Santosh Kumar Nayak
IT Business Analyst
Bengaluru
Summary
Over 3+ years of experience as a Business Analyst in Healthcare including an understanding of business gathering business analyst,joint applications Conduct JAD sessions with Business Team and Developers to discuss the Code implementation and configuration of Web Portals. Good knowledge of software development methodologies such as SDLC, Agile/Scrum, and Waterfall. Understanding of Business requirements gathering, Business Analysis, and Documenting. Conduct JAD sessions with Business Team and Developers to discuss Web Portals' Code implementation and configuration. Experience in requirements elicitation, creating User Stories, Writing Use Case scenarios, and Stakeholder Management and Change Management. Working knowledge of leading industry tools such as MS Access, MS Excel MS SharePoint, and MS PowerPoint to develop various project deliverables. Knowledge of creating Business Requirement Documents (BRD), Functional Requirements Documents (FRD), Use Cases, User Stories, and RACI Matrix. Proficiency in GAP analysis, Risk Analysis, Impact Analysis, SWOT Analysis, Test scripts, Training, and Implementing new processes and technology.
Overview
4
4
years of professional experience
Work History
IT Business Analyst
Carelon Global Solutions
Bengaluru
08.2020 - Current
- Used Agile methodology throughout the development process and was extensively involved with developers on every application development stage
- Conduct JAD sessions with Business Team and Developers to discuss the Code implementation and configuration of Web Portals
- Co-authored functional specifications, business requirements specification (BRS), use-case specifications, and systems requirement specification (SRS) with the business group, and the IT team members
- Conducted and organized meetings with business users and developers to identify and gather various functional and non-functional requirements
- Prepare a detailed design for your proposed system and create its specification documentation
- Created and update functional requirement specifications to document business rules with use cases and detailed user interface elements
- Used Microsoft Office extensively (Word, Excel, PowerPoint) for analysis, presentation, and documentation throughout the project
- Led application and website design with stakeholders to create and develop technical requirements
- Prepared and Reviewed Test Scripts, Test Cases and be a part of UAT (User Acceptance Testing)
- Perform Unit Testing as well as System Testing
- Engage with stakeholders to gather business and software requirements and ensure alignment with the dev team
- Functional knowledge of Medicaid management information systems
- Exposed to Medicaid and Medicare domains of the healthcare systems and industry for inpatient,outpatient , reimbursement methodology
- Extensively knowledge in the member enrollment and billing information
- Knowledge and experience on membership ,billing ,claims payment processing in relation to HIPAA,EDI 4010,5010X12,ICD-9,ICD-10,Codes 834,837,835 and 270,271
Business Analyst
IBM, Medicaid Solutions/ Anthem
07.2019 - 07.2020
- Mapped all links/content on Medicaid/Medicare sites to prepare for migration to a new platform
- Regression-tested Medicare/Medicaid sites to ensure content and functionality to be moved are current, correct, and working properly
- Played an active BA role in evaluating incoming UX work requests to determine appropriate timelines for the completion of work
- Assigning team members to the tasks and managing expectations of deliverable
- Assisted in updating database fields to implement new changes to healthcare plan information by handling plan role mapping for the
- Members portal and playing a key contact for the plans update by gathering the information from IT data and weekly and monthly report
- Working With the ITS team to update the portal of Blue Shield /Anthem
- Page 2
Education
Executive Master’s - business administration, Marketing and Business Management
I K Gujral Punjab Technical University
Bachelor Of Computer Application - undefined
Makhan Lal Chaturvedi University
Skills
Microsoft Office extensively (Word, Excel, PowerPoint) for analysis, presentation, and documentation throughout the projectundefined
Timeline
IT Business Analyst
Carelon Global Solutions
08.2020 - Current
Business Analyst
IBM, Medicaid Solutions/ Anthem
07.2019 - 07.2020
Executive Master’s - business administration, Marketing and Business Management
I K Gujral Punjab Technical University
Bachelor Of Computer Application - undefined
Makhan Lal Chaturvedi University
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