BA - Lifescience: Page 1 of 4
BA - Lifescience: Page 1 of 4
BA - Lifescience: Page 1 of 4
Summary
Domain
Life science,
Insurance, Clinical
and Finance
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Professional Experience
Highmark Inc. is a Leading Healthcare, Dental & Vision Insurer operating under the BlueCross Blue shield
Association and operating in the states of PA, WV, DE and MN.
Description: Scope of the project is to reprise claims through a Multi-plan vendor platform that has presence
in geographical areas that is considered out of network. Subscribers have Specialty or ER needs to visit out of
network/state health care providers and billed at non-negotiated rates. Claims submitted by out of network
Providers is routed through Multi-plan vendor platform in HIPAA X12 formats for reprising/renegotiation and
thereby bringing cost savings for subscriber and Plan itself.
Responsibilities:
Actively involved in gathering requirements from Multi-plan vendor, involved in modifying various
Technical & functional specifications for Multi-plan project.
Designed and developed various analytical reports from multiple data sources by blending data on
a single worksheet in Tableau Desktop.
Utilized advance features of Tableau software like to link data from different data sources together
on one dashboard to filter data in multiple views.
Involved in new KPI generation for Scorecards. Data collection and leveraging on data manipulation
teams for required data.
Building, publishing customized interactive reports and dashboards, report scheduling using
Tableau server.
Created actions, parameters, Filter (Local, Global) and calculated sets for preparing dashboards
and worksheets using Tableau.
Environment: Tableau Desktop 7.x/8.x, Tableau Server 7.x/8.x, Tableau Reader 7.x/8.x, Oracle 11i, SQL,
SQL*Plus, SQL Developer, Windows 2003/2008 XP, UNIX. Designer, BI, Dashboard/Xcelsius, Scheduler,
Crystal Reports 2008/2011,
The company is one of the largest competitive U.S. power generators, with approximately 35,000 megawatts of
owned capacity comprising one of the nation’s cleanest and lowest-cost power generation fleets.
Description: Vendor Management System: The scope of the project was to innovate and develop a new
system architecture and process algorithm for defect oriented testing of Vendor Products. The task involved
the development of design specifications based on detail analysis on different system architectures, identified
design constraints and reviewed methodologies in accordance with industry standards.
Responsibilities:
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Interacted with the SME’s and Stakeholders to get a better understanding of core business process
information, business rules, business entities and other relevant information.
Played major role in Project Management including Scope/Vision Documentation, Project Planning,
tracking Project Processes and managing customer resources to ensure project deadlines were being
met.
Prepared Business Requirement Documents (BRD), customer interface design documents (GUI) and
supplementary specification documents (SS).
Maintaining server activities, user activity, and customized views on Server Analysis
Maintained a traceability matrix for all requirements and mapping to various Data Reporting Manuals
and User Guides.
Extracted data from various heterogeneous sources cleaned the data before applying business logic
and loaded them into central Target Data Warehouse.
Extracting, analyzing, transforming and storing the businesses financial trend data, using MySQL
and/or Oracle, in order to evaluate/plan for current/future product marketability.
.
Environment: RUP, UML, MS Visio 2003, UNIX, DB2, TOAD, Java, SAP-CRM Module, Adobe Photoshop,
MS Office, Tableau Desktop, Tableau Server, Oracle10g, Excel, flat files, Windows XP, SQL,ODBC, Informatica
Project Title: Loan Management System - is the fully integrated browser-based platform for loan application
and approval process. The system users can access and share real-time information, and can retrieve loan
data and images from a single electronic file and can dynamically create ad-hoc reports to manage risk.
Environment: Windows XP/2003 Serer, MS Office 2007, MS Visio, Oracle 10g, SQL, SQL developer , Java,
Rational Requisite Pro.
Responsibilities :
Gathered requirements through customer interface, drafted documents defining scope and priority,
developed high level project plans using MS Project
Prepared test cases for unit testing, system testing, user acceptance testing and verified test logs.
Prepared business documents defining the project requirements and functional scope for the developers.
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Performed quality audits at every stage of the project to validate consistency, accuracy and deadlines.
Performed Trend Analysis, GAP analysis to analyze patterns in product selections. Analyzed demographic
data, new market entry and pricing solutions.
Documented Tele-Conference minutes, project updates using ISO methodology.
Developed controlled documents with revision numbers and implemented training programs to train new
associates.
Environment: Windows XP/2003, MS Office, MS Visio, Oracle 10g, SQL, UNIX, WebSphere
BENNETT, COLEMAN & CO, Ltd, India July 2004 - June 2006
Environment: Windows XP/2003, SAP, MS Office, MS Visio, Oracle 9i, SQL, UNIX
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