Summary
Overview
Work History
Education
Skills
Personal Information
Languages
Hobbies and Interests
Disclaimer
Father's Name
Strongest Strengths
Languages
Timeline
Generic
G M Sofi Kamal

G M Sofi Kamal

Barpeta

Summary

Highly Efficient Healthcare Specialist with exemplary time management and organizational skills. Knowledgeable in diverse medical evaluation and treatment methods. Adept at performing and focusing attention under pressure.

Overview

9
9
years of professional experience

Work History

Clinical Rules Station

Cognizant Technology Solutions
Bengaluru
03.2023 - 09.2024
  • Worked on Coding various rules like TPA, QLL (MDQ, DQL, EUX, QDX) and ST (ST1 & ST2, STM), BTD rules for both Health Plans and Medicare.
  • Participated in client discussion whenever got opportunities.
  • Also have done scalability request, provided training to teammates as well.
  • Triage (work allocation, completion report, risk TCD reports)
  • Provided trainings to new team member on coding.
  • Maintaining attendance reports of the team.

Clinical Rules Station

Cognizant Technology Solutions
06.2019 - 02.2023
  • Dedicatedly worked on Coding various rules like TPA, QLL (MDQ, DQL, EUX, QDX) and ST (ST1 & ST2) BTD rules for both Health Plans and Medicare till Nov 2021.
  • Provided training, managed queries from clients
  • Regular Quality Check of various rules like TPA, QLL (MDQ, DQL, EUX, QDX) and ST (ST1 & ST2) both Health Plans and Medicare till Nov 2021.
  • Triaging activities, maintaining risk report, audit reports along with query management of onshore client and escalation management, providing TCD for escalated request along with coding/QC from Dec 2021-Feb 2023.
  • Collaborated closely with team members to achieve project objectives and meet deadlines.
  • Completed routine maintenance and repair.
  • Worked successfully with diverse group of coworkers to accomplish goals and address issues related to our products and services.
  • Managed time effectively to ensure tasks were completed on schedule and deadlines were met.
  • Completed day-to-day duties accurately and efficiently.

Sr. Clinical Review

Cognizant Digital Operation
09.2017 - 06.2019
  • Review medical necessity of the patient for the drugs to be used.
  • Assess the past medical history and current illness of the patient to be eligible for Immunologic/IVIG drugs and medical device.
  • Regularly review and validate the clinical data provided by the sponsor, Analyze the data and make a decision of approve or deny the requested dose of the medication or medical device. Constant touch with US medical providers and resolve queries.
  • Regular review of the criticality of any injury or side effects due to the dose given/medical device.
  • Act as primary contact for external clients for the assigned accounts

Clinical Process Associate, Records Information Management

QuintilesIMS
12.2015 - 09.2017
  • Coordinate the retrieval of records requested by users and prepare closed studies to destination within agreed timelines.
  • Set up eTMF project for key accounts, maintenance and close out.
  • Assist management with the implementation of strategic goals, plans, cost proposals, and required resources for records management projects.
  • Train project team members as well as Record Information Management team on records management tasks, policies, and procedures.
  • Monitor filing accuracy and compliance to Quintiles or customer file plans and SOPs where applicable.
  • Serve as primary contact for internal/external clients.
  • Collect data and assist in the preparation of statistical reports for management on all phases of record center.
  • Creation of different reports like Training Compliance, Email folder management, TMP PDF clean up and file review checklist template, which would support the project team to function effectively for the maintenance of project eTMF.
  • Maintenance and updating of Pre-DIA and DIA PSMT.
  • Manage shared mailbox.
  • Acknowledgement of the eTMF related queries of the project management team and Records Management Team.
  • Regular follow-up with project team about eTMF closure timelines to keep the project closure ready state.
  • Actively interacting with different supporting team to conduct eTMF closure process.
  • Timely pulling of different reports to alarm project team about eTMF filing status.
  • Manage team of 8 members as a Co-Team Lead.

Education

B. Pharmacy - Pharmacy

The Oxford College Of Pharmacy
Bangalore
05-2015

H.S. -

Nabajyoti College
Kalgachia, Assam
01.2010

H.S.L.C. -

B.T High School
Assam
01.2008

Skills

  • Ms Word
  • Excel
  • Power Point
  • Windows XP
  • Windows 7
  • Windows 8
  • Client communication
  • Team training
  • Record management
  • Data analysis
  • Rule coding
  • Quality assurance
  • Report generation
  • Risk management
  • Regulatory compliance
  • Attention to detail
  • Problem solving
  • Project management
  • Clerical support
  • Public speaking
  • Collaboration skills
  • Time management

Personal Information

  • Date of Birth: 04/04/91
  • Gender: Male
  • Nationality: Indian
  • Marital Status: Married

Languages

  • English
  • Hindi
  • Assamese
  • Bengali

Hobbies and Interests

  • Music
  • Dance
  • Travelling
  • Make new friends
  • Network with People

Disclaimer

I hereby declare that the above furnished details are true to the best of my knowledge and belief.

Father's Name

Kabir Ali Ahmed

Strongest Strengths

  • Self-confidence
  • Quick learner and smart worker
  • Very good conversationalist
  • Presentation skill
  • Build Rapport within less time
  • Great Observation skill
  • Listening skills

Languages

English
Advanced
C1
Hindi
Advanced
C1
Bengali
Advanced
C1

Timeline

Clinical Rules Station

Cognizant Technology Solutions
03.2023 - 09.2024

Clinical Rules Station

Cognizant Technology Solutions
06.2019 - 02.2023

Sr. Clinical Review

Cognizant Digital Operation
09.2017 - 06.2019

Clinical Process Associate, Records Information Management

QuintilesIMS
12.2015 - 09.2017

B. Pharmacy - Pharmacy

The Oxford College Of Pharmacy

H.S. -

Nabajyoti College

H.S.L.C. -

B.T High School
G M Sofi Kamal