Ahmed Mohd

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Ahmed Mohd |Sr Business Systems Analyst |Resume|

Ahmed Mohd
amhedprofessional0@gmail.com
201-632-1739

PROFESSIONAL SUMMARY:
• Business Systems Analyst with experience of about 10+ years in Banking, Finance, Mortgage,
Health Care, e-Commerce and Hospitality and Travel domains using several Software Development
Life Cycle (SDLC) methodologies ranging from traditional Waterfall, Scrum-Waterfall Hybrid to
modern Agile frameworks like Scrum, Kanban and Scaled Agile Framework (SAFe).
• healthcare domain concepts such as Health Insurance Portability and Accountability Act (HIPAA),
Health Information Technology for Economic and Clinical Health Act (HITECH), and Claims
processing, ranging from the claim submission to adjudication. Proficient in identifying claims
processing issues, determining their origin, and providing instant resolutions. Possesses
comprehensive knowledge of the healthcare industry's Protected Health Information (PHI)
regulations and standards. Exhibits proficiency in various data formats like Electronic Data
Interchange (EDI) and HL7 Interface Implementation.
• Completed Agile Scrum Training: Scrum Master & Agile Project Management with IT / Consulting
experience in SAP, spanning across highly diversified industry segments - Oil, Automotive,
Manufacturing / Engineering, High-tech, Construction, Service, Consulting, Biotech/HealthCare.
• Responsible for implementing technical solutions to business problems,
advance the company’s efforts by defining, Analyzing, and documenting requirements.
• Developed and maintained Agile artifacts, Sprint backlog, Product backlog, burndown chart and Inv
olved in Scrum events Backlog Grooming and Story-Point Estimation.
• Designed and developed Wireframes, UI mock-up screens, Prototypes for better visualization.
• Experience in conducting Gap Analysis, User Acceptance Testing (UAT), SWOT analysis, Cost
Benefit analysis, ROI Analysis, Data flow diagrams, Entity Relation diagrams, Developing Business
Process Re - Engineering and Process Modeling using MS Visio.
• Hands on experience in creating Use Cases, User Stories, Activity Diagram, and Sequence
Diagrams.
• Extensive experience with project/agile management tools like Jira, Confluence, Trello, Smart sheet
& Project web access.
• Managed and led several large-scale Full Life Cycle SAP Implementations from conceptualization
and requirements determination to design, configuration, development, unit / user acceptance /
integration testing, training, conversions, cut over, go live and post production support.
• SAP modules / systems: Financial Accounting (FI ), Controlling (CO) and Human Resources (HR)
modules, including Business Process Re-engineering, Systems Integration etc., with extensive
configuration / integration to Materials Management (MM), Sales and Distribution (SD), Production
Planning (PP), Plant Maintenance (PM), Quality Management, (QM), Customer Service (CS), Portfolio
& Project Management (PPM), Customer Relationship Management (CRM), Supply Chain
Management (SCM/APO), Financial Supply Chain Management (FSCM), Human Capital
Management (HCM)
• Key Competencies are Project Management, Process Improvement, Vendor Management, Strategic
Planning, SDLC, FDA, Manage Technical, Business and Consulting teams (Onshore/Offshore), On
Time and Under Budget Implementations, Cost Savings, Outstanding Presentation, Communication
& Leadership Skills.
Ahmed Mohd |Sr Business Systems Analyst |Resume|
Ahmed Mohd
amhedprofessional0@gmail.com
201-632-1739

• Rich experience in implementing and migrating on premise and cloud versions of Microsoft
Dynamics CRM 4.0, MS Dynamics CRM 2011, MS Dynamics CRM 2013, MS Dynamics CRM.
• Good database experience using various SQL tools with a working knowledge of relational databases
and structure.
• Hands on experience in Data warehousing, fair understanding of Data Integration.
• Good understanding on MS Dynamics CRM 2016 and E commerce Platforms.
• Collaborated with the QA Team in devising the Test Plans, Test Cases, Test Scripts, Test Scenarios,
Test Data, issuing the Test Reports, and tracking the requirements throughout the lifecycle by
Requirements Traceability Matrix (RTM)
• facilitated testing using Software Testing Lifecycle, Defect Lifecycle, Bug Tracking tools like HP
QC/ALM and Jira-Zephyr plug-in.

TECHNICAL SKILLS:

Domain Healthcare, Technology, e-Commerce, consulting

SDLC Methodologies Waterfall, Agile (SCRUM), Kanban, Hybrid

Business Process Modeling Tools MS Visio, Rational Rose

Wire Framing Tools Balsamiq, Pencil

Project Management Tools JIRA, Confluence, Trello

BI Repotting Tools ETL, Tableau

Continent Management Tools MS SharePoint

Database Management system Oracle, SQL Server

Operating System Windows, Linux

Programming Languages HTML, XML, SQL, JAVA

Document Management Tools MS Office-Word, Excel, PowerPoint, Outlook,

Office 365, Access MS Project.

PROFESSIONAL EXPERIENCE

Humana Healthcare, Hartford, CT Oct 2021 – Present


Senior Business Systems Analyst

The project was focused on launching a remote monitoring program that aimed to help patients with
chronic conditions. The program utilized connected devices to monitor patients' health metrics such as
Ahmed Mohd |Sr Business Systems Analyst |Resume|
Ahmed Mohd
amhedprofessional0@gmail.com
201-632-1739

blood pressure, glucose levels, and weight. The program also allowed for remote communication
between patients and healthcare providers, reducing the need for in-person visits and increasing
accessibility to care. Overall, the aftermath of the program improved health outcomes for patients with
chronic conditions while also reducing healthcare costs, reducing admission & hospital readmission.

Responsibilities:

 Analyzed and ensured compliance with the Health Insurance Portability and Accountability Act
(HIPAA) and Health Information Technology for Economic and Clinical Health (HITECH)
compliances and Federal Information Security Management Act (FISMA) throughout the project's
lifecycle, worked with developers to implement necessary controls and measures to ensure the
system meets requirements and data security standards to facilitate interoperability between
systems.
 Conducted Document Analysis and GAP Analysis to gain a deep understanding of the current state
of the project's AS-IS business process flow and establish the desired TO-BE state. Devised action
plans to fill performance gaps identified.
 Employed a range of requirement elicitation techniques, such as Interviews, Brainstorming, focus
groups, to gather Business Requirements from stakeholders. Created my Personal Space using
SharePoint to document initial requirements and shared them on Team Space to encourage
brainstorming and provide clarity on requirements for team members.
 Conducted Joint Application Development (JAD) sessions with Subject Matter Experts (SMEs),
Doctors, Developers, System Architects, System Engineers, Testers, and Key Stakeholders to
extract, analyze, and develop effective solutions for the TO-BE system, utilizing technical expertise
and active listening skills to identify key requirements and design specifications.
 Developed Business Process Model (BPM) using industry-standard notation to capture and illustrate
the business process workflow. Created Data Diagrams, including Context diagrams, to provide
stakeholders with a clear understanding of how data flows through the system and how various
system components interact. Utilized UML diagrams, such as Use Case diagrams, Activity diagrams,
and Sequence diagrams using Lucid Charts, to convey the project's flow and requirements to all
stakeholders.
 Used Balsamic tool to create both low-fidelity wireframes and high-fidelity mockups to visualize
the UX/UI of the system.
 Worked on Fast Health Interoperability Resources (FHIR) interoperability to consume real-time
data and feed into cloud. Helped in initiatives of Health Level 7 (HL7) integration data mappings,
Webservice mappings, and API data exchanges.
 Worked closely with the Electronic Data Interchange (EDI) Analyst to establish the pipeline for
electronic transmission of health vital information, such as blood pressure, patient glucose levels,
and physical function rate, to meet HITECH requirements.
 Executed impact analysis and managed change requests from stakeholders by following strict
change management procedures.
 Collaborated closely with the Product Owner to effectively merge Product Vision Meetings, Backlog
Grooming, Sprint Planning, Daily Scrum, Sprint Review, Sprint Retrospective ensuring all Agile
methodologies were followed meticulously.
Ahmed Mohd |Sr Business Systems Analyst |Resume|
Ahmed Mohd
amhedprofessional0@gmail.com
201-632-1739

 Utilized JIRA to create User Stories that comply with the INVEST criteria, and meticulously defined
Acceptance Criteria for each User Story. Worked in close collaboration with the team to establish
clear requirements for Definition of Ready and Definition of Done and provided valuable assistance
to the Scrum Master in facilitating slicing, prioritization, and estimation techniques to User Stories
such as Vertical slicing, MosCow Technique and Planning Poker, respectively.
 Conducted comprehensive analysis to identify and extract clinical data from various types of
Relational Databases (RDBs), and skillfully ingested this data into the target Operational Data Store
with the assistance of data analysts.
 Conducted detailed source system data analysis, formulated data mapping specification document
to efficiently map source data from ODS to Amazon S3. Collaborated with the team to perform
complex ETL operations using Amazon Glue and Workflow Manager, and applied OLAP queries and
operations to analyze clinical data and generate reports for informed decision making with the
various health data of the patient’s real-time data from different IOT devices such as Weighing
scale, glucose monitor.
 Collaborated with machine learning engineers in developing machine learning models such as
Logistic Regression, Random Forest and Decisions Trees using AWS SageMaker’s pre-built
algorithms and used Python for querying and data manipulation.
 Collaborated with the development team to define and implement Lambda functions to enable
seamless integration of new data to Amazon S3 and AWS Redshift data warehouse, and effectively
utilized Amazon Kinesis for real-time data analysis.
 Contributed to the development of automated notification funnels such as email, SMS, and
notification functionality to alert both the patient and physician of any anomaly in the patient's
condition, providing timely notifications for improved patient care.
 Contributed to the implementation of Behavior Driven Development (BDD) methodology by writing
feature files in Gherkin using Cucumber framework, ensuring that they met the specifications and
standards.
 Managed release management process, including coordinating with development, testing, and
deployment teams, facilitating release planning meetings, managing release documentation, and
ensuring compliance with ITIL and Agile principles. Utilized tools like Jira, SharePoint to manage
release pipelines and maintain version control. Conducted post-release reviews to identify areas of
improvement and ensure continuous improvement of the release process.
 Produced accurate and comprehensive REST API documentation using Swagger and performed
functional API testing using Postman, to verify the data response format in XML or JSON, in
accordance with system requirements.
 Reviewed and provided assistance on the Test plan, Test cases and Test scenarios, for integration
testing, regression testing, Failover, Recovery testing, Smoke Testing, Security testing and User
Acceptance Testing (UAT) and documented feedback.
 Collaborated with the Business Intelligence team to design and create customized interactive
reports like dashboards and graphs using Tableau to provide visual insights into patterns, frequency,
and variations of different health data.
 Facilitated communication and collaboration among stakeholders and ensured that the project was
delivered on time and within budget.
Ahmed Mohd |Sr Business Systems Analyst |Resume|
Ahmed Mohd
amhedprofessional0@gmail.com
201-632-1739

Environment: Agile-Scrum, Amazon Web Services, Amazon API Gateway, Amazon Kinesis data stream,
Amazon S3, AWS SageMaker, Amazon Quicksight, Lucid Chart, Balsamic, Tableau, JIRA (7.8), Cucumber,
Sharepoint, Swagger, Postman, Informatica, MS Office 365.

Comcast, Remote Jan 2020 – Sep 2021


Senior Business Analyst

Comcast Corporation is a leading telecommunications and media company. The company is committed
to innovation and technology, and is constantly evolving to meet the changing needs of its customers in
a rapidly evolving digital landscape. Supporting the National Backbone Engineering team building the
optical and IP infrastructure networks to serve commercial customers' data center interconnection
needs. Current projects include deployment of new core locations in the Pacific Northwest and
Southeast regions.

Responsibilities:

 Worked with business owners to convert business rules to project requirements,


develop wireframes and manage tasks on the Azure Board.
 Work with developers to understand road blocks and resolve the issues, Extensive experience in
working with SaaS platforms, including [mention specific platforms], to deliver innovative and
scalable solutions.
 Review the functional requirements and be on toes to check customer/
client requirements and adapt as per the priorities set by LOBs.
 Document the requirements in PM tools such as Jira, Confluence, Trello etc.,
 Proficient in conducting system testing, including unit testing, integration testing, and user
acceptance testing, to ensure quality and accuracy of retirement and pension systems.
 Outlined and shared the project risks/decisions on an ongoing basis and documented them on
confluence.
 Maintains accurate program estimates, timelines, project plans, and status reports.
 Possesses high level understanding in the areas of web application programming, content mana
gement systems, API, databases, and system design.
 Involved installation of Power BI Report Server.
 Familiarity with retirement and pension system platforms and software, such as actuarial
systems, investment management systems, and member self-service portals.
 Extensive experience in creating and configure new Jira Project and Set access permissions for
JIRA projects and Confluence spaces.
 Works closely with functional consultants and customer to assist with designing, developing,
testing, implementing and supporting innovative, custom solutions to fill gaps identified in the
standard SAP functionality
 Facilitate various Agile processes such as Iteration / Release Planning, Backlog Refinement,
Retrospective, Sprint Review, Daily Stand-up
 Drive daily scrum calls, plan sprints/retrospects, and review product backlogs
 Acting DevOps. manager for an AI product
 Experience in training and supervising warehouse staff, promoting a culture of teamwork,
accountability, and high performance.
Ahmed Mohd |Sr Business Systems Analyst |Resume|
Ahmed Mohd
amhedprofessional0@gmail.com
201-632-1739

 Strong understanding of international logistics and customs regulations, ensuring compliance


and smooth movement of goods across borders.
 Proficient in leveraging agile methodologies to drive SaaS development, enabling rapid
iterations and quick response to changing market demands.
 Possesses excellent verbal and written communication skills and the ability to interact professio
nally with a diverse group of Developers, product owners, and subject matter experts
 complex technical elements of technical operations
 Strong expertise in SaaS architecture design, optimizing for performance, scalability, and
security.
 Working knowledge of technologies preferred: SAP ECC, SAP Solution Manager/ChaRM, SAP
ABAP Test Cockpit (ATC), SAP ABAP Unit Test and ABAP Workbench
 Understands and uses advanced ABAP Workbench, including the ABAP Dictionary, ABAP
Editor, Function Builder, Class Builder, SAPScript, Smart Forms as well as testing and analysis
tools
 Presented the concept of integration in SAP between Service Management, Production
Planning, Materials Management and Finance / Co and won the confidence of Client Corporate
Executive Committee to consider and implement all the referred modules as against the original
scope to implement only the Service Management module in SAP.
 Successfully migrated on-premises solutions to cloud-based SaaS platforms, enabling clients to
leverage the benefits of scalability, flexibility, and cost savings.
 Expertise in integrating retirement systems with other enterprise systems, such as payroll, HRIS,
and financial systems, ensuring data integrity and process automation.
 Experience in conducting pension system audits, ensuring compliance with regulatory
requirements and identifying areas for process improvement.
 Experience in managing and optimizing warehouse layout and space utilization to maximize
efficiency and minimize operational costs.
 Developed and maintained APIs and integrations for seamless connectivity between SaaS
applications and third-party systems.
 Developed reports to visually expire data and create an interactive report Excel and Power BI.
 Designed, developed and demonstrated FI/CO business process scenarios in SAP, within a very
short time frame and given that this was my first project in service industry.
 Successfully planned, tested and validated the industry solution well ahead of schedule, even
after being brought quite late onto the project
 Collaborated with cross-functional teams, including product management, UX/UI, and QA, to
deliver exceptional user experiences and high-quality SaaS products.
 Knowledge of pension data management and data governance principles, including data
validation, reconciliation, and reporting.

Environment: MS Dynamics CRM 2013 Cloud, SQL Server 2012, SSRS, Microsoft Exchange, Internet
Information Services (IIS), Visual studio 2013, MS VISIO 2013, Scribe Integrator.

JPMorgan Chase, New York City, NY Mar 2018 – Dec 2019


Senior Business Analyst
Ahmed Mohd |Sr Business Systems Analyst |Resume|
Ahmed Mohd
amhedprofessional0@gmail.com
201-632-1739

Responsibilities:

 Wrote user stories, set Acceptance Criteria, checked if they were Done & Ready and passed the
criteria set by the INVEST rule.
 Responsible for integrating user stories to agency management system, crisis reporting and risk
mitigating for an automatic system to overcome it quickly. Done elicitation of requirements by
conducting JAD sessions, Semi-structured & Structured Interviews, Brainstorming,
Observations and collaborated in creating wireframes and mockups using the modeling
software like Balsamiq.
 Dealt with the requirement analysis to implement ACH (Automated Clearing House) & Zelle
payment service for online wire transfer functionality into application. Maintained general
procedural documentation for various applications such as SWIFT, Zelle & ACH.
 Generated specific documentation for development and mandatory standards changes for the
Federal Reserve, ACH, Zelle and SWIFT.
 Responsible for gathering requirements for Funds Transfer – ACH, Wire Communications SWIFT,
Zelle, Check Processing etc…
 Dealt with different versions of International Money Transfer Applications like SWIFT MT101,
MT102 etc…
 Helped Product Owner (PO) break down Epics and Features into User Stories using Slicing
techniques. Worked with Development team in proposing, negotiating Definition of Done and
Acceptance criteria for Potential Shippable Product Increment (PSPI).
 Created UML diagrams Use Case, Sequence and Activity along with Business Flows, Business
Process Modeling & Notation (BPMN) using MS Visio. Executed SQL queries of Data Definition
Language (DDL), Data Manipulation Language (DML) & Data Query Language (DQL) to perform
CRUD operations on the data from the data sources under consideration after the data profiling.
 Created & allotted bulk tasks for the developers to work on task. Conducted Sync up calls with
offshore teams through the Skype.
 Took part in integrating AWS (Amazon Web Services) with application for scalable cloud
computing, storage, web API services.
 Organized meets with AWS integration and bank’s internal teams for several functions such as
Card Transaction using instant Zelle payments, Process, Trouble Tickets, ACH & Zelle Payment
Requests etc. Collaborated with development team to integrate SET (Secure Electronic
Transaction) (Trademarked by SET Inc.) for service message integrity, authentications of all
financial data and encryption of the sensitive data.
 Created AWS EC2 instances over the cloud and maintained those instances from time to time.
Facilitated easy transition of data from AWS S3 buckets to MySQL databases for granularity &
easy access of data through different relational databases & platforms.
 Assisted in setting up Databases, Table Structures, Schemas, Marts & executed OLAP operations.
Collaborated with Architects & Engineers in ETL processes, Source to Target Mapping, Data
Governance Processes while documenting the technical metadata.
 Made sure that API related business and functional requirements are fulfilled by API Proxy,
automated load and performance tests. Walked stakeholders through requirements with
Development and QA Teams to develop the test plans, strategies, scenarios.
 Backed System Integration, Smoke, Regression, Black Box & User Acceptance Tests (UAT) in the
manual and automation modes.
Ahmed Mohd |Sr Business Systems Analyst |Resume|
Ahmed Mohd
amhedprofessional0@gmail.com
201-632-1739

 Maintained Product Backlog Items (PBIs), defects by prioritizing & tracking using JIRA.
Formulated various charts, reports, dashboards for BA using Tableau BI. Facilitated Sprint
Ceremonies & Retrospectives while acting as the Proxy Scrum Master.
 Assisted in removal of impediments and monitoring defect logs, that helped in calculating the
Team’s Velocity for easy, accurate and efficient planning upcoming sprints without missing the
deadline thus delivering the PSPI on scheduled time to the end-users.
 Maintained, backed different versions of essential documentation with Concurrent Versions
System (CVS) for the future uses.
Environment:
Agile Scrum, JIRA v7.0, CVS, Canva, AWS v18.0, MS Office Suite v2018, HP ALM v11.0, Balsamiq, Tableau
v10.0

UnitedHealth Group, Minnetonka, Minnesota Mar 2017 – Feb 2018


Senior Business Analyst

Responsibilities:

 Worked closely with the LOB to standardize processes, develop business blueprints, gather proj
ect requirements etc.
 Develop wireframes and manage tasks on the Azure Board.
 Sit with developers to understand road blocks and resolve the issues.
 Review the functional requirements and be on toes to check customer/
client requirements and adapt as per the priorities set by LOBs.
 Created Confluence pages to capture demos and Sprint Retrospectives and integrated JIRA
projects with Confluence page.
 Maintains accurate program estimates, timelines, project plans, and status reports.
 Possesses high level understanding in the areas of web application programming, content mana
gement systems, API, databases, and system design.
 Acting Scrum master and product/project manager for the developers.
 Drive daily scrum calls, plan sprints/retrospects, and review product backlogs.
 Possesses excellent verbal and written communication skills and the ability to interact professio
nally with a diverse group of Developers, product owners, and subject matter experts.
 Exercises broadly delegated authority for planning, directing, coordinating, administering, and
executing both routine and complex technical elements of technical operations.
 Used various data visualizations with Power BI.
 Created Jira dashboard for tracking the work, calling out the exceptions, providing a summary
status, Sprint callouts, etc. for the management status review.
 Resolves conflicts by demonstrating leadership and appropriate decision-making competencies
 Maintained two products, one with Waterfall model and the other with Agile model
 Maintains accurate program estimates, timelines, project plans, and status reports
 Mentor and coach new Joiners in the team
 Conducted market research and competitor analysis to identify trends, gather insights, and
inform the development of new SaaS offerings.
Ahmed Mohd |Sr Business Systems Analyst |Resume|
Ahmed Mohd
amhedprofessional0@gmail.com
201-632-1739

 Delivered global scaled projects in collaboration with cross functional teams for projects (Blue Cr
oss Blue Shield, Aetna, CVS Health)
 Maintain dedicated access and process project related documents on SharePoint Initiatives.
 Delivered Microsoft Dynamics CRM 2013 projects through analysis, design, development,
training and deployment activities necessary to deliver superior quality Microsoft CRM
solutions.
 Covered entities must report breaches of unsecured PHI to affected individuals, the Department
of Health and Human Services (HHS), and in some cases, the media.

Environment: MS Dynamics CRM 2013 Cloud, SQL Server 2012, SSRS, Microsoft Exchange, Internet
Information Services (IIS), Visual studio 2013, MS VISIO 2013, Scribe Integrator

Legato Health Technologies, Hyderabad, India Oct 2014 – Nov 2016


Senior Business Analyst

Responsibilities:
 Participate in daily meetings with product managers, SMEs, and other stakeholders eliciting req
uirements.
 Validate all the requirements with respect to the story documentation signed off by the stakeh
olders.
 Facilitating ACA reporting and documentation processes, including filing Forms 1094-C and
1095-C with the IRS and providing required employee notifications.
 Helped the market migrate 2/7th of existing market data from legacy to Hybrid application
 Manage Product Backlog of health care providers (Blue Cross Blue Shield, Aetna)
 Contributed and documented the system specification documentation
 Analyze customer workflows and convert them into system workflows
 Experience writing Medicaid State Plan Amendments, Washington Administrative Code,
Medicaid Billing Guides, and technical reports
 Facilitated JAD sessions to organize and understand Business requirements and Functional
specifications.
 Develop wireframes and manage tasks on the Azure Board.
 Participating in industry conferences, seminars, and professional networks to stay informed
about ACA trends, best practices, and compliance strategies.
 Sit with developers to understand road blocks and resolve the issues.
 Review the functional requirements and be on toes to check customer/
client requirements and adapt as per the priorities set by LOBs.
 Coordinating with insurance providers, brokers, and third-party administrators to ensure
accurate ACA reporting and compliance.
 Medicaid regulations, policies, and procedures, including eligibility requirements, coverage
criteria, and reimbursement guidelines.
 Document the requirements in PM tools such as Jira, Confluence, Trello etc.,
 Maintains accurate program estimates, timelines, project plans, and status reports
 Possesses high level understanding in the areas of web application programming, content mana
gement systems, API, databases, and system design.
 Acting Scrum master and product/project manager for the developers.
Ahmed Mohd |Sr Business Systems Analyst |Resume|
Ahmed Mohd
amhedprofessional0@gmail.com
201-632-1739

 Drive daily scrum calls, plan sprints/retrospects, and review product backlogs.
 Acting DevOps. manager for an AI product.
 Conducting internal audits and assessments to monitor ACA compliance and identify areas for
improvement or risk mitigation.
 Computer skills, knowledge of ACES, ProviderOne, Siebel, and knowledge of Medicaid
programs
 Possesses excellent verbal and written communication skills and the ability to interact professio
nally with a diverse group of developers, product owners, and subject matter experts.
 Exercises broadly delegated authority for planning, directing, coordinating, administering, and e
xecuting both routine and complex technical elements of technical operations.
 Educating employees, managers, and HR personnel on ACA regulations, benefit options,
enrollment processes, and related requirements.
 Strong understanding of Medicaid managed care organizations (MCOs), including contract
management, provider network development, and quality monitoring.
 Resolves conflicts by demonstrating leadership and appropriate decision-making competencies
Responding to employee inquiries and resolving issues related to ACA benefits, eligibility, and
coverage.
 Maintained two products, one with Waterfall model and the other with Agile model.

Deloitte (Kroger), India Jun 2012 – Sep 2014


Business Analyst

Responsibilities:

 Interacted with customers and internal stakeholders as part of requirements elicitation.


 Worked closely with the LOB to standardize processes, develop business blueprints, gather proj
ect requirements etc.
 Managing employee eligibility determinations for ACA benefits and subsidies.
 Maintains accurate program estimates, timelines, project plans, and status reports.
 Mentor and coach new Joiners in the team
 Delivered global scaled projects in collaboration with cross functional teams for projects (Blue Cr
oss Blue Shield, Aetna, CVS Health)
 Document the requirements in PM tools such as Jira, Confluence, Trello etc., maintained the pr
ojects with Waterfall model.
 Knowledge of Medicaid claims processing and adjudication, including familiarity with billing and
coding requirements, claim review processes, and payment methodologies.
 Improved the business processes which eventually increased the deliverable output by more tha
n 35% over the year.
 Independently determine initial and/or ongoing eligibility for Health Care Authority Medicaid
Title XIX, CHIP Title XXI, and other Medicaid and state funded medical assistance programs
administered by the MEDS office.
 Maintain dedicated access and process several project related documents on SharePoint
o Initiatives
 Designed and facilitated activities/sessions for 400 professionals to enhance their role-
based performances and contributions.
Ahmed Mohd |Sr Business Systems Analyst |Resume|
Ahmed Mohd
amhedprofessional0@gmail.com
201-632-1739

 Overseeing the administration of ACA-related programs, such as health insurance exchanges,


premium tax credits, and individual mandates.
 Analyzed business requirements and document AS-IS and share with development team
 One of the few SAP consultants to successfully envision, design and implement the country
version of Human Resources / Payroll, within a very short time frame of around six months and
without much formal training / documentation, when the country specific version was released.
 Extensive configuration of Personal Administration, Time Management & Payroll modules
 Designed and developed Company specific pay-slip.
 Familiarity with Medicaid information systems and software used for enrollment, claims
management, and reporting purposes.
 Supervised and designed functional specifications for interfaces with third party time clocking
system / Microsoft Mail, EDI interfaces with Banks / Statutory Organizations, Data.
 Created UML, Process flow diagrams and Workflow process for approval mechanism.
 Created various patient forms viz., Preauthorization Form, Claims Form, Patient admittance
forms.
 Managed data flow of patient records between Max Hospitals and Insurance payers.
 Analyzed the existing business processes, user requirements, etc., and arrived at an AS-IS and
TO-BE model, Detailed Design for FI, CO Modules.
 Ensuring compliance with the provisions and requirements of the ACA, including employer
responsibilities, reporting obligations, and employee benefits.
 Mapped the business processes to SAP functionalities, and arrive at SAP fit - gap analysis.
 Trained client personnel on the usage and administration of Microsoft Dynamics CRM
 Designed and integrated business processes and data flows between CRM applications and
other applications, such as back office/ERP applications.
 Knowledge of Medicaid expansion and associated policy changes, including the Affordable Care
Act (ACA) provisions and their impact on eligibility and coverage.
 Conducting research and staying up-to-date on ACA regulations, guidance, and changes to
ensure accurate implementation and adherence
 Analyzed front office processes (sales, marketing and customer service) to identify opportunities
for improvement, Implement and deploy Microsoft Dynamics CRM.
 Performed ROI analysis to develop project plan, Provided Go-Live and post-implementation
support.
 Interpreting and applying ACA regulations to the organization's policies, procedures, and
benefit offerings.
 Collaborated with Sales and Marketing teams to define User Requirement Specification (URS)
and Functional Requirement Specification (FRS) documents.
 Developed use case document for the application, traceability matrix, system requirement
specification (SRS) and presentations for proposed solutions.
 Collaborating with internal stakeholders, such as HR, legal, and finance departments, to ensure
ACA compliance across all relevant areas.
 Defined and created user roles and profiles along with Workflow and Approval mechanism.
 Worked closely with Global Marketing team for launching marketing campaigns.
 Extensive Configuration in FI including automatic account determination for MM & SD.
 Designed and developed customized reports using ABAP Queries, Report Painter.
Ahmed Mohd |Sr Business Systems Analyst |Resume|
Ahmed Mohd
amhedprofessional0@gmail.com
201-632-1739

Environment: Salesforce.com platform, Apex, Visual Force, Data Loader, Workflow & Approvals,
Reports, Custom Objects, Custom Tabs, Email Services

Rewards and Recognitions:


 Earned unique recognition, i.e., DELOITTE VALUE MEDAL for pitching my alignment of short-
term and long-term goals and values with the Four Deloitte values
 Earned two SPOT Awards for outstanding performance in the year FY18 and FY19
 Earned several SHOUTOUT mails from my stakeholders both in US and USI for my outstanding c
ontribution towards projects

Education details:
B. E in CSE from Osmania 2011
MBA- Marketing/HR from Osmania 2014

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