Experienced Senior Business Analyst skilled in leading transformative projects across various industries. Known for driving efficiency through the implementation of industry standards. A collaborative leader committed to delivering successful outcomes.
· Drive the implementation of the Burden Reduction Mandate Rule as a Senior Business Analyst within a Healthcare interoperability team. This initiative aims to streamline processes for American healthcare providers by 2026, reducing administrative burdens and emphasizing patient care.
· Lead efforts to comprehend FHIR industry standards and interpret implementation guidelines provided by CMS, ensuring alignment with project objectives.
· Drive the development of Proof of Concept (POC) workflows by applying a deep understanding of FHIR standards and CMS mandate rules, collaborating closely with stakeholders to integrate existing FHIR APIs effectively.
· Regularly communicate with stakeholders to understand their needs and customize solutions, with a focus on simplifying the prior authorization process for healthcare providers.
· Perform ETL (extract, transform and load) related data change request including proprietary, standard, non-standard HIPAA compliant data transactions for 100+ insurance companies.
· Perform deep analysis of code and processes to reduce fallout to less than 1%.
· Analysis implemented EDI mapping requirements in Sterling Integrator (SI) for trading partners and transactions based on the requirements.
· Perform detailed analysis on SI maps in XML, CSV for transactions including 834, 837, 278 and to create MRS (maps requirement specification) document.
· Provide support during production issues to analyze and resolve.
· Analyzed the data for School of Social work to help develop new curriculums.
· Created Tableau dashboards to plot the agronomic areas where Social Work knowledge can be provided through online education.
· Gathered data through various channels including surveys and created graphical representation using Microsoft Excel.
· Developed and maintained databases related to social work education.
· Understand & Analyze acceptance requirement of applications, test cases creation, bug reporting, performed regression testing.
· Involved in Sprint iteration planning meetings, Retrospection meetings.
· Helping automation team to understand E2E test scenarios that can be executed in regression testing.