NITHIN JAYASANKAR

• Define product strategy for Highmark Credentialing licensed product of worth $2.5M
• Launch of product results in saving of $300K
• Work on Product discovery and concept validation with multiple
  stakeholders in Payer space
• Defining the product segmentation by working with • Marketing team.
• Articulate multi-year roadmap and lead product teams to contribute against strategized OKRs.
• Define success metric and drive product towards Market fit.
• Coordinate with Readiness & Adoption to team to ensure users are
  accustomed towards the new product.
• Coordinated project planning and execution with team to ensure goals are met for 2025.

• Working as Product Owner for developing Advanced Analytics for HEDIS Measures. Graphical representation of Measures to ensure Stakeholders are getting actionable insights.
• Leading $2M HealthEdge Implementation for Claims, Payment, Enrolment.
• Worked as product consultant for Integration + product.
  Collaborated with Implementation teams to identify the product gaps based on feedback.
• Multiyear Roadmap preparation by working with Product leadership with feedback inclusive.
• Achieved the goal by reducing 30 man days for each implementation which saves $8K/Implementation

• Redesigned $1.5M, Payment processor product to attain scalability and adaptation to market changes.
• Aligns the product with Organization goal focusing on faster processing of Healthcare Payments
• Strengthens information management system across projects in Confluence
• Work with UX and come up with mock-ups and hi level fidelity screens using Invision
• Collaborated with business users and subject-matter experts to establish overarching Product vision, Road map and analysis for business usability and performance requirements
• Helps Organization in implementing values of Agile Mindset.

• In $20 million Revenue Cycle Management Product, Payment Integrity Compass which is deployed in Healthcare Providers in the US
• Incorporated with the Product team and improved the efficiency of very manual contract management process which lead to 90% reduction in effort and 50% increase in speed to market
• Medicaid Process Lead - Oversee and Automate all the regulatory updates related to Prospective Payment system published by Medicaid
• Working on the planning phase of the implementation and set the road by showcasing the project management skills
• Preparing User stories and Acceptance criteria for the Business Requirement and take part in Backlog Refinement session to help the engineering team to prioritize the new features.

• Represented the business side of EDI and served as an intermediary between the business and developmental side to resolve day to day transmission issues and to improve the process by proposing new ideas
• Interact with developers on linkage failures at both the payer's and at my end to resolve transmission issues
• Developing Business Cases for US Healthcare BCBS Routing and
• Automating the claim submission process
• Collected key escalation contacts at the payer/clearing house ends for immediate reach out and improve the resolution rate to reduce the business impact.
• Part of Agile transformation in Athenahealth

Senior Process Executive (2010 - 2012)
Started professional career in Pilot Claims process (Pioneer BPO Project in Coimbatore location)
Trained on handling multiple claims types (Pharmacy , HCFA , Facility)
Business Analyst (2012 - 2014)
Moved to application development team as Business Analyst through internal movement.
Handled maintenance and enhancement of Bill Review 4 claims engine.
Worked on update of BRD based on the new enhancement and create user stories.
Delivery model was waterfall.