Nidhi Khanna
Sr. Business Analyst
baanalyst000@gmail.com
+1 213 293 3686
Long Beach, California, USA
Summary
Analytical, enthusiastic and innovative Business Analyst/Business system analyst with
16+ years of experience in analyzing and enabling integrated processes and technology
solutions.
Skills
• Deep knowledge of healthcare business processes and EDI infrastructures
• Experience working with EDI standards (e.g., ASC X12, NSF, HL7).
• Ability to engage with business to understand business processes, analyze gaps for
process enhancements and provide documented recommendations
• Extensive experience in gathering, managing and documenting business requirements,
communicating effectively with senior management, developers and testers
• Sr. Data/Business Analyst professional with 8 years of track record in requirements
gathering, performing gap analysis, data analysis and document between 'As - is' and 'To-
be' processes.
• Having excellent communication, organizational and presentation skills, inter-personal
relationship and ability to be part of team.
• Liaison between the cross-functional teams, top management clients, users and any
stakeholder involved in the project.
• Proficient in the agile framework and handling requirements and project tasks and
deliverables swiftly.
• Functional expertise in implementing enterprise level transformation initiatives and
delivering strategic programs for various industries.
• Deep understanding of creation and maintenance of a data warehouse and operation data
stores.
• Experience with analytical programming languages such as SQL.
• Expertise in Master Data Management.
Work Experience
HealthCare Business Analyst
Molina Healthcare, 2015 – Present
Long Beach, California
• Involved in gathering high-level business requirements to automate claims and
developing detailed user stories and process flows
• Participated in Sprint Planning, Daily Scrum Stand Up, and Sprint Retrospective
meetings.
• Developed HL7 messaging for bi-directional case and disease report exchange, in HTML
and XML formats, in accordance with HL7 specifications.
• Analyzed of HIPAA (Health Insurance Portability and Accountability Act) transaction
codes such as 270/271 (inquire/response health care benefits), 276/277 (claim status), 470
(benefit codes), 835 (payment or remittance advice), 837 (health care claim) and 834
(benefit enrollment).
• Participated in the development and grooming of Project Backlog Stories (Requirements)
with business and technology partners.
• Worked as part of Master Data Management (MDM) team and worked with the business
and data governance groups to help the client develop their MDM program
• Worked on data Profiling of source systems as needed to support design work
• Led the effort to strategize the MDM initiative gather the Business Rules, matching
strategy, survivorship rules from the Business.
• Defined accountability procedures governing data access, processing, storage, retention,
reporting and auditing measuring contract compliance
• Gathered and documented MDM application, conversion and integration requirements.
• Assist with managing all facets of project life cycle, including design, development,
testing, and deployment.
• Handled multiple and to end SAFe and Agile SCRUM projects including, execution,
monitoring and controlling.
• Work on project teams to develop larger, more comprehensive Salesforce.com solutions
• Assist with development and configuration for Salesforce integration.
• Provided executives with analytics and decision-support tools used as the basis for
reorganization, consolidation and relocation strategies.
• Collaborated with stakeholder groups across the organization to ensure business and
technology alignment. Proposed solutions meeting defined specifications and needs
Sr. Business Analyst
UCLA Health, 2013 – 2015
Long Beach, California
• Designed and developed Use Case diagrams, Activity diagrams, and Sequence diagrams
using Unified Modeling Language (UML), and MS Visio.
• Documented, analyzed and defined the user and system requirements and used Rational
Requisite Pro to manage the requirements.
• Prepared business requirements documents (BRD) and got sign off to be used by the
developers.
• Developed detail class diagrams and sequence diagrams using Rational Rose XDE.
• Worked with the Policy and Procedure team as required to define new/updated policies
and procedures.
• Created prototypes of the GUI environment using Macromedia Dreamweaver to be used
by the developers during the design phase.
• Involved in Logical & Physical Data Modeling as well as Database schema design.
• Wrote complex SQL queries using joins, sub queries and correlated sub queries to
manipulate and validate data.
• Created Data mapping, logical data modeling coordinating with data architects, created
class diagrams and ER diagrams and used SQL queries to filter data within the database.
HealthCare Business Analyst
Sharp HealthCare, 2009 – 2013
San Diego, California
• Led sessions with business and IT team members to understand business requirements
and define system requirements.
• Worked on deciding report format best suited to organize data in a meaningful way to
produce desired results.
• Worked on running queries using SQL and creating reports
• Responsible for data analysis and modeling, report design and building using various data
tools
• Created High Level Test Scenarios, Test Cases and Test Scripts for Data Hub
requirements as described in BRD (Business Requirements Document) and FRD
(Functional Requirements Document) in compliance to HIPAA.
• Provided user training on the various reporting tools.
• Provided Master Data Management (MDM) Leadership by working with the business
and data governance groups to help the client develop their MDM program
• Guided data stewards and data owners in developing MDM ownership, workflow
processes, and seamless user experience.
• Provided overall design and development guidance to the MDM technical team
• Analyzed the Source data and do data Profiling as needed to support design work
• Led the effort to gather the Business Rules, matching strategy, Survivorship rules from
the Business
• Facilitated design, analysis, testing, test planning, and test execution for Master Data
Management (MDM) project
• Identified and mapped business requirements into system software requirements.
• Analyzed and mapped system data into the ODS (Operational data store) to meet
reporting and analytical business needs of our customers.
• Documented system software requirements as user stories with supporting artifacts.
• Defined detailed user stories and acceptance criteria in collaboration with the product
owners and technology team
Business Analyst
Ocwen Financial Corporation, 2004 –2009
West Palm Beach, Florida
• Managed the project using the Agile Methodology and implementing Scrum development
methodology
• Interacted with business heads to finalize the Business Requirements for the application.
• Analyzed business processes and data used to support the reporting and analytics for
multiple departments
• Analyzed the Source data and do data Profiling as needed to support design work
• Led the effort to the Business Rules, matching rules, and survivorship rules. Represented
business in meetings with IT team.
• Validated the Mastered Data and defined strategy for Data cleansing and Standardizing.
• Collaborated with Business in demonstrating the Mastered data
• Provided MDM usage statistics that show the benefits of various MDM processes.
• Managed the MDM Model and enterprise wide entity definition
• Tracked and communicated team velocity and sprint/release progress also reviewed and
assisted in functional testing of the application prior to demo in the sprint review
meetings
• Developed communications and presentations for high-level audiences with Visio and
PowerPoint.
Education
Punjab University
BS Architecture from
Chandigarh, India 2000
