Description
Experience Summary * 7.9 years of experience in IT industry and immense knowledge about US healthcare domain and 5 years of experience in closely working with Business by Managing Various Client Projects. * 10 months of experience in the USA, California in CRM leads management using Salesforce. * Project Manager Expertise includes Planning and Defining Scope in Documentation of client requirements and translates them into design specifications, clearly defining the scope of the project for the team, setting measurable goals for each team member that should define the overall project's objective. * Preparing Time and work estimate for the project in Identifying and specifying the critical activities of the project and then equally delegating the roles to each member of the team, Planning the project meticulously and communicating the number of working hours for the project per the resources and the technology available, Resource planning, Following Agile methodology * Budget Allocation and Cost Estimates for various activities and make any cost considerations that there might be. * Monitoring Potential Risks & planning to fix the gap brought about by the delay if any happens. Check whether everything is functioning well without any bugs, and ensure the work will be done as per the estimated time. * Has Managed Various Trizetto Products namely QNXT, FACETS, CLAIMFACTS and QicLink in Healthcare industry for United Health group and Molina Healthcare Clients. * Has worked as a Business Analyst in Market Place (Obama Clare Project), Medicare, Medicaid, and Dual Eligibility Plans in Molina Healthcare from Long Beach, California client Location for 6 months. Has driven various initiatives and supported Broker and commission gateway by providing various critical reports to business. * Expertise includes assignments in Requirement Analysis, Testing, Preparation of Business Requirement Documents, Development Support * Functional skill set includes Requirement gathering, Test Bed Walkthrough, creating test strategies, mentoring offshore on testing, Functional Specifications evaluations. * Automated the Duplicate Commission Validation, which has resulted in the reduction of the manual chargeback and voucher creation for Finance Team using SSIS, SSRS in SQL DB. * Has worked in PLM Upgrade projects in UNIX, LINUX, WAS (IBM WebSphere) environments and schedulers namely Autosys, TWS. * Quick adaptability to emerging technologies and eager to pursue challenges. * Lead and tracked the progress of the Salesforce CRM application to various business areas for the customer. * He has in-depth knowledge about various healthcare functionalities namely eligibility, provider setup, claim adjudication, billing, broker and commissions, Utilization Review, Underwriting, COBRA, Review health plan performance, 1099 Tax processing and customer Inquiry. DR Application Monitoring teams on the change and Coordinate Implementation with Infrastructure SSMO/Application teams
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