Sai

[email protected]
(408) 686 4113

Professional Summary

 Around 9 years of experience as a Senior Business Analyst specializing in healthcare IT, proficient in managing
complex projects from data analysis to system integration and migration, including experience with Salesforce to
enhance data management and reporting capabilities.
 Led comprehensive data migration and integration from multiple EHR systems to a CMS data warehouse,
enhancing healthcare data management and interoperability.
 Directed the integration of FHIR-based APIs with Medicaid claims data systems, enhancing data accessibility
and interoperability across internal and external platforms.
 Managed the implementation of EDI 835 transactions, improving claims processing accuracy and efficiency
within Medicaid systems.
 Utilized CPT, LOINC, and ICD-10 coding systems to standardize and validate clinical data for accurate reporting
and analysis.
 Extensive experience in converting business requirements into actionable business process flows and
functional specifications.
 Proven track record of leading data quality enhancement initiatives, ensuring accuracy, consistency, and
compliance in healthcare data systems.
 Skilled in analyzing and consolidating immunization registry systems to support streamlined data workflows and
improved interoperability.
 Adept at leveraging tools like SQL and Power BI to identify data discrepancies, implement validation processes,
and deliver actionable insights for decision-making.
 Comprehensive experience with public health data standards, including immunization data management and
integration with state and national registries.
 Proficient in creating detailed process flow diagrams using tools like Visio and Lucid chart to visually represent
workflows and streamline operations.
 Expertise in collaborating with stakeholders to gather and analyze requirements, ensuring alignment with
business goals and compliance standards.
 Strong ability to bridge the gap between business needs and technical teams through the development of
comprehensive functional requirement documents (FRDs).
 Skilled in maintaining detailed documentation for process flows and requirements to support knowledge
transfer and long-term organizational goals.
 Identifying emerging trends and technologies to recommend innovative solutions that enhance business
efficiency.
 Collaborating with stakeholders to prioritize and implement system enhancements or upgrades to align with
changing business needs.
 Managed business requirement documents and conducted user acceptance testing (UAT) and system
integration testing (SIT) for EMR functionalities.
 Collaborated with stakeholders to define business requirements and deliver data insights. Developed detailed
Business Requirements Documents (BRDs) to ensure clear and comprehensive requirements.
 Applied expertise in Software Development Life cycle (SDLC), Software Development Methodologies including
Waterfall, and Agile.
 Assisted with ETL processes and data migration from SQL Server to MS Azure cloud database using Informatica.
 Utilized ETL tools like Talend and Informatica to facilitate data migration processes.
 Developed and managed a centralized data dictionary for project management teams.
 Designed and implemented Star and snowflake schema data models to support advanced analytics and
reporting.
 Conducted As-Is and To-Be (Gap Analysis) analysis and carried out processes for Risk Analysis, SWOT Analysis,
Change Management, and performed Impact Analysis to assess changes and feasibility studies.
  Developed and maintained comprehensive project documentation, including project plans, status reports, risk
registers, and meeting minutes.
 Used SQL joins and subqueries to simplify complex queries involving multiple tables to retrieve data.
 Assisted in designing a data lake to integrate data from various systems and performed data migration from data
sources using ETL pipelines to data lakes and data warehouses.
 Proficiently utilized Git for version control and collaborative development, ensuring efficient management and
tracking of project code changes.
 Utilized Tableau for comprehensive data analysis, exploring datasets to uncover trends, patterns, and anomalies
within healthcare data.
 Developed data analysis prototypes using Power BI pivot tables to summarize and aggregate healthcare data.
Used pivot tables to perform ad-hoc analysis and explore different perspectives of the data.
 Experienced in collecting business requirements and compiling them into optimal JIRA solutions.
 Ensured documentation was up-to-date and accessible for reference by project teams, stakeholders, and future
system administrators.
 Prepared and delivered detailed project status reports, milestone updates, and presentations to senior
management and stakeholders.
 Communicated project achievements, challenges, and recommendations for future initiatives based on project
outcomes and lessons learned.

Technical Skills

 Business Analysis Tools & Techniques: JIRA, MS Visio, SWOT Analysis, Gap Analysis, Root Cause Analysis,
Requirements Gathering, BRD, FRD, Use Case Diagrams, Process Modeling, Data Flow Diagrams
 SDLC Expertise: Waterfall, Agile, Scrum, Change Management, Risk Analysis, Impact Analysis, User Acceptance
Testing (UAT), System Integration Testing (SIT)
 Data Analysis & Visualization: SQL, Tableau, Power BI, Data Profiling, Data Mapping, Data Validation, ETL
Processes, Data Warehousing
 Healthcare Standards & Compliance: HIPAA, CPT, LOINC, ICD-10, HL7, FHIR, EDI Transactions (834, 835, 997)
 Project Management Tools: MS Project, Trello, Confluence, xAsana
 Documentation & Reporting: MS Office (Word, Excel, PowerPoint), Project Plans, Status Reports, Risk Registers,
Meeting Minutes
 Customer Relationship Management: Salesforce

Experience

Senior Business Analyst

 Conducted extensive stakeholder interviews with healthcare providers, IT teams, and administrators to
understand their specific needs and challenges related to CMS data warehouse migration.
 Facilitated workshops to gather detailed requirements for integrating clinical coding systems (CPT, LOINC, ICD-
10) into the CMS data warehouse.
 Led sessions to define project scope, objectives, and success criteria, ensuring alignment with organizational
goals for improved healthcare data management and interoperability within CMS frameworks.
 Designed robust data models that accommodated diverse healthcare data sources, including multiple EHR
systems, and supported complex analytical requirements for CMS reporting.
 Developed process models to streamline data integration, ETL workflows, and data validation processes,
ensuring data quality and integrity for CMS compliance.
 Implemented interfaces using industry standards such as HL7, C-CDA, and FHIR to facilitate seamless data
exchange with CMS systems.
 Ensured alignment with healthcare interoperability standards, including HL7 and FHIR, to enable seamless data
exchange between providers and state registries.
 Led the analysis and correction of data inconsistencies across multiple immunization systems, implementing
robust validation rules and transformation logic.
 Played a key role in consolidating disparate immunization registries into a unified system, improving accessibility
and data interoperability across public health agencies.
 Conducted in-depth assessments of existing workflows and data architectures, identifying key areas for
improvement and proposing a scalable integration strategy.
 Collaborated with external vendors and internal teams to ensure compatibility and compliance with CMS
interoperability standards.
 Analyzed business requirements and developed comprehensive business process flow diagrams to map
workflows for patient data migration across EHR systems.
 Created detailed functional requirement documents (FRDs) to guide the ETL team in building efficient data
transformation pipelines.
 Collaborated with stakeholders to refine process flows, ensuring compliance with HIPAA and alignment with
CMS standards.
 Facilitated requirement validation sessions, bridging the gap between healthcare providers and technical teams
to ensure seamless data migration.
 Developed and implemented ETL processes to extract, transform, and load healthcare data from multiple
sources into integrated databases and data warehouses.
 Implemented rigorous data validation techniques to ensure accuracy, completeness, and consistency of
healthcare data across systems.
 Ensured secure and efficient transfer of sensitive patient data while adhering to HIPAA regulations and industry
best practices.
 Conducted thorough testing throughout the SDLC, including unit testing, integration testing, and user
acceptance testing (UAT).
 Supported compliance and validation processes for initiatives like NCQA DAV certification.
 Identified and resolved issues related to data integrity, system performance, and interoperability to minimize
risks during deployment.
 Optimized ETL workflows, data processing algorithms, and database queries to improve system performance,
scalability, and efficiency.
 Integrated Salesforce to streamline data management processes and improve stakeholder communication,
enhancing project efficiency and data reporting.
 Implemented monitoring tools and dashboards to track system performance metrics and identify areas for
continuous improvement.
 Contributed to advanced reporting and analytics using Power BI, with a willingness to expand expertise with
additional statistical and analytical software.
 Managed the deployment of integrated healthcare analytics solutions, ensuring a smooth transition and
minimal disruption to daily operations.
 Conducted training sessions and workshops for end-users to facilitate the adoption and utilization of new
systems and tools.
 Established protocols for regular system maintenance, data backups, and disaster recovery to ensure data
integrity and system availability.
 Implemented monitoring mechanisms to track system performance, data quality metrics, and user feedback on
a regular basis.
 Generated performance reports and analytics dashboards to provide insights for decision-makers and
stakeholders.

Business Analyst
Medtronic 2019 Nov - 2022 Mar

 Gathered comprehensive business requirements by conducting stakeholder interviews and workshops to align
Medicaid-specific FHIR-Based APIs integration with organizational objectives.
  Conducted thorough data analysis and profiling of existing Medicaid claims data sources, ensuring readiness and
quality for FHIR integration.
 Identified and mitigated risks associated with Medicaid claims data integration, ensuring minimal impact on
project timelines and deliverables.
 Designed and implemented robust ETL processes using industry-leading tools to transform diverse Medicaid
claims data formats into standardized FHIR resources, optimizing data flow and compatibility.
 Developed detailed data mapping strategies to establish correspondence between Medicaid claims data fields
and FHIR resources, ensuring accurate data translation.
 Executed rigorous data validation protocols to verify the accuracy, completeness, and integrity of integrated
Medicaid claims data, adhering to stringent quality assurance standards.
 Integrated FHIR-Based APIs to facilitate secure and efficient exchange of Medicaid claims data between internal
systems and external stakeholders, enhancing data accessibility and interoperability.
 Focused on integrating Medicaid-specific FHIR-Based APIs and supporting patient linking/matching projects.
Interested in acquiring experience with ADT monitoring to enhance population health management skills."
 Translated high-level business objectives into business process flows for the integration of FHIR-based APIs into
Medicaid claims systems.
 Authored functional specifications for automated claims validation workflows, enabling a 20% reduction in
processing time.
 Conducted regular workshops with stakeholders to ensure process flows addressed pain points and aligned with
regulatory requirements.
 Supported the development team in understanding the bigger picture by providing context through detailed
business flows and functional requirements.
 Monitored and optimized performance of data integration processes using advanced analytics and performance
tuning techniques, achieving optimal system efficiency.
 Ensured compliance with HIPAA regulations and internal data governance policies, safeguarding sensitive
patient information and maintaining data security protocols.
 Developed comprehensive reports and interactive dashboards using Tableau to provide stakeholders with real-
time insights into Medicaid claims data integration progress and performance metrics.
 Created detailed documentation including data dictionaries, integration workflows, and user guides to support
knowledge transfer and system maintenance.
 Collaborated closely with cross-functional teams including IT, compliance, and business units to align project
goals with organizational objectives.
 Conducted targeted training sessions to educate stakeholders on Medicaid-specific FHIR standards, integration
best practices, and operational procedures, promoting adoption and proficiency across diverse user groups.
 Had direct experience with defect management and detailed user story creation for development teams.

 Utilized Salesforce for efficient tracking and management of Medicaid claims data integration, ensuring seamless
communication and data flow between internal teams and external stakeholders.

Business Analyst
Nutex Health 2018 Feb – 2019 Sep

 Reviewed medical record information to identify, collect, assess, monitor, and document encounter coding
information as it pertained to Hierarchical Condition Categories (HCC).
 Performed study maintenance procedures by SOP and had a good understanding of relevant ICH-GCP
Guidelines.
 Evaluated HL7 messages to identify usage of ICD-9 codes and replicate the processing for ICD-10.
 Involved in requirements gathering and preparing the technical system design and system design analysis of the
flow of EDI transaction sets 834, 835, 997.
 Conducted thorough testing and validation of claims configuration, performing functional and regression testing
to ensure accurate calculation of claims payments.
 Collaborated with business users to gather feedback and conduct user acceptance testing (UAT) on configured
claims processes.
  Involved in quality measurement and performance assessment projects, gaining familiarity with HEDIS domains
of care.
 Involved in quality measurement and performance assessment projects, gaining familiarity with HEDIS domains
of care.
 Conducted root cause analysis on medical claims denials and rejections, identifying underlying issues and
collaborating with stakeholders to implement corrective actions.
 Elicited business requirements by participating in JAD sessions, interviewing business users and stakeholders,
conducting focus group sessions, and consulting existing systems documents.
 Used MS Visio for process modeling, process mapping, and business process flow diagrams.
 Designed use case diagrams and was involved with the design team in creation of activity diagrams and
sequence diagrams to depict process flows.
 Assisted in design meetings to ensure all requirements were covered in the design phase.
 Prioritized and refined the team’s backlog so that the release aligns with customer expectations and delivery
dates.

Business Analyst
Omnicell Health 2015 Sep – 2017 Nov

 Implemented and customized EMR systems, including Epic and Cerner, to support healthcare delivery and
operations.
 Managed system upgrades and migrations to ensure seamless transitions and minimal disruption to healthcare
services, providing comprehensive support for system administration tasks including troubleshooting,
maintenance, and performance optimization.
 Collaborated with healthcare providers and IT teams to integrate EMR systems with other healthcare
technologies and third-party applications.
 Conducted user acceptance testing (UAT) to ensure EMR functionalities met the needs of end-users and
clinical workflows.
 Analyzed data from EMR systems to generate insights, reports, and performance metrics to improve patient
care and operational efficiency.
 Developed and delivered training programs for healthcare staff on how to effectively use EMR systems for
clinical documentation and patient management.
 Ensured compliance with Meaningful Use requirements and HIPAA regulations in all aspects of EMR
implementation and usage.
 Provided ongoing support and troubleshooting for EMR systems, resolving issues related to data entry, system
functionality, and user access.
 Managed system upgrades and migrations to ensure seamless transitions and minimal disruption to healthcare
services.
 Conducted data analysis to identify patterns and trends, using insights to optimize EMR system performance and
user satisfaction.
 Utilized data visualization tools to present analysis results and key findings to stakeholders, facilitating data-
driven decision-making.
 Coordinated with vendors and third-party service providers to ensure the effective implementation and
maintenance of integrated EMR solutions.
 Assisted in data migration projects, ensuring accurate and secure transfer of patient records and clinical data to
new EMR platforms.

Education

• Bachelor of Science in Electrical Engineering at Malla Reddy University (2015)

• Master of Science in Business Analytics at University of New Haven (2017)