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Tanya Singh
Tanya Singh
About
Detail
Iowa, United States
• Over 7 years of experience in business analysis, specializing in EDI systems within healthcare, insurance, and government-funded programs • Deep expertise in requirements gathering, process modeling, and business rules definition across Agile (SCRUM) and Waterfall SDLC environments • Solid command of HIPAA and ASC X12 standards, with hands-on experience implementing and analyzing EDI transactions including 834, 837, 835, 820, 270/271, and 276/277 • Adept at documenting functional and non-functional requirements (BRD, SRS, FRD), process flows, and use cases using MS Visio and UML techniques • Strong understanding of Medicare Part A/B/C/D, Medicaid guidelines, and managed care principles—experienced in eligibility, enrollment, billing, and claims processing • Skilled in conducting gap analysis, SWOT analysis, and root cause investigation to optimize EDI workflows and ensure compliance • Experienced in translating complex business needs into actionable user stories, participating in backlog grooming and sprint planning • Proficient in designing and executing test scenarios, supporting UAT, and managing testing artifacts in TFS and JIRA • Effective communicator and cross-functional collaborator; experienced in engaging with stakeholders, technical teams, QA, and operations • Demonstrated leadership in team collaboration, conflict resolution, escalation handling, and driving continuous improvement initiatives