
UMass Memorial Healthcare
07.2023 - 10.2024
Business System Analyst
Molina Healthcare
07.2020 - 07.2023
Business System Analyst
Drucare Healthcare IT
03.2018 - 07.2020
Masters - Pharmaceutical Sciences
University of Greenwich
Bachelor of Pharmacy -
Osmania University