Anirudh
Anirudh
Anirudh
+91 9963559898
ak.pendyala@gmail.com
PROFILE SUMMARY:
An IT professional with a successful career span of 5+ years predominantly in steering Requirement Analysis, Elicitation,
Requirements Gathering, Root cause Analysis, System Analysis, UAT, Team Management, Client Relationship Management and
Stakeholder Management; Successful association with Tata Consultancy Services Pvt. Ltd., Hyderabad as an IT Analyst.
Academically proficient with B. Tech in Computer Sciences and Engineering from SRM University, Chennai.
Adept at various phases of Software Development Life Cycle, Software Testing Life Cycle, Requirement Analysis, Business Analysis,
Project Management, System Planning and very good experience in the Waterfall and Agile methodology (Scrum) while structuring
customized solutions to meet customer’s specific needs.
Good business knowledge in Insurance, Claims & Policy Management; Proficient in handling the entire gamut of business.
Versatile technocrat with hands on experience in MS Office Applications, MS Visio, TFS, JIRA, MasterCraft, SOUP UI, SQL Developer;
programming languages SQL; Outstanding communication skills, verbal as well as written coupled with exceptional leadership
abilities and excellent interpersonal skills with the ability to perform above expectation.
PROFESSIONAL EXPERIENCE:
Client Humana
Role Business Analyst
Job Location Hyderabad, India
Duration Feb 2017-Till Date
Team Size 32
Humana is American Health Insurance Company based in Louisville, Kentucky and was established in 1961. It is the third largest
health insurer in US with over 13 million customers. As part of Humana Medicare project we are in the process of upgrading and
enhancing the existing CRM and Policy systems.
Key Responsibilities:
Create High level and Detailed Process flow diagrams and use cases based on the user requirement.
Perform gap analysis on user requirements & test scenarios and impact analysis on upstream & downstream systems for the
specified functionalities.
Create/ update user manual on the new functionalities and enhancements of the existing functionalities respectively.
Understand the existing CRM MS Dynamics application and support the business in coming up with the user requirements for
Dynamics 365 (CRM Upgrade project)
Understand the US Health Insurance (especially Medicare & Medicaid) and Humana business and suggest the new initiatives to
enhance the productivity.
Supporting Humana Marketing Strategy team in collecting and analyzing various customer's business data and help them in coming
up with various business strategies.
Support SIT and UAT team in completing the testing execution.
Creating the traceability matrix and quality dashboards in order to track the requirements and quality respectively.
Project Name: Operation Go – Atlas
Client Bupa
Role Business Analyst
Job Location Bangalore, India
Duration Sep 2016-Jan 2017
Team Size 50
BUPA (originally, the British United Provident Association) was established in 1947 as a Global healthcare company with services that
include travel insurance, health insurance (IPMI) and dental care policies to individuals, companies and other organizations. As part of
this Bupa Atlas project we are in the process of re-engineering the existing systems available across the geographies (AMIGOS+,
SWAN, PSI) to build an integrated system which will support their business needs globally. In the process we started developing on
different modules.
Key Responsibilities:
Create product backlog, Setup & maintain requirements in VSTS (Epic, Features, Stories and Tasks).
Estimating the stories based on various techniques like Poker Planning, T- Shirt and come up with appropriate story points.
Involve with the business in prioritizing the stories based on MOSCOW model.
Facilitate brainstorming sessions and conduct meetings to elicit requirements from the Business partners, Sponsors and Users
Work closely with SMEs, and identify and analyze the core requirements/ key features of the Atlas.
Defining the scope of Program Increment and dividing the PI into multiple iterations.
Participated and contribute in Pre-Planning, Planning, daily scrums, Sprint meeting and Sprint review meetings.
Task assignment, knowledge transition, task reviews
Papillon 2.1 is the Claims Administration system for Vitality Health a leading Health Insurance Provider in UK. This project is for
enhancing the existing system by adding additional functionalities which would improve the user experience and reduce the
workaround time and also to introduce new outbound documents and enhance the existing documents which would be delivered to
customers & providers.
Key Responsibilities:
Claims Loss Control: This project is for improving the existing Claims system by identifying the claims leakages and introducing new
checks in the existing claims authorization process.
EDI: This project is for implementing the EDI in existing system, so that the insurer can receive the invoices electronically.
Key Responsibilities:
Gathering the requirements by facilitating Interviews, one to one discussions and group sessions.
Elucidate the requirements and analyze them based on the existing system.
Documenting the requirements in the form of Delivery stories, User Stories, BRD’s, flow charts and rich diagrams and get the
business sign off for the same.
Coordinate with the Project Management team in finalizing the effort required in building the functionality.
Effectively communicate with the stakeholders so as to avoid deficiencies in the preparation activities.
Worked with Customer Clinical team from TCS in identifying the Claims leakages and system errors.
Analyzing the bulk claims data and providing various reports which helps in understanding system leakages and improvements.
Coordinate with the business and TPA in analyzing and gathering the xml level details in processing the EDI invoices.
Worked with business in defining the system level checks (i.e. various system rules) in processing the EDI invoices.
Worked with Customer & TCS Architects in coming up with various solution for building the functionalities.
Point of contact for the customers from TCS team in any system clarifications.
Conducting walk-through for testing and the developments teams on the requirements.
Coordinate with the UAT team and help in completing the UAT within the stipulated time.
Sending the status report for ongoing release to various stakeholders.
Analyzing and managing the production incidents and getting them to closure.
Achievements:
Received appreciation (written & oral) from customers in analyzing the requirements and coming up with various low level
scenarios.
Received appreciation from Program Manager for timely completion of the requirements.
Received best team award at account level.
Project Name: PAPILLON 2.1 (Renewals, Migration & Reference Data Enhancements)
Client Vitality Health
Role System Analyst
Job Location Bangalore, India
Duration Apr 2014 – Dec 2014
Team Size 22
Papillon 2.1 is the Claims Administration system for Vitality Health a leading Health Insurance Provider in UK. The below are the
project details.
• Enhance the existing system in handling the policy renewals & Migration.
• Enhancement of the existing Reference data application, an application which is used to maintain the ‘Medical condition (ICD 10)’ &
the ‘CCSD schedule’ to manage the Claims registered by the Vitality Health policyholders.
Key Responsibilities:
Analyze and document the system level requirements (specifically on the Migration and Policy renewal) in the form of Delivery
Stories and SRD.
Work along with technical team in analyzing the source system and coming up with the xml mapping sheet on the items which need
to be migrated from the source system to destination system.
Perform ETL testing in UAT and Sanity testing in Pre Prod environment and ensuring the quality of migrated functionalities.
Doing impact analysis on the existing Claims process and identifying the gaps (w.r.t. Policy Renewals & Reference data
enhancements).
Reviewing the bulk upload data sheets of 'ICD 10' and 'CCSD' codes (which consist of thousands of codes) and identifying the gaps
in reference with the enhanced system.
Highlighting the bulk upload gaps with the Clinical team and supporting business from the system end in filling up the gaps.
Conducting walk-through for testing and the developments teams on the requirement.
Responsible for defects management i.e. reviewing the defects and assigning the defects based on its validity with proper business
and system comments.
Reviewing the SIT and Regression test scenarios and test cases to ensure the complete coverage of the requirements.
Achievements:
Received appreciation from various stakeholders for requirements analysis and for various system scenarios coverage.
Received best team award at the account level.
Papillon 2.0 is the Claims Administration system for Vitality Health a leading Health Insurance Provider in UK. This project involves
technology refresh of the legacy Claims administration system Papillon 1.5.
Key Responsibilities:
Achievements:
ADDITIONAL INFO: