
Sushma Makireddy
@sushmamakireddy
I translate healthcare and government requirements into testable systems and successful UAT.
What I'm looking for
I've led requirements for Massachusetts Executive Office of Health and Human Services modernization programs, supporting MMIS, Health Insurance Exchange, and integrated eligibility systems.
I turn ACA, HIPAA, and CMS mandates into clear BRDs, FSDs, use cases, user stories, acceptance criteria, and audit-ready documentation. I connect agency stakeholders, development teams, and vendors from discovery through UAT sign-off.
My work includes BPMN/UML process flows, integration and data-flow analysis, RTMs, compliance gap analysis, defect triage, and change requests. I maintained traceability for more than 100 requirements and defined acceptance criteria for more than 200 user stories.
Earlier, at Sutherland Global Services, I documented claims and revenue-cycle workflows, EDI X12 specifications, payer-provider data mappings, and denial-resolution improvements. I'm returning to the workforce prepared for mid-senior business analyst roles across technology, insurance, government, healthcare, and financial services.
Experience
Work history, roles, and key accomplishments
Business / Systems Analyst – Claims & Revenue Cycle
Sutherland Global Services (Apollo Health Street)
May 2012 - Dec 2013 (1 year 7 months)
Elicited and documented functional requirements for claims processing and reporting workflows, authoring use cases and data flow diagrams. Managed defect triage in HP Quality Center and applied EDI X12 standards to validate data interchange.
Education
Degrees, certifications, and relevant coursework
Dr. B. R. Ambedkar University
Master of Business Administration (MBA), Healthcare Management
Master of Business Administration in Healthcare Management.
Acharya Nagarjuna University
Bachelor of Science (B.Sc.), Computers, Bioinformatics & Biotechnology
Bachelor of Science in Computers, Bioinformatics & Biotechnology.
Tech stack
Software and tools used professionally
Availability
Location
Authorized to work in
Salary expectations
Job categories
Skills
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