Summary
Overview
Work History
Education
Skills
Certification
Accomplishments
Timeline
Generic

Isha Tyagi

Business Analyst

Summary

Over 10 years of experience in Healthcare sector. Extensive experience with claims adjudication, benefits coding & audit and Requirement gathering or Requirement Elicitation. Strong experience leading and mentoring junior team members.

Overview

12
12
years of professional experience
5
5
years of post-secondary education
1
1
Certification

Work History

Business Analyst

Rattan Enterprises
12.2024 - Current
  • Acted as liaison between business stakeholders, vendor teams, and internal IT teams for vendor-supported application lifecycle activities including implementation, upgrade, and retirement.
  • Gathered and analyzed requirements related to server and database migration projects, ensuring minimal business disruption and compliance with IT governance.
  • Coordinated with infrastructure and database teams for planning and executing application server upgrades and database migrations with appropriate validation and rollback plans.
  • Collaborated with vendors to ensure application compatibility with upgraded server OS or database versions, configuration changes when needed.
  • Actively participated in change management processes, raising and tracking Change Requests (CRs) and Incident/Problem Tickets in ServiceNow.
  • Used tools such as ServiceNow, SharePoint to manage requirements, track project tasks, document workflows, and maintain transparency across stakeholders.

Business Analyst

Advantmed India LLP
12.2021 - 11.2023
  • Interfacing with customers and gaining understanding of requirements/processes through meetings and discussions.
  • Working closely with customers to understand the business processes pertaining to product design, product information management and product sourcing.
  • Understanding the customer's IT infrastructure and communicating the same with the technical team.
  • Conducting workshops for requirement gathering or requirement elicitation and converting of business logic to automated processed for clients.
  • Being the bridge between the development team and customer while integrating systems.
  • Defining and communicating the business requirement and gaps to the development team. Reviewing the requirement and guiding in preparing the related documents.
  • Participating in cross-group collaboration across multiple time zones.
  • Prepare business requirement documents.
  • Handholding a customer through the pre-and post-go-live with proper technical documentation, training and support.
  • Conducting validation sessions with the process owner and key stakeholders to ensure completeness and accuracy of deliverables.
  • Providing regular status updates to the Management.
  • Advising management about any perceived roadblocks, issues, and risk factors regarding schedule and/or costs.
  • Ensures the tasks are submitted for Development in timely manner. Ensures to follow the defined process and enhance the processes as and when required.
  • Ensuring the product is built according to the requirements while constantly identifying ways to increase product, system and application efficiency.
  • Providing proactive feedback regarding day-to-day operations.
  • Preparing weekly status reports, project reports and provide update to stakeholder about them.


Business Analyst

UnitedHealth Group (Optum Global Advantage)
04.2016 - 12.2021
  • Assisted in Process improvement projects.
  • Leading Client inventory calls.
  • Provided guidance to sub-ordinates and peers.
  • Assisted in projects for TOPS (Medical benefits coding Team) business.
  • Conducted refresher sessions on weekly basis or on need basis.
  • Provided training for TOPS products as trainer.
  • Handled policy related queries, anticipating/handling critical situations, providing them feedback.
  • Quality Error Rebuttal calls with onshore partner.
  • Analyzing the business requirement document and coding the requirements in the system, for the claims to be auto paid. This includes analyzing benefits provisioned under a medical insurance/HMO plan & making sure that it is set up in the system properly, to ensure that claims are adjudged and processed correctly.
  • Auditing work of other team members before it goes to external stakeholders for quality checks.
  • Analysis and configuration of benefits in a medical plan for mainframe configuration for new businesses and at time of renewal including maintenance.
  • Managing end to end enrollment processes, including initial submission, maintenance and terminations.
  • Coordinated with other specialists to troubleshoot complex issues during installations, minimizing downtime for clients.

Process Associate

Aon Hewitt
09.2014 - 04.2016
  • Adjudicated Claims filed by various participants enrolled in YSA (yours spending account)
  • Calculated and checked eligibility of any claim filed and pay accordingly.
  • Adhered to all deadlines, managing time effectively to complete tasks within designated timeframes.
  • Communicated effectively with colleagues and supervisors to resolve issues promptly and accurately.
  • Participated in regular team meetings, contributing valuable insights toward process enhancements.
  • Mentored subordinates.

Accountant

M P Arora & Associates
03.2013 - 09.2014
  • Prepared and Finalized Corporate and client accounts
  • Prepared and filed TDS Returns online using Web-E TDS software.
  • Prepared and uploaded VAT returns of Corporate and other clients
  • Prepared and uploaded Income Tax Returns on Web-E-Tax Software.
  • Prepared and uploaded Returns and forms at MCA portal
  • Handled incorporation of Companies and LLPs.
  • Maintained Accounts on Ally 7.2, ERP, ERP (9).

Education

B.B.A -

Mahatma Gandhi University
04.2010 - 03.2013

12th - undefined

CBSE
04.2009 - 03.2010

10th - undefined

CBSE
04.2007 - 03.2008

Skills

  • Vendor application management
  • Server and Database management
  • Application oversight
  • Vendor Management
  • ServiceNow
  • Requirements analysis
  • Requirements gathering
  • Medical benefits coding
  • Business requirements documentation
  • Process mapping expertise
  • Stakeholder engagement
  • Team leadership
  • Claims processing expertise
  • Strategic decision making

Certification

Certified Scrum Master

Accomplishments

  • OE Champ award for the 4th quarter in 2016.
  • Bravo-E awards- (in Q3 2017): Recognizing my exemplary performance at processing and for making a positive impact on collective team performance.
  • Special expertise award in the month of April'17
  • Bravo-E awards- ( in Q4 2018): Recognizing the extra duties performed and proactive initiatives undertaken with excellence while improving on my skill sets and ongoing duties
  • Quarterly award “Sustaining Edge”
  • Multiple Bravo Recognitions
  • Kudos Award for maintaining the Annual Enrolment process with Flair.
  • Multiple Star Awards.

Timeline

Business Analyst

Rattan Enterprises
12.2024 - Current

Business Analyst

Advantmed India LLP
12.2021 - 11.2023

Business Analyst

UnitedHealth Group (Optum Global Advantage)
04.2016 - 12.2021

Process Associate

Aon Hewitt
09.2014 - 04.2016

Accountant

M P Arora & Associates
03.2013 - 09.2014

B.B.A -

Mahatma Gandhi University
04.2010 - 03.2013

12th - undefined

CBSE
04.2009 - 03.2010

10th - undefined

CBSE
04.2007 - 03.2008

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Isha TyagiBusiness Analyst