Certified SAFe Product Owner / Product Manager, leveraging 11+ years of experience in the IT industry, specializing in Product Management and Business Analysis.
Proven track record in managing complex IT projects, consistently exceeding expectations and delivering high-quality products.
Expertise in healthcare claims adjudication (Payor & Provider), requirement gathering, and requirements documentation.
Skilled in gathering business, functional, and non-functional requirements, and documenting specifications.
Adept at manual testing, UAT, and writing test cases for various business scenarios.
Proficient in SQL, with hands-on experience in writing complex queries and retrieving healthcare or business reports.
In-depth knowledge of healthcare payer areas including membership claims, benefits, eligibility checks, ICD10, HIPAA, and HCPCS.
Strong analytical skills with expertise in research, root cause error analysis, and data analysis on large data sets.
Excellent communication skills, capable of engaging effectively with client executives and their teams.
Strong interpersonal skills, adept at facilitating discussions and negotiations with stakeholders, and recognized for delivering complex projects on time.
Perceptive Senior Business Analyst with [8] years driving successful business processes for [Type] companies. Dedicated to maximizing impact of key performance metrics to enhance and expand business operations.
Known for leveraging both macro and micro-scale analyses to generate holistic images of ongoing business operations for immediate actionability.
Overview
11
11
years of professional experience
4
4
Certifications
Work History
Senior Business Analyst (Product OWNER)
Encora
6 2023 - Current
Defined and communicated the product vision and strategy for the 340B contract pharmacy application, aligning with organizational goals and market needs
Collaborated with stakeholders including pharmacy administrators, developers, and end-users to gather requirements, prioritize features, and maintain a product backlog
Crafted detailed user stories with acceptance criteria, ensuring clear communication of requirements to development teams and stakeholders
Identified and defined key features and functionality for the 340B contract pharmacy application, creating and maintaining a product roadmap to guide development efforts
Perform Data Analysis to come up with requirement for loading the data and parameters to consider while updating it to data base
Successfully delivered the Framework Starter Kit for the 'Contract Pharmacy' application, the first investment from Encora's DAP unit
Recognized by the VP for seamless delivery, enabling Equiscript to become the first client to leverage the product
Delivered all required features within the 12-month deadline
Worked on Fax Transformation, initiating request for Drugs that require Prior Authorization and Provider Outreach Assistant, designed solution with RPA and hybrid solution of both Cognitive and RPA
Analyzed existing business processes to identify areas of improvement and inefficiencies
Interact with business stakeholders and investigate business problems and opportunities using root cause analysis and building relationships with all key stakeholders and experience in conducting interviews to gather customer requirements and provide all adequate information to Automation Director to create CBA and help to prioritize opportunity
Identify and prioritize technical and functional requirements and help PO developing (user stories grooming sessions) of the business requirements to ensure that requirement specifications are correctly interpreted and conceptual customer requirements into functional requirements in a clear manner that is comprehensible to developers/project teams in the form of User Stories
Understand and negotiate the needs and expectations of multiple stakeholders - Stay current with customer needs and strategies
Engaging various stakeholder to understand the pain area with existing application and discuss features that they would like to see on the new application and onboard the stakeholder with new solution
42% increase in speed of clearing the fax backlog
24% increase in response rate from providers
Technologies used: UiPath, UiPath Orchestrator, C#, DB Visualizer, Jenkins, CI/CD Tools used: Rally, Visio, MS Office, SharePoint
Pharma Benefit Analyst/Sr. Test Engineer/qa LEAD
Optum Global Solutions (United health GROUP)
06.2013 - 08.2016
Responsible for preparing the test plan, testcases, test data and test execution and test results report and coordinate with Data analyst, development, BA and product owners (PO) on regular basis to track the automation requirements and presenting the business demo to stake holds (onshore partners)
Communicated test progress, test results and other relevant information to project stakeholders and management, supported and identified continuous improvements within testing processes
Worked closely with the program management and development teams to drive quality through design and implementation, ensured that appropriate quality metrics and goals were defined and tracked throughout the project lifecycle
Able to lead test activities across all the different phases of testing from test planning to test execution to test reporting
Performing testing on the data scripts provided by data analyst team to identify only required data coming through the quire designed
Perform regression testing after each new build of the application
Send the UAT test cases to business for approval
Schedule call with clients and give the demo on the application developed
Track the performance of Application post deployment as part of Hypercare and send the report daily for 3 to 10 days depends on process
Responsible for the configuration of benefits and set-up of formularies, client and pharmacy pricing, and pharmacy networks in RxCLAIM to support of the adjudication of pharmacy claims
Analysed existing business processes to identify areas of improvement and inefficiencies.