Gaurav Verma

Experienced Agile leader with strong expertise in Agile Project Management ( Scrum, Kanban, SAFe ), delivering measurable outcomes through PI/Quarterly Planning, project planning, release roadmaps, estimation, resource allocation, budgeting, audit preparation, compliance handling, and cross‑team coordination.

Worked as Scrum Master, Product Owner, and Delivery Manager for multiple major Pharma clients at Axtria, with additional experience in Data Quality, Data Governance, Data Management, and Business Analysis.

Certified Scrum Master (Scrum Alliance) and Certified Product Owner (UpGrad) with deep practical knowledge of Agile Scrum and Agile delivery practices.

Skill Set : Strong technical and tool expertise across DWH, MS SQL Server , Jira, Confluence, Azure DevOps (ADO), Trello, Miro, Mural , Power BI (basics), Tableau (basics), Slack, Zoom, Lucid chart, MS Visio, Figma, Zoho Projects, and MS Project.

Proficient in product backlog creation, user story documentation, acceptance criteria definition, story point estimation, epic mapping, backlog refinement, Sprint goal alignment & roadmap support, Risk identification & mitigation, Timeline tracking & milestone management, Quality assurance mindset, KPI monitoring: velocity, cycle time, lead time, throughput & Continuous improvement initiatives.

Specialties : Scrum, Kanban, Agile Coaching, Team Leadership, Conflict Resolution, Stakeholder Management, Sprint Planning, Backlog Refinement, Cross‑functional Collaboration, Continuous Improvement, Documentation & Process Clarity.

Strong understanding of Agile metrics—velocity, burndown, and burn‑up charts—and their use in forecasting and optimizing team performance.

Brings extensive experience working with large organizations and supporting Fortune 500 healthcare and life sciences clients globally.

• Worked as Business Analyst (Product Owner) with 13-member team consisting of QAs, dev-ops and developers
• Involved in project implementation and support, process documentation, estimations and defect triage meetings
• Created detailed Estimation and Proposals for new business opportunities
• Prepared the Business Requirement Document (BRD), Functional Requirement document translating features into Epics/ User stories
• Managed Product backlog on both JIRA and client's Trello
• Managed all Scrum events at Offshore- Owning and driving backlog refinement, story grooming and management, prioritizing user stories, sprint planning, sprint retrospective, creating acceptance criteria, and driving testing/delivery
• Led Citius Tech's Quality Processes as QMS Lead, and participated in External Project Audits
• Shared Weekly dashboard with client and Senior Management with Project health, risks, and progress with different matrices.
• Facilitated and conducted Requirement workshops, Client demos, and created User Training documentation
• Participated in User Acceptance testing and helped team in bug fixing
• Was part of the Organization's BA learning program and contributed in training sessions, white papers for new joiners on US Healthcare payer and provider topics.
• CitiusTech is a specialized provider of healthcare technology and business process services to healthcare technology companies, healthcare providers, managed care organizations, health plans, and disease management companies.
• Client- Genentech, California (for both projects)
• Projects: 1) Genentech- Wayfind-R Portal Duration: Jan 2021 – June 2022 2) Apollo Advanced Analytics Platform Duration: June 2021- Dec 2021
• Technologies: Jira, Trello, Mongo DB, NodeJS, Angular 6, MS Excel

• Was involved in requirement gathering, test case reviews, knowledge sharing from users (billing and clinical directors), and transferring to the offshore billing team
• Worked on billing cycles, services, fee schedules, service codes, billing rules, patient demographics, payer configuration, ADT, claim violations, provider reports, provider forms, assessment tools, claim export formats, diagnoses codes, and billing codes
• Led a team of 7 members consisting of BAs, QAs, and developers
• Involved in project implementation and support, process documentation, estimations and defect triage meetings
• Participated in implementation lifecycle, reported status, planned meetings, and provided report risk evaluation to the Project Manager
• Created/edited techno-functional requirements, design documents, data flow diagrams, and led reviews for these deliverables and presales teams
• Worked on complex system software, and delivered a logical innovation saving client's cost in projects and implementations
• Assisted Alcor's sales team in researching key ideas, and enabling leadership articles, blogs, webinars, white papers, presentations, and case studies
• Sound knowledge of Provider Billing modules. Very good hands-on experience on following US Healthcare areas- Claims, Billing Cycles, Service, fee schedules, service codes, billing rules, patient demographics, Payers, Claim violations, Provider Reports, diagnoses codes and billing codes.
• Alcor provides cutting-edge technology expertise in the areas of IT strategy, analytics and advising clients in implementing it. Clients include Fortune 500 companies, government agencies, and behavioral health providers based in US.
• Client- Uplift Family Health services, California
• Project: Billing for Behavioral Health Provider Duration: Dec 2017 – May 2021
• Technologies: Jira, MS Excel, MS Word, Lucid chart, Oracle SQL, MS PowerPoint, MS SharePoint

• Worked on various aspects of insurance administration such as benefits, enrollment, products, dependent insurance and claims, and handled dual role of a BA and a QA Lead
• Involved in end-to-end testing of the Wynsure application which included reviewing the test cases in QC-ALM created by the team
• Worked on different Aflac Supplementary Insurance products- Critical illness, Hospital Indemnity and Accident.
• Created BRD/FRD for long-term projects
• Reported the defects in ALM; retested and closed it once fixed with the QA team
• Involved in review of high-level test scenarios and test estimation created by the test team, and also assigned daily tasks to the team and reviewed requirements
• Participated in daily status calls with onsite SMEs for resolution of team issues
• Worked on Agile iterative mode, actively participated in client demos, requirement meetings, and defect triage meetings with onsite teams
• Coforge is a leading global IT solutions organization, enabling its clients with domain expertise, emerging technologies, with over 12,000 technical and process consultants across financial, insurance, and travel industries.
• Client- Aflac Insurance, US
• Project: GAS Project Wynsure Duration: Oct 2015 – Dec 2017
• Technologies: QC-ALM, CA Agile Central (Rally), Java, MS Excel, MS Word, MS Visio, MS PowerPoint

• Worked on all aspects of Healthcare Payer, and used concepts of healthcare insurance payer, providers, pricing, billing, enrollment, and claims
• Worked on EDI for claim processing and adjudication, eligibility checks, pre-authorizations, COB, claim denials/pend/review reasons, COBRA, HIPAA, codes using ICD 9/ICD 10
• Created, executed, and reviewed test cases and scripts in test plan in Quality Center
• Worked on EDI files and its transactions such as EDI 834, 837, and more
• Planned test schedules/strategies in accordance with the project scope
• UHG is committed to leading development of modern, progressive, and effective health systems globally through innovating, collaborating and discovering business practices and technologies.
• Client- Sutter Health, California
• Project: Health Edge Application Testing Duration: Mar 2013 – Jul 2013
• Technologies: ASC X12 EDI Files, ASP.NET, Quality Center-ALM, MS SharePoint, MS Word, MS Excel

• Created and reviewed test cases and scripts in test plan in Quality Center
• Tested the functionality and UI of the HRMS Site according to the requirements
• Executed the test cases in Quality Center and logged defects
• Intercontinental Consultants and Technocrats, ICT is an ISO 9001:2015 certified company, and a leading international consulting firm in highways, structures, airports, urban infrastructure and involved in socio-economic and environmental impact assessments.
• Client: In-house
• Project: ICT ‘INTRANET' and HRMS Duration: Sep 2012 – Jan 2013
• Technologies: QC ALM, MS SharePoint, MS Word, MS Excel

• Coordinated with clients (project managers/business analysts) to understand the business requirements, wrote test cases by referring OHI implementation strategies
• Worked on the principles of Agile methodology
• Worked on claim adjudication, enrollment, payer benefits, business rules functionalities
• Tested critical functionality of the ‘Oracle Health Insurance' application with in-depth system integration and functional testing to find bugs in the system
• Tested functionalities such as claim adjudication, billing rules, enrollment and eligibility
• Tested all claim adjudication scenarios on OHI application, and test scenarios of migration of Amisys platform to OHI
• Executed test cases, reported defects using Quality Center, and used SoapUI tools to test few of the modules
• NTT Data operates in more than 50 countries, offers an advanced portfolio of consulting, application, business process, and infrastructure services. Worked on two different projects as mentioned.
• Client- Harvard Pilgrim Healthcare, Massachusetts, US
• Project: OHI Implementation and Testing Duration: Apr 2008 – Feb 2012
• Technologies: SoapUI, XML, SAS Tool, QC-ALM, MS SharePoint, MS Word, MS Excel, SQL, MS PowerPoint