Summary
Overview
Work History
Education
Skills
Certification
Languages
Hobbies and Interests
Accomplishments
Languages
Timeline
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Mannu Kumar Prasad

Hyderabad

Summary

Results-driven Senior Analyst with expertise in credentialing data at Global Healthcare Exchange. Proven ability in data analysis and team leadership, enhancing compliance and operational efficiency. Skilled in report preparation and problem-solving, delivering actionable insights that drive process improvements. Committed to fostering collaboration and achieving organizational goals.

Overview

7
7
years of professional experience
1
1
Certification

Work History

Senior Analyst - Credentialing Data

Global Healthcare Exchange
Hyderabad
04.2024 - Current
  • Company Overview: Global Healthcare Exchange, is a software company that provides healthcare supply chain management and data automation services.
  • Meticulously verify documents of healthcare providers and their representatives, ensuring accuracy and completeness.
  • Prepare and maintain various reports and data summaries for leadership, providing key insights into credentialing operations.
  • Regularly review credentialing processes to verify compliance with policies, workflows, and service level agreements.
  • Collaborate with the team to identify process improvement opportunities and escalate them to leadership with well-defined proposals.
  • Lead special projects, conducting research, tracking progress, and providing regular status reports.
  • Achievements/Tasks

Senior Associate (Elevance Health)

Sutherland Healthcare Solutions
Hyderabad
10.2021 - 01.2024
  • Company Overview: Sutherland is a global provider of business process and technology management services who rethinks & rebuilds business processes for the digital age.
  • Conducts regular audits and reconciliations to identify discrepancies and resolve issues promptly.
  • Conduct thorough verification and credentialing of provider information, including licensure, certifications, malpractice insurance, and accreditation.
  • Serve as the primary point of contact for provider outreach and status updates, liaising between clients and Sutherland management to ensure seamless communication and resolution of issues.
  • Manage Elevance Health providers' credentials with the practice and Insurance panel, ensuring compliance with regulatory standards and contractual requirements.
  • Prepares and presents reports on transaction processing metrics, highlighting key performance indicators and areas for improvement to senior management.
  • Achievements/Tasks

Customer Service Supervisor

The Oberoi Group
Hyderabad
05.2018 - 10.2021
  • Served as a team leader for 15 customer service representatives.
  • Set performance targets, provided feedback, and conducted regular performance evaluations.
  • Developed and delivered customer service training programs to enhance team skills and knowledge.
  • Achievements/Tasks

Education

Bachelor of Science - HM

Madurai Kamaraj University
Hyderabad
04.2018

Skills

  • Sales Force
  • Ring Central
  • Data analysis
  • Vendormate
  • Credentialing
  • Problem-solving abilities
  • Team Leadership
  • Customer Feedback Analysis
  • Goal-Oriented
  • Ms Office( Excel, Power point, Word)
  • Excellent verbal and written communication
  • Team collaboration
  • Data visualization tools
  • Report preparation

Certification

  • Data Analytics Job Simulation- Deloitte
  • Introduction to Structured Query Language (SQL) - Coursera
  • Power BI - Simplilearn

Languages

English Full Professional Proficiency, Hindi Full Professional Proficiency

Hobbies and Interests

Photography, Cooking

Accomplishments

  • Received Spot Award for outstanding performance in Q3 and Q4 at GHX.
  • Received "Best Employee of the Quarter" award for exceptional leadership, outstanding performance, and consistently surpassing performance targets at Sutherland Healthcare Solutions.
  • Received "Star Performer" award for outstanding contributions in Q3 2023 at Sutherland Healthcare Solutions.

Languages

English
First Language
Hindi
Advanced (C1)
C1

Timeline

Senior Analyst - Credentialing Data

Global Healthcare Exchange
04.2024 - Current

Senior Associate (Elevance Health)

Sutherland Healthcare Solutions
10.2021 - 01.2024

Customer Service Supervisor

The Oberoi Group
05.2018 - 10.2021

Bachelor of Science - HM

Madurai Kamaraj University

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Mannu Kumar Prasad