Assistant Manager - U.S. Healthcare - Managed Services
Pune
Summary
Self-motivated and cheerful customer service professional with 8+ years of experience helping patients get the right affordable drugs. Contributed in setting up team from scratch.
Overview
11
11
years of professional experience
1
1
Language
Work History
Asst. Manager
Amneal Pharmaceuticals
Ahmedabad
04.2021 - Current
Working on a various projects for MDRP (Processing, pricing, contract set up)
Highly Competent Lead with proven skills in running of global operations, quality teams, IT teams includes VMware, Citrix and supporting the migrations by providing essentials inputs, highlighting the bugs in systems, worked on Quality tools like JIRA.
Team Leading, Resource allocation, Project Management & staffing.
Managing a team of 7 people in terms of the Project Management, Medicaid related tasks such as productivity, quality, communicating on project updates, leaves management and approvals, SOX compliance activities.
I am involved in staffing/recruitments for the team as per the JD planned by the U.S Management.
Strong exposure in managing projects of US healthcare payer projects specifically in claims adjudication, enrollment, billing, fulfillment & Life Science projects like Medicaid, Rebate management (Chargeback), Contract amendments, RPA, UAT, Functional Testing, Test cases, data migration and validations.
Exposure in managing service delivery operations over a large user base, projects on improvement of customer experience; delivered excellent results in exceeding quality of service commitment and resolving complex issues within the set SLA's.
Trained the team members on Medicaid processing, created training plans, organized trainings with the help of SOP’s and self made training documents with presentation.
Success in managing complex projects of managed services and technical support projects of Aetna, Amneal Medicaid, Sebela Medicaid on different applications like MODEL N, REVITAS, VALENT, ICYTE.
Prepared daily, weekly and monthly reports on behalf of the team
Created a Medicaid tracker which is useful in analyzing the data for upcoming quarters.
Built a core team in Amneal starting from Resource Planning, Hiring, Project Management, Trainings etc
Senior Rebate Analyst
Redaptive Inc, Cyret Technologies Pvt. Ltd
08.2019 - 03.2021
Calculating Rebates for utility companies on the estimated Rebates on multiple sites.
Analyzing rebates based on Market Price and Labour Price.
Creating Price Ups, Proposals and Invoices based on the bulk model
Monthly reporting
Worked on Data Cleansing and Audit Cleansing for Modelling team.
Consultant - Data Analyst
Davizta India Pvt. Ltd
Pune
01.2017 - 08.2019
Analyze the data for U.S healthcare, Data mining, Market research
Worked on various projects like Chargeback, Rebates, Medicaid and Convatec Medicaid
Working on a various projects for U.S Medicaid program
Downloading invoices from various websites for Medicaid programs run by the government, logging the invoices on the invoice tracker, creating the submissions in the I-Many Application by adding all the labelers along with the respective invoices, approving the claims and moving the submissions to settlements
Trained the team members on Medicaid processing, created training plans, organized trainings with the help of SOP’s and self made training documents with PPT’s
Took part in resource handling calls for Medicaid
Took part in calibration
Prepared daily, weekly and monthly reports on behalf of the team
Trained the U.S Team on converting the PDF’s to text files
Manual Testing: Performed Manual testing for new project on multiple builds
Performed Smoke testing, Regression Testing and UAT Testing, Performance Testing based on the Test scripts
Updated the test scripts with test cases wherever needed
Created test scripts for couple of scenario's
Chargebacks and Rebates
We process chargebacks, submissions and re-submissions, in the ERP system for pharmaceutical company in U.S
We do market research on pricing of listed wholesalers from pharmaceutical field in the U.S
Maintain reports such as Start of the day/End of the day/Error reports
Was a part of a new project for rebates (Trading and Distribution)
Run SQL Queries in order to extract reports from Model N
Client contract setup:-
Creating new contracts in the system and updating the same on Compass
Setting up or modifying product eligibility, product pricing, Membership eligibility and other contract terms as required
Mail-Merge – Creating mail templates in word file and then converting into PDF format and sending those to the distributors.
Data Analyst
Yardi Software India Pvt. Ltd
11.2014 - 12.2016
Data Analysis, Data Research and Data mining for all the self-storage properties of U.S
We update the sale and mortgage information of these self-storage properties
We update the required information on an application known as Matrix, going further this information will be displayed to customers on specific websites
Quality Checks / Audits
Sr. Customer Management Executive
Capita India Pvt. Ltd
08.2012 - 10.2014
To generate and manage water bills in SAP & Target
Creating new properties, setting up tariffs and billing the customer
Done QC on behalf of Quality Analyst
Calibration
Updated the day-to-day productivity and quality on behalf of Team Manager
Allocated the work accordingly.
Education
B.Com -
Pune University Ness Wadia College
H.S.C - undefined
Maharashtra Board Ness Wadia College
S.S.C - undefined
Maharashtra Board Don Bosco High School
Skills
Team Management
undefined
Playing & watching Football, Cricket and Guitar
I like watching and playing Cricket. For us Cricket is a national game even though it is not, like majority of people I follow cricket.
Football: I developed this hobby at college times started with a club ended up playing PDFA twice.
Guitar: Developed this hobby as I liked going in clubs where there were live bands. Started this hobby recently hope I end up becoming an guitarist so that I can also perform for audience.
Timeline
Asst. Manager
Amneal Pharmaceuticals
04.2021 - Current
Senior Rebate Analyst
Redaptive Inc, Cyret Technologies Pvt. Ltd
08.2019 - 03.2021
Consultant - Data Analyst
Davizta India Pvt. Ltd
01.2017 - 08.2019
Data Analyst
Yardi Software India Pvt. Ltd
11.2014 - 12.2016
Sr. Customer Management Executive
Capita India Pvt. Ltd
08.2012 - 10.2014
B.Com -
Pune University Ness Wadia College
H.S.C - undefined
Maharashtra Board Ness Wadia College
S.S.C - undefined
Maharashtra Board Don Bosco High School
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