Abdul Mueen Syed

• Diligent, articulate, and competent individual with over 11 years of pioneering experience as a Business Analyst/Data Analyst in the health care insurance domain.
• Highly analytical business analyst with a background in identifying business needs and determining solutions to business problems. Qualified Business Intelligence Analyst, versed in data mapping and user acceptance testing, to solve complex problems in high-pressure environments. Strong skills in data analysis, project management, and strategic planning, coupled with the ability to communicate effectively with stakeholders at all levels.
• Highly skilled Data Analyst with comprehensive experience, equipped with analytics and reporting expertise to provide insights using a data-driven philosophy and predictive modeling techniques, contributes to robust decision-making processes. Demonstrated ability to streamline operations by identifying trends, and improving data reporting efficiency.

Shift Left Project: (Jan'23 to Oct'24)

• Conducted comprehensive stakeholder analysis and requirements gathering for a Shift left project, resulting in a seamless transition with overpayment savings worth of $5M.
• Collaborated with IT teams to develop a custom business intelligence dashboard, providing real-time insights that improved executive decision-making speed by 40%.
• Conducted a comprehensive review of existing business processes, identifying and implementing improvements that resulted in a 20% reduction in operational costs and a 15% increase in employee satisfaction.
• Growth: Increased Affordability savings as Recovery loss mitigated, Deliver Avoidance & Prevention solutions, i.e; ACE, Frictionless Platform, Claims Editing System. Enhance CES to allow future shift left requirements.
• Optimization: Organizational redesign via transition of existing retrospective inventory to prospective & automated solutions. Develop process to remove duplicate claim review between Pre-Pay Clinical and Post-Pay Non-Clinical.
• Transformation: Workforce efficiencies through prevention and avoidance of defective claims. Advanced shiftleft/avoidance identification process including Provider, System and manual opportunities. Non-clinical PI solutions for prepay & prevention given lower cost per claim.

ARO No offset: (Oct'24 to Till date)

• Developed and implemented an RPA Center of Excellence (CoE), establishing governance frameworks and best practices that accelerated bot development cycle time by 35% and increased ROI on automation initiatives by 25%.
• As of August 2024, there are 648 entities with contractual language prohibiting or limiting offsets; 17 of these entities account for ~85% of these overpayments.
• Our affordability initiative aimed at recovering overpayments from those 17 entities.
• PI, PEx, and UHN partnered to engage the providers and determine the most optimal path to recover overpayments while preserving the provider relationships.

• Post Graduate Diploma in Computer Application (PGDCA)
• Aviva Insurance Certificate
• AHIP 2020 Certification
• Foundational - CPD Program - 2020
• M&R Certified Practitioner
• First Pass Claims- Foundational from Domain University
• SQL & MS Azure training completed for 3 months.

• Travelling
• Music
• Reading
• Networking

• $2.8 M worth of overpayments identified on the SAM New edit (DME during IP Stay) solution despite of being approved only for $640K.
• URN claims were excluded from SAM Edit Bot as 269 was capturing under denial reason code instead of review codes, identified the root cause and fix the issue in pre-exclusion logic from SAM worth of $16M of overpayments.
• $3.5 M worth of overpayments identified and loaded to ODAR in just 2 months soon I Joined as Business/Data Analyst in Data Mining team under Competitive intelligence team.
• Honored as Global Service Heroes’2019 and nominated to attend the Global Service Heroes event summit, organized in Singapore’2020.
• Awarded consecutively 3 times for Quarter SME Award.
• Recognized by the onshore team for good customer interaction on chat support (New Advocacy project) & rewarded with 450 Bravo points.
• Awarded by Bruce Thompson (Chairman- Optum) for Above & Beyond performance.
• Recipient of Bright Idea Award to implement an idea that saved the cost by $13M for the company.
• Acknowledged as a consistent top performer for 4 Months (Jan-April) in the team for 2015 in UHG.
• Awarded by TEAM COACH of Month for One Month, and Rep of Week multiple times in WIPRO

• Exceptional Leadership
• Innate Problem-solver
• Unwavering Professionalism
• Impeccable Communication