Esha Singh
Business Analyst @Centene Corporation
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WORK HISTORY
Business Analyst @Centene Corporation
FL, US
The Project is called “Third-Party Liability” or “TPL”. TPL State/Business Unit Implementation Plan\", where the goal is to successfully implement each Amisys \"State Plan/Business Unit\"(a.k.a.\"Instance\") that is scheduled to migrate qualifying Policy Data into Next Gen TPL Core Production system. • Identifying Inbound Source Files (State (specific business rules), 834 (state specific business rules), CAQH/HMS (universal business rules/non-state specific), Mapping (File Layout/Data Dictionary, Crosswalk-Specific i.e, Carrier Codes), analyzing File Ingestion Curation Rules (Business Rule for Success & Fallout), Processing frequency (daily, weekly, bi-weekly, monthly, yearly), Pickup Location (S3), analyzing Data extraction rules (i.e. 834).• Integrating (TPL Core to Amisys for each instance), Identifying applicable Amisys instances (i.e. single or multiple, AMIMID=Medical & CBHNTL=Behavioral Health), Mapping Data Dictionary (Field Usage), Business Rule for Fallout (TBD), Crosswalk Mapping (Carrier, Product, Coverage, Relation-to-Holder).• Reconciliating Reporting, Mapping Data Dictionary, State Specific, Processing frequency, Drop-Off Location (S3).• Analyzing Outbound File (If applicable - state specific), Mapping Data Dictionary (Limited to certain States-TBD; IA has specific file), State Specific (IA has disenrollment outbound file; confirm outbound agreements per state), Processing frequency, Drop-Off Location (S3).• Data Cleanse (Pre-process to DM), Mapping Data Dictionary (Proprietary File to Accenture), Outbound (Accenture), Curation Rules (Business Rule for Fallout).• Data Migration (Amisys to TPL Core), Mapping Data Dictionary (Field Usage).• Working on JIRA stories, gathering requirements, JAD sessions, maintaining documents at specified location, and updating those. • Participating in scrum calls on daily basis, updating the team about the tasks.• Working on scope document, objectives, and defining strategies.
EDUCATION
Campbellsville University
Masters
SKILLS
ABOUT ESHA SINGH
I am a goal-oriented professional with a passion for delivering great results. I am an innovative and analytical problem solver, who is highly organized and always meets deadlines while maintaining the highest quality. My strengths are in building positive relationships with people from diverse backgrounds while helping to deliver successful results in fast-paced environments. Professional Experience:• A skilled Business Analyst with experience in conducting requirements elicitation, documentation, reporting, business analysis, system analysis, client interaction, and quality control involved in the Healthcare domain with personal communication, leadership, problem-solving with an ability to work independently as well as a dynamic team member.• Extensive experience working in various methodologies of Software Development Life Cycle (SDLC) including Waterfall, Agile, Safe Agile.• Created Epic and User Stories groomed those stories and maintained the backlog in JIRA.• Facilitated daily scrum meetings, as well as sprint planning and retrospective sessions within a two-week sprint.• Extensively used JIRA to write, gather and document Integration and technical requirements from SMEs.• Extensive experience working in various methodologies of Software Development Life Cycle (SDLC) including Waterfall, Agile, Safe Agile.• Experience in facilitating Joint Application Development (JAD) Sessions, requirement elicitation sessions, interviews, and workshops with business users, stakeholders, and the development team.• Created process and data flow diagram for a different sets of features and documented them in Confluence.• Experience creating Mockups for user interface designs.• Experienced in various Healthcare areas like Enrollment, Benefits, Claims, Medicare, and Medicaid.• Worked on Government related Healthcare Insurance including Medicaid, Medicare. • Adept in writing SQL queries for data extraction, manipulation, analysis, and validation, generating user reports, and proficient knowledge of Relational Database Management Systems (RDBMS), and Data Warehousing.• Translated requirements prepared for SDLC methodology to User Stories and implementing Agile methodology as a standard for the ongoing project
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