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SOMNATH BANERJEE

Summary Close to 3 years experience in IT, in Healthcare with specialization in the Payer

Side. Poised to leverage technical and analytical skills as Business Analyst towards a successful
career with a growth-centric organization that seeks an articulate team player committed to
supporting organizational objectives

Major Strengths:
Business & Requirement Analysis
Designing & Developing
Manual Testing
System Integration
Project Implementation
Business Requirement Gathering
Process, System & Quality Analysis
Functional Design & Documentation
GAP & Use Case Analysis
Team Management

Education:

Degree Year
Post Graduate Diploma in Management (Marketing) INDIA 2015
Bachelor of Engineering in Information Science (ISE) INDIA 2012

Technical Summary:
Modules: Business Analysis, Quality Assurance
Process SDLC, UAT, Agile
Framework,
Methodologies &
Standard
Tools/Utilities: QTP, MS Visio

Professional Experience Summary:


Organization Name Customer/ Client Domain Start Date End Date
Name (MMM-YY) (MMM-YY)
Altimetrik NYX MED Healthcare Oct 2016 Till Date
CNSI Healthcare Feb 2015 Sep 2016
Accenture LMS Jun 2012 May 2013

Professional Experience Details:

Somnath Banerjee
1. NYX MED <Oct 2016 Till Date>
Role - Business Analyst
Denial Management System

Project Description:
Denied claims represent unpaid services and lost or delayed revenue to your practice.
Importantly, they also signify an avoidable cost to the medical practice. Employees time
spent managing and ideally resolving denials saps significant resources from the
medical practices business office. Medical practices that lack a focused strategy
for denial management are more apt to see denials unfavorably resolved or, as is all
too common, left to languish and eventually be written off as bad debt. The denial
management system comes into picture here, using which the providers and billers will be
able to track their denials better and will have a structured approach as to how to go about
resolving the denied claim.

Responsibilities:
Gathering user requirements and understanding them
Creating wireframes for the screens to be used for the prototype
Design and specifications for the denial management system
Guiding the UI/UX team to develop the screens for the prototype

2. MDHHS, Michigan <Feb 2015 Sep 2016>


Role Junior Business Analyst
Medicaid Management Information System

Project Description:
For Medicaid purposes, the mechanized claims processing and information retrieval system
which states are required to have, unless this requirement is waived by the Secretary, is the
Medicaid Management Information System (MMIS).
The MMIS is an integrated group of procedures and computer processing
operations (subsystems) developed at the general design level to meet principal objectives.
For Title XIX purposes, "systems mechanization" and "mechanized claims processing and
information retrieval systems" is identified in section 1903(a)(3) of the Act and defined in
regulation at 42 CFR 433.111. The objectives of this system and its enhancements include
the Title XIX program control and administrative costs; service to recipients, providers and
inquiries; operations of claims control and computer capabilities; and management reporting
for planning and control.

Responsibilities:
Define user interface requirements. These requirements should include (but are not
limited to) data field definition, constraints, data validation rules, Business Validation
rules, Page flow, etc.

Somnath Banerjee 2
Conduct impact analysis on current applications and processes with respect to new
requirements to foster reusability.
Work with the testing team to validate test cases and test Scenarios (especially
Sanity Testing, System testing and Functional testing).
Participates in collaborative sessions to document Medicaid business Process.
Create/update/maintain requirements specification documents, general system
design documents and detailed system design documents.
Work with the technical lead assigned to the business area, defines design solution
across all system components, and identifies all configurations and builds task.
Ability to interface between Developers and Client.
Ability to work independently and in team environments to meet deadlines and
produce quality results
Elicit customer requirements to carry out application enhancements, undertake
project scoping, estimation, documentation, development & testing activities.
Assist offshore business analyst to craft requirements package, review & obtain
signoffs.
Provide consultation to the offshore team of business analysts, developers, & testers.
Participate in Design reviews, Test Case reviews, & Production Support readiness
reviews for planned releases, & provide inputs for Go/No Go decision.
Track, Inform stakeholders on migrations & perform shakeout testing post
deployment.
Secondary POC for responding to production issues, adhoc requests, & configuration
issues.
Provided assistance to process consultant in streamlining the SDLC delivery process.
System areas of expertise include Benefits, Claims, and Provider Management.
Provide Defect Analysis reports to Onsite and assist in RCA for defects raised in
System Testing.
Environment:
Champs, As-One, Eclipse, EDI X12 270/271, 837, 820, Java & Oracle

LinkedIn: https://in.linkedin.com/in/somnathbanerjee1507

Somnath Banerjee 3