Open to opportunities

PRIYANKA PRIYANKA

@priyankapriyanka

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Experienced IT Business Analyst with a focus on healthcare solutions.

Zimbabwe

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What I'm looking for

I am looking for a role that fosters collaboration and innovation, with opportunities for growth.

I am an IT Business Analyst with over 7 years of experience in Business Analysis, Business Systems Analysis, and Project Management, primarily in the healthcare and insurance sectors. My expertise lies in eliciting, documenting, and managing requirements to ensure alignment between stakeholders and technical teams, delivering high-quality solutions on time.

Throughout my career, I have honed my skills in various SDLC methodologies, including Waterfall, Modified Waterfall, and Agile (Scrum). I have successfully led projects involving HIPAA compliance, claims processing, and system integration testing. My ability to create key artifacts such as Business Requirement Documents (BRD) and Functional Requirement Documents (FRD) has been pivotal in driving project success and ensuring stakeholder satisfaction.

My hands-on experience with data analysis, gap analysis, and process improvement has allowed me to optimize workflows effectively. I am passionate about leveraging technology to enhance healthcare processes and am committed to continuous learning and professional growth in this dynamic field.

Experience

Work history, roles, and key accomplishments

Current

Business Analyst

Current

Acentra Health

Jun 2020 - Present (4 years 11 months)

Worked on the federal CMS Encounter Data Processing System project, ensuring compliance with CMS policies and facilitating accurate encounter data processing for Medicare Advantage. Collaborated with stakeholders to track policy changes, developed Business Requirements Documents, and led functional testing and UAT.

CMS Encounter System Medicare Advantage Agile MS Office Suite Business Requirements Document User Acceptance Testing Functional Testing Compliance

Business Analyst

Tenet Healthcare

Feb 2019 - May 2020 (1 year 3 months)

Designed strategies for system upgrades to comply with HIPAA 5010 standards, focusing on healthcare claim processing. Gathered business requirements, created BRDs and FSDs, and managed UAT sessions to ensure alignment with user needs and system functionality.

HIPAA MS Visio User Acceptance Testing Data Mapping Agile Scrum Stakeholder Engagement Claims Management

Business Analyst

Medpoint Management

Nov 2017 - Jan 2019 (1 year 2 months)

Implemented Benefit & Enrollment modules and managed EDI transaction processing for 834 transactions. Created documentation for EDI compliance, wrote SQL queries for data analysis, and conducted end-to-end testing of claims processing.