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I'm Neha Doshi, a results-driven IT Business Analyst with 8 years of experience in healthcare claims processing, EDI transactions, and regulatory compliance. I excel at bridging business and technical teams, translating complex requirements into practical solutions that improve accuracy and efficiency. I thrive in collaborative environments, lead JAD sessions, write BRDs/FRDs/SRS, and deliver high-quality user stories and test artifacts. I stay current with HIPAA, MMIS, HL7, and regulatory standards to ensure compliant, scalable solutions.…I'm Neha Doshi, a results-driven IT Business Analyst with 8 years of experience in healthcare claims processing, EDI transactions, and regulatory compliance. I excel at bridging business and technical teams, translating complex requirements into practical solutions that improve accuracy and efficiency. I thrive in collaborative environments, lead JAD sessions, write BRDs/FRDs/SRS, and deliver high-quality user stories and test artifacts. I stay current with HIPAA, MMIS, HL7, and regulatory standards to ensure compliant, scalable solutions.

Neha Doshi

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I'm Neha Doshi, a results-driven IT Business Analyst with 8 years of experience in healthcare claims processing, EDI transactions, and regulatory compliance. I excel at bridging business and technical teams, translating complex requirements into practical solutions that improve accuracy and efficiency. I thrive in collaborative environments, lead JAD sessions, write BRDs/FRDs/SRS, and deliver high-quality user stories and test artifacts. I stay current with HIPAA, MMIS, HL7, and regulatory standards to ensure compliant, scalable solutions.…I'm Neha Doshi, a results-driven IT Business Analyst with 8 years of experience in healthcare claims processing, EDI transactions, and regulatory compliance. I excel at bridging business and technical teams, translating complex requirements into practical solutions that improve accuracy and efficiency. I thrive in collaborative environments, lead JAD sessions, write BRDs/FRDs/SRS, and deliver high-quality user stories and test artifacts. I stay current with HIPAA, MMIS, HL7, and regulatory standards to ensure compliant, scalable solutions.

Available to hire

I’m Neha Doshi, a results-driven IT Business Analyst with 8 years of experience in healthcare claims processing, EDI transactions, and regulatory compliance. I excel at bridging business and technical teams, translating complex requirements into practical solutions that improve accuracy and efficiency.

I thrive in collaborative environments, lead JAD sessions, write BRDs/FRDs/SRS, and deliver high-quality user stories and test artifacts. I stay current with HIPAA, MMIS, HL7, and regulatory standards to ensure compliant, scalable solutions.

Skills

Experience Level

Expert

Expert

Expert

Expert

Expert

Language

English

Fluent

Work Experience

IT Business Analyst at Premier Health

December 1, 2023 - November 5, 2025

At Premier Health, enhanced the claims adjudication process and integrated document management with central database. Automated reviews, eliminated irrelevant appeal processes, resolved incorrect information, and removed duplicate records to improve claims accuracy and processing efficiency. Upgraded EDI X12 transactions (270, 271, 834, 835, 837 P.I.D.) and ensured HIPAA compliance with Facets, Utilization Management, and Care Management workflows. Loaded EDI 834 files in Facets through MMS to streamline enrollment and eligibility processing. Conducted smoke testing, process testing, and defect logging in JIRA. Worked in Waterfall and Agile-Scrum environments. Configured business rules to automate care and utilization management tasks, including auto referrals and automated education material generation. Created User Stories, UML Diagrams, Business Process Flowcharts, Activity Diagrams, and Workflow Diagrams using MS Visio. Translated requirements into JIRA stories with acceptance crit

IT Business Analyst at Steward Health Care

November 1, 2023 - November 1, 2023

Led requirement gathering and documentation for a web-based bundle payment processing application aligned with EDI standards and HIPAA regulations. Worked on integration with third-party administrator platforms to support secure claims adjudication, payment processing, and eligibility verification. Created BRDs, use cases, system process maps, and As-Is/To-Be models; performed gap analysis; collaborated with QA to define test cases and validate outputs; supported UAT and produced SOPs and training materials. Extensively mapped EDI X12 transactions and ensured CMS/CMS regulations compliance; facilitated JAD sessions and requirement elicitation with business leaders.

Business Analyst at ExxonMobil

April 1, 2020 - April 1, 2020

Developed and enhanced the UI for internal users to improve data visibility, process monitoring, and transmission tracking. Led design sessions with external vendors and internal teams, finalized business requirements, and produced MS Visio diagrams, wireframes, and mockups. Performed data mapping, created logical data models, and wrote SQL queries for data extraction and validation. Assisted in test plan development and UAT, authored SOPs and training materials, and delivered UI enhancements for Investment Choice experiences.

Business Analyst at Globe Life

July 1, 2018 - July 1, 2018

Gained requirements from underwriting, claims, and policy servicing teams to drive automation for policy issuance, renewals, and claims tracking. Documented BRDs and FRDs, mapped As-Is and To-Be processes, and collaborated with development teams to design rule-based automation. Led UAT, contributed to dashboard reporting and data validation routines, and supported cross-functional meetings to align technology changes with operational goals. Assisted with training and post-implementation monitoring to drive incremental improvements.