AMAR NARAYAN PUNJARI
Consulting
Hyderabad,TG
Summary
Has 23 years of experience in US Healthcare Mid-backend and spent 2 years working out of customer CBO’s in the US. Hands on experience not only in setting up and managing multi geography large scale operations but also leading hospital, Physician’s, Lab, DME and payer side coding operations teams which support HCC and HEDIS programs. Holds a post graduate degree in finance. Analyzing business problems, suggest enhancements to add functionality and/or re-design work flows and documentation to improve efficiency. Experience in pre-sales proposals, BA, research and reporting. Strong project management skills including planning, scheduling, monitoring and budgeting with experience in requirement gathering, gap analysis, risk analysis, effort estimation etc. Strong expertise on creating, maintaining automation engine using HIPAA Transaction sets (Provider area) and web scraping. Experience in leading Hiring, Pan India PMO, MIS and Vendor Performance management functions
Overview
23
23
years of professional experience
Work History
Director of Global Operations
R1 RCM
01.2022 - Current
- Business Leader for provider client Accounts receivables ( OPS, automations, PMO) - 500 FTE operations
- Manage Budget FTE Vs P&L for 6000+ FTE (Multiple locations and cross geo)
- Leading PAN India PMO, MIS and vendor management functions
- Developed high-performing teams by providing mentorship, guidance, and opportunities for professional growth.
- Improved project efficiency with strategic planning, resource allocation, and time management practices.
- Enhanced team collaboration through regular communication, goal setting, and performance evaluations.
- Managed budgets effectively to ensure optimal use of resources while maintaining financial stability.
- Facilitated cross-functional collaboration for improved decision-making processes within the organization.
- Proactively identified potential risks and implemented mitigation strategies to minimize negative impacts on projects or business operations.
- Boosted client satisfaction rates through exceptional relationship management and prompt resolution of issues.
- Established departmental performance goals and provided feedback for underperforming areas.
- Setting up of new locations within India
- Handled site leader responsibilities
Director Operations
Optum Global Solutions
12.2016 - 01.2022
- Business Leader for payer side Medical coding
- Lead HCC (Hirerachial condition category) coding and HEDIS
Senior Business Operations Manager
Hinduja Global Solutions India Pvt Ltd.
10.2012 - 12.2016
- Managed various engagements in the capacity of a project lead with team sizes ranging from 50 to 250 members, both onshore and offshore
- Project set up, Process migration, BAU Service delivery, Project closure
- Going through the client SLAs, setting up processes according to the same and understand data flow between Clients and HGS
- Working with BA and reporting teams to provide operational and control reports on the projects and also to assess and analyze the business needs requirements etc. using SDLC process.
Executive Manager
Deloitte Consulting India Pvt. Ltd
07.2001 - 10.2012
- Project lead Revenue cycle management (US Healthcare) back office operations
Education
Post Graduate Diploma - Finance
All India Institute Of Management Studies
Chennai, India 04.2001 -
Skills
Expertise in Management Consulting with 23 years’ experience in leading complex, revenue focused projects, sales support /data analysis for diverse US healthcare clients
Program Management
People Skills: Manage and handle large teams and virtual teams
Process re-design and reengineering
End to End process automation management – To ensure effective utilization of resources Working with technology groups to automate and take open AR to the next stage of claim life cycle Basic SQL query writing - 835, 270/271, 276/277
Strategic Planning, Workflow Analysis, Risk assessment and mitigation strategies and Resource Allocation
Leading HCC Coding and HEDIS operations between 2016 to 2022
Experience in leading Pan India PMO, Transitions, and MIS functions apart from core US healthcare Coding and backend Operations
Budget Control
Trainingprograms
- Manager Excellence program
- Coach approach
- Ethics and compliance
- Leaders As Trainers
- Basic SQL
- PMP - PMBOK
- Harvard certified Leadership program
Awards
- Employee engagement champion for a span size of 5000 FTE between 2019-2022 – Optum/UHG
- Has successfully implemented AR categorization on a 100 man project using 835 and client denial files(2008)
- Awarded as one of the top performers of the firm(Across India offices) for the year 2011 and 2012 at Deloitte
- Spent 2 years from 2003 to 2005 in the US hospital CBO’s managing team of L1’s
- Developed and implemented Monthly one on one employee supervisor discussion tool, Daily SOP review tool(E-Base)
- Managed HCC Coding and HEDIS Operations
References
Professional References available as required
Timeline
Director of Global Operations
R1 RCM
01.2022 - Current
Director Operations
Optum Global Solutions
12.2016 - 01.2022
Senior Business Operations Manager
Hinduja Global Solutions India Pvt Ltd.
10.2012 - 12.2016
Executive Manager
Deloitte Consulting India Pvt. Ltd
07.2001 - 10.2012
Post Graduate Diploma - Finance
All India Institute Of Management Studies
04.2001 -
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