Kalpesh Shewale
Chicago,IL
Summary
An experience Business Analyst with extensive hands-on experience in defining business scope, requirement gathering and elicitation process, developing functional and technical specifications, defining workflow, resource management, creating use case documents, data analysis, facilitating development and testing teams throughout the Software Development Life Cycle (SDLC) using Scrum, waterfall and agile methodologies. Proficient in eliciting requirements using JAD sessions, Requirement Workshops, Questionnaire, and Survey to understand the business process and stakeholders. Proficient in UML Modeling like Activity Diagrams, Sequence Diagrams, Use Case Diagrams, Class Diagrams using Rational Rose and MS Visio and Process Workflow Diagrams using Business Process Modeling Notation Experience in implementing Campaigns and Personalization frameworks for multiple channels (email, web etc.) using Adobe Suite (Adobe Campaign, Adobe Analytics, Adobe Marketo etc.). Provide detail for the OpenText RFP describing vendor project status expectations securing the ability to monitor vendor performance. Experience with various tools for planning, tracking, and managing projects such as Jira. Hands on experience in Microsoft SharePoint and MS Office (Excel, Outlook, Access, PowerPoint, Word, and Visio) Experience in writing SQL queries while working with databases-MySQL, MS Access, SQL Server for data verification and manipulation. Ability to handle multiple projects simultaneously with a high degree of accuracy. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Proficient in all cycles of test life cycle from test planning to defect tracking and managing defect life cycle using Jira. Facilitated User Acceptance Testing (UAT) with the stakeholders and the business users as well as trained users to use the system configured. Outstanding Leadership Skills, Communication Skills, strong analytical skills, and a motivated, organized team player in monitoring and controlling scope, risk, issues, dependencies with insight adapted for learning and implementing.
Overview
9
9
years of professional experience
Work History
Business Analyst
BlueCross BlueShield – Chicago Head office, IL
10.2019 - Current
- Gathered user requirements by interviewing focus groups and brainstorming with SMEs, business users and product owners.
- Developed and managed end-to-end email campaigns using Adobe Marketo, including templates,
assets, and workflows. - Built responsive email templates and custom landing pages optimized for different devices and browsers.
- Set up Smart Campaigns, engagement programs, and triggered workflows to automate lead nurturing.
- Conducted A/B testing on subject lines, content, and CTAs to improve open and click-through rates.
- Used segmentation and dynamic content to personalize campaigns for targeted audiences.
- Analyzed campaign performance through Marketo reports and dashboards; provided actionable insights
to stakeholders. - Ensured email deliverability and compliance with CAN-SPAM and GDPR guidelines.
- Involved in reviewing test plans and test cases and ensuring test cases reflect user needs. Also responsible for conducting user training and user acceptance testing to ensure and verify system is designed according to user needs.
- Developed the pub files in Opentext with the setting up the control file and data files.
- Development of letters for various projects in Design manager.
- Handled migration project from Acoustic to Adobe Marketo.
- Worked closely with Business owners to understand the project requirements.
- Design, Develop and Deliver Technical Solutions for Health Care Management to Key Project Milestones Through Specification, Testing and Implementation, Adhering To The Project Schedule and Project Delivery Methodology.
- Responsible For Working with Business Staff and Technical Staff Including Clinicians, Developers and Quality Assurance / Test Verification Teams.
- Responsible For Overseeing/Coordinating Process Modeling of Current and Future State Processes for Health Care Management; Acts as A Liaison With The Business Unit, It, Consultants and Management.
- Designed and developed customer communication templates (letters, statements, notices) using
OpenText Design Manager. - Created and managed print jobs for batch processing and high-volume document output.
- Integrated dynamic data into templates using variables, conditions, and content rules.
- Ensured print layout compliance with business branding and postal regulations.
- Collaborated with QA and operations teams to test, validate, and deploy document workflows.
- Optimized document templates for performance and reusability across business units.
- Helped QA Team in writing test cases, test plans, and tested the final application to verify whether all the User Requirements were catered to by the application.
- Extensively involved in daily status meetings and interaction with Business Analysis and Development team to ensure smoothness in progress of the project.
- Worked in development of a thorough and repeatable software requirements methodology utilizing the agile model.
- Extensively interacted with the stakeholders and the IT Department in finalizing the requirements according to the projects.
- Worked in Agile environment from the design phase till the Deployment phase.
- Interacted with the business users to understand the requirements and document the scope and specifications.
- Preparation of Business Requirement Documents (BRD) including GAP Analysis with client requirements and existing new business system.
- Performed GAP Analysis for new functionality requirements, as well as prioritized them based on actual business needs to align them with the product release roadmap.
- Extensively worked on MS Access, MS Excel, MS Word, PowerPoint, SQL, MS Project
Senior Business Analyst
UnitedHealth Group - Reston, VA
04.2018 - 09.2019
- Interacted with the business users to understand the requirements and document the scope and specifications.
- Elicited the requirements to understand business rules, business process, business flow and follow the SDLC standard of the business in project meeting.
- Participated in Agile cadence such as Scrum standup meetings, backlog grooming sessions, review, and retrospective meetings.
- Conducted JAD sessions and Discovery calls with business stakeholders and gathered high-level Business Requirements.
- Extensively interacted with the stakeholders and the IT Department in finalizing the requirements according to the Compliances/Regulations and HIPAA Regulations.
- Worked on project migration of all Healthcare Process (such as EAB, Products, Providers, Claims, Capitation, Voucher, finance etc) for Dental MDM from legacy system (AREV) to Facets
- Worked on an in-built Java application OpenText in configuring all the non-billing letters and emails that are sent out to the customers.
- Developed and maintained Adobe Acrobat PDFs forms utilizing Adobe Acrobat Pro version, JavaScript.
- Fulfilled digital experience by operating Adobe Analytics Workspace, validating data from client e- commerce platforms, and leading client-side quality assurance implementation of Adobe Analytics
- Collection, dash boarding & reporting of data using Adobe Site catalyst.
- Establish standards and guidelines for effective use of the Adobe solutions, their integration within the Adobe platform.
- Coordinated and tracking all projects for seamless releases using Project Management System JIRA
- Maintained meeting minutes, meeting agenda and communicated them with the SMEs and the stakeholders on timely manner using MS Word, MS PowerPoint and created reports using MS Excel.
- Advanced MS Access database application analysis, design and development and writing/modifying SQL queries using problem solving techniques.
- Designed and implemented basic SQL queries for testing and report/data validation.
- Wrote SQL scripts (SQL Server) to find appropriate test data and research data issues with development and test environments.
- Performed System Testing and Integration Testing & Functionality Testing of the application. Responsible for entering, tracking bugs in Quality Center/ALM and reporting the defects to the developers for Modification Request.
- Coordinated and prioritized outstanding defects and system requests based on business requirements. Organized and performed User Acceptance Testing (UAT).
Business Analyst
Anthem – Norfolk, VA
11.2016 - 03.2018
- Gathered of Business Requirements. Interaction with Users, Designers and Developers, Project Manager and SMEs to get a better understanding of the Business Processes, and Analyzed and Optimized the process (Requirements Elicitation)
- Worked in development of a thorough and repeatable software requirements methodology utilizing the agile model.
- Worked in Agile environment from the design phase till the Deployment phase.
- Reviewed documents/templates to create BRD and implemented the RUP process, identified Gap Analysis and the AS-IS and TO-BE model.
- Worked with developing User Stories throughout the Agile Lifecycle as well as created UML diagrams such as Use Case, Activity and Chart diagrams with MS Visio.
- Involved in Medicare/Medicaid Claims processes from Admin/Provider/Payer side which were later part of the training program to vendors.
- Designed, developed, and executed integrated marketing campaigns involving complex business rules using Adobe Campaign.
- Created Microsoft Excel dashboards and reports on daily weekly basis analyzing key performance indicators using Adobe Report Builder.
- Utilized Adobe Analytics/Site Catalyst for reporting needs, solution design.
- Assisted departments on implementing OpenText document storage processes.
- Provided OpenText training and support to offshore location trainees.
- Created and maintained project plans, sprint plans, and schedules using JIRA and other tools.
- Reviewed defect/reports and assign valid defects to the relevant developer/ development manager using HP Quality Centre, Jira and follow the defect life cycle.
- Designed & developed various Ad hoc reports for different teams in Business (Oracle, SQL, MS ACCESS, MS EXCEL)
- Used tools like MS Excel, MS PowerPoint, MS Project, and Visio in Project coordination.
- Tracked features, user stories, tasks, and defects with JIRA.
- Used SQL during the testing phase to verify and validate that the correct information is being provided.
- Participated in production of high-quality QA by helping QA produce high quality test cases and accurately answering questions raised in a timely manner.
- Helped QA Team in writing test cases, test plans, and tested the final application to verify whether all the User Requirements were catered to by the application.
- Interacted with QA and conducted User Acceptance Testing (UAT) to check the functionality of the system.
- Involved in developing test plans and strategies and have conducted User Acceptance Testing (UAT).
Education
MBA -
Global University
Fairfax, VAMaster of Science -
University of Potomac
Fairfax, VA06.2019
Bachelors - computer engineering
RCPIT
India06.2013
Skills
- Business Analysis: Agile development methodologies, Universal Modeling Language (UML), RAD/JAD, requirements analysis, systems analysis, use case development, system development life cycle
- Methodologies: Waterfall, Agile, Scrum
- Skills: Adobe, OpenText, Adobe Marketo, Acoustic, Design manager, Designer
- Business Tools: MS Visio, MS Project, MS Access, MS Office Suite
- Defect Management Tools: Jira, HP QC and HP ALM
- Databases: SQL, MySQL, MS Access
- Requirements gathering
- Team collaboration
- Microsoft Office Suite
- Business process improvement
Timeline
Business Analyst
BlueCross BlueShield – Chicago Head office, IL
10.2019 - Current
Senior Business Analyst
UnitedHealth Group - Reston, VA
04.2018 - 09.2019
Business Analyst
Anthem – Norfolk, VA
11.2016 - 03.2018
MBA -
Global University
Master of Science -
University of Potomac
Bachelors - computer engineering
RCPIT
Similar Profiles
Lacie PennyLacie Penny
Senior Medical Reviewer at BlueCross BlueShield of SCSenior Medical Reviewer at BlueCross BlueShield of SC
De’Ondria BovainDe’Ondria Bovain
Client Health Coach Advisor (Remote) at BlueCross BlueShield of South CarolinaClient Health Coach Advisor (Remote) at BlueCross BlueShield of South Carolina
Jamar PankeyJamar Pankey
Operations Analyst at BlueCross BlueShield of South CarolinaOperations Analyst at BlueCross BlueShield of South Carolina
Christina MayerChristina Mayer
Patient Access Specialist at Northwestern MedicinePatient Access Specialist at Northwestern Medicine
William JonesWilliam Jones
Videographer at Bright Star Community OutreachVideographer at Bright Star Community Outreach