Junaid Ahmed

Senior Business System Analyst

Devoted Health

Nov 2023 - Current (2 years 9 months)

Responsibilities:+ Conduct JAD sessions to define scope, functional specifications, and validate requirements with SMEs.

Senior Business Analyst / Business Consultant

Trinity Health

May 2021 - Oct 2023 (2 years 6 months)

Responsibilities:+ Conducted requirements workshops, process mapping and stakeholder interviews for Medicaid and Medicare claims modules within GuidingCare and Edifecs platforms+ Collaborated with SMEs PBMs and pharmacies to gather and document business requirement for pricing MAC and AWP strategy+ Conducted GAP analysis to compare current business processes against RUP/Agile best practices and identify improvement areas.+ Created BRDs and FRDs to capture functional, non-functional, and integration requirements across pharmacy and claims systems.+ Facilitated JAD sessions and workshops to align stakeholders on scope, timeline, and dependencies.+ Ensured adherence to GxP and SOX compliance standards throughout project lifecycle and change ma

Business analyst / Business Consultant

Pfizer

Feb 2019 - Apr 2021 (2 years 3 months)

Responsibilities:+ Led end-to-end data mapping efforts for pharmacy benefit, eligibility, and claims systems using NCPDP and MCEF standards+ Partnered with SMEs and stakeholders to gather and analyze business requirements for pharmacy and claims management systems.+ Conducted GAP analysis to identify system enhancements aligning with CMS and ACA regulatory updates.+ Conducted Root Cause Analysis on claim rejects and discrepancies across PBM and MMIS systems.+ Ensured compliance with Medicare, Medicaid and commercial plan PBM requirements through thorough testing and validation of FACETS configurations.+ Created end-to-end data lineage documents tracing NCPDP and MCEF data flows across member, provider and pharmacy systems.+ Assisted in chan

Business Analyst

Ally Financial

Mar 2017 - Jan 2019 (1 year 11 months)

Responsibilities:+ Gathered and analyzed business requirements for AML/KYC and fraud detection systems from SMEs and stakeholders.+ Conducted Gap Analysis and feasibility studies for new compliance tools integrated into core banking platforms.+ Managed project planning, risk assessment, and mitigation strategies for regulatory and fraud-prevention initiatives.+ Created BRD, FRD and Use Case documentation in alignment with SDLC and regulatory frameworks.+ Led JAD sessions with SMEs product owners, and stakeholders to capture system enhancement needs.+ Collaborated with complains teams to implement Anti-Money Laundering (AML) and Know customer KYC Workflows.+ Utilized JIRA and Azure DevOps for backlog grooming, sprint planning, and tracking d

Business Analyst

Best Buy

Apr 2014 - Feb 2017 (2 years 11 months)

Responsibilities:+ Worked in E-commerce testing Product Search, Payment System, Online transaction processing and Inventory management.+ Participated in strategic Digital Marketing team meetings to help coordinate initiatives to improve our processes.+ Worked in the system development life cycle using Agile and Waterfall models.+ Understanding of key E-commerce functions like site browsing and navigation, checkout flow, order fulfillment, payment processing, order shipment, inventory management and order management.+ Work cross-functionally with product management, designers, marketing, sales & engineering.+ Documented and analyzed the business processes for receiving and processing customer sales based on "Opportunity to Order" and covers

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