Sumithra Devi Girirajan
Summary
Analytical and detail-oriented Business Analyst and QA Engineer with over 4+ years of experience in the healthcare domain, specializing in requirements analysis, manual testing, SQL-based data validation, and reporting solutions. Proven ability to collaborate with cross-functional teams in Agile environments, translate business needs into technical specifications, and ensure high-quality deliverables through structured testing and data analysis. Skilled in Power BI, JIRA, Confluence, SQL, and UAT processes, with a deep understanding of HIPAA compliance and healthcare operations across Medicaid and Medicare systems.
Overview
4
4
years of professional experience
Work History
Business Analyst
Centene
07.2022 - Current
- Partnered with Centene’s business stakeholders, product owners, and technical teams to gather and document requirements related to healthcare eligibility, claims processing, and provider data systems.
- Conducted requirement elicitation sessions to support Medicaid and Medicare project initiatives, ensuring alignment with CMS compliance standards and state-specific healthcare regulations.
- Created detailed Business Requirement Documents (BRDs), Functional Requirement Documents (FRDs), and process flow diagrams to support enhancements in care management and member enrollment systems.
- Supported data mapping and source-to-target documentation for claims, provider, and eligibility data across multiple systems during system integration and platform upgrades.
- Used SQL to analyze large healthcare datasets, perform data validation, and generate custom extracts for actuarial, clinical, and operational reporting teams.
- Developed Power BI dashboards to visualize member demographics, claims trends, and provider performance metrics for Centene’s executive and compliance teams.
- Worked closely with QA teams during User Acceptance Testing (UAT) to define test plans, create test scripts, validate complex business rules, and track defects to resolution.
- Participated in Agile ceremonies such as sprint planning, backlog grooming, and retrospectives, ensuring traceability between Epics, User Stories, and acceptance criteria using tools like Jira and Confluence.
- Collaborated with clinical and provider operations teams to gather feedback, analyze operational pain points, and recommend process improvements based on data insights.
- Ensured all documentation, solutions, and system changes adhered to HIPAA and data privacy regulations, maintaining strict control over PHI and sensitive data.
- Delivered weekly reports and project status updates to Centene’s program managers, highlighting key risks, mitigation plans, and milestone progress.
- Played a key liaison role between business, IT, and data governance teams to streamline communication and maintain alignment on project goals, compliance, and data accuracy.
QA Engineer
Walgreens
12.2021 - 05.2022
- Designed and executed manual test scenarios and test cases for functional, integration, and regression testing across Walgreens’ retail and healthcare platforms.
- Participated in requirement analysis sessions with business analysts and developers to gain a thorough understanding of application workflows and ensure adequate test coverage.
- Maintained and updated the Requirement Traceability Matrix (RTM) to ensure full alignment between test cases and business requirements.
- Performed test case reviews with QA peers to validate completeness, accuracy, and adherence to Walgreens’ quality standards.
- Conducted UI, workflow, and backend validations across pharmacy management systems, patient services portals, and inventory applications.
- Logged and tracked defects using JIRA, collaborated with developers for triage, and verified fixes in subsequent test cycles.
- Executed data-driven tests using datasets extracted from SQL databases to validate backend transactions and ensure data consistency.
- Prepared and shared Daily Status Reports (DSRs) and Weekly Status Reports (WSRs) to QA leads and project stakeholders, outlining test progress, issues, and blockers.
- Coordinated with onshore and offshore teams, including test managers, product owners, and developers, to ensure timely issue resolution and smooth communication.
- Actively contributed during Agile ceremonies such as daily stand-ups, sprint planning, and retrospectives to support continuous improvement in testing processes.
- Participated in UAT support by reproducing reported issues, assisting business users, and validating user-facing functionalities before production releases.
- Ensured all test deliverables complied with Walgreens' healthcare regulatory requirements, including HIPAA and data privacy standards.
- Supported post-deployment verification and smoke testing in production environments to ensure stability after go-live.
Education
Master of Science - Chemistry
Madras University
ChennaiSkills
- Technical: Agile Methodology, Data Mapping, Stakeholder Management, SQL, Power BI, XML, Microsoft Excel; Requirement gathering; UAT
- Soft: Communication, Leadership, Teamwork, Eager to learn, Problem Solving, Creativity; Curiosity
Timeline
Business Analyst
Centene
07.2022 - Current
QA Engineer
Walgreens
12.2021 - 05.2022
Master of Science - Chemistry
Madras University