Bhargavi Raghavendra

HealthRules Payor (HRP) Configuration

Lead a team of configuration analysts from offshore in implementing HealthRules Payor (HRP) for large health plans across different Line Of Businesses (LOB's) such as Medicare, Medicaid and Commercial

• Maintained close collaboration with project teams across all stages of product implementation, actively overseeing and managing configuration-related elements.
• Performed periodic checks on system configurations to ensure accuracy and minimize potential defects.
• Handled business requirements analysis and formulated effective strategies for configuration changes.
• Leveraged expertise to establish and maintain successful configuration management practices.
• Produced thorough end user training manuals and documentation to support the client's BAU team.
• Developed and suggested enhancements for efficient team and project workflow.
• Coordinated testing and validation procedures throughout the implementation lifecycle.
• Collaborated with onshore team to support client stakeholders in successfully navigating the Commercial LOB's open enrollment (OE) process for 2024

Population Health Management (PHM) - Implementation

• Analyzed current system to identify gaps, enabling successful product implementation.
• Participated in walkthrough sessions and group meetings to ensure compliance with organization and project defined processes.
• Coordinated with Project Managers, QA's, and Developers to design and implement solutions.
• Negotiated independently with business owners to prioritize and establish release timelines.
• Documented functional specification documents and prototyped the solution comprehensively.
• Developed user stories and configuration catalogs.

Epic EHR Implementation for a large hospital across the US

• Certified consultant for EPIC Resolute Hospital Billing and Administration system.
• Provided post-implementation, upgrade, and application maintenance support to the client.
• Led brainstorming sessions to efficiently implement change requests, resulting in substantial improvements to the existing system build. Conducted risk analysis for each proposed change.
• Adhered to defined SLA compliance, Incident Management System, Change Control Processes and Release Management.
• Contributed to the upgrade of EPIC 2015 by conducting thorough upgrade validation and regression testing.

EPIC EHR Center Of Excellence - Resolute Hospital Billing and Administration

• Engaged in the development of EMR capabilities.
• Contributed as a key member of the EMR - Center Of Excellence team, providing functional knowledge of EMR and US Healthcare.
• Demonstrated expertise in training newly hired employees on EPIC's internal modules.
• Implemented strategic workflow optimizations in the Revenue Cycle Management.

EPIC EHR Testing for a large hospital in the US

• Led offshore transition of Xcelys Claims Processing system and provided ongoing client support after Go-Live.
• Collaborated on EPIC Upgrades for multiple modules including Resolute Hospital Billing and Professional Billing, Ambulatory, Epic Care Inpatient, ED, Cadence, Prelude, Tapestry Management, Referrals and MyChart.
• Collected functional and non-functional requirements for workflow changes.
• Performed extensive analysis and documentation on a range of business scenarios and release notes.
• Performed Test Planning and Test Case preparation, Executed Tests, Managed Defects.
• Worked on optimizing and testing workflow for Revenue Cycle Management.
• Provided detailed daily reports to client, summarizing accomplished tasks.

• Managed Project Management Office for Offshore Delivery Center's entire operations.
• Provided comprehensive reporting on project financials to the Delivery Head at IBM UK.
• Created financial impact assessments for projects and drafted memorandums of understanding.
• Managed PMR audits and conducted annual reconciliation of project finances.
• Managed project staffing and effectively deployed resources.
• Facilitated release plan discussions.