Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Dr Shradha Pendharkar

Clinical Content Lead (Quality And Process Improvement) US Healthcare
Pune

Summary

Physician with total experience of 13 years and around 10 years in US healthcare. Product and Quality development and Analystics.Recognized by performance excellence and contribution to organization success. Strength in Quality, Product Development and Business Analysis. Backed by certification of CPC, Lean Six Sigma Black Belt, and CBAP prep.

Overview

15
15
years of professional experience
18
18
years of post-secondary education
7
7
Certifications

Work History

Clinical Content Lead

Cotiviti Health care
Pune
01.2015 - Current
  • Led projects and analyzed data to identify opportunities for improvement.During imaintaince as wel as implementation of new clients or Medicaid States.
  • Drove operational improvements which resulted in savings and improved profit margins.
  • Created spreadsheets using Microsoft Excel for daily, weekly and monthly reporting.
  • Participated in continuous improvement by generating suggestions, engaging in problem-solving activities to support teamwork.
  • Developed team communications and information for meetings.
  • Developed and implemented performance improvement strategies and plans to promote continuous improvement.
  • Demonstrated respect, friendliness and willingness to help wherever needed.
  • Resolved problems, improved operations and provided exceptional service.
  • Instituted contingency plans, ensuring business continuity through cross-training, documentation and data backups.
  • Built library of models and reusable knowledge-base assets to produce consistent and streamlined business intelligence results.
  • Identified process inefficiencies through gap analysis and outlined sensible solutions to bridge knowledge gap.
  • Developed team metrics from Jira to track the improvement of team in organizational efficiency.
  • Implentation of new features and tools eg workflow,MUQT with specification along with collabration with development team, for smooth transition and delivery of tool to end user.
  • Applied honed problem-solving skills to analyze and resolve issues impacting business operations and goal achievement.
  • Assessed impact of current business processes on users and stakeholders and evaluated potential areas for improvement.
  • Established strategy for operations reporting and analytics, identifying key needs for deliverables while driving continuous improvement of processes.

Designation:

Clinical Content Lead: January 2020 till date

Senior Clinical Content Analyst: January 2017 till December 2019

Research Analyst: January 2015 till December 2016

Assistant Manager of Operations

WNS Global services
Nasik
04.2013 - 12.2014
  • Applied performance data to evaluate and improve operations, target current business conditions and forecast needs. Based on Coding and billing guidelines for providers.
  • Devised processes to boost long-term business success and increase profit levels.By frequent brainstorming sessions, enhancement in ITES
  • Enhanced employee management by developing schedules, tracking time and administering payroll.
  • Helped team members maintain business professionalism by coaching each on methods for delivering exceptional service to every customer.
  • Spearheaded daily staff meetings to identify improvement strategies, discuss policy updates and facilitate open communication.
  • Leveraged fair evaluation processes, employee reviews and staff mentoring to drive performance and job satisfaction at all levels.
  • Developed and maintain operational guidelines for staff.
  • Coordinated with General Manager in different operational issues and promotional activities.
  • Monitored employee productivity and optimized procedures to reduce costs.
  • Generated operational reports for management on monthly schedule.

Provider Relations Manager

Paramount Healthcare Services Tpa
Pune
08.2011 - 10.2012
  • Managed provider relations mailbox by triaging inquiries, facilitating resolution of incoming requests and forwarding requests to appropriate parties.
  • Fostered strong, positive relationships with key providers by coordinating, facilitating and leading partnership meetings and identifying on-site enrollment opportunities.


  • Contributed to and enhanced audit processes to maximize quality management standards.
  • Utilized exemplary negotiation skills to obtain service agreements and assure quality standards.

Family Physician

Neha Clinic (Owned)
Pune
01.2010 - 04.2012
  • Maintained high patient satisfaction through knowledgeable support and compassionate care.
  • Referred patients to medical specialists for consultant services when necessary for patient's well-being
  • Teamed with other physicians, specialists and health care providers to provide well-rounded care for complex cases.
  • Met with patients to discuss medical histories and current complaints.

Provider Managment

MD India Healthcare
Pune
07.2010 - 10.2010
  • Managed provider relations mailbox by triaging inquiries, facilitating resolution of incoming requests and forwarding requests to appropriate parties.
  • Fostered strong, positive relationships with key providers by coordinating, facilitating and leading partnership meetings and identifying on-site enrollment opportunities.
  • Contributed to and enhanced audit processes to maximize quality management standards.
  • Utilized exemplary negotiation skills to obtain service agreements and assure quality standards.

Critical Care Medicine Fellow

KEM Hospital
Pune
11.2008 - 08.2010
  • Used patient- and family-centered approaches for care.
  • Assisted staff with care delivery within scope of certification, training and licensure.
  • Contributed to patient experience and critical care meetings to improve unit care delivery.
  • Supported and implemented goal-directed plan of care for patients receiving interventional care in critical care units.
  • Performed procedures singlehandedly like, central line, intubation, ICD line
  • Worked flexible hours; night, weekend, and holiday shifts.

Medical Officer

Sahyadri Multispeciality Hospital
Pune
06.2008 - 07.2009
  • Improved patient outcomes and delivery of care through improved clinical quality processes.
  • Led diverse team of medical and administrative professionals in day-to-day clinic activities such as patient care, new business development and patient relations.
  • Educated and mentored more than 30 medical students.
  • Created robust systems and controls to improve patient records management.

Education

B.A.M.S - Ayurvedic Medicine

BSDT Ayurved Mahavidyalaya Wagholi
Pune
07.2002 - 12.2007

High School Diploma -

Nowrosjee Wadia College
Pune
07.2000 - 02.2002

SSC -

Stella Maris High School
Pune
06.1989 - 06.2000

Skills

    Lead Generation

undefined

Certification

CPC - Certified Professional Coder

Timeline

Certified Lean Six sigma Black belt, Henry Harvin

02-2022

Agile Scrum Master, Skillup by Simpli Learn

02-2022

Agile Scrum Foundation, Skillup by Simpli Learn

02-2022

Business Analysis Basics, Skillup by Simpli Learn

02-2022

Certified Lean Six sigma Green belt, Henry Harvin

09-2021

CBAP training completion, Simpli Learn

08-2019

Clinical Content Lead

Cotiviti Health care
01.2015 - Current

Assistant Manager of Operations

WNS Global services
04.2013 - 12.2014

CPC - Certified Professional Coder

02-2012

Provider Relations Manager

Paramount Healthcare Services Tpa
08.2011 - 10.2012

Provider Managment

MD India Healthcare
07.2010 - 10.2010

Family Physician

Neha Clinic (Owned)
01.2010 - 04.2012

Critical Care Medicine Fellow

KEM Hospital
11.2008 - 08.2010

Medical Officer

Sahyadri Multispeciality Hospital
06.2008 - 07.2009

B.A.M.S - Ayurvedic Medicine

BSDT Ayurved Mahavidyalaya Wagholi
07.2002 - 12.2007

High School Diploma -

Nowrosjee Wadia College
07.2000 - 02.2002

SSC -

Stella Maris High School
06.1989 - 06.2000
Dr Shradha PendharkarClinical Content Lead (Quality And Process Improvement) US Healthcare