GIRISH KALAUNI
Gurgaon
Summary
Experienced Lead Associate with 4.5+ years of experience working for a Fortune India 500 company and a US-based organization. Specialized in the IT Healthcare sector, I excel at driving efficient operations and ensuring smooth process flow. Proficient in various programming tools and languages, I have extensive knowledge in Data Analytics. Committed to continuous skill development and professional growth. Known for generating innovative ideas for unique technical algorithms, setting me apart in the industry.
Overview
11
11
years of professional experience
Work History
Lead Associate - Intelligent Automation
R1RCM
01.2023 - Current
- Manage performance metrics and initiatives
- Analyze data to identify process gaps, generate reports, and share insights aimed at improving metrics
- Effectively interact with counterparts and stakeholders independently
- Prepare and test functional test cases, demonstrate BOT functionalities, and assist clients during User Acceptance Testing (UAT)
- Design and implement new automation solutions tailored for the healthcare sector, focusing on both payers and providers
- Be part of the Practice to build new offerings and drive growth in automation space
- Engage in proposal development and business demand generation efforts
- Conduct opportunity assessments to identify potential Robotic Process Automation (RPA) initiatives and create strategic roadmaps
- Collaborate with business partners and subject matter experts to gather high-level requirements and capture business needs
- Provide innovative suggestions and effective solutions that align with client business objectives to enhance existing processes and design future workflows
- Clearly document and articulate business processes (AS-IS & TO-BE) using UML diagrams
- Coordinates project delivery by participating in design reviews and walkthrough to communicate the solution designs and validate proposed solutions with stakeholders
- Collaborate with delivery team to provide inputs for the solution estimates including new development efforts, enhancements, and ongoing operations
- Providing weekly reports to stakeholders pertaining to new updates and the success ratio of BOTs
- 7 Years 5 Months
Senior Associate - Intelligent Automation
R1RCM
05.2021 - 12.2022
- Prepare, test functional test cases, demo BOT functions and assist client during UAT
- Building new automation solutions around healthcare industry for Payer and Provider
- Be part of the Practice to build new offerings and drive growth in automation space
- Participate in proposals and business demand creation
- Responsible for conducting opportunity assessments, identifying potential RPA ideas and creating road maps
- Works with business partner, client SME’s to elicit high-level requirements and capture business needs
- Must be able to provide suggestions, deliver effective and innovative solutions that address the client’s business initiatives for the improvement of existing process and design-to-be flows
- Clearly articulate and document business process (AS-IS & TO-BE) flows using UML diagrams
- Capable of acting as a catalyst in understanding existing business process and effectively communicating the requirements (PDD, and functional specs) to the RPA development team
- Coordinates project delivery by participating in design reviews and walkthroughs to communicate the solution designs and validate proposed solutions with stakeholders
- Collaborate with delivery team to provide inputs for the solution estimates including new development efforts, enhancements, and ongoing operations
- Providing weekly reports to stakeholders pertaining to new updates and the success ratio of BOTs
- 1 Year 7 Months
Senior Analyst
R1RCM
09.2017 - 05.2021
- Responsible for training, mentoring and providing on-the-job (OJT) training to newly hired analysts
- Directly reporting to the manager and providing support on feedback and communication with the international clients
- Interacting with US Healthcare Utilization Management Team for securing various authorizations for financial clearance
- Working on Websites/Applications-tools for performing activities as per the SOP to maintain compliance and ensure Non-Disclosure of any PHI
- Using HL7 Technology for tools & host system database
- Implementing run-query for sorting and finding all data related to user/ member from the database at a larger scale comparatively
- 3 Year 8 Months
Backend Executive
Genpact
01.2014 - 03.2017
- Reconciliation of Genpact Office Suspense Account (OSA)
- Generate the weekly, monthly and yearly report
- Reconciliation of Banker Office Suspense Account (OSA) for NAB states and their Branches
- Reconciliation of fees accounts which include Government fees and Bank Fees
- Research on discrepancies in transactions in the accounts related cash and raise the same to respective person or respective team
- Handling more than 900 accounts which include Office Suspense Account, Fees Account
- Liaising with clients on issues related to cash and fees
- Validating onshore errors of Checkers, Makers and Quality People
- Training and mentoring new people
- Quality check of the work done by the makers and checkers
- Loan account closure and product swapping according to the customer’s request
- Undertaking responsibilities of removing unnecessary procedures in process for efficient functioning
- Analyse process updates shared by the client and responsible for the preparation of Standard Operating Procedure
- Track process hits and misses on regular basis and interact with client to resolve queries
- Prepare and Conduct the process knowledge test on monthly basis to evaluate adaptability of team to the updated processes
- Handling quality call with client (if required) and making an action plan for a team
- 3 Years 2 Months
Education
B.Com -
CCS University
01.2013
SSC - undefined
CBSE
01.2009
Matriculation - undefined
CBSE
01.2007
Skills
- Data-Analytics -Visualization
- Advanced Excel proficiency
- Database querying
- Data visualization expertise
- Power BI data visualization
LNGG
English
Hindi
Accomplishments
- Honored as star of the month for the month of September 2014 to December 2014.
- Awarded Bronze medal by Assistant Vice President for outstanding performance in AML and NAB process.
- Awarded Shining Star medal by client side of NAB for outstanding performance in NAB process.
Timeline
Lead Associate - Intelligent Automation
R1RCM
01.2023 - Current
Senior Associate - Intelligent Automation
R1RCM
05.2021 - 12.2022
Senior Analyst
R1RCM
09.2017 - 05.2021
Backend Executive
Genpact
01.2014 - 03.2017
SSC - undefined
CBSE
Matriculation - undefined
CBSE
B.Com -
CCS University
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