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Mona Patel Email Address

abcdefghij@bcbsma.com

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Job Title

Business Analyst

Company
BCBSOM

Affordable health insurance for individuals, families, and employers in Massachusetts. Buy and compare health plans or learn more about how to stay healthy and happy.

Bio

• Over 8 years of work experience as Business Analyst/ Business System Analyst/ Data Analyst in IT field with hands on experience with Data Warehouse, Provider Audit, AP-DRG, Data evaluation, Underwriting. • Worked closely with project stakeholders, SMEs and testing staff to understanding the requirements and specifications for new applications along with re-engineering the existing applications. • Excellent writing skills in preparing Business Requirements Documents (BRD), Software Requirements Specifications (SRS), Use case classifications, System Design Specification (SDS), Inventory Management, Requirement Traceability Matrix(RTM) across the Deliverables of a project. • Experience in Business Analysis methodologies, Iterative and Incremental Software Development Life Cycle (SDLC) using Rational Unified Process (RUP). • Successfully created UML diagrams, Functional Requirement Specifications (FRS) and User Requirement Specification (URS) documents and implemented processes, procedures, guidelines and policies for the Development and QA Teams. • Performing Gap Analysis, SWOT Analysis, RISK Analysis, and COST/BENEFIT Analysis. • Proficient in gathering business and technical requirements from both formal and informal sessions through interviews, NetMeeting, questionnaire, video conferencing, JAD sessions and conference calls. • Researched client and internal data integrity issues using SQL database queries, Business Objects reporting, and other forms of analysis. • Strong Experience in Claims Processing and Claims Scrubbing in HMO, PPO, Medicaid and Medicare. • Worked on healthcare standards such as HIPPA 4010, 5010, DICOMM, CPT, ICD-9 and SOAP. • Experience in working with HHS, CMS or Medicaid Programs, RHIOs, IHDNs. • Experience in EDI (270,271,835,834,837) transactions. • Possess excellent knowledge on, HIPAA Compliance, Healthcare Information Technology (HIT) Standards and NHIN. • Expertise in ICD-9 to ICD-10 Conversion.

Location
Based in Canton, Michigan, United States.

Other people working at BCBSOM:

Andrew Dreyfus**********@bcbsma.com
Andreana ShanleyExecutive Vice President
Christopher CollinsExecutive Director
Lisa PueschelVice President, Enterprise Portfolio Planning and Delivery
Hiren ThakkarSenior Director of Data, Analytics and Business Intelligence Transformation
Beth O'rorkeChief Information Officer and Senior Vice President of Operations
Mike BreenSenior Account Executive
Deanna LamontagneDirector, Business Integration and Implementation
Chris DavisSenior Account Executive
Molly McDonaldChief of Staff, BioPharma
Alyssa HolzmanCustomer Partnerships, Strategic and Enterprise Accounts
Cindy Jeremiah**********@bcbsma.com
Didzis VoldinsSenior Vice President and Deputy General Counsel
Sally WalkerVice President, Enterprise Risk Management
Anoop KhuranaProject Manager
Irene HennesseyExecutive Director; Information Technology Application Development and Support
Matthew SoleynProject Manager and Information Technology Professional With Experience in the Healthcare, Insurance, and Finance Sectors
Ann McLaughlinVice President, Information Technology and Amp; Operations
Vijay KukrejaVice President
Michael Lock**********@bcbsma.com
Eugene RozenbergDirector, Enterprise Architecture, Health Care Business Domain Architect
Julianne BrideSenior Director Health Engagement Programs
David Graney PMPGladly Connect With Anyone But Please Don't Sell Me Anything Or Ask If I Have Staffing Needs I'm All Set Thank You
Richard SarciaSenior Director of Technology Engineering and Value Stream Delivery
Nicole Haines**********@bcbsma.com
Theresa LevensonTechnical Analyst
Brenda*********@bcbsma.com

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