Business Analyst with Healthcare Background available. Looking for only remote. She is a Citizen.
Name : SuchiSmitha
Skill : Business Analyst
Current Client and Location : SunRx – Bensalem, PA
Looking for only remote or Chicago area.
Visa : Citizen
SUMMARY
Qualified Professional with over 5 years of experience as a Business Analyst. Applied IT applications in order to improve user interface by means of customizing, development, and implementation. Strong experience in authoring business requirement documents by gathering requirements and expectations from SMEs, stakeholders, end-clients, and defining business processes, identifying risks, performing gap analysis, and impact analysis. Knowledgeable in SQL in order to provide recommendations in identifying data issues to ensure optimal performance.
Attentive and passionate in consulting businesses and analyzing their operations for solution-driven outcomes.
TECHNICAL SKILLS
Platforms: MS-DOS, Windows, MAC Methodologies/Process: SDLC, Waterfall, Agile, SCRUM, SAFe Tool: JIRA, VSTS, SharePoint
Languages: SQL
GUI: Visio, MS Office (Word, Excel, PowerPoint, Access)
Certifications: Cerner Fundamentals Certification (93%)
EXPERIENCE
Business Analyst SunRx – Bensalem, PA August 2020 - Present
SunRx is an IT service company that helps covered entities including hospitals and federally qualified health centers and their pharmacies nationwide to manage their 340B programs. As part of the IT BA team, I mainly worked on two projects: Integrating the current platform to work on multiple browsers and implementing a new system for multi platform chain pharmacies to manage their stores.
Responsibilities
● Created stories and updated BSDs to integrate each page in SunRx platform to different browsers.
● Worked with end users for requirements gathering
● Performed gap analysis to migrate existing system
● Involved in UAT and giving sign off to the Development team.
● Reverse engineered the technical requirements from the existing system by working with the IT DB team and writing SQL scripts.
● Worked on weekly salesforce cases with the app support team regarding manual returns inventory adjustments.
● Worked on weekly salesforce cases with the app support team regarding current production fixes
● Used MockUp tool to create mockups for new pages being implemented to SunRx platform
● Identified data issues using SQL and provided recommendations for resolution to ensure optimal performance
● Designed and populated specific tables, databases for collection, tracking and reporting of data using SQL.
Tools used
Word, Powerpoint, Microsoft SQL Server, Microsoft Teams, Excel, MockUp Screens
Business Analyst/Application Analyst Caretech Solutions – Troy, MI January 2018 – February 2020
Caretech is an IT services and system implementation and integration company which has a partnership with CERNER EHR. As a business analyst, I implemented CERNER EHR applications for various hospitals. I was part of the support and maintenance team. I worked extensively on change requests and support tickets, coordinated with the onshore and offshore developers and maintained the project backlog. I am Proficient in clinical documentation tools, including DTA Wizard, Event Core Manager, Event Set Hierarchy, PowerForms, and PowerChart.
Responsibilities
● Supported the work of 50+ tickets per day including bugs and change request tickets.
● Organized and prioritized the incoming tickets based on the team’s input.
● Worked with end users to gather requirements on the stories.
● Documented user requirements on all tickets and got the team’s sign off.
● Worked on tickets that involved PowerForms and PowerChart.
● Performed testing by running use-cases within PowerForms i.e. Jane Doe/John Doe to implement various enhancements/fixes to current user interface.
● Worked with end users to get final sign off on the tickets before moving the changes to production.
● Created user stores to break down the tickets and maintained the product backlog with the product owner.
● Identified and documented process flows/mock-ups for my team regarding current tickets coming through CERNER.
● Documented test cases and assisted test lead in managing test plans.
● Identified dependencies in tickets with the help of the scrum team.
● Conducted end-to-end integration testing and assured the software delivered met acceptance criteria and expectations.
● Participated and assisted scrum master in conducting sprint planning/daily stand-up, backlog refinement and sprint review/demo.
● Used VSTS tool to create user stories and manage the product backlog as well to generate burn-up and burn-down charts.
● Received one of the highest scores (93%) on Cerner Fundamentals Certification Exam.
Tools used
VSTS, CERNER EHR, Word, Powerpoint, Oracle, CCL, SQL Developer, Microsoft Teams, Excel
Business Analyst/Quality Assurance
Health Management System – Irving, TX - Contracted by Dextro inc. January 2016 – November 2017
Health Management System is a services company that helps clients reduce system costs while improving health outcomes. As a Business Analyst, I was part of Hierarchy & Eligibility (H&E) and Prior Authorization teams primarily working on the ePaHub project with Doctors, Pharmacists and CSRs as our end users. This project entailed creating new enhancements within H&E enrollment platforms. I was also supporting the Kanban team for daily maintenance.
Responsibilities:
● Worked closely with the product owner and collaborated with the team on gathering requirements for ePaHub tool.
● Captured requirements regarding the process of transferring the member/group files to PBM partner; for which a new FTP was identified.
● Created process flows to capture the end to end flow of Eligibility process that also includes FTP (File Transfer Process)
● Documented workflows for creating a prior authorization within a tool.
● Created mock-ups of user interface screen that will be used by doctors, pharmacists, and CSRs for performing functionalities like: Creating a new PA, review an existing PA, Cancel PA, Generate a report, and complete a pending PA.
● Conducted requirements review sessions and kept track of test cases and assisted lead in managing them.
● Conducted JAD and RAD sessions for the report users, requesters and the developers.
● Created test Prior Authorisations to ensure the tool is following the desired logic.
● Good understanding of Prior Authorization process and different tier calculations.
● Implemented testing for commercial line of business as well as reviewed the results with my team.
● Worked Commercial, Medicare and Medicaid Line of Business projects.
● Worked with the team for streamlining new member enrolment process via EDI 834 for newly established employers.
● Thorough understanding Rx (Retail/Mail/Direct) Claim life cycle. (Claim 837, 835)
● Used FACETs to store patient information coming in from different systems.
● Responsible for working with the State to review and modify process flows to increase productivity and effectively utilize FACETS features not provided by the legacy systems.
● Manually loaded data in FACETS and have good knowledge on FACETS business rules.
● Thorough understanding of Eligibility File transfer, load and validation process.
● Participated in defect review calls.
● Used tools like JIRA to track defects.
● Experience with formulary and utilization testing.
Business Analyst
Department of Healthcare (Division of Information Tech) – New York City Contracted by Dextro inc.
January 2014 – December 2015
New York City department of healthcare managed care services exclusively for government-sponsored health care programs, focusing on Medicare and Medicaid. Its goal is to enable improvements in healthcare quality, increase affordability and improve health care
outcomes. I was working with the Benefits and Member Experience team to create/capture requirements in the form of User Stories. The project was about building a new member portal system for a patient to initiate Mail delivery of Prescribed drugs.
Responsibilities:
● Gathered requirements to drive small-budget IT-driven technology projects.
● Gathered requirements from Subject Matter Experts (SMEs) and Product Owners.
● Created Functional Requirement Documents and Use Case Documents.
● Created and maintained requirement traceability matrix.
● Worked with the development team to define system specifications based on the business requirements gathered by prototyping and conducting JAD Sessions.
● Collaborated with stakeholder groups across the organization to ensure business and technology alignment.
● Organized meetings and presented story boards to ensure accurate comprehension of the existing situation with regards to mismatched scenarios.
● Efficiently and effectively managed the backlog of requirements for future releases and played a pivotal role in the timely release of the project.
● Conducted integrated change control including project plan updates and performance reports.
● Reviewed and provided input on test scripts to ensure thorough testing of new functionality and triaged defects and enhancement requests.
● Created documents like Product Manuals to define the business process.
● Performed GAP analysis between the current and future system to make sure all the data elements were taken care of.
● Reviewed stored procedures for reports and wrote test queries against the source system (SQL Server) to match the results with the actual report against the data warehouse.
● Created use cases, use case diagrams, activity diagrams, and other flow charts to define the business process.
● Worked Medicare and Medicaid Line of Business projects.
● Thorough understanding of Benefit system.
● Expertise in validation of business rules, submitted data, recognizing errors from EDI transaction 837 and communicating back to respective vendors to correct the errors in submitted files and resubmit again as per HIPAA and ASC ANSI guidelines and rules.
● Developed test cases and test scripts for ASC X12N 837 Dental HIPAA Transactions.
● Thorough understanding of Rx Mail claims.
Physassist – Schaumburg, IL January 2013 – November 2014
Trainer (2014) | Scribe (2013)
Medical Scribe with skills in listing proper diagnosis and symptoms to Alexian Brothers. Possessing extensive expertise in recording patient data, including radiology studies, laboratory tests, and medications. Skilled in recording information into CERNER EHR (Electronic Health Records) system.
Responsibilities:
Early Promotion to Trainer; Specialized in Emergency Room Patient Care
● Coordinated, mentored, supervised, and trained ~12 scribes in the first ~180 hours of clinical work
● Taught 8 training sessions (for every individual coming in as a trainee), quizzed, and proctored exams for incoming scribes
● Conducted patient charts and documentation from admittance to discharge with EMR
● Saw 35-40 patients per shift supporting ~40 physicians; high quality work resulted being formally requested every time by physicians who appreciated it and promotion in ~55% of the time expected of a scribe
EDUCATION
Wayne State University Detroit, MI
BS in Biology
Huron High School Ann Arbor, MI
Sincerely,
Nikhil Ramagiri | Team Lead - Sales
666 Plainsboro Rd, Suite #1116, Plainsboro, New Jersey 08536
