Nishi Gupta

(929) 214 1921

Senior Business Analyst with more than 18 years of experience and an exceptional record of delivering
cost-effective, high-performance technology solutions to meet challenging business demands. Extensive
qualification in all facets of information system methodology from conceptual design through
documentation, implementation, user training, quality review, and enhancement.

Professional Experience
TENET HEALTHCARE,
Sr. Business Analyst
Dallas, TX
August 2018–Present

• Worked extensively with developing business rules such as referral, prior authorization, eligibility, claims processing,
and billing essentials.

• Utilized Agile Software Methodology using Scrum framework. Activity participated in creating the user stories and
prioritizing user stories along with tracking burn up, and burn-out charts to estimate sprint delivery.

• Performed GAP analysis by performing the system analysis between the scheduling systems and documented the gap
items.

• Facilitated all Aspects of the scrum framework, including product backlog, release backlog, sprint planning session,
daily scrum meetings, sprint reviews, and sprint retrospectives.

• Conducted project-related presentations periodically to the management and end users during various phases of the
Software Development Life Cycle SDLC.

• Involved in full HIPPA compliance lifecycle from GAP analysis, mapping, and implementation and testing for
processing of Medicaid Claims.

• Worked on EDI transactions: X12, 835, and 837 to identify key data set elements for designated record sets. Interacted
with Claims, payments, and enrolment, analyzing and documenting related business processes.

• Used MDM tools to support Master Data Management by removing duplicates, standardizing data (Mass Maintaining),
and incorporating rules to eliminate incorrect data and filter data as per requirements.

• Involved in Data mapping, and logical data modeling using SQL queries to filter data within the database tables.

• MDM to resolve data issues to recognize inconsistent and duplicate data and find useful relationships to improve
business performance.

• Involved in FACETS Implementation, involved end to end testing of FACETS, Claims Processing and member
module.

• Solution development using .Net SQL Server, FACETS.

• Created workflows, Process Flows, Flow Charts, and Mock-ups of user interface screens using rational rose and MS
Visio.

• Collaborated with stakeholder groups across the organization to ensure business and technology alignment. Proposed
solutions meeting defined specifications and needs.

BAYLOR SCOTT & WHITE HEALTH.

• Assisted JAD sessions to identify the business flow and determine whether any current or proposed systems in SOA are
impacted by the EDI X12 transaction, XML, XSLT, Code set, and identifier aspects of HIPPA.

• Implemented new services and programs via MMIS for the Medicaid program by directly interfacing with the customer
and the system engineers on a regular basis.

• Managed the company’s EDI catalog for prospective EDI customers and gathered the requirements for Medicare
systems as a part of patient protection.

• Assisting users with questions and issues using Tableau. Working with various infrastructure teams and Tableau support
teams to help improve dashboard response time.

• Created risk and quality reporting using a combination of Power BI and SQL.

• Performed testing for Medicare, Medicaid, and claims for Medicaid Management Information System.

• Analysed proposal requirements, working with business development and subject matter experts to develop outlines
and ensure the proposal complied with RFP requirements.

• Validated the Mastered Data and defined a strategy for Data cleansing and Standardizing.

• Collaborated with Businesses in demonstrating the Mastered data.

COMERICA
Business Analyst
Dallas, TX
July 2010–August 2014

• Gathered business requirements by driving user group meetings and working with various global cross-functional and
virtual teams.

• Translating the business needs into systems requirements, communicating with the business on a non-technical level
and with the System Analyst on a more technical level.

• Running payroll, recording and paying payroll liabilities along with generating and filing quarterly and annual payroll
forms.

• Made adjustments to the revenue recognition principle according to US GAAP.

• Worked towards integrating CRM solutions to automate the payroll for employees worldwide along with paying payroll
liabilities, and filling the quarterly and annual forms.

• Identified and validated high-potential business opportunities for stakeholders and developed customized strategic
objectives.

• Validated the Mastered Data and defined a strategy for Data cleansing and Standardizing.

• Collaborated with businesses in demonstrating the Mastered data

ALLIE BETH ALLMAN & ASSOCIATES

• Actively involved in validating the requirements and applying the RUP framework throughout the SDLC.

• Defined and performed the test strategies and associated scripts for the verification and validation of all defined
business requirements and associated functionality.

• Reviewed and analyzed the use case and came up with systems design and test plan templates.

• Provide best practice recommendations in the areas of order Management Systems and CRM.

• Conducted Gap analysis to define the impact of the new requirement on the existing GUI and further prepared Business
Impact Analysis reports.

• Gathered Business requirements, and analyzed data workflows. Defined the scope, financial projections, and
cost/benefit analysis.

• Developed the system implementation project management plan with milestones and steps from procurement of
vendors to project implementation and maintenance

ADDITIONAL SKILLS

Microsoft Office, Requirements Gathering, Gap Analysis, Project Management, Documentation, UAT, JIRA, Agile, Waterfall