Dear Partner, Hope you are doing great today! This is Vikas representing Captevo Inc. Currently, we have pool of W2 consultants available Immediately on C2C basis. Request: please take a minute and add vikas@captevo.com in your mailing list for current and future requirements. Below is updated Resume of consultant 'Tejaswini' currently on bench., Please let me know if you have open requirements for them. Tejaswini: A highly dynamic result oriented professional with strong analytic and technology expertise with almost 7 years of experience as Business Systems and Facets Business analyst in Health Care, Banking Industry. Possess the ability to think out of the box and develop innovative business solutions which offer maximum business value to projects; to develop perfectly detailed result by working with dynamic teams. - Strong skills in dealing with software development lifecycles (SDLC), both Waterfall, and Agile/Agile scrum, Rational Unified Process (RUP).
- Expertise in defining and documenting Business process flows and “As-Is” & “To-Be” processes.
- Experience in data collection from multiple sources, interpretation, presentation, and management of reporting and decision making.
- Expertise in creating Business Requirements Documentation (BRD), Requirements Traceability Matrix (RTM), Business Rules Spreadsheet (BRS) and Functional Requirements Documentation (FRD).
- Expertise in project management activities like defining/managing project scope, planning various activities for execution, estimating business value/impact and providing a periodic status report to management.
- Experience in working with cross functional and cross-cultural team environments, different levels of management and liaison between system users, management and development teams.
- Experience in Healthcare Application Facets in different modules like Claims, Membership, Billing & payer and Provider.
- Extensive experience and knowledge on all stages of the Software Development Life Cycle (SDLC)
- Well versed in writing SQL queries, together with inner and outer Join commands for data analysis and retrieval.
- Knowledge and experienced on Health Insurance Portability & Accountability Act (HIPAA 4010 and HIPAA 5010), Affordable Care Act (ACA), International Statistical Classification of Diseases and Related Health Problems, 9th Revision and 10th Revision (ICD-9 and ICD-10), Current Procedural Terminology (CPT).
- Proficient in Medicaid, Medicare (Part A, B, C, and D), Procedural and Diagnostic codes, and Claims Process.
- Good Knowledge of Health Care reform - Risk Adjustment, Reinsurance and Risk Corridors.
- Strong understanding on Electronic Data Interchange(EDI), both in 4010 and 5010 formats.
- Extensive experience in organizing and facilitating joint application development (JAD) sessions, interviews and workshops with user(s), subject matter experts (SME’s), and business stakeholders.
- Proficient in producing Business Requirement Documents (BRD), Functional Requirement Document (FRD) and Software Requirement Specification (SRS) across the deliverables of a project.
- Developed business Process flows for different department functions using MS Visio.
- Expertise on website Wireframes and Business Process Modeling with excellent skills on Use Case, Activity, Sequence, Data-Flow diagrams using Unified Modeling Language (UML), in MS Visio and Rational Rose.
- Well versed in Relational Database Management System (RDBMS).
- Skilled user in Clear Quest for defect tracking, bug reporting tools like Test Director and Quality Center.
- Experienced in handling Change Management.
- Create requirements for custom business / billing applications, reporting, IVR, Web and contact center solutions.
- Excellent analytical skills with extensive experience on performing GAP analysis, User Acceptance Testing (UAT), Strengths, Weaknesses, Opportunities and Threats (SWOT) analysis, Impact Analysis, Risk Analysis and Mitigation plan, Cost benefit analysis and Return on Investment (ROI) analysis.
- Proficient in handling functional and non-functional requirements with exceptional understanding and skill set in writing Test Scenarios, Test Conditions, Test Cases, and Test Scripts.
Thanks & Regards, Vikas Captevo Inc Phone: 248 653 0130 | (248) 630-3001 X 109 Address: 24175, Northwestern Hwy, Suite # 121, Southfield, MI – 48075 Disclaimer: We respect your Online Privacy. This e-mail message, including any attachments, is for the sole use of the intenvded recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message. If you are not interested in receiving our e-mails then please reply with a "REMOVE" in the subject line at and mention all the e-mail addresses to be removed with any e-mail addresses, which might be diverting the e mails to you. We are sorry for the inconvenience | |
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