Ahmed Abdul Muqueeth
Strategic Healthcare IT Professional
Hyderabad
Summary
A strategic healthcare business professional and data enthusiast having expertise and more than 17 years of total experience in Healthcare Operations, with 10 years of experience in US Healthcare IT, Business Systems Analysis and Product Management. Strong analytical skills, project management expertise, and a deep understanding of the US Healthcare industry. A subject matter expert in US Healthcare product management, with a strong focus on regulatory compliance and operational excellence.
Overview
17
17
years of professional experience
17
17
years of post-secondary education
1
1
Certificate
Work History
Lead Systems Analyst
Carelon Global Solutions, Elevance Health - USA
Hyderabad
06.2021 - Current
- Led product strategy and ensured alignment with organizational vision and strategy, resulting in increased product effectiveness and market competitiveness
- Managed the entire product lifecycle, from inception through administration and market implementation, for multiple interrelated products
- Coordinated all aspects of product management, including regulatory compliance, operations, communications and system integration, across the organization
- Successfully managed initiatives involving internal teams and external vendors, ensuring the on-time delivery of new products and programs
- Provided Subject Matter Expertise consultation to guide product management decisions
- Managed the Configuration and QA Testing team, collaborating with Development and QA for US Healthcare domain solutions
- Documented user requirements, prioritized backlog items, and configured business rules for Turnaround time and Routing as per state-specific requirements
- Provided clinical expertise in reviewing clinical/product development documents for various Clinical Quality Measures
- Built cross-functional team relationships, supported business and system analysis for product and content development
- Participated in incident or defect resolution, sprint planning,test execution and supported Production releases.
Clinical Business Analyst
Confiar Consultants (For Lumeris - USA)
Hyderabad
09.2017 - 09.2020
- Collaborated in product strategy and roadmap discussions, ensuring alignment with business goals and objectives
- Utilized data-driven insights to review product metrics, identify areas for improvement, and implement continuous enhancements
- Worked with cross-functional teams to develop and launch innovative healthcare products, including medical, pharmacy, clinically based, and wellness offerings
- Played a key role in system integration and process optimization efforts, improving overall product performance
- Managed and led projects to successful completion, meeting or exceeding business objectives
- Reviewed and edited clinical/product development documents for HEDIS Measures and Clinical Quality Measures
- Performed clinical QA, developed test plans, and executed user acceptance (UAT) test cases
- Mapped system codes to SNOMED, LOINC, CPT, and ICD 10 updates.
Clinical Analyst
Lumeris India Pvt. Ltd.
Hyderabad
08.2014 - 05.2016
- Worked with product engineering team to define clinical requirements and assist with product developement for Care Management Module.
- Influenced care outcomes by implementing improvements and optimizing health information technology.
- Applied knowledge, data, information and workflow to develop evidence-based models for health information technology solutions.
- Implemented healthcare systems for patient status monitoring, quality tracking and home care management.
- Performed clinical QA, PQA and developed test plans and test cases to support requirements and acceptance criteria. Coordinated and executed user acceptance (UAT) test cases, reporting status of testing and analyzing results.
- Mapping the system codes to the standard SNOMED, LOINC, CPT and ICD 10 updates.
Education
Post Graduate Program - Data Science and Business Analytics
The University of Texas At Austin – McCombs School of Business And Great Learning – Great Lakes Institute
06.2020 - 07.2021
MHM - Hospital/Healthcare Management
Deccan School of Hospital Management (Osmania University)
08.2007 - 02.2010
Bachelor’s - Dental Surgery
Al-Ameen Dental College (Rajiv Gandhi University of Health Sciences
09.2000 - 04.2006
Master of Science - Data Science
Deakin University
Australia 06.2023 - Current
Skills
US Healthcare Industry Knowledgeundefined
Accomplishments
- Employee of the Quarter Award for successful CM Delivery Project – March 2016.
- Impact – Go Above Award for successful delivery of the August Release 2021 from Elevance Health.
- Impact – Go Above Award multiple times from business and other stakeholders throughout 2022 from Elevance for exceptional projects delivery of Medicaid migration markets.
Certification
Certified SAFe 6 Agilist
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Timeline
Certified SAFe 6 Agilist
10-2024
Master of Science - Data Science
Deakin University
06.2023 - Current
Lead Systems Analyst
Carelon Global Solutions, Elevance Health - USA
06.2021 - Current
Post Graduate Program - Data Science and Business Analytics
The University of Texas At Austin – McCombs School of Business And Great Learning – Great Lakes Institute
06.2020 - 07.2021
Clinical Business Analyst
Confiar Consultants (For Lumeris - USA)
09.2017 - 09.2020
Clinical Analyst
Lumeris India Pvt. Ltd.
08.2014 - 05.2016
MHM - Hospital/Healthcare Management
Deccan School of Hospital Management (Osmania University)
08.2007 - 02.2010
Bachelor’s - Dental Surgery
Al-Ameen Dental College (Rajiv Gandhi University of Health Sciences
09.2000 - 04.2006
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