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Synopsis of Strength

Strong Analytical skills - Ability to analyze requirements from client and developer perspective, ability to keep the larger picture in mind.

Able team player with good communication and interpersonal skills.

Flexible and quickly adapt to new business domains.

Willingness to learn and adapt to new challenges


Seeking a challenging position with an expanding and dynamic company where I can implement skills that I have learnt through my education and past experience as well as enhance my knowledge by dedication and hard work. To associate with a progressive company to contribute my knowledge, skills and ability for the growth of the company that offers security and professional growth while being resourceful, innovative and flexible.


To take a challenging role on business operations as Business Analyst and give a efficient and effective solution that would help the organization to achieve the best solution in business which would increase its productivity in market.


Work experience

Jun 2010Present

Business Analyst


·Analysis of new MIS/business requirements / strategic road map for client specific enhancements and translation into product-specific designs/ detailed Requirement Definitions/and Use Cases.

·Support the development team during the software build process (consultancy, documentation,    review etc.)

·Leading team of Associate BA’s.

·Production and review of test plans for new developments/releases/reports.

·Production and review of high-level requirements specifications / functional analysis.

·Functional testing of new developments / releases.

·Responsible to conduct SCRUM MEETING and lead the meeting as a SCRUM MASTER following AGILE methodology

·Review Product Documentation (BA – Product).

·Demonstration of new functionality and seeking inputs on future direction of product (Understand client requirements).

·Review User Manuals (BA – Domain).

·Provide internal training in Healthcare Domain (BA Domain) with strong work ethic.

·Production of User Acceptance Documents and Checklists in support of Alpha & Beta programs.

·Directly interface with clients by responding to higher level Support calls.

·Perform Specification, Design, Testing, and Documentation of the development projects and/or MIS related needs.

·Functional testing of new developments / releases.

·Perform User Acceptance Testing of developed software, Elicitation, triage defects/bugs using Microsoft Visual Studio - Team Foundation Server 2010

·Initiate and lead user focus groups, design team and Participate in the product design using MS Visio, BALSAMIQ, etc. on Projects like: SFM (Sunrise Financial Management) project and US Healthcare Revenue Cycle Management Project.

Test the application and Interact and liaise with the QA and technology team to resolve functional & technical queries through consultation, guidance, documentation and review as a good skilled problem solver. Go-to-person and manage cross-function teams.
Feb 2009Jun 2010

Sr. Claim Associate

UnitedHealth Group

·Handling team of 11 people

·Conduct team meetings, team huddles and process update.

·Team Management and Improvement Sessions is an important part of my KRA.

·Attend Client calls from USA regarding routine updates, query resolutions with Quality Auditors.

·Responsible to handle Medical (HCFA1500), hospital claims(UB04/UB92) and CMS (Medicare & Medicaid)

·Conduct 1 on 1 session with team members

·Six Sigma Yellow Belt Training Completed and have utilized this in my process improvement.

·Maintain the following Process reports and data:-

1.Performance Report (Weekly, Monthly)

2.Quality Report (Weekly, Monthly)

3.Inventory Report (Daily, Weekly, Monthly)

4.Attrition Report (Monthly, Yearly)

5.MIS Reports (Weekly, Monthly, Yearly)

6.Turn Around Time Report (Daily, Weekly, Monthly)

7.Production Report (Daily, Weekly, Monthly)

8.            Incentive Report (Monthly, Yearly)

Feb 2007Jan 2009

Sr. Business Associate


·Member of pilot batch of a new process which has been established in Fiserv HealthCare named FACTS.

·Handling team of 10-14 people.

·Complete understanding of medical and software terminology HL7, Medical Code sets, (CPT, CD9, ICD10, ICD9, etc.)

·Understanding of Healthcare EDI transaction sets (835,837,277,272,275 etc) and paper claims equivalent

·Give refresher and Process Training to New Batches.

·Responsible to handle the high dollar claims for the team

·Responsible to handle Medical (HCFA1500), hospital claims(UB04/UB92) and CMS (Medicare & Medicaid)

·Attend Client calls from USA regarding routine updates, query resolutions etc and further give update to the team.

·Responsible for conducting Process and Refresher Training to new batches of FACTS, Fiserv Health

·Demonstrate increasing productivity to meet minimum requirements while maintaining quality standards

.         Adhere to quality improvement initiatives

Sep 2005Feb 2007

Executive Operation

IBM Daksh

·Process the electronic claims for Aetna (a leading healthcare provider in USA)

·Responsible for the accurate processing and completion of (HCFA1500), hospital claims (UB04/UB92) and CMS (Medicare & Medicaid), Dental Claims and Vision Claims.

·Member of pilot batch of a new process which has been establish in IBM daksh.

·Proficiency in product lines applicable to processing unit

·Ability to understand and apply plan concepts to include:- Deductible, Coinsurance, Copay, Out-of-Pocket

Maximums, Coordination of Benefits (COB), carve-out and alternate benefits inside limits & exclusions State variations and Explanation of Benefit (EOB)


Jan 2006Feb 2008

PGDBA in Finance

SCDL, Symbiosis, Pune
Jun 2002Nov 2005

Bachelor in Commerce

University of Delhi


MS Visio
MS Office
Using MS Word to write functional specification, feature rules about product Using Excel to maintain data values, database entries, product management Using PowerPoint for presentation design, workflow, features


Jan 2010Present

Six Sigma Yellow Belt

UnitedHealth Group
Oct 2003Sep 2005

"A" Level

DOEACC Society
May 2002Oct 2003

"O" Level

DOEACC Society