Analytical Senior Business Consultant with expertise in developing and executing robust business plans. Skilled in identifying weaknesses, monitoring existing business practices and recommending effective solutions. Driven and logical with strengths in handling key accounts and exceeding expectations. Adept at working with public sector organizations, private companies, and multinational companies. First-rate relationship building, decision-making and communication talents.
Over all 13 plus years of extensive experience as Business Analyst/Consultant with solid understanding of Business Requirement Gathering, Data analysis, Data Modeling, Warehousing and Business Process Modeling.
Expert in application/system development life-cycle; concurrent development strategies, process streamlining, iteration modeling, rapid application development (RAD), and waterfall, Agile and RUP methodologies
Lead stakeholder engagements to ensure the scope, clarified business requirements, perform analysis between goals and existing procedures, and design process improvements to increase productivity and reduce costs.
Experienced in customer/client interaction, deep understanding of business systems functionality and technicality.
Partner with subject matter experts to gather and develop detailed business requirements for system implementations and service requests.
Skills in developing Use Case diagrams, Sequence diagrams, State Chart diagrams, and Class diagrams.
Proficient in gathering business and technical requirements from both formal and informal sessions through interviews, questionnaire, video conferencing, JAD sessions and conference calls.
Strong knowledge of Use Cases, Sequence Diagrams, Collaboration Diagrams, Activity Diagrams, and Class Diagrams.
Experienced in creating Test Plans. Thorough hands on experience with designing test cases covering all test conditions and eliminating redundancy and duplications
Experience in a Hospital IT infrastructure upgrades, worked with Clinicians, Doctors and Caregivers for application compatibilities, interrelated workflows.
Worked in both Agile (SCRUM) and Waterfall methodologies.
Expert in Developing and reviewing project plans, open issues, resolves issues, and communicate status of assigned projects to users and manager.
Thorough knowledge of Business analysis and Iterative Software Development Life Cycle (SDLC) using Rational Unified Process (RUP) and RAD. Proficient in applying RUP in all the four phases during software development Inception, Elaboration, Construction and Transition.
Involved in Sprint Planning Meetings (Review product backlog and set scope for sprint) and expert in setting up sprint goals and standup meetings.
Leading JAD sessions to facilitate discussions of requirements scope, priority, and dependencies. Work with application architects, developers, testing teams thereby coordinating efforts.
Expert in using industry standards to uncover the client requirements and identifying the system requirements by creating Use Case Models, workflow diagrams as per UML methodology
Expert in writing detail system use cases, developing business test cases, and working with QA teams during testing phase thereby facilitating acceptance testing with stakeholders and business users.
Experience in the documentation of specifications, creating step-by step technical and user manuals with illustrations, screen prototypes and implementing new processes and technology.
Conducting Feasibility, adaptability study and risk analysis to identify the business-critical high-risk areas and recommending solutions to management.
Overview
14
14
years of professional experience
Work History
Sr. Business Consultant
CarelonRx
07.2023 - Current
Responsible for translating moderately complex and varied business needs into application software requirements
Self-motivated, with a strong sense of personal responsibility.
Worked effectively in fast-paced environments.
Possesses full technical knowledge of all 4 phases of systems and business analysis and is able to consider the business implications of the application of technology to current and future business environments
Lead teams of analysts assigned to complex projects
Responsible for coordinating with project teams using Blueprint (Requirements gathering Tool) to document the requirements and establish connection to JIRA (Used by IT) to communicate for technical grooming.
Responsible for working with enterprise architects on Business Capability Model (BCM) in updating the domains and capabilities that are operational and applicable for Medical/PBM/Pharmacies.
Responsible and accountable to keep the BCM model up to date in ServiceNow (SNOW) and maintaining it as a single source of truth to feed Blueprint Tool
Responsible using Microsoft Office Products and adding value to the organization in adapting present tools for increasing the productivity
Resolving issues for the project teams when needed through consulting.
Responsible for large initiatives right from Funneling the requirements till the requirements are completed
Served as a single point of contact (SPOC) for CarelonRx product projects.
Played a critical role in a enterprise level projects such as Specialty Pharmacy implementation (BioPlus), Home Delivery Pharmacy implementation (AHD), foundational funding etc,.
Created standard operating processes (SOP's) for requirements gathering, client implementations, client decommissions, business validation rules for testing team (Model Office) in Blueprint.
Business Consultant
CarelonRx
09.2019 - 06.2023
Delivered successful projects within tight deadlines, ensuring consistent client satisfaction and timely project completion.
Established and maintained relationships with key stakeholders for growth opportunities and successful partnerships.
Led process improvement initiatives that resulted in streamlined workflows and increased overall efficiency within the organization.
Developed complete business plans and operational strategies for new and existing business.
Experience with various health plan adjudication platforms for pharmacy eligibility setup including ACES, CHIPS, CS90, FACETS, ISG, NASCO and WGS.
Experience with real time accumulator systems at Anthem. This would include both the real-time accumulator processes known as ODS and LITES.
Resolving issues for the project teams when needed through consulting.
Responsible for accurate maintenance and assisting with benefit systems at Anthem including SPIDER and Benefit Builder.
Experience with Test claim adjudication application (CVE/CTE) to validate different scenarios related to Pharmacy member experience.
Responsible using software Tools/Applications such as Confluence, SharePoint, Q-Test, Wave, and Salesforce/COM2 to perform day to day activities.
Business Analyst III
Vensoft LLC (Client: Elevance Health)
11.2017 - 08.2019
Worked extensively with Business and IT in understanding and documenting system requirements Perform GAP analysis between As-Is & To-Be process & design, risk analysis of existing system and evaluate benefits of new system
Involved in interviewing Subject Matter Experts (SMEs) and carefully recording requirements in Business Requirements Document (BRD)
Documented requirements defined scope and objectives, and formulated systems to parallel overall business strategies
Responsible for migrating data from one system to another system and make sure all Data is migrated
Investigated root cause when data migration is failed between systems
Responsible for validating data before and after migration and doing functionality shakeout of applications used
Created and executed queries to validate data
Accountable for setting patterns for large data bases migration
Responsible for prioritizing benefits based on member count on each group
Accountable for testing members on groups tied to unique benefits
Supported resolution of risks /issues and dependencies for each release
Provided resolutions for risks /issues and dependencies for scheduled migrations
Drive end to end focus and exchange communication with downstream /upstream members
Provided support to communicate with offshore team for tracking down testing results
Responsible for migration process and for validating data flow and process after migration
Verified large chunks of groups is migrated correctly without any issues
Responsible for developing detailed project plans and coordinating with project owners
Accountable for providing different outside approaches which makes migrations to be handled in better approach
Performed testing when needed in CVE Environment and actively supported test team in completing testing and getting sign-off as per schedule for each month
Performing detailed analysis of Benefits and groups migrating for each renewal month and proven to be source of truth for other dependent teams
Attended Business meetings for CarelonRx and responsible for migrations of platform from ESI to CVS from 606 MM team as lead business consultant
Responsible for getting all ducks in row for coming up migrations and actively participating in CarelonRx application
Business Analyst
Maveric Limited (Client: Halifax Banking Group)
08.2013 - 07.2015
Developed comprehensive knowledge in Online Banking Structure and Bank Cards and learned about investment recommendations
Identified SMEs in the risk management field, and collected information regarding risk tolerance questionnaire formatting
Participated to the kickoff meeting and was involved in developing assumptions, risks and mitigation strategies
Learned about the Waterfall methodology (SDLC), and successfully integrated the model to the application
Involved in documentation during various phases of the development life cycle
Authored business requirements documents with the business users
Extracted, discussed, and refined business requirements from business users and team members
Responsible for preparing Software Requirements Specification (SRS) taking functional requirements specification as a base
Analyzed and documented non-functional requirements
Functioned as primary liaison between business line, operations, and technical areas throughout project cycle
Created UML activity diagrams, and use cases diagrams using Rational Rose
Dealt with change requests, and conducted impacted analysis considering triple constraint
Assisted in organizing and coordinating deployment meetings, and making sure applications were ready to be moved from Development environment to Production environment
Worked on data mapping documents and developed extensive skills using SQL
Designed ER diagrams
Provided subset of Functional test cases to UAT test
Developed and Managed Validation Test plans and Validation Test cases for UAT
Presented Post Project Reviews to Team and Developers
Involved in approving defects in Quality Center
Prepared Test Scenarios, Test Scripts and Test Data
Created Product Test Plan and implemented Product Testing
Reviewed test cases using HP Quality Center as well as Load Runner, and helped testing team to prioritize defects/bugs
Jr. Business Analyst
Maveric Limited (Client: Sky Broadband)
02.2012 - 06.2013
Held JAD sessions to collect the system requirement specifications (SRS) and used Requisite Pro to maintain the requirements and to produce traceability matrix to map business and system requirements at a later stage
Conducted GAP, Root Cause Analysis to discover gaps and recommended the alternatives to streamline the process flows
Developed Use Case Specifications, Systems Requirement Specification (SRS), and Data Dictionary along with the technical staff and developers
Involved in maintaining reports and necessary documents in SharePoint
Set up customer portals including the creation of request types, issue types/schemes, custom fields, and custom email notifications using jira
Created custom workflows/schemes for service desk fulfillment, change, incident and problem management including approvals, statuses, transitions, transition screens, exceptions, post-functions and validators using jira
Extensively used Rational Requisite Pro for developing Use Cases and creating Requirements Traceability Matrix (RTM)
Gathered Business requirements and developed use cases and test cases to conduct User Acceptance Testing
Developed test and executed test scripts using Test Director for systems testing and User Interface Acceptance testing
Involved with the QA team to develop and review Testing Strategies and Test Plans
Managed Change Control Requests (CCR) and updated the scope with the new changes
Performed defect logging and tracking the Rational Clear Quest tool
Extracted data from DB2 database and imported into Excel and Access for Validation process
(Client: Sky Broadband)
System Analyst Intern
Goldcrest
01.2011 - 12.2011
Troubleshooted customer problems and responding to customer requests
Provided communication to both Technical Services and Production Operations teams via Support Requests
Effectively articulated technical challenges and solutions working on US healthcare projects
Effectively communicated technical concepts to other technical staff members
Operated within a complex effectively and calmly and changing environment
Well organized and able to properly manage individual workload
Possessed a strong work ethic and a desire for a variety of challenges
Demonstrated aptitude for learning new technologies
Detail orientated and solved problem with technical abilities
Performed other related duties as assigned
Education
Master of Science - Computers and Information Technology
Southern Arkansas University
Magnolia, AR
PG. Diploma - Telecommunications Engineering
Staffordshire University
Staffordshire, United Kingdom
Bachelor of Science - Electronics And Instrumentation Engineering