Summary
Overview
Work History
Education
Skills
Certification
Languages
Timeline
Generic

NIKITA VASUDEVA

Noida

Summary

Well organized and resourceful PMP certified professional with 13 years of experience in healthcare domain. Strong analytical, problem-solving, conceptual skills and proven ability to establish and maintain excellent communication and relationships with clients. Worked as both Project Manager and Scrum Master.

Overview

13
13
years of professional experience
1
1
Certification

Work History

Project Manager

Cognizant
01.2024 - Current
  • Working as Product Manager cum WTW insurance company
  • PMI - PMP certified Project Manager.
  • Working on transition project where taking all the necessary KT handover from existing vendor.
  • Managing team of 20+ resources
  • Responsible for RFP , SOW docs preparation
  • Performing six agile ceremonies for every release.
  • Involved in team engagement and making sure no impediments are resolved quickly.
  • Daily interaction with client on service review ( weekly and monthly too)
  • Track key milestones in projects where the internal and external deliveries are concerned
  • Assist the PMO in administrating the resources used in the projects & tasks
  • Administers and document the status of project portfolio, assist in the development of project management methods, system, techniques, to ensure the continuous improvement of the organization, capabilities in project management.

Senior Business Manager

HCL Technologies
07.2021 - 01.2024
  • Worked as Product Owner and provided support for Ikasystems end to end functionalities to six BCBS subsidiaries
  • Worked as Transition lead for HCL for one of the BCBS account during transition from HCL to other company
  • Conduct demos & presentations for SOC audits to external auditors for the client
  • Taking care of member engagement, provider's office, medical billing, health insurance
  • BPO module capturing call records , patient registration & scheduling appointments
  • Also, pre-determination and prior authorization
  • Verification & validation of medical counter - diagnosis & procedures including SOAP notes, ICD , HCPCS , CPT codes, Demo & charge entry
  • Claims submission both E-claims via EDI 837 and paper claims (HCFA & UB)
  • Claims adjudication , adjustment and correction support and customization based on inclusion and exclusion rules of every client
  • Responsible for member engagements in federal insurance program of Medicare and Medicaid and Commercial Insurance Program - HMO, PPO, POS and EPO
  • Worked on Provider engagements - upload, edit and delete of provider contracts, provider payments one-on-one mapping with each physician -per diem, capitated, per episode, per service or monthly contracted
  • Involved in SLAs and RFPs for new projects
  • Providing training to new joiners on domain and application flows
  • Demos to the client on new/changed implementation
  • Followed agile methodologies and Kanban development to focus on adaptive planning and change management
  • Managed team of 15+ resources

Senior Analyst

NTT DATA Ltd. (formerly called DELL International Services)
08.2014 - 07.2021
  • Understanding business requirements and new enhancements
  • Extensively involved in enrolments of subscribers (members) under various health programs of different health insurers
  • SME for 834 EDI enrolments (new, change, terms , reinstatement , renewals) - both group and individual enrolments
  • Preparation of edi files inbounds and outbounds which are HIPAA and business compliant for subsidized and unsubsidized subscribers
  • SME of Delinquency / dunning process (i.e., a failure to pay an outstanding debt by the due date) module in US healthcare
  • Year end annual enrolment period activities run like active renewals, changes, cancellations
  • Notices creation and generation for members , providers and payers - English and Spanish
  • Worked on NACHA files, lockbox payments verification
  • Worked as offshore lead to handle 10-12 resources
  • Leading Go-lives

Software Engineer

Religare Technologies Ltd.
07.2011 - 08.2014
  • Various types of testing of core modules like : Patient Registration, Appointment Scheduling, Ward Management, Bed management, Admission, Transfer, Discharge, Laboratory, EMR ,Blood Bank, General Masters, Billing, Dietary, Housekeeping, etc
  • Customization of patient registration module and other modules based on client needs and requirements
  • Lead for Life Care hospital implementation
  • Created blueprint and AS IS documents
  • Responsible for transition of waterfall methodologies to Hybrid Agile by creating epics, stories, sprints and taking approval from respective clients and stakeholders
  • Ensuring accurate release of system builds Analyzing business/client requirements
  • Created user stories and executed them
  • Performed effective defect tracking and reporting to ensure timely release of every build
  • Preparing defect reports
  • Part of UAT team
  • Coordinating with business teams
  • Root Cause Analysis Implementation: Demos to super users on various applications of product
  • Product training to the users
  • User acceptance test cases and scenarios preparation and executing them on client environment
  • Master data collection from users.

Education

PGDM (Executive) -

IMT-CDL

B.TECH (Information Technology) -

Jaypee University of Information and Technology

Higher Secondary Certification -

Sadhu Vaswani International School For Girls

Senior Secondary Certification -

Sadhu Vaswani International School For Girls

Skills

  • Healthcare Domain
  • Business Analysis
  • Document Management
  • Root Cause Analysis
  • Project Management
  • Project development
  • Resource Allocation
  • Project tracking
  • Project Planning
  • Schedule Management
  • Risk Management
  • Stakeholder Communications
  • Staff training and mentoring
  • Scope Management
  • Performance Improvements
  • Project scope analysis
  • Requirements Gathering
  • Presentations
  • Agile Methodology
  • Customer Relations
  • Conflict Management

Certification

  • PMP-PMI
  • ITIL - foundation
  • ISTQB - foundation
  • ISTQB - Advanced

Languages

  • English
  • Hindi
  • Spanish

Timeline

Project Manager

Cognizant
01.2024 - Current

Senior Business Manager

HCL Technologies
07.2021 - 01.2024

Senior Analyst

NTT DATA Ltd. (formerly called DELL International Services)
08.2014 - 07.2021

Software Engineer

Religare Technologies Ltd.
07.2011 - 08.2014

PGDM (Executive) -

IMT-CDL

B.TECH (Information Technology) -

Jaypee University of Information and Technology

Higher Secondary Certification -

Sadhu Vaswani International School For Girls

Senior Secondary Certification -

Sadhu Vaswani International School For Girls

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