SHUBHAM SINGH
Atlanta,GA
Summary
Healthcare-focused Business Analyst with 5+ years of experience delivering payer, PBM, and Medicaid system initiatives across state agencies and healthcare technology vendors. Strong expertise in claims processing, PBM platforms, CMS and federal reporting, UAT support, system integrations, and Agile delivery. Skilled in translating regulatory and business requirements into scalable solutions, partnering with cross-functional teams, and driving high-quality releases in fast-paced healthcare environments
Overview
8
8
years of professional experience
1
1
Certification
Work History
Senior Business Analyst
Alabama Medicaid Agency
Montgomery, AL
08.2024 - Current
- Supported the Alabama Medicaid Management Information System (AMMIS) modularity program, enabling transition from a monolithic MMIS to a modular, SOA-based architecture, improving system interoperability and scalability by 40%.
- Collaborated with 6+ vendors and state teams (SI, CPMS, Provider Management, EVV, EDS) to review and approve 100+ deliverables, ensuring alignment with CMS and contractual requirements.
- Supported contract reviews, RFP documentation, and RTM development, maintaining 100% requirements traceability across project phases.
- Facilitated design and discovery sessions, driving 95% on‑time action item closure through structured follow‑ups.
- Supported Project Change Requests (PCRs) and Change Control Board activities, improving scope clarity and delivery governance.
- Contributed to CMS and federal reporting, including MAR, SUR, and DUR, supporting UAT test case reviews, OPR/CSR validation, and reporting readiness.
- Utilized Power BI, Azure, Snowflake, and Purview to support reporting, analytics, and data governance, reducing reporting turnaround time by 25%.
- Supported testing, data migration, and defect resolution activities, helping resolve 90% of critical issues ahead of key milestones.
Business System Analyst
Conduent
Atlanta, GA
04.2023 - 06.2024
- Spearheaded integration of Pharmacy Benefit Management (PBM) systems, improving FlexRx interoperability and operational efficiency by 40% through strategic legacy data integration.
- Conducted in-depth SQL-based analysis of legacy and target databases to define data models, validate data quality, and support upgrade decisions, improving system feasibility and alignment by 15%.
- Authored Detailed Solution Design (DSD) and interface documentation by translating business rules, data mappings, and transformation logic into clear technical specifications.
- Led comprehensive gap analysis between legacy platforms and FlexRx, identifying functional and data mismatches and reducing downstream development errors by 25%.
- Developed and managed interface specifications and source-to-target mappings, ensuring accurate data flow, 99% system uptime, and SLA adherence during system transitions.
- Partnered with state government stakeholders, product owners, and engineering teams to gather requirements, validate designs, and align solutions with regulatory and business expectations.
- Supported User Acceptance Testing (UAT) by coordinating with QA teams, validating test outcomes, and ensuring system integrity, contributing to a 20% improvement in overall system performance.
- Utilized Azure DevOps to manage user stories, backlog refinement, and sprint planning, improving business–technology alignment by 50% across delivery cycles.
- Acted as a technical liaison between onshore stakeholders and offshore interface teams, resolving integration issues and improving cross-team communication efficiency by 30%.
- Translated complex business and regulatory requirements into actionable specifications, reducing miscommunication and rework by 25%.
Business Analyst
Dufins Solutions
Bangalore, KARNATAKA
06.2018 - 07.2020
- Pioneered an analytics strategy to provide insights into user interactions on tablets and mobile devices, informing strategic decisions.
- Executed a data warehouse design using MySQL and Tableau, creating dashboards to monitor and refresh key performance metrics daily.
- Devised a plan to amalgamate related products, reducing development costs by 25% and enhancing product efficiency.
- Innovated Excel macros and standardized reporting templates, improving data collection efficiency and cutting report turnaround time by 35%.
- Conducted business requirements analysis, developed comprehensive documentation, and launched A/B testing frameworks, increasing app user retention by 15%.
Education
Master of Science - Business Analytics in AI
North Carolina State University
Raleigh, NC05.2022
Master of Science - Business Analytics in AI
SKEMA Business School
Paris, France05.2021
Bachelors of Engineering - Computer Science, Computer Science and Engineering
Visvesvaraya Technological University
Bangalore, KARNATAKA05.2018
Skills
Healthcare & Payer Domain
Medicaid, Medicare, HIPAA, ICD-9/10, Claims Processing, PBM, EDI X12, Claims Configuration, CMS Reporting (MAR, SUR, DUR)
Business Analysis & Testing
Requirements Elicitation, BRD/FRD, RTM, Gap Analysis, UAT Support, Test Planning, Defect Coordination, Stakeholder Management
Data, BI & Reporting
SQL, Power BI, Tableau, Excel, Dataiku DSS, Regulatory and Ad-hoc Reporting
Databases & Integration
MS SQL Server, MySQL, Oracle, Informatica PowerCenter, Data Modeling (Conceptual, Logical, ER)
Tools & Delivery
Azure DevOps, JIRA, ServiceNow, MS SharePoint, MS Project, Visio, Lucidchart
Agile Scrum, SAFe, Waterfall, Kanban
Core Strengths
Analytical problem solving, clear stakeholder communication, cross-functional collaboration, delivery ownership
Certification
- PMP Certification
- IBM Data Science Practitioner
Languages
English
Native or Bilingual
Hindi
Native or Bilingual
French
Elementary
Interests
- Competitive Pickleball, fitness and strength training, healthcare technology, and data analytics
Timeline
Senior Business Analyst
Alabama Medicaid Agency
08.2024 - Current
Business System Analyst
Conduent
04.2023 - 06.2024
Business Analyst
Dufins Solutions
06.2018 - 07.2020
Bachelors of Engineering - Computer Science, Computer Science and Engineering
Visvesvaraya Technological University
Master of Science - Business Analytics in AI
North Carolina State University
Master of Science - Business Analytics in AI
SKEMA Business School