Charan Yeturu_Business Analyst
Charan Yeturu_Business Analyst
SUMMARY:
▪ Over around 10+ years of IT Industry experience as a Business Analyst in Healthcare, finance, banking, all the phases
and methodologies of System Development Life Cycle (SDLC) including Waterfall, Agile and Hybrid.
▪ Expertise in working with multiple teams on different levels of Scaled Agile Framework (SAFe) and proved myself as
an influencer while managing multiple teams.
▪ Possess exceptional Business Documentation Skills required for recording Business Requirements, including
Functional Requirements (FR) and Non-Functional Requirements (NFR).
▪ Experience with EMR/EHR, claims process and adjudication in the Medicare, Medicaid and Private Insurance Sectors
adherence to HIPPA.
▪ Excellent knowledge in Data Analysis, Data Validation, Data Cleansing, Data Verification and identifying data
mismatches.
▪ Expert in writing SQL queries and optimizing the queries in Oracle, SQL Server 2008 and Teradata
▪ Excellent experience on Teradata SQL queries, Teradata Indexes, Utilities such as Mload, Tpump, Fast load and
FastExport.
▪ Experienced in creating Requirement Artifacts such as Functional Requirements Document, Attribute Mapping
document, Requirement Traceability Matrix, Data profiling package.
▪ Skilled in designing and preparing monthly status reports, assisting in corporate projects in health care, health
economics model, and evaluating all clinical trial data.
▪ Experience in using SQL for data programming and analysis.
▪ Good Knowledge of Health Care reform - Risk Adjustment, Reinsurance and Risk Corridors
▪ Worked on RCM (Revenue Cycle Management)
▪ Excellent knowledge of the Software Development Life Cycle, Quality Standards and Agile methodologies primarily
on Mainframe technologies.
▪ Extensive experience with Tableau Desktop and Tableau Server in Tableau 10.x as a Developer and Analyst.
▪ Created Functional and Technical specifications documents for various ITSM, CSM, ITBM and HRSD products
including all the modules.
▪ Designed and configured tailored solutions within the core financial system, enabling business lines to streamline
processes and meet specific operational and regulatory requirements, resulting in a 25% reduction in processing
time.
▪ Collaborated with cross-functional teams to develop and implement system enhancements, ensuring seamless
integration with business workflows, and improving overall system performance and user adoption.
▪ Assisted and validated Loan data mapping across Empower application database (OLTP/ODS), Confidential's
Mortgage Data Hub (MDH), Servicing (MSP, MISER), Vendor XML’s and downstream applications (NXG, KYC) flat files.
▪ Strong knowledge of HIPAA regulations and data sets like ICD-9, ICD-10, EDI.
▪ Good understanding of different EDI healthcare transaction sets used across the healthcare domain to communicate
data between the provider and the payor (like 837, 835, 834, 270, 271, 276, 277 and 278)
▪ Expertized in creating artifacts such as Project Definition Documents (PDD), Business Requirement Documents
(BRD), Functional Requirement Documents (FRD), and System Requirement Specification (SRS) along with Business
Process Design.
▪ Excellent knowledge of Medicare Part A, B, C, and D and Medicaid Health Insurance Policies like CHIP, Personal Injury
Protection PIP insurance, billing experience in life and disability in health plans, etc.
▪ In-depth understanding of different analysis techniques such as GAP analysis, Impact Analysis, Stakeholder Analysis,
SWOT Analysis, and Root Cause Analysis to frame a business strategy and facilitate Joint Application Development
(JAD) Sessions with Subject Matter Experts (SME).
▪ Detail-oriented requirement gathering through various Elicitation Techniques like Document Analysis, Brainstorming
Sessions, Focus Group Sessions, Individual/Group Client Interviews, Reverse Engineering, and JAD Session.
▪ Varied experience including Medicaid (MMIS, MITA, and MECT), Medical Billing, Medicare, and General Insurance
(Health Claims).
▪ Good experience of several AWS services including EC2, VPC, S3, RDS, Kinesis, Auto scaling configurations
▪ Facilitated and engaged in all scrum ceremonies like Sprint Planning, Daily Scrum, Sprint Review, Sprint
Retrospective, and Backlog Refinement Sessions.
▪ Adept with different software development methods like Waterfall, Rapid Application Development (RAD), Rational
Unified Process (RUP) and Agile (SCRUM) Method
▪ Implemented layouts for Suspicious Activity and Pattern analysis under AML regulations
▪ Issued the Test Plan Document, Test Planning, Test Design and Test Execution and was involved in the Testing Process
which verified and validated all the defined business requirements and associated functionalities
▪ Focused on development of integrated data environment with minimal Data Redundancy.
▪ Proficient in analysing and creating Narrative Use Cases, User Stories, Story Boards, Use Case Diagrams, Activity
diagrams, Data/Flow/Navigational flow diagrams using UML Tools like MS Visio
▪ Excellent skills in facilitating Joint Application Development (JAD) for eliciting functional requirements that support
the High-Level business requirements
▪ Design and review of various documents including the Software Requirement Specifications (SRS), including USE
Cases, Business requirements document (BRD), Use Case Specifications, Functional Specifications (FSD), Systems
Design Specification (SDS), High Level Design Document (HLD), Requirement Traceability Matrix (RTM) and testing
documents.
▪ Knowledge of Quality and Risk management concepts like risk management, mitigation and contingency planning.
▪ Expert in writing detail system use cases, developing business test cases, and working with QA teams during testing
phase thereby facilitating acceptance testing with stakeholders and business users
▪ Instrumental in writing User Stories using INVEST criteria and Acceptance Criteria as per the requirements and
updating the Team's progress to the Product Owner using Key Performance Indicators (KPI's) such as Burn-up Chart,
Burn-Down Chart, CFD, Bug Resolution Time Chart, Defect to User Stories and Velocity Chart.
▪ In-depth experience in leading User Acceptance Testing (UAT) and guiding business stakeholders by providing User
Manual Guides to Validate and Verify both functional and technical requirements of the application.
▪ Sound knowledge in performing Extract Transform Load (ETL) process to migrate data from OLTP Database to OLAP
Data warehouse and Data Marts which involved Data Mapping based on the Transformation Rules.
▪ Experience in creating SQL queries to locate and verify data including Triggers, Joints, Stored Procedures, Index and
expertise in generating DDL, DML, DRL queries in SQL.
▪ Spearheaded Sprint Goals and mitigated Impediments to ensure that the teams are delivering the MVP as per the
schedule.
▪ Involved in providing solutions in implementing Client-Side, Server-Side and Database-Side validations.
▪ Comprehensive knowledge of web services related concepts such as XML, JSON, WSDL, WADL, HTML, AJAX, SOA,
API, SOAP and RESTful Web Services.
▪ Working experience of Azure Cloud Technology
▪ Worked on Claims, Payments, Medicaid, and Medicare, Provider and Eligibility verification Benefits.
▪ Worked with reputed Healthcare Providers, hence possess good understanding of business requirements elicitation,
analysis and quality assurance
▪ Comprehensive knowledge in implementing applications using the Service Oriented Architecture (SOA), Micro
Service Architecture and APIs.
▪ Advanced skills in visualization of data using Tableau, QlikView and Power BI
▪ Proactively collaborated with the Solution Architect Team in implementing APIs, Web Services, and Microservices to
the Enterprise Technical Architecture, thereby increasing business agility.
▪ Amplified technical architecture by validating Web Services, API's, using Soap UI and Postman tools to authorize its
functionality to satisfy the business requirements.
▪ Extensively interacted with the designers, developers to ensure functional implementation of business requirements
and the QA team in executing Test Plans, Test Case Scenarios, Test Logs and Test Objectives.
▪ Good knowledge of testing methodologies like User Acceptance Testing (UAT), Smoke, Unit, Regression, Integration,
Functional testing and Bug Tracking System& process and Database Testing using SQL.
▪ Knowledge of Dodd Frank Regulation, SOX, FINRA, CFTC, SEC compliance and Integration, Healthcare plans including
HMO, PPO and, POS along with health care insurance programs like Medicare A, B, C, and D.
▪ Knowledge of FDIC Rule 370 compliance and supported both internal and external IT audit requests.
▪ Excellent Communication, Problem-solving, Critical Thinking, Conflict Resolution, Facilitation, and Documentation
along with proven track record in producing High-Quality Work under tight schedules and in multi-tasking to meet
business goals.
SKILLS:
Methodologies Agile Scrum, Iterative, Waterfall, Waterfall-Agile Scrum Hybrid, SAFe
Operating Systems Windows XP, Vista, 7, 8, 10, Mac OS X, UNIX, Linux
GUI Tools MS Office, Google suite, Lotus Notes, HP PPM, HP SM9, Power BI,
QlikView, Teradata.
Programming Languages HTML, SQL, Python, R
DLP Tools CA Data Protection, CA console
Visualization Tools MS Visio, Rational ROSE, Mock-up screens
Content Management Tools SharePoint, Confluence, MS Visio
Methodology Tools Version One, JIRA, Rally, TFS, Bugzilla
PROJECTS SUMMARY:
Client: CVS Healthcare, Woonsocket, Rhode Island Feb 2023 to Present
Role: Sr. Business Analyst
Responsibilities: -
▪ Prepared UML diagrams Activity diagrams, Sequence Diagrams, Use case diagrams.
▪ Conducted Business Requirements walkthrough with the business owners as well as the Technical Stakeholders.
▪ Interacted closely with development team using Python under the agile methodology.
▪ Conducted JAD sessions with business units and stakeholders to define project scope, to identify the business flows
and determine whether any current or proposed systems are impacted by the new development efforts.
▪ Walkthrough of requirements mapping document and impact analysis with respect to any changes in the ETL
process.
▪ Developed EDI specifications and applications structures for data feeds and mappings for integration between
various systems, including XML, and performed back-end testing on the Oracle database by writing SQL queries.
▪ Implemented report integration among Power BI, Tableau, SSRS and Python reports.
▪ Experience in working with CMS and Medicaid Programs. Experience in implementing Healthcare Compliances like
ACA, HIPAA, and MOOP.
▪ Analysed large Oracle databases (>1 Terabyte) of late-model Porsche engine-management data using SQL, Python &
R.
▪ Ensured all artifacts compiled with HIPAA 5010 policies and guidelines.
▪ Involved with reviewing defects reported from UAT efforts and analysed for root cause and took actions based on
the findings.
▪ Converted the Boulder Tables from Excel to Power BI with better Graphs and visualizations for the understanding
and improvement of business
▪ Conducted Business Process As-Is/To-Be sessions with various department directors and staff to ensure the Testing
Plan and Test Approach would meet the identified Business Requirements, and the Training Program covered all
identified new and changed processes.
▪ Prepared the Business Requirement Document BRD and functional requirement document FRD for the enhancement
of the existing services.
▪ Create visualizations of data in Tableau using SQL, Teradata and Excel to help managers pick up SWOT for their
business units.
▪ Worked on EDI transactions like 270,271,834,837 and 835.
▪ Gathering requirements and preparing functional documents for Facets.
▪ Worked with the business/functional unit to assist in the development, documentation, and analysis of functional
and technical requirements within FACETS modules
▪ Extensively used SQL queries for data validation in both Medicare/Medicaid and commercial HIX
▪ Gathered requirements for making changes to the existing Electronic Medical Records (EMR), Electronic Health
Records (EHR), and Ambulatory Services for the existing Epic Interfaces.
▪ Committed to establishing FFM / FFE (Federal facilitate Exchange) under HIX (Health Insurance Exchange) data meets
the functional requirements of the Patient Protection and Affordable Care Act (PPACA).
▪ Involved in Facets Output generation, Interface development and Facets Migration Projects.
▪ Created workflow diagrams, UML diagrams, activity diagrams, use cases.
▪ Familiarized quickly with business process to identify what areas need to be tested.
▪ Participated in developing Test Plans, Test Scenarios based on Business Requirements.
▪ Identified incorrect test cases and fixed them with the approval of team manager.
▪ Assisted test analysts in executing the test cases effectively.
▪ Document the requirements categorized into Regulatory Operational in the Business Requirement Document BRD.
Environment: EDI, MMIS, HIPAA 4010/5010, FACETS 4.71, SQL, Tableau, Teradata, Python, EDI 837, 835, 834, ICD 9 CM,
ICD 10 CM, MS Project, MS Visio, Excel, PowerPoint, ITRACE, SharePoint, MS Visual Studio 2010, SQL, QC
Client: Magnaquest Technologies Limited | Hyderabad, India Dec 2015 to Sep 2017
Role: Business Analyst
Responsibilities: -
▪ Support Data Architecture and Data Modelling teams with SME knowledge of existing SORs.
▪ Supporting Party, Reference Data alignment according to Master Data Management process.
▪ Worked with the ERP tool and created the test cases, test scripts and performed user acceptance testing.
▪ Formed detailed UAT and QA test plans, managed system testing and preserving testing documentation.
▪ Test Case Preparation and execution of the test cases in advanced SQL with TOAD for Oracle.
▪ As client's MSP (Claims) SME, participated in discovery phase for servicing transition from PHH (MSP) to MISER.
▪ Collaborated with database engineers to implement ETL process, wrote and optimized SQL queries to perform data
extraction and merging from SQL server database.
▪ Prepared and reviewed closing documents for purchases, refinances and construction loans.
▪ Implemented recommendations from Basel Committee on banking supervision on IT projects for Credit Risk,
Operational Risk and Market Risk in line with Basel II.
▪ Supporting Data delivery process (Infomart design process) for Financial and Non-Financial Risk Reporting Domain.
▪ Assisted the SQL developer in performing analysis and presented results using SQL, SSIS, MS Access, Excel, and Visual
Basic scripts and in designing SSIS packages to extract, transfer, load existing data into SQL server from different
environments.
▪ Expertise in Creating Report Models for building Ad-hoc Reports Using SSRS.
▪ Designed and Developed SQL procedures, functions and packages to create Summary tables.
▪ Experience with process Training, Medical Records, Client software. Patient Demographic Entry
▪ Chart Entry (Payment Posting Refunds] FIS’ MISER Core System
▪ Obtained and verified financial information, such as applicant’s credit rating and income level.
▪ Analysed and evaluated applicant’s finances to decide if applicant qualifies for a loan.
▪ Standardize Data Sourcing process across various Confidential Entities into Enterprise Data Platform.
▪ Identification of Key Data Elements and Monitoring and Measuring of Data Quality Rules against these KDEs.
▪ Coordinate assessment of Enterprise VS Business Owned derivations, Manual Inputs Scenarios.
▪ Experienced working with Data warehousing.
▪ Conducted GAP analysis to analyze the variance between the system capabilities and business requirements.
▪ Analysed user stories and separated them into high level and low level and prepared product backlog working with
product owner and other SME as well as prioritized user stories and assigned to different sprints.
▪ Translate stakeholder requirements into deliverables such as functional specifications, use cases, user stories,
workflow/process diagrams, data flow/data model diagrams.
▪ Researched new developments, functional changes; developed new frameworks to implement projects.
▪ Create Function and Non-functional requirement documents for different work streams i.e. Safekeeping & Custody,
Data Consumption and ATS, Interfaces and Reports.
▪ Used Azure Enterprise integration Service - SQL Server Stretch Database to migrate transactional database with cold
data securely to Azure Cloud
▪ Involve in analysing defects that have been reported in the JIRA and sending them over to the developers for a fix.
▪ Designed and developed Business Context Diagram, Chart Diagrams, Sequence Diagrams, and using MS Visio
conduct knowledge transfer sessions to development team.
▪ Involved in Data mapping of Interfaces for the downstream process.
▪ Assisted Sales force to strategize client needs for RFI/RFP stages and developed effective marketing plans.
▪ Involved in daily Stand-up Meetings documented and updated the Burn-Down Charts. Initiated and Stand-up
meetings with MISteam.
▪ Created test plans, test cases for various test scenarios and helped the testing team to better understand and execute
the test scripts.
▪ Being involved with UAT to ensure the efficient performance of the system.
▪ Attended requirements gathering sessions with the customer based on user feedback and new enhancements,
which were entered into JIRA and tracked for future releases.
Environment: Rational Requisite Pro, Rational Clear Quest, Rational Clear Case, UML, Test Director, VB, .NET, Azure
Cloud, Windows 10, UNIX, Microsoft Office suite, MS Visio, SQL server.