Summary
Overview
Work History
Education
Skills
Accomplishments
Timeline
Strengths
Generic

Bismita Nayak

Hyderabad

Summary

Dynamic healthcare professional with extensive hands-on expertise in U.S. healthcare processes, recognized for a proactive approach and a proven track record of success. Skilled in training new team members, conducting thorough audits, and delivering consistent support to enhance operational clarity. A strong commitment to continuous improvement fosters a collaborative work environment that empowers teams to excel. Adaptable and quick to learn, consistently leveraging insights to optimize processes and achieve organizational goals.

Overview

7
7
years of professional experience

Work History

Sr Software Engineer

ValueLabs
09.2025 - Current
  • Coordinated Electronic Data Interchange (EDI) projects between internal teams, vendors, and clients, ensuring smooth implementation and support.
  • Managed requirements gathering, project timelines, and deliverables while tracking progress with project management tools.
  • Assisted in onboarding new trading partners, mapping data, and resolving EDI-related issues.
  • Collaborated with cross-functional teams (IT, operations, and business stakeholders) to ensure compliance with EDI standards.
  • Prepared project documentation, status reports, and process improvement recommendations to optimize workflows.
  • Ensured timely communication, escalation handling, and successful delivery of EDI projects.

Senior Software Engineer - QC

ValueLabs
08.2024 - 01.2025


  • Build relationships with the client team to quickly understand requirements and business objectives.
  • Mentored and coached internal and client teams to achieve project targets.
  • Oversee the planning, execution and delivery of EDI projects ensuring they are completed on time.
  • Collaborate with stakeholders to gather and document requirements and business needs.
  • Coordinated and managed weekly project update reports, ensuring clear communication of project status, milestones, and issues to clients.
  • Managing and organizing a high volume of email correspondence, ensuring timely and effective communication with internal teams, clients, brokers.
  • Scheduling and coordinating client calls, ensuring alignment of availability and efficient use of time for all participants.

Associate

Carelon Global Solutions India LLP
08.2018 - 04.2023


  • Ensure integrity of enrolment eligibility process.
  • Abided by HIPAA requirements and standards by ensuring and protecting consumer’s confidential, identifiable and professional information to third parties.
  • Researched and resolved discrepancies in enrolment activities.
  • Develop innovative solutions to complex enrolment problems and provide recommendations in regards to new initiatives.
  • Maintaining quality parameters with 100% accuracy.
  • Thoroughly documenting enquiry outcomes for accurate tracking and analysis.
  • Discrepancies found are reported to client everyday via email.
  • Verifying enrolment status, making changes to records, researching and resolving enrolment system rejections.
  • Addressing a variety of enrolment questions and/or concerns received over phone or email.
  • Responding to enquiries concerning enrolment processes.
  • Sharing process improvement ideas with Team Leader for smooth running process.

Associate

Cognizant Technologies Solutions
08.2018 - 01.2019
  • Worked at Cognizant Technology Solutions for client Carelon Global Solutions India LLP from August 2018 to January 2019 and then re-batched to Carelon Global Solutions India LLP under their payroll from January 2019 to 20 April 2023.
  • Ensure integrity of enrolment eligibility process.
  • Abided by HIPAA requirements and standards by ensuring and protecting consumer’s confidential, identifiable and professional information to third parties.
  • Researched and resolved discrepancies in enrolment activities.
  • Develop innovative solutions to complex enrolment problems and provide recommendations in regards to new initiatives.
  • Maintaining quality parameters with 100% accuracy.
  • Thoroughly documenting enquiry outcomes for accurate tracking and analysis.
  • Discrepancies found are reported to client everyday via email.
  • Verifying enrolment status, making changes to records, researching and resolving enrolment system rejections.
  • Addressing a variety of enrolment questions and/or concerns received over phone or email.
  • Responding to enquiries concerning enrolment processes.
  • Sharing process improvement ideas with Team Leader for smooth running process.

Education

MBA - HR and Finance

Sambalpur University
01.2016

B.Com - undefined

G.M. Autonomous College
01.2014

Skills

  • Project Management: Requirement gathering, documentation, scheduling, stakeholder coordination
  • Soft Skills: Communication, problem-solving, client management, cross-functional collaboration, attention to detail
  • Productivity Tools: MS Office, Knowledge on JIRA
  • Data & Analytics: SQL, Python, Power BI, Advanced Excel (Pivot Tables, VLOOKUP, Dashboards)

Accomplishments

  • Received Spot Award and Star Performer for exceptional performance.
  • Received Certificate of Appreciation twice from Senior Management.

Timeline

Sr Software Engineer

ValueLabs
09.2025 - Current

Senior Software Engineer - QC

ValueLabs
08.2024 - 01.2025

Associate

Carelon Global Solutions India LLP
08.2018 - 04.2023

Associate

Cognizant Technologies Solutions
08.2018 - 01.2019

B.Com - undefined

G.M. Autonomous College

MBA - HR and Finance

Sambalpur University

Strengths

  • Highly collaborative team player with a goal-oriented mindset and strong interpersonal skills.
  • Contributed to two pilot projects and actively participated in onboarding and training of new employees.

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Bismita Nayak