Summary
Overview
Work History
Education
Skills
Accomplishments
Certification
Languages
Timeline
Generic
DHARANIDHARAN

DHARANIDHARAN

Chennai

Summary

Dynamic and results-driven in US Healthcare business with 11 Years of experience in analyzing healthcare data, optimizing operational processes, and implementing strategic initiatives to drive organizational growth and efficiency. Proven ability to translate complex business requirements into actionable insights and solutions. Seeking to leverage analytical skills and domain expertise to contribute to the success of a progressive healthcare organization.

Overview

10
10
years of professional experience
1
1
Certification

Work History

Senior Consultant

Thryve Digital Health
Chennai
02.2018 - Current
  • This project deals with providing software solutions for Highmark group and BCBS customers on OCWA application for all claim processing & adjudicating related activities
  • Conduct comprehensive analysis of healthcare data to identify trends, patterns, and opportunities for process improvement
  • Collaborate with cross-functional teams to gather business requirements and translate them into functional specifications for IT development
  • Work collaboratively with designers, product managers, product owners, software developers, testers, architects and marketing colleagues to help define and implement end-to-end user experiences that deliver tangible business results
  • Builds user stories / use cases, defines the acceptance criteria for all the stories identified in sprint and builds test cases and test scenarios to track the tasks by preparing Requirements Traceability Matrix
  • Performs UAT testing with the customers and act as an application owner to support all kind of support and maintenance activities before and after production roll out and performs project management activities in scheduling and estimating tasks or requirements
  • Maintain data models, dashboards, and reports using tools such as SQL, Tableau, and Excel to support decision-making processes
  • Analyze claims data, revenue cycle metrics, and payer contracts to optimize reimbursement rates and minimize revenue leakage
  • Evaluate performance metrics and key performance indicators (KPIs) to assess operational efficiency and identify areas for improvement
  • Communicate findings and recommendations to stakeholders through clear and concise reports and presentations.

Team Leader

Crest Business and Healthcare Pvt Ltd
Chennai
06.2015 - 11.2017
  • Providing End to End RCM solutions to Providers
  • Managed and analyzed large datasets related to healthcare utilization, cost, and quality metrics
  • Developed predictive models and risk stratification algorithms to identify high-risk patients and improve care management strategies
  • Conducted root cause analysis to identify factors contributing to denials, rejections, and claims processing delays
  • Provided ad-hoc analytical support to various departments within the organization.

AR Excutive

DPRO TECHNOLOGIES
Villupuram
03.2014 - 03.2014
  • Providing End to End RCM solutions to Providers
  • Client coordination, handling calls with Vendors to solve problems
  • Prepared and evaluated all periodical bills for account receivables before submitting it to third party vendors
  • Was responsible for taking care of payments and was on guard for any Rejections and handled Insurance claims and ensured no decrease in revenue margin.

AR Excutive

Inganam Solutions Private limited
Chennai
06.2015
  • Providing End to End RCM solutions to Providers
  • Responsible for tracking both Paper and Electronic claims
  • Efficient in processing transactions and Insurance claim process
  • Always being alert for major rejections or denials and monitoring payments and EOB'S from major carriers
  • Ensuring AR days meets the industrial standards.

Education

MBA Human Resource -

Pondicherry University
01.2014

B.sc Computer Science -

St Joseph's College of Arts and Science
01.2011

Skills

  • Proficient in Tableau, Excel, and other data analysis tools
  • Strong analytical and problem-solving skills
  • Knowledge of healthcare data standards and regulations (eg, HIPAA, HITECH)
  • Excellent communication and interpersonal skills
  • Ability to work effectively in a cross-functional team environment
  • Detail-oriented with a commitment to accuracy and quality
  • Strong leadership skills
  • Employee Supervision

Accomplishments

  • Won Blue Star award for customer focused and delivery for passion excellence.
  • Won Star Performer award Involved in automating a routine activity which would save around 100 hours/year thereby reducing the manual efforts.

Certification

  • ITIL Certification
  • BA2BC Certification and Workshop Session

Languages

Tamil
First Language
English
Proficient (C2)
C2

Timeline

Senior Consultant

Thryve Digital Health
02.2018 - Current

Team Leader

Crest Business and Healthcare Pvt Ltd
06.2015 - 11.2017

AR Excutive

Inganam Solutions Private limited
06.2015

AR Excutive

DPRO TECHNOLOGIES
03.2014 - 03.2014

MBA Human Resource -

Pondicherry University

B.sc Computer Science -

St Joseph's College of Arts and Science

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