| Enclosed for your consideration, the following consultant: | | | | Sreesudha A, Business Analyst-Healthcare Request Resume | | | | • Results-driven, versatile consultant with over 6+ years’ experience as a Business Analyst.
• Specialized in Healthcare, Insurance, Risk and Compliance, Document management.
• Good knowledge of Business Analysis methodologies, Iterative and Incremental Software Development Life Cycle (SDLC) using Rational Unified Process (RUP).
• Proficient in gathering business and technical requirements from both formal and informal sessions through interviews, NetMeeting, questionnaire, video conferencing, JAD sessions and conference calls.
• Strong knowledge of Use Cases, Sequence Diagrams, Collaboration Diagrams, Activity Diagrams, and Class Diagrams.
• Experience in developing Test Plan and Test Cases as per the business process requirements to match the functionality requirements and UML diagrams.
• Possess very good organizational skills, with the ability to multi-task and deal with shifting priorities.
• Experience in Claims Processing and Claims Scrubbing in HMO, PPO, Medicaid and Medicare.
• Experience in EDI (270,271,835,834,837) transactions.
• Sound analytical and problem solving abilities.
• Worked on healthcare standards such as HIPPA 4010, 5010, DICOMM, CPT, ICD-9 and SOAP.
• Expertise in ICD-9 to ICD-10 Conversion.
Working knowledge of healthcare Technology standards such as HL7, ANSI ASC X12, IHE XDS/XDM, HITSP, CCR(continuity of Care Record), CCD(Continuity of Care Document),NCPDP Script 8.1, ELINCS, and CDA.
• Worked on various Professional billing and Hospital billing products.
• Experience in working with HHS, CMS or Medicaid Programs, RHIOs, IHDNs.
• Knowledge on medical necessities, software validation and healthcare compliance auditing.
TECHNICAL SKILLS
Methodologies: RUP, Agile, CMMI, CMM, Six Sigma, OOAD, UML, Business Modelling, Process Modelling and Data Modelling.
Office Tools: MS Word, MS Excel, MS PowerPoint, MS Access, MS Project, MS Outlook, Lotus Notes.
Process/Modelling MS Visio, Rational Rose, Rational Requisite Pro, Smart Draw, Clear Case, Clear Quest.
Testing Tools Test Director, Quality Centre, Win Runner and Selenium
Operating Systems Windows Vista, NT/2000/2003/ XP/98
Quality Management: HIPAA, CMMI, CMM, Six Sigma, TQM.
Languages: C/C++, Java, SQL, PL/SQL, HTML, XML.
Database: MS Access, SQL Server 2000, Oracle 9i & 10g, Teradata.
Other Tools: Macromedia Dream Weaver, Macromedia Flash and Adobe Photoshop.
| | | | Skills: RUP, Agile, CMMI, CMM, Six Sigma, OOAD, UML, Business Modelling, Process Modelling and Data Modelling | | | | Home: 732-397-3836, Mobile: 732-397-3836, Rate: Open, Total Exp: 6 years, Available: 1 Week Notice, Relocation: NJ Only | | Please let me know if I can be of further assistance. Gopi Mukkavilli Satya Marg Solutions, Inc, 100 Wood Ave S, Suite 202, Iselin, NJ-08830 Email: gopi@smsolutionsinc.com URL: www.smsolutionsinc.com "Satya Marg Solutions, Inc. is a Certified Minority Women Business Enterprise (MWBE)" To be removed from our mailing list, please reply with "REMOVE" in the subject heading and your email address in the body. Include complete address and/or domain/ aliases to be removed. this mail cannot be considered Spam as long as we include contact information |
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