Summary
Overview
Work History
Education
Skills
Websites
Accomplishments
Hobbies
Languages
Timeline
Generic
Rakesh Kumar Kajjam

Rakesh Kumar Kajjam

Sterling,VA

Summary

  • 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

JNTU
Hyderabad, India

Skills

  • JIRA
  • Blueprint
  • ServiceNow
  • Salesforce
  • Agile Scrum
  • Office Suite (Word, Excel, Power Point, Visio)
  • Q-Test
  • Test Director
  • Quick Test Pro
  • Business Analysis
  • Organizational Development
  • Budget Planning
  • Data Analytics
  • Continuous Improvement
  • Project Management
  • Strategic Planning
  • Operations Management
  • Training and mentoring
  • Presentation Skills
  • Process Improvement
  • Stakeholder Relations
  • Report Preparation
  • System optimization
  • Business Intelligence Analysis
  • Problem-Solving
  • Time Management
  • Teamwork and Collaboration
  • Interpersonal Skills
  • Analytical Thinking
  • Task Prioritization
  • Team building

Accomplishments

Recognized with several impact awards for going above and beyond.

Hobbies

Watching and playing Cricket, documentaries, traveling.

Languages

English
Full Professional
Telugu
Native or Bilingual
Hindi
Native or Bilingual

Timeline

Sr. Business Consultant

CarelonRx
07.2023 - Current

Business Consultant

CarelonRx
09.2019 - 06.2023

Business Analyst III

Vensoft LLC (Client: Elevance Health)
11.2017 - 08.2019

Business Analyst

Maveric Limited (Client: Halifax Banking Group)
08.2013 - 07.2015

Jr. Business Analyst

Maveric Limited (Client: Sky Broadband)
02.2012 - 06.2013

System Analyst Intern

Goldcrest
01.2011 - 12.2011

Master of Science - Computers and Information Technology

Southern Arkansas University

PG. Diploma - Telecommunications Engineering

Staffordshire University

Bachelor of Science - Electronics And Instrumentation Engineering

JNTU
Rakesh Kumar Kajjam