SENIOR BUSINESS ANALYST

GOPICHAND V
M: (480)810-7766 |
vgopi1913@gmail.com

Professional Summary

 Business Analyst with 11 years of experience in requirement gathering and elicitation using techniques
such as Brainstorm, Trade settlements, prototype, workshop & focus group.
 Conducting Sales Analysis, product development, developing requirements to successful executions of Sales
and product strategies.
 Experience as EDI business analyst by providing data governance and data management across the
organization.
 Exposed to Medicare and Medicaid domains of the healthcare systems and industry for inpatients, outpatients,
reimbursement methodology.
 Expertise in analyzing business processes, functions, and procedures to determine the most effective business
systems software to meet the needs of the organization.
 Experience in applications such as Vertice & IDAS for payment related transactions and data
Management
 Conduct AS-IS and TO-BE Analysis and suggest Fit for Business Solutions by designing a
Change strategy.
 Deliver Requirement documents like BRD, FRD, Use Case, Process Flow, Change Requests,
Traceability matrix and Mind maps
 Experience working on regulations and healthcare policies like HIPAA, HL7 and CCPA.
 Experience in Electronic Health Records (EHR) by collaborate clinical data and administration team
with Organization compliance.
 Verification and Validation of requirements to ensure they deliver business value by conducting
various reviews and workshops with clients
 Organize & Lead Requirement Gathering (Elicitation) meetings using techniques like Interviews,
Questionnaires, Interface Analysis, Document Analysis, Brainstorming Sessions and Focus
Group Discussions.
 Key role in processing healthcare payer claims and settlements on timely basis.
 Conducting Gap Analysis, Scope definition using techniques like use case diagrams (UML),Context
Diagram (Data Flow Modeling), BPMN (process modeling)

Core Competencies

 Risk and Regulatory Reporting

TECHNICAL SKILLS
Project Methodologies Agile (Scrum, Kanban), Waterfall
Project Tracking Tools MS Project, Jira, Confluence, Microsoft Azure, Okta IAM, Jira
Microsoft Tools Word, Excel (Pivot Tables), PowerPoint, Outlook, MS Access
Database Tools SQL Server, Guidewire, EDI
Business Analysis Tools UML, MS Visio, Tableau, Vertice, IDAS
Business Artifacts BRD(Business Requirement Document), FRD (Functional Requirement Document),
SRD or SSD (Software Specifications Document), Risk Management, Mock-ups,
Use cases, Activity Diagrams and RTM (Requirement Traceability Matrix)
Healthcare HIPAA, Medicare, Medicaid, Claims Adjudication, EMR, EHR,HL7, CCPA

Professional Experience

Healthesystems LLC, Florida June 2016-Present

Responsibilities:

 Experience in Agile Software Methodology using Scrum framework and actively participated in creating the
User stories along with tracking burn up, burn-down charts to estimate sprint delivery.
 Hands-on experience across all stages of Software Development Life Cycle (SDLC) including business
requirement analysis, data mapping, build, unit testing, systems integration and user acceptance testing.
 Key role in pharmacy/clinical related customer data and deriving new strategies in implementing effective
Vertice application.
 Created Product Backlog, Sprint Backlog and managed User stories.
 Worked with the application manager and agile teams to analyze and identify gaps between current
application and the desired state evaluating and implementing improvements to software products.
 Set up integration management teams, build readiness checklists, ongoing efforts to synchronize re-prioritize
and focus on core components delivery and ensure proper change management is setup and followed.
 Experience in Electronic Health Record (EHR) by gathering requirements, analyzing clinical data and
test results.
 Performed GAP analysis and assessed As-Is processes through user interviews, data collection and analysis
and design and evaluation of To-Be process solutions.
 Performed Data Mapping to identify and standardize the data from various distributed systems.
 Collaborated with multiple business leads, report owners, content managers and report preparers to help
stand up controls environment.
 Worked on BRD and FRD preparations and implemented the business requirements and the functionality
of business process.
 Experience in working for application Vertice for claims settlements, B2B operations and data
management
  Conducted project related Presentations periodically to the management and end users during various phases
of SDLC (Software Development Life Cycle)
 Involved in the full HIPAA compliance lifecycle from GAP analysis, mapping, implementation, and testing
for processing of Medicaid Claims
 Experience in EDI by design, maintain and implement data exchange between departments or Functional
Teams
 Participated in JAD sessions, meetings and workshops to gather requirements from various stakeholders
and SMEs.
 Experience in Guidewire platform by offering services and integrate data for easy access to consumers
 Utilization of JIRA tool to track and maintain different versions of project documentation
 Key role in providing user stories with Business Requirement Document(BRD) ,Functional spec,
UML Diagram and Gap analysis with process flow
 Key role in providing financial report preparation by working finance and insurance teams.
 Good understanding of state and federal security and privacy laws and regulations HIPAA, HL7
& CCPA
 Good knowledge in functional, User Acceptance (UAT) and scenario testing and also various stages
of software development and testing cycles.

Vodafone India Limited, Hyderabad, India Dec 2013 – Jun 2016

Responsibilities:

 Analyzing and reporting all Key Performance Indicators (KPI's) across all product segments, brands
and regions
 Provide analysis on key business and strategic questions that come up for discussion at top
management reviews.
 Monitored and detailed reports with analysis on POS and order billing cycle
 Developed sales pitch decks, marketing collaterals, annual reports, communications and scheme settlements
for internal and external stakeholders.
 Experience in sales and marketing domain by gathering data, analyzing market trends and develop
Marketing plans
 Evaluated and documented agency business practices by conducting quarterly visits, interviews with
Executives, supervisory and quality assurance staff to identify the root causes of obstacles to work
performance
 Excellent business communication and presentation skills, coordinating extensive communication networks
to keep executive staff and team members apprised of goals, project status, resolving issues and conflicts.
 Raise timely red flags so that corrective actions can be taken for aberrations or system failures
 To support the senior leadership in making the right business decisions by using business expertise with both
qualitative & quantitative insights ranging from Sales, Distribution and Marketing.
 Utilize business process data mapping techniques to identify process improvements and Optimize supply
chain operations
  Custom Research on client requirements across multiple industries, market estimation, SWOT
Analysis, Pestle Analysis, company and competitor profiling.
 Responsible for Annual Operating Plan (AOP plan) for the Prepaid, Postpaid & SME division

Hindustan Coca-Cola Beverages, Hyderabad, India July 2012–Dec 2013

Responsibilities:

 Identifying, understanding, and mapping client/prospect requirements and tailoring solutions accordingly
 Performing data mapping on the extracted data and created logical data modeling ,ER and class diagrams
 Responsible for creating UML modeling plan, use cases , process flows, screen flows and
business requirement documentation to model system development specification.
 Key role in coordinating with the UI Team and developing a prototype of the website to demonstrate
and present solutions to prospects
 Experience in processing and manage Payer settlements by ensuring all billing and collection ofClaims
 Key role in data transition from legacy systems to IDAS application, which serves to provide enrollment,
benefits, billing, claims adjudication, provider data and pricing functionality
 Manage stakeholders through various phases of the sales cycle, including pursuit, POC and
final implementation
 Collect and document initial high-level business requirements from the clients/stakeholders
 Key role in supply chain business operations of order management and compliance
 Experience in IDAS application for generating B2B sales, claims processing and master
data management.
 Designing trade schemes and settlements on a timely basis to stakeholders or channel partners
 Experience in QSR accounts, order management, billing and stock replenishment planning

Education Details
Institute of Public Enterprises, Hyderabad March 2012
Master of Business Administration
Relevant coursework: Management Information Systems, Retail Marketing, Supply chain

JNTU, Hyderabad April 2010