Scribd
Upload
39 views

Priyanka Gummadavelli: Professional Summary

Uploaded by

mukhtarmonibul
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
39 views

Priyanka Gummadavelli: Professional Summary

Uploaded by

mukhtarmonibul
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
You are on page 1/ 1

Priyanka Gummadavelli

Sr. Business Analyst/ Scrum Master || [email protected] || Richmond, VA ||


Bachelors in Electronics Engineering from Jawaharlal Nehru Technological University, 2013.
PROFESSIONAL SUMMARY:
 9 yrs. of Business Analyst and certified scrum master experience specializing in different phases of Software
Development Life Cycle (SDLC) in Healthcare and Pharmaceutical domains.
 Senior Business analyst with proven experience in Healthcare & Insurance Industry.
 Experience with business process integration across systems, platforms & and application migrations for
Salesforce CRM applications.
 Expertise in Health Insurance Portability & Accountability Act (HIPAA) standards, Electronic Data Interchange
 Implementation (EDI), 21CFR10, CDISC, GxP & HIPAA D.0 layouts for incoming claims transactions.
 Well-versed with the conversion standards of HIPAA and ICD-9 to ICD-10 codes. Exposure to HIPAA Compliance
requirements and HL 7 standards. HIPAA Transaction and Code Sets (EDI 834, 835, 837, 270, 271, 276, 277, ICD-
9, ICD-10), Electronic Health Record (EHR)/Electronic Medical Record (EMR).
 Excellent knowledge of Epic Build, Epic Clinical Workflows, Epic Implementation, Revenue Cycle, Provider,
Professional, Facility, COB, Medicare/Medicaid Claims, HL7 Interface Messages, Split Claims, Medical Necessity,
Dual Coding, TA1 EDI Transactions, EOB, EOP, Claim Adjudication, FACETS & NASCO User Interface.
 Expertise in developing and documenting Scope Documents, Business Requirements Documents (BRD), User
Requirement Documents (URD), User Stories, Functional Design Documents (FRD), Use Case Specification
Documents, Software Requirements Specifications (SRS).
 Extensive experience with various Business Analysis tools like Optimal Trace, Doors, Blueprint, content
Management suites (MS SharePoint, Documentum), and CRM applications.
 Experience in understanding, detailing, and implementing Full Project Management Lifecycle for software
systems using Software Development Life Cycle process (SDLC), RUP, and AGILE methodologies.
 Expertise in a broad range of technologies, including MS Office (Word, Access, PowerPoint, Excel, and Visio), MS
Project, and MS Visio.
 Adept in reviewing Test Procedures, creating Test plans and test scenarios, executing Test Cases and test Data
reviewing, and maintaining and executing detailed Test scripts for User Acceptance Testing (UAT) for CRM
applications.
 Proficient in Salesforce SFDC, Force.com, and their use in the development of CRM solutions
 Ability to organize, document, and track changes and defects, tickets using the Rational ClearQuest, Remedy and
archive change requests, version control, and builds in Clear Case.
 Strong quantitative and statistical background with exceptional written and verbal communication skills, strong
business acumen, strategic thinking, interpersonal, and presentation skills.
 Adept at multi-tasking, identifying, managing, tracking progress, gathering information, escalating & and
resolving issues related to requirements, documentation, and production independently.
 Analytical and detail-oriented with excellent documentation, presentation, and facilitation skills.
 Experience in working with SAS environment, metadata, development, testing, documentation, maintenance
and support.
 Supported Design, Development, and Implementation (DDI) teams for new Medicaid Management Information
Systems (MMIS).
 Expertise in authoring SQL Queries required for retrieving data.
 Facilitated Defects calls with the offshore team twice every week, and worked extensively on a clear quest.
Received all the updates related to critical open defects.
 Adept in managing requirements, and compliance documents in MS SharePoint suite and utilizing/accessing the
various features.
 Created screen-prints/shots, and mock-ups using the regular tools & and VB script editor for the Front End re-
design team pertaining to the requirements.
 Maintained Pipeline for various ongoing projects, created MS Project plan to capture the various deliverables
and timelines associated.

You might also like