First Last
Summary
Detail-oriented and self-motivated Senior Business System Analyst with over 19 years of experience delivering high-quality solutions in complex regulatory environments, particularly within healthcare insurance. Proven expertise in the full project lifecycle, specializing in data analysis (SQL), requirements gathering, elicitation and documentation, source-to-target mapping, system integration testing (SIT), user acceptance testing (UAT), and influencing product backlogs in Agile settings (SAFe, Scrum). Committed to driving business value by identifying improvement opportunities and adapting to evolving project needs with agility and quick learning. A trusted collaborator adept at translating business needs into actionable requirements while championing data quality to ensure project success. Holds Canadian Permanent Resident status.
Overview
16
16
years of professional experience
1
1
Certification
Work History
Senior Business System Analyst
Infosys
Toronto, Canada and India
02.2018 - 03.2025
- Project involved implementation of Payer-to-Payer Interoperability for Claims FHIR resource, member migration, EDI 834 and 274 enhancements to integrate data with target systems and to enable generation of provider files for regulators.
- Led data analysis for a critical system migration project, creating detailed Source-to-Target Mapping (STTM) documents and data-centric user stories to ensure the integrity and compliance of all migrated data.
- Influenced the data services backlog by leading grooming sessions and collaborating with the Product Owner to prioritize data integration and reporting features, ensuring alignment with business value and technical feasibility.
- Drove an 80% reduction in data processing fallouts by performing end-to-end data analysis on member (end to end) and provider XML files, identifying root causes and implementing solutions that significantly improved data quality and reduced manual effort.
- Performed detailed data profiling and analysis to identify data inconsistencies/gaps with existing systems and proposed solutions to avoid issues in the migrated systems. Ensured relevant questions were raised with Business upfront to avoid rework. Performed User Acceptance testing. Supported Scrum Master and Product owner in Agile ceremonies.
- Created system use cases, FHIR Claims resource mapping, EDI mapping documents and regulatory reports mapping documents, process mapping documents establishing a reputation as the SME for enrollment and provider data domains.
- Created status reports for business and other project stakeholders to proactively identify and mitigate risks to project timelines ensuring successful project outcomes.
- Collaborated with Product Owners, Development, QA and cross-functional teams to deliver high-quality data solutions.
- Inducted in Infosys's elite list of talents (platinum team) for being a consistent outstanding performer.
Business System Analyst | Proxy Product Owner
California US
01.2017 - 01.2018
- Project involved upgrading Medicare Senior Online shopper website by changing the UI design, navigation schemes, adding new features, improving app capture capability to improve membership conversion.
- Created comprehensive user stories with detailed acceptance criteria for a redesigned UI web application transformation project, leading grooming sessions to ensure a clear understanding of requirements across the team.
Quality Assurance Team Lead
Maryland US and India
05.2013 - 12.2016
- Project involved maintaining patient centered medical home application by adding new features for improving ease of use for care coordinators and capturing patient information.
- Lead and managed a team of QA engineers, providing guidance, mentoring, and workload planning to ensure on-time, high-quality deliverables.
- Performed thorough requirement analysis and designed test cases from business viewpoint to cover end-to-end requirements. Was an SME for PCMH domain.
- Scripted and directed a knowledge-sharing skit to explain the application business in a simple and entertaining way, which garnered multiple appreciations from business stakeholders for simplifying complex topics.
- Facilitated KT sessions from external vendors and performed Knowledge Manager role to foster knowledge sharing.
- Was recognized with Knowledge Champ award for improving team's domain expertise.
- Reviewed release artifacts, managed defect tracking including triaging and implementation activities.
- Took over a project flagged as red on schedule (2 weeks delayed) and delivered it successfully on time to meet the business need with zero defects by assessing and streamlining the work priorities and development processes for team.
Business Analyst | Requirements Manager
Maryland US
05.2012 - 04.2013
- Project involved new website and content management system creation to increase self-service on websites by providing more effective, personalized, streamlined content for members, providers, employers, brokers.
- Conducted workshops with stakeholders to elicit and document business requirements, maintained traceability to ensure alignment between business requirements and system functionalities, performed walkthrough with stakeholders and gathered signoffs. Received best project award for diligently following all the processes in the project and for the quality of deliverables.
- Quickly gained knowledge on existing application, performed as-is assessment to capture the current capabilities, identified areas of improvement and participated in user acceptance testing.
System Integration Test Lead | UAT Lead
Denver, California & Virginia US
10.2008 - 04.2012
- Project involved migrating Medicaid business which involved data conversion testing, adding new functionalities to ensure business can be well supported by target system.
- Achieved a 98% claims data conversion rate during a large-scale Medicaid migration project by performing proactive data integrity analysis, identifying and resolving critical data discrepancies prior to go-live.
- Performed requirements analysis, effort estimation, designed and executed test cases, maintained traceability, test cases review, defect management, created knowledge management artifacts and mentored team on application functionality.
- Collaborated with development and other QA teams to resolve issues, designed and executed comprehensive UAT test cases in close collaboration with clients, ensuring zero post-production defects.
- Provided test cases walkthrough and presented testing progress to business stakeholders.
- Elevated from a UAT tester to UAT Coordinator at the Enterprise level by a client director in less than 4 months due to proven excellence with system knowledge, tracking, and cross-domain leadership.
Education
Bachelor of Engineering - Electronics and Telecommunication
Mumbai University
Skills
- Data Analysis & Platforms: SQL, Oracle, Netezza, Power BI, Salesforce, TriZetto Facets and Provider Information Management systems, SOAP API, Source-to-Target Mapping (STTM), Data Profiling & Analysis, Data Migration
- Tools: Confluence, Jira, Blueprint, HP ALM, XML, SharePoint, MS Office (Word/Excel/PowerPoint/Visio), ServiceNow, Power BI Reports and Dashboards
- Business Analysis & Strategy: Requirements Elicitation, Backlog Prioritization & Grooming, User Story creation & Use Case Development, Stakeholder Management, Process Mapping, User Acceptance testing
- Industry Knowledge: Healthcare (Medicaid, Medicare, Claims, ANSI X12 EDI 834 Enrollment and 274 Provider, FHIR, PBM, Care Management, Utilization management, Understanding of Banking (Deposits, Cards & Loans) & Retail (Supply Chain), CMS standards, HIPAA standards, California State DHCS enrollment and provider standards
- Software Development Lifecycle Methodologies: Agile Scrum, SAFe, Waterfall
Certification
- Salesforce Administrator Certified, Querying MS SQL Server 70-461
- SAFe 6.0 Product Owner/Product Manager (POPM) and Safe 4 Certified Practitioner
- America's Health Insurance Plans - Fundamentals of Healthcare Part A & Part B, Healthcare Management AHM250, Governance and Regulation AHM510, Network and Medical Management (AHM530, AHM540)
Languages
English
Full Professional
Timeline
Senior Business System Analyst
Infosys
02.2018 - 03.2025
Business System Analyst | Proxy Product Owner
01.2017 - 01.2018
Quality Assurance Team Lead
05.2013 - 12.2016
Business Analyst | Requirements Manager
05.2012 - 04.2013
System Integration Test Lead | UAT Lead
10.2008 - 04.2012
Bachelor of Engineering - Electronics and Telecommunication
Mumbai University