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.
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