Surya Tejaswi

Senior Business Systems Analyst with 14+ years of experience delivering healthcare analytics, banking data solutions, and enterprise reporting platforms across large-scale environments. Strong blend of business analysis + technical analytics with hands-on expertise in SQL, Power BI, Tableau, Python, Excel, and cloud-based data platforms. Proven experience translating business requirements into scalable dashboards, KPI frameworks, and data-driven reporting solutions.

Extensive background in healthcare claims, provider data, enrollment systems, utilization analytics, and compliance reporting. Extensive experience working with payer and provider organizations supporting claims processing, enrollment management, care operations, provider performance, and regulatory reporting initiatives. Strong expertise in requirements elicitation, stakeholder management, BRD/FRD development, user stories, acceptance criteria, process modeling, GAP analysis, and Agile delivery.

Experienced in supporting QA strategies, UAT coordination, defect management, and cross-functional collaboration between business, product, development, and testing teams. Strong background in SQL, data integration, APIs, enterprise reporting, SDLC methodologies, and Agile/Scrum environments. Hands-on experience with backlog grooming, sprint planning, defect triage, and requirements traceability using Agile project management tools.

Strong experience supporting healthcare analytics initiatives involving claims, enrollment, provider performance, utilization management, and operational reporting. Skilled in BRD, FRD, process mapping, user stories, UAT coordination, backlog grooming, and Agile delivery models. Hands-on expertise in data extraction, transformation logic, reconciliation, and enterprise reporting automation.

Strong knowledge of ETL workflows, star schema modeling, data warehousing, and performance tuning for reporting environments.

Experience building executive dashboards supporting healthcare operations, provider performance, service delivery metrics, and enterprise governance initiatives. Effective communicator with proven ability to collaborate with SMEs, leadership teams, developers, QA teams, and PMO stakeholders. Recognized for improving reporting accuracy, reducing manual effort, and enabling faster business decisions through automation.

Proven expertise in translating complex business requirements into scalable analytics, reporting, and data integration solutions across enterprise environments. Extensive experience creating user stories, acceptance criteria, process flows, test cases, and UAT plans while partnering with business stakeholders, developers, and QA teams. Strong expertise supporting Agile delivery frameworks, backlog management, sprint planning, process improvement, and enterprise reporting solutions.

Strong expertise in Power BI, SQL, Excel, data reconciliation, reporting transformation, and operational analytics supporting enterprise business functions. Exper

Senior Business Systems Analyst at OPTUM (2023-03 – Present)

• Led requirements gathering sessions supporting enterprise healthcare analytics initiatives involving claims, enrollment, provider, and operational reporting.
• Partnered with business stakeholders to define KPI frameworks supporting utilization management, quality improvement, and cost containment programs.
• Developed BRDs, FRDs, user stories, acceptance criteria, and process models supporting enterprise healthcare reporting enhancements.
• Collaborated with data engineering teams to modernize healthcare reporting platforms and improve analytics delivery capabilities.
• Designed functional specifications supporting integration of claims, eligibility, provider, and member data sources.
• Built advanced SQL datasets supporting Power BI dashboards used by executive leadership and healthcare operations teams.
• Worked with ETL teams defining transformation logic and source-to-target mappings supporting enterprise reporting initiatives.
• Facilitated Agile ceremonies including sprint planning, backlog refinement, requirements clarification, and stakeholder reviews.
• Coordinated UAT activities, defect management, and stakeholder signoff for reporting and analytics enhancements.
• Implemented reconciliation controls improving consistency between source healthcare systems and reporting environments.
• Developed dashboards tracking claims volumes, denial trends, provider quality metrics, and utilization performance indicators.
• Supported HIPAA compliance initiatives through secure handling of healthcare operational and member-related data.
• Created As-Is and To-Be process flows supporting healthcare reporting transformation programs.
• Partnered with QA teams validating requirements traceability, test coverage, and solution quality.
• Delivered executive reporting solutions enabling data-driven decision-making across multiple healthcare business units.
• Improved healthcare reporting efficiency through automation and self-service Power BI reporting initiatives.
• Established enterprise KPI governance standards across claims, enrollment, and provider reporting environments.
• Reduced reporting turnaround times through optimized data integration and reconciliation frameworks.

Business Analyst / Data Analyst at LOWE'S (2020-01 – 2023-02)

• Gathered business requirements supporting retail analytics initiatives focused on merchandising performance, inventory optimization, and supply chain reporting.
• Collaborated with business users and leadership teams to define reporting objectives and operational KPI frameworks.
• Developed BRDs, FRDs, process workflows, use cases, and functional specifications supporting retail reporting initiatives.
• Built SQL-based datasets supporting Power BI dashboards tracking sales performance, inventory utilization, and fulfillment operations.
• Designed executive dashboards providing visibility into inventory turnover, store operations, product performance, and service-level metrics.
• Conducted data analysis supporting forecasting, trend analysis, and operational planning activities.
• Worked closely with ETL developers to define transformation logic supporting enterprise reporting solutions.
• Implemented data quality controls and reconciliation frameworks improving consistency across reporting datasets.
• Coordinated UAT cycles ensuring reporting outputs aligned with business requirements and stakeholder expectations.
• Supported release planning, requirements clarification, defect management, and production validation activities.
• Performed root cause analysis identifying data discrepancies impacting reporting accuracy and operational visibility.
• Created KPI governance documentation standardizing metric definitions across business reporting environments.
• Facilitated Agile ceremonies including sprint planning, backlog grooming, and stakeholder review sessions.
• Delivered analytics solutions supporting merchandising optimization, supply chain performance, and operational efficiency programs.
• Partnered with leadership teams providing reporting insights supporting strategic business decisions.
• Automated enterprise retail reporting processes reducing manual reporting effort across merchandising and operations teams.
• Improved inventory visibility through KPI-driven dashboards supporting supply chain and fulfillment reporting.
• Enhanced reporting accuracy through implementation of structured data validation and reconciliation controls.

Business Analyst at Blue Shield of California (2018-05 – 2019-12)

• Led healthcare analytics initiatives supporting claims optimization, enrollment visibility, and provider network performance across payer operations.
• Defined reporting standards and KPI frameworks improving consistency across medical management and member service dashboards.
• Designed scalable Tableau dashboards monitoring claim aging, authorization SLAs, and service center productivity metrics.
• Implemented SQL-based data extraction and transformation supporting enterprise healthcare reporting initiatives.

Bachelor of TechnologyElectronics & Communication EngineeringLakireddy BaliReddy College of Engineering, IndiaYear Completed: 2012