1. JAYAMOORTHY ARULMANI
2 Richland Lane, Apt 2B/ S 207, Camp Hill, PA, 17011, +1 914-536-8904, Email ID: Jay1872193@gmail.com
OBJECTIVE
To take a challenging role on business operations as Business Analyst and give an efficient and effective solution that will
help the organization to achieve the best solution in business and ultimately increase its productivity in market.
EDUCATION
Master of Business Administration (Marketing) GPA 3.83, Monroe College, New York, April 2016,
Bachelor of Computer Application, Pondicherry University, India, May 2013,
SKILLS
Proficient in Microsoft Office; Google Docs, Group, and Maps; Windows XP, VISTA, 7, 8, 8.1,
Experience as a Business System Analyst in IT and software development context, having contributed to successful
development of automated solutions and customclient-server applications in Healthcare and Insurance domains.
Strong knowledge of the Software Development Lifecycle (SDLC) and involvement in SDLC process requirement gathering,
design,development, software release and maintenance. Experience in preparing excellent documentation on
business requirements,
Comprehensive working knowledge of UML, including development and interpretation of Use Case, Class, Object, State,
Sequence, Activity and Collaboration diagrams, Good knowledge in RDBMS concepts,Database relationships and utilizing
SQL through query statements.
EXPERIENCE
Hewlett Packard Enterprise, Camp Hill, PA
Business System Analyst / Intern
Jan 2016 to till date,
 Ability to manage various sources of information and large data sets including pharmacy, claims and encounter data,
 Maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA),
 Worked to configure following EDI transaction 277, 837I, P &D, 834,
 Tested and Analyzed ICD 9 and 10 codes for healthcare exchange (HIX) applications,
 Tested ICD 10 codes (Procedure codes, Diagnosis Codes) for 837(Claims) Project.
 Familiar with Providers Portal, User Intranet, Inquiries like, Claims, Financial, Managed care, Provider, Prior
Authorization, Third Party Liability and Recipient inquiries,
 Testing on Providers, Recipient, TPL, Reference, PA, Managed Care, Claim Pricing, Edits and Audits , Long term care
and Claim Resolutions.
 As a Systems Analyst/ Coordinator, interacted closely with the end users & take repeated documented feedback.
 Tested Electronic and Paper Claims such as UB-04, CMS-1500, ADA-2006, and NCPDP Version 5.1 AND NCPDP
Batch Version 1.2 for Pharmacy.
 Good knowledge about Medicare and Medicaid delivery services such as Fee for Service, Health choices, Access plus
and Waivers Services.
 For Medicare services such as Hospital, Medical insurance, Medicare advantage plan and Prescription drug coverage.
 Filling the change request forms, updating the BRD, coordinating timelines between various departments such as Claims
processing, development, middle-ware, testing and database team,
 Conducting group interviews, one-on-one interviews, JAD sessions, brainstorming and Prototyping techniques to gather
requirements from Stakeholders,
Datasys Healthcare Solutions, Princeton, NJ
February 2015 to Nov 2015,
Business System Analyst / Intern
Healthcare Utilization Revenue Project -The purpose of the project is to incorporate several web based views that extend the
current patient record systems to help healthcare professionals to track and manage the flow of patient care in the emergency -
department setting, also worked on several healthcare exchange (HIX) applications,
Responsibilities:
 Consult with clients to determine the specific systemneeds and means needed to develop or enhance the coding systems.
 Ensure proper interactions between various systems in a large, complex, multi-technology oriented environment to
deliver the required business process.
 Participated in the daily triage meetings to discuss defects and testing status for Healthcare Exchange (HIX) applications.

2.  Analyzed HIPAA 5010 related to EDI 837,835, 834 transactions and performed gap analysis between HIPAA 4010 and
5010.
 Analyze and review computer systems, capabilities, workflow and scheduling limitations and all other processing
problems for the coding systems.
 Worked on Agile/Scrum Methodology, identify gaps between old application functions and client specific requirements
for future application and to write requirements/ User Stories.
 Provide PM with weekly project status report and participate in daily stand up meetings.
 Schedule JAD sessions, create/distribute meeting minutes.
 Worked with systemarchitect, prepared functional specification document and functional design document.
 Collaborated with development team and the business to develop both high-level and detailed system architecture to
meet the business needs. Identified gaps, performed gap analysis.
 Coordinate meetings/web conferences/phone conferences, prepared meeting agendas, meeting minutes, and issue log.
 Create and deliver mock ups for each user story to help understand where the field is in relation to the other fields.
Created mock ups in Paint /Visio.
 Wrote various SQL queries for data manipulations.
 Enter the User Stories, Acceptance Criteria/requirements into JIRA for the development team to work on and good
knowledge about different kinds on Testing.
 Conduct JAD session; Prepare and deliver business/system/functional requirements documents, Created requirements
traceability matrix using business requirements document, Functional design document and technical design document.
 Prepare test plans and test cases, involved with developer to create sample data for test purpose.
 Involve in functional review; smoke testing and documented test results
CENTER LIGHT HEALTH, New York,
Business System Analyst Trainee June 2014 to December2014
 Created and delivered use cases, prepared use case diagrams using UML/Visio.
 Created and delivered functional specification document to the development team.
 Collected, analyzed and documented business process, created business rules.
 Testing on Providers, Recipient, TPL, Reference, PA, Managed Care, Claim Pricing, Edits and Audits, Long term care
and Claim Resolutions.
 As a Systems Analyst/ Coordinator, interacted closely with the end users & take repeated documented feedback.
 Analyzed system design and structure, identified, understood, and documented business requirements, including the
systemfunctionalities capable of supporting those requirements.
 Good knowledge about Medicare and Medicaid delivery services such as Fee for Service, Health choices, Access plus
and Waivers Services.
 For Medicare services such as Hospital, Medical insurance, Medicare advantage plan and Prescription drug coverage.
 Provide support to other programmers and developers,
 Design and develop document application solutions,
 Troubleshoot to restore application use in the event of a failure.
NEWYORK STATE OF HEALTH, New York,
Business Systems Analyst, Jan 2013 to April 2014
As part of Affordable Care Act, New York State decided to come up with its own Health Exchange and CSC (Computer
Science Corporation) took the responsibility of Technical Architect, Design and implementation /coding of web application
need of State. The project has been used for providing health care benefits to the individuals by determining the eligibility
considering all the eligibility factors in accordance with HIPAA EDI transactions.
Responsibilities:
 Created and delivered business requirements doc, Technical Design document that provided appropriated scope of work
for technical team to develop overall system.
 Created requirements traceability matrix (RTM) using business requirements document, Functional design document and
technical design document.
 Prepared test plans and test cases, involved with developer to create sample data for test purpose.
 Involved in unit testing, integration testing, executed test cases, documented test results.
 Created and maintained meeting minutes, issue log, project presentation.
 Coordinated meetings/web conferences/phone conferences, prepared meeting agendas, meeting minutes, and issue log.
 Worked on Interactive Voice Response (IVR) system, check the claims auditing tool, and data migration.
 Worked to configure following EDI transaction 277, 837I, P &D, 834.
 Created and delivered use cases, prepared use case diagrams using UML/Visio.
 Provided effective project management assistance. Developed/updated project plan, tracked/updated project timelines
using M.S. Project. Created/Provided PM with weekly project status report, Provided high level management with
monthly project presentation using M.S. PowerPoint.
 Scheduled requirement gathering sessions, created/distributed meeting minutes using M.S. Outlook.
 Wrote various SQL queries in SQL Server and Oracle for data manipulations.
 Assisted QA teamto create test plans and test cases to performdifferent level of testing
 Worked closely with UAT personnel to both ensure that their needs are met, and to provide sufficient understanding for
the UAT test teams to own the automated system by the end of the project. Designed and created data reports and
reporting tools to help business executives in their decision making.