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Aneesha Rao

Summary

Around 8 years of IT experience in all phases of Software Development Life Cycle, from inception
through implementation.
Experience in the areas of Process Analysis, Requirement gathering, Design, Quality Assurance
Testing and User Acceptance Testing (UAT)
Experience in authoring Business Requirement Document (BRD), System Requirement
Specification Documents (SRS), Business Process Flows and Functional Requirement
Specifications
Experience in writing Use cases and developing Unified Modeling Language (UML) and in Data flow
Diagrams (DFD) and involved in maintaining test matrix and Traceability Matrix.
Knowledge and working experience in Software development methodologies such as the Waterfall,
Agile, Scrum and RUP.
Knowledge on various test scenarios
Strong knowledge in SQL, Data warehousing and Business Architecture
Experienced with Relational Database Management Systems (RDBMS) in SQL Server
Experience in database design, writing SQL and PL/SQL scripts for data validation
Experience with Data Warehousing - Data Mapping and Data Modeling, Creating SQL Queries per
the business requirements to retrieve data.
Experience in SDLC Client/Server architecture and able to provide a well-balanced understanding of
business relationships and worked for financial and technical solutions.
Contributed to establish best practices in Requirement Management, Development and Validation
processes
Thorough understanding of how to interpret customer business needs and translate them into
application and operational requirements.
Working on developing new requirement document template for Blue Print Requirement Management
tool.
Experience in Market Prominence offers a variety of reconciliation tools to resolve the data
variances identified between Plan data and CMS data.
Knowledge in Work payment variances to line item based on specific data elements and payment
amounts
Experience in Managing recurring open variances through completion with complete archival
tracking
Focused on all levels of requirements - Business, User, Functional and Non-functional requirements
and establishes a boundary around the possible solution set
Lead the Peer review sessions for the PRDs approval/signoff from stakeholders that include
Business, design and testing teams.
Conducted JAD sessions with stake holders, End Users, Project managers, QA and Development
team
Proficient in the application of ANSI X12, EDIFACT standards.
Expertise in HIPAA 4010-UB/HCFA Transactions and Medicaid/Medicare, knowledge in 5010
standards.
Experience in Claims Processing /repricing in HMO, PPO, Medicaid and Medicare.
Experience on developing maps (both EDIFACT/ANSI) in Gentran server for UNIX and Windows.
Experience on developing maps (both EDIFACT/ANSI) in Gentran Integration suite 3.1/4.1/4.2/4.3
Experience in implementing EDI Transactions such as 270,271,274,276,277,810, 811, 820,
830,834,835,837, 850, 852, 855, 856, 860, 861, 864, 867 and 997.
Experience in Translation of EDI to Flat Files, SQL, XML, CSV and Vice Versa.
Experience in functional testing, performance testing, UAT, Unit testing, Integration testing and
GUI testing with extensive knowledge of smoke testing, volume testing and stress/load testing.
Experience in Quality Assurance and software testing of web based and client/server application.
Skilled in Project Management tools like MS project for project planning and project scheduling.
Exceptional Organizational, Interpersonal and communicational skills

Education & Certifications

Bachelor of Technology, JNTU, Hyderabad, India

Technical Skills

Domain : Healthcare, Finance, Insurance


Methodologies : RUP, UML, Agile/ Scrum
Business Modeling Tools : Microsoft Visio, Rational Requisite Pro
UML Diagram : Structured Diagram, Behavior Diagram Use Case
Operating System : Window XP, Window 2008, Window Vista, Window 7, Mac OS x lion
MS Office Suite : MS Word, MS Excel, MS Power Point, MS Access, MS Project, MS Share Point
Testing Tools : Rational Enterprise Suite, Test Director
Web Technologies : Microsoft FrontPage, XML/ HTML/ XHTML, ASP. Net, JAVA
Databases : MS-Access, MS SQL, Oracle Database XE
Multimedia : Adobe Photoshop, MS Front Page

Professional Experience

NYU Langone Medical Center, NY OCT 14- Present


EPIC electronic medical reports (EMR systems)

Description:
The main objective of the project is to develop a portal which contains all the patient data like medical
data and lab reports. It provides anytime access.

Roles and responsibilities

Perform in-depth analysis of clinical workflows, data collection, report details and other functional or
technical issues with Epic software.
Analyze clinical operations as they relate to software build decisions.
Accounts for end user preferences while making build decisions, populates the Epic databases during
initial build with assistance from Epic.
Coordinates software updates and changes.
Analyzes new functionality in releases, and determines how it should be used.
Develops and documents procedures for system use by clinicians.
Analyzes data conversion needs.
Planned and defined system requirements to Wire Frame with Use Case, Use Case Scenario and
Use Case Narrative using the UML (Unified Modeling Language) methodologies
Maintains good communication with Epic representatives and works with the clinical departments to
assure the system meets care delivery and patient care needs.
Participates in and conducts end user training.

Environment: EPIC, UML, Oracle, MS Visio, JAD, RAD, BRD, FRD, UAT, MS Office, SQL, Rational
Rose, and Microsoft Project.

Molina Healthcare, Long Beach, CA Apr 12 Sep14


Business Analyst
Responsibilities:
Conducted detailed and comprehensive Business Analysis by working with the client IT staff, project
managers, supervisors, SMEs, and other stakeholders to identify the system, operational
requirements and improvements.
Shared knowledge on web application (ecommerce) components, worked on B2B, B2C
Gathered Business Requirements and prepared business requirements documentation in Test
Director using agile methodology.
Clearly defined start and end points of the process in BRD for checking, savings and credit
functionality
Provided functional and technical application support for Market Prominence - which is used as the
primary system for Medicare Enrollment and Reconciliation.
Worked with Enrollment Operations Analysts in the business unit, technical services staff and
software vendors to support core application functionality.
Working knowledge of Medicare Enrollment (CMS) workflows to elicit system requirements, develop
test plans, author functional specifications and deploy application enhancements or configuration
changes as requested by the Medicare Enrollment Department.
Utilizes high level analysis, problem solving and troubleshooting skills to resolve production issues as
well as develop and maintain custom solutions or configuration changes.
Effectively working through technical issues with both technical and non-technical team members.
Works independently while regularly reporting project status to team members and management
while working within a heavily audited and regulated environment.
Converted Business Requirements documents (BRD) into System Requirements Specification
(SRS) documents
Conducted JAD sessions to allow different stakeholders to communicate their perspectives with each
other, resolve any issues and come to an agreement quickly.
Developed Test plans, Test scripts, Test cases, Test case execution plan using Test Director.
Performed manual functional tests by executing Test Cases prior to Automation.
Assisted in configuring and automating test cases.
Worked on Training Management Component through Learning Management System.
Performed Stress Testing (ad-hoc testing stress testing on critical functionalities) to evaluate builds.
Participated in Bug-Review meetings with software developers, QA engineers, managers, suggested
enhancements to the existed application from business perspective, provided solutions to existing
bugs.
Used Microsoft Project to manage schedules, deadlines, resources and collaborate on the project.

Environment: MS Office, B2B, B2C, JAD, BRD, UAT, SRS, Test cases, Rational Rose, MS Visio, MS
excel, MS PowerPoint, Rational XDE

DaVita Health, Denver, CO Dec 2010 Mar 2012


Business Analyst

Responsibilities:

Source data was analyzed coming from different sources and worked with business users and
developers to develop the model.
Worked with users and stakeholders to understand the problem domain, gathered customer
requirements through surveys, interviews along with JAD sessions
Understand the current business process; define scope of the project along with position statement.
Nature of the two different data system was analyzed.
Create workflows in enrollment system with what client expects.
Provide clients with insight and guidance throughout enrollment process for the right path, staying
within compliance.
Configure the system for clients: put work flows together that the business
Defined and implemented Data warehouse requirements and administered Data warehouse
requirements and needs.
Prepared graphical depictions of Use Cases, Use Case Diagrams, State Diagrams, Activity
Diagrams, Sequence Diagrams, Component Based Diagrams, Collateral Diagrams and creation
of Technical Design (UI screen) using Microsoft Visio
Prepared high level and detailed Business Requirement Documents (BRD) and Functional
Requirement Documents (FRD) and created interactive prototypes.
Interact with end users for verifying User Requirements, managing Change Control Process, updating
existing Documentation.
Created Requirements Traceability Matrix (RTM) to keep the stakeholders informed of the progress
of the project.
Worked on 837(claims-professional/institutional) File level comparisons, claim level comparison.
Worked on Claims Processing /reprising in HMO, PPO, Medicaid and Medicare.
Conducted RAD sessions for the report users, developers and requestors.
Defined and implemented Data ware house requirements and administered Data warehouse needs.
Worked with Quality Assurance team for designing Test plan and test cases for User Acceptance
Testing (UAT)
Performed manual test scenarios as part of System Integration testing and user acceptance testing.

Environment: Oracle, MS Visio, UML, JAD, RAD, BRD, FRD, UAT, MS Office, SQL, Rational Rose, and
Microsoft Project.

ICICI Bank, India Jan 2008 Nov 2010


Business Analyst

The project involved meeting the business development team to understand the technical requirements
and creating documentation for the software developers to meet end-to-end requirements.

Responsibilities:

Understanding the business requirements with the data provided and creating documentation.
Writing and executing SQL queries to fetch data for relevant reports.
Conducting various Root cause analysis and the development of corrective measures so as not to
repeat the same mistakes; implementing such ideas in the Technical Tools to overcome such
situations
Cleaning and massaging the data by running various SQL queries and creating reports via Hyperion
Designer
Development of PL/SQL and Web PL/SQL stored procedures. Also created Web PL/SQL stored
procedures by creating Web pages through Dreamweaver
Have developed and worked on use-case writing, process and design.
Conducted various JAD sessions for requirement gathering.
Implemented Rational RequisitePro for project requirements and Use case management.
Worked with Project Managers and Business Leaders to analyze the Project Management Data.
Designed and implemented various software tools to accommodate the process changes and reduce
the production hours by automating manual tasks as much as possible.
Prepared and maintained the System and UAT test plan documents, before the code could be
migrated to the next level.

Environment: MS SQL Server 2000, Windows NT, MS-Office XP, MS-Project, Rational RequisitePro,
Access, Visio, SDLC, Data Warehousing, SharePoint.