Danish W.
Senior Business Analyst
Experience
Aug 2024 - Apr 2025
9 monthsSenior Business Analyst
Alpha Bravo Development
- Gather software requirements from the clients for Salesforce CRM integrations and create user stories and acceptance criteria for application development
- Gather software requirements from the clients and create solution documentation for application development
- Discuss user stories and acceptance criteria with the development team to plan the development in the Agile environment
- Provide support to the UX designers for the design of the applications to create UX designs as per the requirement
- Discuss requirements with the developers to check the feasibility of each requirement for the development
- Translate stakeholder requirements into deliverable categories such as functional and application specifications, meeting user objectives
- Work collaboratively on workflow and process diagrams for the LMS solution implementation
- Evaluate risks and resolve concerns relating to the implementation, testing process and project communications
Aug 2019 - Jul 2024
5 yearsTechnical Product Manager
Optum Global Services
- Gather software requirements from the clients for Salesforce CRM integrations and create user stories and acceptance criteria for application development
- Collaborate with cross-functional teams to implement and optimize Medicare Advantage plan workflows, ensuring CMS compliance and timely member onboarding
- Analyze Medicare Advantage plan data to identify trends in member satisfaction, enrollment patterns, and plan utilization, improving member engagement strategies
- Manage end-to-end member enrollment processes, including application intake, eligibility verification, and enrollment confirmation within required turnaround times
- Utilize healthcare platforms and systems (e.g., Facets, QNXT, Salesforce Health Cloud) to process new enrollments, terminations, and reinstatements accurately
- Oversee monthly premium billing cycles for Medicare Advantage members, including invoice generation, payment posting, and reconciliation
- Resolve complex billing issues related to premium discrepancies, refunds, and member account adjustments through root cause analysis
- Support annual enrollment period (AEP) activities, including plan updates, CMS submissions, and member communication workflows
- Ensure adherence to CMS regulatory requirements for Medicare Advantage plan operations, including benefit structures and disenrollment protocols
- Implement automation for recurring billing and dunning notices, reducing billing errors and improving collection rates
- Coordinate with finance and actuarial teams to ensure billing aligns with plan premiums and risk adjustment payments
- Projects and Domain:
- Entity Management System (Healthcare): onboarding members, providing healthcare services to hospitals, and capturing services in the system
- Shield Project (Healthcare): provide API integrations to healthcare service providers and integrate them for tracking patient medical data
- EIS Dashboards: third party integrations
Jul 2018 - Jul 2019
1 year 1 monthAssistant Manager - Business Analyst
G-Cube Solutions Pvt Ltd
- Gather software requirements from the clients and create user stories and acceptance criteria for application development for airline industries
- Translate stakeholder requirements into deliverable categories such as functional and application specifications
- Work collaboratively on workflow and process diagrams for the LMS solution implementation with product enhancements
- Evaluate risks and resolve concerns relating to the implementation
- Prepare a variety of reports (e.g., BI reports, API integration documents) along with data warehousing details
- Create workflows for back-office systems (PDI, CStorePOS) for businesses
- Projects and Domain:
- Special Olympics (IT): integrate a learning management system with Siebel for internal staff and streamline business processes
- Maruti Suzuki (Automobiles): implement a learning management system with Siebel for internal staff training
May 2016 - Jun 2018
2 years 2 monthsSr. Consultant
Acidaes Solutions Pvt Ltd
- Gather and prepare solution documentation for achieving application requirements through CRM systems
- Configure Guidewire components using GOSU, rules engine, data model, workflow, and activity/product model development
- Review and resolve enrollment discrepancies by coordinating with CMS and internal departments to maintain data accuracy and compliance
- Train staff on enrollment guidelines and process updates as per changing CMS mandates and open enrollment rules
- Projects and Domain:
- Max Life Health Care Integration (Healthcare): integrate the CRM system with Max Healthcare Systems to improve business processes and retrieve data into Siebel
- HDFC Bank Integration (Banking): integrate the CRM system with HDFC Bank to improve business processes and retrieve data into multiple systems
Feb 2015 - May 2016
1 year 4 monthsManager - Business Services
Dstechworks Solutions Pvt Ltd
- Perform rapid assessment of current projects within the portfolio and provide insights for improvement, accelerating outcomes and managing effectively
- Provide technical project management and oversight for key initiatives and implementation projects
- Create and manage project management methods, communication plans, and processes as per project management principles
- Manage and create back-office end-to-end processes (cash management, invoicing, inventory, reporting)
- Participate in budget estimation, staffing, and resource planning to achieve project goals
- Projects and Domain:
- Implementation of digital signage across the retail sector (Retail): implement digital signage for advertising activities including out-of-home advertising
Apr 2014 - Dec 2014
9 monthsSr Associate - Business Services
Olive-E-Business Services
- Gather and prepare solution documentation for achieving application requirements through the CRM system after analyzing and understanding client needs
- Configure CRM for new or existing client requirements
- Perform first level testing to ensure CRM functionalities
- Manage change requests by determining scope, analyzing business needs, and performing gap analysis
- Projects and Domain:
- Website Design and Development (IT): create website design and development
- Revamping the websites for customers (IT): create website design and development
- Medanta Hospital website creation (IT): create website design and development
Jun 2012 - Jan 2013
8 monthsBusiness Analyst
i2K2 Networks Pvt Ltd
- Plan requirement-gathering sessions with clients for business understanding
- Implement email solutions to real estate companies for internal and external communication, improving support quality and efficiency
- Provide cost-effective customized solutions in new email technologies to clients
- Projects and Domain:
- Email Solution (Zimbra) Implementation (IT): implement an email solution (Zimbra) for the organization
- Web Hosting Projects: provide web hosting services for companies
Jan 2010 - Apr 2012
2 years 4 monthsBusiness Analyst
JBIT Solutions Pvt Ltd
- Provide consultation services on website projects based on requirements
- Deliver complex solution documentation for website projects to inform clients about features
- Projects and Domain:
- E-commerce website development: develop an e-commerce website for a client
- Payment Gateway enhancements: enhance existing payment gateways with additional payment options
Summary
A Business Analyst Professional having cross-functional experience in National/international Operations of Airlines, ITES, BFSI Sectors and Digital agency with an emphasis on Business Analysis, Pre-Sales solutions and IT consultation. Worked closely with various project stakeholders, SMEs, and staff to understand and document business requirements, functional requirements, and design specifications for new applications along with enhancements to the existing applications. Researched, created, reviewed, and revised requirement documents and use cases. Rendered support to the Project Managers throughout the project's life cycle including development of project scope, user stories, BPMN, collection and documentation of business requirements, proposal, negotiation, preparation of change control documentation, and coordination of user acceptance testing.
Areas of expertise: Business Analysis, FSD creation, chart of account redesign, Product Management, Guidewire Policy Center Configuration, Product Development, CRM, LMS, Documentation, Workflow analysis, tools like Zapier and Airtable, MS Power Automate, MS Visio, project management, application of Microsoft Office Professional across platforms, and managing client relations.
Project management tools: Jira, Rally, MS Visio, Asana, Balsamiq, MS Office, SQL, Miro.
Languages
Hindi
NativeEnglish
AdvancedEducation
Oct 2014 - Jun 2016
Jamia Milia Islamia
MBA, Marketing and IB · Marketing and IB · New Delhi, India
Oct 2005 - Jun 2009
SSM College Of Enginerring And Technology
BE Computers · Computers · India
Certifications & licenses
Certified Scrum Product Owner (CSPO)
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