Babu Rao J
Rayachoti
Summary
A results-driven professional with 12.8 years of cross-functional experience in Operations, Training, Mentoring, Quality, Transformation, and Project Management. 7.6 years of extensive experience in the US Healthcare domain, along with 4.8 years of expertise in Quality and Transformation .
A Certified Lean Six Sigma Black Belt, with a strong focus on driving operational excellence, enhancing process efficiency, and delivering measurable business outcomes.
Seeking a challenging role in a progressive organization where I can effectively leverage my technical and professional expertise to contribute to organizational growth and profitability. Passionate about working in a dynamic and diverse environment, while building long-term, mutually beneficial professional relationships.
Overview
12
12
years of professional experience
Work History
Quality Assurance Analyst - Quality & Transformation Group
Conduent Business Services India LLP
06.2021 - 02.2026
- Responsible for continuous improvement initiatives and identifying bottlenecks within operational processes.
- Develop project charters outlining problem/goal statements, business cases, and project scopes.
- Facilitate process reviews, brainstorming sessions, value stream mapping sessions, and other workshops aimed at solving business problems.
- Actively lead teams in problem-solving efforts using quality tools to deliver results for business segments.
- Support teams in achieving operational excellence goals and opportunities identified by the business.
- Track projects that drive meaningful business impact and communicate the benefits achieved.
- Provide recommendations and solutions for business problems.
- Prepare process maps for current and future state workflows.
- Identify automation opportunities and calculate potential savings.
- Manage projects and ensure timely completion as per the project plan.
- Create dashboards in Power BI based on business requirements.
- Gather information from various stakeholders using Smartsheet features and automation.
- Conduct governance reviews as required by management.
Senior Quality Consultant - Business Excellence Team
Hinduja Global Solutions
11.2013 - 06.2021
- Assigned healthcare claims to team members based on priority, aging, and complexity to ensure smooth workflow management.
- Managed daily operations and monitored TAT to ensure claims were processed within client SLA timelines.
- Tracked KPIs such as productivity, quality, accuracy, and attendance to achieve operational targets.
- Conducted quality reviews, feedback sessions, and one-on-one coaching to improve team performance and minimize errors.
- Provided process clarifications, handled escalations, and supported the team with claims adjudication guidance.
- Prepared and shared daily, weekly, and monthly reports on KPI, SLA, productivity, and quality performance metrics.
- Responsible for monitoring live/random/focus/High Dollar audits on Performance guarantee policies and non-PG policies.
- To evaluate and provide reasonable assurance that risk management, control, and governance systems are functioning as intended and will enable the client parameters and goals to be met on a consistent basis.
- To provide continuous education and staff development based on external and internal quality.
- To analyze and monitor external errors thereby providing a concrete action plan based on the financial impact as per quality.
- To create improvement opportunities; hence minimizing the cause of financial defects by providing necessary adjustments in terms of knowledge gaps to quality defaulters.
- Handling Quality calibration calls on a weekly basis.
- Headed a group of quality analysts and the primary responsibilities included process updates and client clarifications on a daily basis.
- Coordinating the training and hiring to ensure delivery of the same at requirement in terms of quality execution.
- To fulfill knowledge gaps with the creation of vitality sessions which could target maximum delivery in terms of quality.
- Creating calibration with external audit teams for discrepancies in claim audits for external quality parameters.
- Mentoring quality analysts such that the sole focus is based on driving quality.
- Monitoring team's performance through gathering relevant data and producing statistical reports.
- Providing analysis on business problems, and creating business requirements for quality enhancements.
- Making recommendations on solutions for business problems.
- Identifying and calculating benefit savings from automation opportunities.
- Internal Audits and collaborate with stakeholders to ensure business and quality needs are met.
- Manage the projects and make sure to complete the on time as per the project plan.
Education
B.Sc. - Computers
Bangalore University
06-2013
Skills
- Claims Adjudication
- Coaching & Mentoring
- People Management
- Stakeholder Management
- Quality Assurance & Control
- Process Improvements & Process Automation Solutions
- Project Management
- Analytical Thinking
- Problem Solving
Disclaimer
I, Babu Rao hereby declare that the information furnished above is true to the best of my knowledge.
Personal Information
- Date of Birth: 06/19/88
- Nationality: Indian
- Marital Status: Married
Timeline
Quality Assurance Analyst - Quality & Transformation Group
Conduent Business Services India LLP
06.2021 - 02.2026
Senior Quality Consultant - Business Excellence Team
Hinduja Global Solutions
11.2013 - 06.2021
B.Sc. - Computers
Bangalore University