Sharmila Samuel Raj, MA, Ph.D.

Phone no: 4703545421 Email ID: drsimcha3@gmail.com

Visa status: US Citizen
References will be provided on request

Overview:
A professional Business Analyst with extensive experience in the healthcare industry and a Ph.D.
in Public Administration and Political Science. Proficient in gathering and documenting
requirements, including creating Business Requirements Documents (BRDs) and Use Case
Specifications. Skilled in both Agile Scrum and Waterfall methodologies also Azure Dev OPS.
Demonstrated ability to identify and document user requirements, conduct data analysis, and
deliver business solutions that enhance the end-user experience. Proficient in problem-solving,
communication, and project management. Seeking a challenging opportunity to leverage my
expertise and contribute to the growth of the business.

Education:
● Ph.D. in Public Administration and Political Science
● Bachelor's Degree in Political Science

Professional Summary:
• Experienced IT Business Analyst in the Health Care industry with strong knowledge of
iterative methodologies of Software Development Life Cycle (SDLC).
• Managed complex business initiatives to balance functionality, efficiency, and quality.
• Reviewed Test Plans, Test Cases, and Test Scripts performed manual/functional testing
activities and conducted User Acceptance Testing (UAT).
• Excellent communication, written, and interpersonal skills, leadership qualities, great mentor,
and ability to work independently.
• Skilled in creating Business Requirements Documents (BRD), Use case Specifications, and
System Requirement Specifications (SRS).
• Expertise in Agile Scrum and Rational Unified Process (RUP) methodology, Use Cases,
SDLC processes, and Waterfall methodology.
 Sharmila Samuel Raj, MA, Ph.D.,

• Proficient in gathering client requirements through interviews, workshops, existing

documentation, and organizing JAD sessions.
• Familiar with Health Insurance Plans such as Health maintenance organization (HMO),
Point-of-service (POS), and Preferred provider organization (PPO).
• Experienced in Defect Life Cycle and Requirement traceability matrix (RTM).
• Skilled in SQL queries and joins, and proficient in Jira.

Technical Skills:

Business Management Tools MS Visio, MS Project, MS PowerPoint, MS

Excel, Rational Requisite Pro

Languages C, Java, SQL

Methodologies Waterfall, RUP, Agile/Scrum, SWOT, Lean,

Gap and Earned Value Analysis, PMBOK

Operating Systems Windows (98/2000/2003/NT/XP/Vista/7/10),

UNIX

Databases MS Access, MS SQL, Oracle

Testing Tools HP Quality center, HP UFT

Business Documentation Skills BRD, FSD, UML diagrams, RTM, Test plan,
Test cases, Project Estimate, SRS

Professional Experience:
North America Med Tech Group Atlanta, Georgia
Business Analyst January 2021- Present

The project aimed to develop an automated claim adjudicating system for policyholders, general
users, and healthcare professionals. It was divided into three releases, and I worked as a Business
 Sharmila Samuel Raj, MA, Ph.D.,

Analyst for the first release, which involved implementing the claim intake process. The main
actors involved in the intake process were members, healthcare providers, and banks.

Roles and Responsibilities:

● Conducting interviews to gather High-Level Business Requirements (HILBERs) from
clients and stakeholders.
● Creating Business Requirement Document (BRD) and Functional Requirements
Document (FRD).
● Analyzing and managing cross-functional business processes impacts.
● Conducting feasibility and project risk analysis.
● Creating high-level and low-level Use Cases in Microsoft Visio.
● Writing Use Case descriptions, including pre-conditions, assumptions, normal flows,
alternative flows, post-conditions, notes, and issues.
● Coordinating virtual meetings with business clients, stakeholders, end-users, and
development teams.
● Identifying and creating Use Case diagrams with business process workflow diagrams.
● Using detailed knowledge of application features, architectures, and functions to assess
the scope and impact of business needs.
● Conducting Joint Application Design (JAD) sessions on communicating with project
sponsors and stakeholders.
● Documenting Requirements, Test Plan, Test Cases, Defects, and Change Controls in
Quality Center.
● Preparing weekly review and status reports.
● Communicating the project status to clients bi-weekly.
● Conducting User Acceptance Testing (UAT) with users and project team members.

Environment:
Unified Modeling Language (UML), Microsoft Word, Microsoft Excel, Microsoft PowerPoint,
Microsoft Project 2010, Microsoft Visio, Adobe Reader, Rational Unified Processes (RUP)
methodology, PMBOK.
 Sharmila Samuel Raj, MA, Ph.D.,

Anthem Blue Cross Blue Shield Atlanta, Georgia

Business Analyst January 2018-Dec 2020
The aim of the project was to automate the claim adjudication system for policyholders,
healthcare professionals, and general users. The primary actors were members and healthcare
providers, while the bank was the secondary actor. The project was completed in three releases,
including implementing the claim intake process, adjudication, and reporting process.

Roles and Responsibilities:

● Business Analyst experienced in Healthcare with strong knowledge of iterative
methodologies in SDLC, including feasibility study, requirements gathering, analysis,
design, development, implementation, and validation.
● Proficient in working with QA testing teams and gathering requirements, knowledge of
health insurance plans, managing complex initiatives, conducting UAT, and tracking
enhancements. Skilled in writing BRD, use case specifications, and SRS.
● Experienced in the defect life cycle, SQL, Agile Scrum, Waterfall methodology, and Jira.
● Excellent communication, leadership, and business writing skills.
● Proficient in gathering client requirements through interviews and JAD sessions.
● Conducted market research and gathered user requirements for new product
implementation and significant enhancements.
● Analyzed business operations and identified areas for improvement.
● Developed data-driven recommendations to support decision-making and improve
end-user experience.
● Skilled at collecting and transforming User Requirements into Business Requirements
and Functional Requirement Specifications (FRS) using Modeling tools like Microsoft
Visio for requirements modeling.
● Managed project implementation and collaborated with cross-functional teams to deliver
business solutions.
● Implemented Agile and Scrum methodologies to manage complex projects and
programs, ensuring on-time delivery and budget adherence.
● Worked closely with project team members and stakeholders to identify and resolve
issues, improve processes, and drive project success.
 Sharmila Samuel Raj, MA, Ph.D.,

● Contributed to continuous improvement initiatives to enhance project management

methodologies and tools.
● Communicated project status, issues, and risk mitigation to stakeholders.

Environment: Windows, MS Office (MS Word, MS Excel, MS PowerPoint, MS Visio), MS

Access, UML, Requisite Pro, RUP.