Biplav Jha (CSM)

6035 Park Ave. Apt 421 West New York, NJ 07093 | (301) 266 - 3467 | [email protected]
LinkedIn: linkedin.com/in/biplav-jha-2ab4b0160

SUMMARY

• 13+ years of experience as Business Analyst with expertise in Healthcare, Banking, Insurance and Financial
Services Industry following BABOK principles.
• In depth knowledge of the Software Development Life Cycle (SDLC) using Agile and other methodologies such as
Rational Unified Process (RUP) and Waterfall.
• Experience in conducting Joint Application Development (JAD) sessions for requirements gathering, analysis, and
design while business executives, end users and client facing sessions. Organized weekly Project Status and Task
Review meetings.
• Working experience in Financial Modeling such as Discounted Cash Flow, Leveraged Buyout (buy side; sell side),
comparable company analysis, and comparable transaction analysis.
• Experienced in performing Gap analysis by identifying existing application, documenting the enhancements to
meet the end-state requirements.
• Experience in research, analysis, and document to upgrade project for a new fee billing platform for insurance
and Healthcare companies products along with Payment Solutions implementation such as Galileo, Authorize.net,
PayPal and Dwolla.
• Experience in implementation of payment systems as SWIFT, PayPal and Western Union.
• Experience in Medicare and Medicaid implementation which includes Provider Enrollment, Payment Processing,
Provider Functional areas such as Data Analysis, Value Based Payment and Financial Simulation, Quality
Measurement and Performance Improvement while implementing quality control procedures for Provider Call
Centers .
• Worked on various use cases, requirements specifications, business rules, user interface mock-ups, prototypes,
storyboards, UML diagrams, data mapping and other documentation as necessary for software development
process.
• Experience in Performing research and analysis of the business objectives and needs in different line of
businesses like credit cards, debit cards, certificates of deposit, loans, payments, and fund transfer.
• Expanded the product governance strategy and plan to include offer management and reporting.
• Wrote use cases and Developed Test Plans and created Test Cases and good experienced in Data Analysis, Data
Mappings, Data Flow Diagrams
• Experienced in trouble shooting customer issues, handling case escalation and production support issues.
• Extensive experience process models using UML flow charts, sequence, activity diagrams and use case diagrams
and produced other design artifact using object-oriented analysis technique.
• Provided support for User Acceptance Testing with UAT cases and resolved issues with the users.
• Experience writing SQL queries and optimizing SQL queries. (Inner and outer joins).
• Proficient with Microsoft Office tools (includes MS Project, MS Visio, MS Access, MS Excel, MS Word, MS
PowerPoint, and MS SharePoint).

TECHNICAL SKILLS:
Business Analysis: Unified Modeling Language (UML), HPALM, JIRA/Confluence, Azure DevOps, Requisite-Pro,
SharePoint 2019, Clear-Quest, Remedy.
SDLC: Waterfall, SAFe, Scrum Agile.
Data Modeling Tools: Erwin, Informatica.
Reporting Tools: HP ALM, JIRA, Azure DevOps tools, Rally, MS Access, Excel, Pivot Tables and Charts, Macros, MS
Visio, BI Studio, Report Manager, SharePoint Designer.
Database: Oracle RDBMS, 10g and MSQL, SQL Server, PL/SQL, DB2.

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Operating Systems: UNIX, Windows, Windows server.
BI Tools: Tableau, Cognos, MS Power BI
Languages: Visual Studio, C#, DotNet

CORE SKILLS:

 Create Documentation Templates  RAID Logs and RACI Charts

 Process Documentation  Web-based Systems and Payment Solutions
 Functional Requirements (FRDs)
 Business Requirements Documents (BRDs)  Mainframe Systems
 Requirement gathering, analysis &  Client-Server Applications
documentation  Project Management / Business Analysis
 Requirements decomposition
 Use Cases Development / UML/  JAD / JAR Sessions
 Project Plan, Project Schedule, Project  Process Workflows
Status Reports  Change Management
 Product Owner / Scrum Master  WBS and WBS Dictionary
 Epics, User Stories  Test Plans / Test Cases
 Product Backlog Management  UAT / Quality Assurance

PROFESSIONAL EXPERIENCE

Consultant: NYC-DSS-DHS / NYC-DSS-HRA / NYC-DOB

Sr. Business Analyst / Project Manager, City of New York:

(DOB) Dec 2020 – Present

(HRA)Dec 2019 – Dec 2020

(DSS) Oct 2018 – Nov 2019,

Domain: DOB Inspections Portal and Mobile applications, Payment Solutions Implementation, Case
Management System, Healthcare (Medicare/Medicaid), Provider Enrollment and Call Center Functionalities,
Shelter Inspection and maintenance, Enterprise Reporting Portal, DOB -NOW Inspections Portal, User Manual,
Integration.
Tools: MS Office Suite, Jira / Confluence, Azure DevOps. Visio, MS Power BI.

• Analyzed User Requirement Document, Technical Requirement Specification and Functional Requirement
Specification (FRS).
• Created workflow scenarios, designed new process flows and documented the Business Process and various
Business Scenarios and activities of the Business from the conceptual to procedural level using Visio.
• Worked closely with senior management and PMO to develop strategic plans.
• Worked as an Interface between the Users and the different teams involved in the application development for
the better understanding of the Business and IT Processes.
• Worked on various Angular configurations including Custom Objects, Page Layouts, Form Layouts, Fields values,
Data viability, Reports and Dashboards.

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• Maintaining effective user relationship by performing front-line support of MS Dynamics CRM 2016 and
Customer Engagement users.
• Participated in User Acceptance Testing (UAT), coordinated with clients for better quality, developed user
acceptance test plans and test cases, coordinated user acceptance testing and issue resolution
• Exported Microsoft Dynamics CRM data to Microsoft Office Excel PivotTable to see patterns and trends in data
• Conducted JAD sessions with management, SME, vendors, users and other stakeholders for open and pending
issues.
• Involved in mapping customer requirements to Enterprise Reporting Portal application for ERP and Medicare /
Medicaid Applications and Renewals tracking and its implementations.
• Worked on different data sources, creating logical data models and establishing relationship between entities
using Crystal Reports, MS SSRS
• Implemented shelter inspection, maintenance, safety, elevators, plumbing for shelter inspectors for
real time tracking.
• Responsible for providing analytical support in the Design, Development and Implementation of Project.
• Assigned tasks among development team monitored and tracked progress of project following agile
methodology.
• Managed ERP application through inputting new engagements, adding leads, options, and necessary stakeholder
information.

Consultant: Texas Department of State Health Services, Austin, TX

Jan 2017 – Sept 2018
Sr. Business Analyst
Domain: Healthcare, Data Migration, Payment Solutions Management and Implementation, Medicaid Provider
Functionalities, HIPAA EDI and X12 TransactionImplementation, User Manual Creation and Implementation,
Integration, Field Support.
Tools: MS Office Suite, HPALM, SharePoint, Jira / Confluence, Visio, Tableau, Cognos.

Texas Department of State Health Services—Vital Statistics Section (DSHS—VSS) building Texas Electronic Vital
Events Registrar (TxEVER) system. TxEVER is to support all vital events operations and is one of the biggest Data
Migration projects in the US.
• Assisted business team in gathering business requirements, service requirements and documented them
• Facilitated conduction of stakeholder interviews for identifying requirements followed by analysis of
requirements
• Participated in various phases of system development life cycle (SDLC) and interacting with various line of
businesses and SME's to define requirements and underlying the business needs, gathering requirements,
documenting various use cases and business requirements into complete user stories includes Business
Requirement Analysis, System Analysis, Gap Analysis.
• Creating various documents including UML use-cases, IBM use-cases, Prototypes, System flow charts, screen
mock-ups, compiling the Business Requirement Document BRD and coordinate the technical team to validate the
code implementation based on requirements with industry regulations.
• Conducted analysis on existing system and gathered user needs, programming needs for development of new
product and worked with claims processing of Medicare plan as well as Medicaid Provider Enrollment and Call
Center quality control.
• Conducted status report meetings with development team and business team on weekly basis
• Worked on various use cases, requirements specifications, business rules, user interface mock-ups, prototypes,
storyboards, UML diagrams, data mapping and other documentation as necessary for software development
process.
• Involved in analysis, design, development and maintenance phases of the project development

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• Designed process flows for the enhanced system as well as the existing system
• Developed UML Use Cases using Rational Rose and developed a detailed project plan with emphasis on
deliverables.
• Created Use cases, Test cases, Process flows, Test plans for QA team and noted user observation during testing
product before release
• Submitted change requests and worked with change request records in Clear Quest
• Analyzed and documented the scope of the project and kept track of changes throughout the life cycle of the
product
• Assisted in logical and physical design sessions and in documenting developed designs
• Worked on the development of GUI designs for the product
• Assisted the UI architect in developing a new UI for the claims reimbursement process
• Worked on health records providing system as a part of Customer Relation Management
• Used GIS for accepting inbound transactions from several sources
• Actively participated in the Weekly Defect Status meetings to review and prioritize the defects within a functional
area
• Used Adobe creative suite 6 for web content management for TxEver application.
• Worked with business groups to determine the effects of Date warehousing for different projects
• Supported in collecting HIPAA related EDI transactional data from data warehouse
• Developed the test strategy, test conditions and the test cases to be used in testing based on business
requirements, technical specifications and product knowledge
• Worked on implementation of HIPAA transactions EDI 837,270,278,834 in upgraded system

Consultant: Ohio Department of Health, Columbus, OH Apr 2015 – Dec 2016

Business Analyst
Domain: Healthcare, Medicare / Medicaid, Application, Claims and Payment Processing, Provider Functional
Areas, Provider Enrollment, HIPAA EDI and X12 TransactionImplementation, Sales Promotion.
Tools: MS Office Suite, HPALM (Quality Center), Share Point, Rational Requisite Pro, Visio, Informatica.

The project was to be part of Medicare/ Medicaid applications, claims and payment processing as well as working
with strategic Revenue Generation team to provide analytical, strategic, and program management support for
high priority initiatives generating nontraditional revenue (NTR) within clients Agent Distribution & Service
Organizations.
• Interacted with the stakeholders and end users to define the purpose and scope of application and gather User
Requirements.
• Developed Process/workflow analysis by understanding the process modeling.
• PMLC Methodology applied during vendor implementation
• Designed and documented Business Requirements (BRD) by using ASCI ASX X12 EDI guides, reviewed and
interviewed business process owners and companion guides. Prepared business requirement documents and
functional requirements using Rational Requisite Pro.
• Focused on supporting the Technology team within the Business Enablement Team on Strategic Revenue
Generation.
• Provided project management and analytical support for technology-related initiatives by ensuring a closed
feedback loop to address any interdependencies with the Data Office and Data Operations team.
• Supported a value based prioritization process for our internal development squads, and external technology
vendors to determine resource allocation and helped manage the backlog across all Choice initiatives.
• Ensured the execution of UAT test cases and documentation of test results.
• Provided UAT testing status information to the quality assurance lead, project manager, and various business
stakeholders.
• Created portal to track Medicare/Medicaid applications, claims and payments.

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• Used RUP iterative process to conduct Data Analysis on the client profile data to find missing data fields in the
database and customize them.
• Facilitated meetings with users for requirement collection, design changes and feedbacks during Medicaid
Provider Enrollment and Call Center quality control implementation.
• Escalated issues and reported them as appropriate to Project manager and management for support and
guidance.
• Identified issues and worked with application and data team to resolve.
• Followed UML based methods using MS Visio to develop use cases and activity diagrams; assisted developers in
creating sequence diagrams and collaboration diagrams. Prepared user instructions and use cases to conduct User
acceptance testing
• Facilitated the requirement changes and fixes along with the release management team.

Consultant: HSBC Bank, Los Angeles, CA Jan 2013 – Mar 2015

Business Analyst
Domain: Finance, Banking, Mortgage, Application Development, Lending, CRM.
Tools: MS Office Suite, Jira / Confluence, MS Dynamics, Quality Center.

• Followed and coordinating incidents related to convergent products & services, applications and network
elements in different domains concerning technical or functional issues.
• Enhancing MS Dynamics CRM 2013 usability by designing and optimizing navigation, forms, and layouts.
• Responsible for defining the integration points between multiple systems with CRM and data mapping and
specification writing
• Gained training on Enterprise Asset Maintenance, introduction to financial in Microsoft Dynamics CRM course,
trade and logistics.
• Analyzed User Requirement Document, Business Requirement Document (BRD), Technical Requirement
Specification and Functional Requirement Specification (FRS).
• Extensive MS Dynamics CRM experience, particularly in 2013 version, that has included the following: Design,
development, implementation and management of MS Dynamics
• Created workflow scenarios, designed new process flows and documented the Business Process and various
Business Scenarios and activities of the Business from the conceptual to procedural level.
• Worked on Microsoft Dynamics CRM for handling the customer claim inquiries, validation and case creation.
• Working closely with senior management to develop strategic plans.
• Worked as an Interface between the Users and the different teams involved in the application development for
the better understanding of the Business and IT Processes.
• Worked on various Microsoft Dynamics CRM configurations including Custom Objects, Page Layouts, Form
Layouts, Fields values, Data viability, Reports and Dashboards.
• Maintaining effective user relationship by performing front-line support of MS Dynamics CRM 2013 users.
• Participated in User Acceptance Testing (UAT), coordinated with clients for better quality, developed user
acceptance test plans and test cases, coordinated user acceptance testing and issue resolution
• Exported Microsoft Dynamics CRM data to Microsoft Office Excel PivotTable to see patterns and trends in data
• Conducted JAD sessions with management, SME, vendors, users and other stakeholders for open and pending
issues.
• Involving in mapping customer requirements to MS Dynamics CRM 2013.
• Worked on different data sources, creating logical data models and establishing relationship between entities
using Crystal Reports, MS SSRS
• Worked on projects which used Agile and Waterfall methodologies.
• Responsible for providing analytical support in the Design, Development and Implementation of Project.
• Assigned tasks among development team monitored and tracked progress of project following agile

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methodology.
• Managed Dynamics CRM system through inputting new engagements, adding leads, options, and necessary
stakeholder information

Consultant: Fidelity Investment, Boston, MA

Oct 2011 – Dec 2012
Business Analyst
Domain: Finance, Banking, Mortgage, Lending, Application Development, Lending, CRM Payment Solution
Implementation.
Tools: MS Office Suite, JIRA / Confluence, HPQC, SharePoint, Visio.

Fidelity.com wanted to provide the Personalized Homepage to the customers which is a single page snapshot of
how the customer is doing today (Account Detail, Recent History, Current alerts) and what the customer should be
looking toward in the future (Marketing, News).
• Created Dynamic CRM data cleansing modules to identify duplicate customer data using rules from a rules table
in the database.
• Implemented common, centralized, flexible enterprise wide architecture and simplification of IT systems to
support key business and CRM initiatives.
• Designed configuration of MS Dynamics CRM as per the business user's requirements and needs.
• Assisted in migration of current CRM to MS Dynamics CRM with added features and functionality.
• Gathered business requirements from stakeholders and translate them into detailed requirement specifications.
• Involved in mapping customer requirements to Microsoft Dynamics CRM 2012
• Implemented software and hardware components for Microsoft Dynamics CRM and XRM applications Setup
various offers and campaigns in Microsoft Dynamics CRM and presented them based on customer segmentation
• Manage CRM Off-Shore Development Team and supervise all customizations and enhancements to CRM 2011.
• Completed a thorough customer analysis and prepared a Request for proposal (RFP) document and got the
shortlisted vendor document signed off. Finally, Dynamics CRM was decided upon by the stakeholders among
shortlisted as final implementation customer
• Documented Business Requirement Document (BRD) and Functional Specification Document (FSD) for MS
Dynamics CRM Contact Center Application.
• Created functional specifications, which include: functional definitions of the system; functional work flows;
impact analysis regarding existing applications; and UI designs, navigation, and definitions.
• Trained users on features and benefits of Dynamics CRM solution and IT staff on system administration, security
• Work with clients and conduct interview sessions around Dynamics CRM modules (Finance, Inventory, Enterprise
Portal, Warehouse Mgmt., Business Portal, and Trade and Logistics)
• Trained users on features and benefits of Dynamics CRM solution and IT staff on system administration, security
• Identified and documented data standardizations to be performed, data enrichment operations, data validations,
data security requirements, and data exception handling processes.
• Function as primary point of contact to the Business & the Developers for all CRM Enhancements to CRM 2011
• Extensive use of MS SharePoint for sharing information within the organization, managing documents with peers
and published reports to help team make better decisions.
• Managed and prioritized ongoing support requests and administrative needs of MS Dynamics CRM users
• Interacted with client's front and back office personnel to define business requirements and software usage.

Consultant: Capital One, Dallas, TX

Apr 2009 – Sept 2011
Business Analyst

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Domain: Finance, Banking, Application Development, Payments, Credit Processing.
Tools: MS Office Suite, HPQC, SharePoint, Visio

• Gathered requirements from business users and analyzed them using Rational RequisitePro.
• Facilitated JAD sessions as a facilitator to gather business requirements and to discuss different critical success
factors of the project like Operational Feasibility Analysis, Technical Feasibility Analysis, and Cost-Benefit Analysis.
• Perform special projects, as assigned for the Branch & Private Banking network. Past examples include building
business trend predictions to analyze the Branch profitability, competitor analysis and branch sizing reporting
Sales/Services Productivity analyses.
• Performed extensive requirement analysis including data analysis and gap analysis.
• Designed and developed project document templates based on SDLC methodology.
• Developed business requirement specification documents as well as high-level project plan.
• Comprehensively worked with requirement gathering for Enterprise reporting system using RequisitePro
• Developed requirement reports for day-to-day retail banking needs for opening account, online baking using
Rational SoDA
• Developed strategic partnerships with the business unit to develop a solid knowledge base of the business line,
including the business plan, products, and Process revenue streams.

EDUCATION:
Wartburg College, Waverley, IA, 2007
BA in Finance
CERTIFICATIONS:
CSM, Pursuing PMP Certification.

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