Educational Qualification: Graduate Degree in Business Administration.
Background: 9 years of experience as Business/System Analyst in US Healthcare Payer – Provider Services
Expertise in Enrollment, Claims & Purchase Order conversions.
Strong knowledge on troubleshooting ANSI errors and SQL operations.
Good exposure in system configuration, Functional, Regression and Integration Testing.
Adequate exposure working on MAOs end-to-end Member module right from Plan Configuration to Marx submissions.
Premium billing transactions & End of Year plan activities (ANOC, EOC, Annual Member kit, New Member Kit).
Skilled in creating Project Documents – Project Charter, Business Requirements Document (BRD), Software Requirements Specification (SRS), Standard Work Instructions, Plan Benefits and Low Income Subsidy Rider Analysis, RCA & Preventive measures, Communication & Escalation Matrix, Productivity Management, and Implementation Plan Specialized in workflow analysis and process streamlining.