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Saman Baghpatee
Saman Baghpatee
About
Detail
Virginia, United States
• Professional Business Analyst around 6 Years of focused experience in Business Analysis with proven knowledge of healthcare industry with provisioning of groundbreaking and customized solutions to meet capricious industry requirements. Proficient in written and verbal communication skills and dependable as a liaison between business and technical stakeholders to meet business objectives. • Extensive experience in Healthcare/Claims adjudication with knowledge of industry compliance standards like HIPAA and EDI X12 transactions (834, 837, 835, 270/271, 276/277). • Knowledge and Experience on Membership, Billing, Claims Payment Processing in relation to HIPAA, EDI X12, codes 834, 837,835, and 270, 271. • Impressive knowledge of business areas such as Benefit Enrolment and Maintenance, Claims processing, Billing and Providers, and various EDI transactions, code sets and EDI Implementation guides in Health-care industry. • Well-versed in discovery, scoping, implementation, and process re-engineering using a waterfall and agile methodologies. • Extensive experience in capturing and analyzing business requirements using JAD sessions, User Interviews, surveys, and focus group studies. Expertise in delivering accurate and clear As-Is/To-be documents, Business Requirement Documents (BRD), Software Requirements Specifications (SRS), Functional Requirement Documents (FRD), and Business Use cases. • Expertise in making sure of quality deliverables, including writing test scripts, validating technical deliverables, and facilitating the UAT and Sign-off. • Business Analyst with extensive experience with solid understanding of business requirement gathering, documentation, business process flow and business process modeling. • Experience in creating Use Case Diagrams, Activity Diagrams, Data Flow Diagrams, Workflow Diagrams, Wireframes, Class Diagrams, and Sequence Diagrams using MS Visio, and IBM Rational Software Tools. • Maintaining and Customizing the Sales Cloud and Force.com applications. • Hands-on Creating and converting leads and Lead assignment rules, web-to-lead forms, and web-to- case forms. Journey Builder. • Proficient in Story grooming, functional analysis, storyboarding, user stories, use case scenarios, and process flow designs. • Strong work ethic with