Summary
Overview
Work History
Education
Skills
Websites
Certification
Languages
Timeline
Generic
Pallavi Yenpure

Pallavi Yenpure

Pune

Summary

Experienced Business Analyst/Product Manager with a strong background in US healthcare complemented by extensive leadership experience in operational solutions HEDIS and MIPS and MACRA. Adept at analyzing complex business processes to drive efficiency and enhance patient outcomes.

Results-driven management professional with proven ability to lead teams to success. Strong focus on team collaboration, operational efficiency, and achieving measurable outcomes. Adept at strategic planning, process improvement, and fostering culture of accountability and excellence. Known for adaptability and consistently meeting changing organizational needs.

Overview

19
19
years of professional experience
1
1
Certification

Work History

Manager- Operating Solutions

Cotiviti
02.2021 - Current
  • Requirement gathering, buisness analyst, product manager who conducts gap analysis and have authored and solutioned core projects with documentation of BRD, User stories, Epic, features creation in JIRA, streamlining, cross-functional coordination for post pay tool creation or enhancement, boosting team productivity by 25%.
  • Create design work flows, Visios, to ensure cohesive project execution.
  • Led the end to end planning and management of the post pay products, with driving seamless collaboration across teams for around 5 years.
  • Conduct demos, implementation, user training, user acceptance testing, resulting in delivering solutions with 90% success rate.
  • Manage stakeholder communication and feedback loops, contributing to a 30% improvement in post launch user experience.
  • JIRA, Wireframes, tableau, visio

Manager CRA

FIGmd, Inc.
12.2016 - 03.2019
  • Business Analyst/Product Manager/SME to develop and maintain the measures for MIPS and MACRA, Medicare Star ratings, HEDIS MEASURES, CMS program and the QCDR registry measures. Involved in product requirement gathering activities along with the developers with the stakeholders i.e. the registries ACOG, ABFM etc.
  • Measures are identified & analyzed constraints & risks if any are highlighted in delivering the measure set as a product.
  • Stakeholder communication i.e with the clinical Data Registries.
  • Data extraction strategies using Healthcare IT Interoperability, Disease Registries, Patient Registries, Population Health Management, EHR, Clinical data Quality, Clinical Data measurement, Automated EHR extraction, Payers, and Doctors to submit the measures in time.
  • Familiar with ETL process and data extraction.

Sr Research Analyst

Cotiviti
02.2012 - 11.2016

Pilot batch, content team, Rule review with travel to Atlanta Office US.

Research Analyst Life

Principal Global Services
02.2008 - 06.2010

Claims Analyst

MEDI ASSIST INDIA TPA PRIVATE LIMITED
02.2007 - 01.2008

Education

PGDHHM - Hospital And Healthcare Management

Symbiosis Institute of Business Management
Pune
01.2010

BHMS -

Savitribai Phule Pune University
Pune
01.2003

Skills

  • Business Analysis with requirement gathering and Stakeholder Management
  • HEDIS measures, CAHPS, PQA, Medicare Star Ratings
  • Payer side of US healthcare business, HL7 training
  • Agile Methodologies (SAFe Agilist, SAFe PO/PM), Product Management (PMP Training), User experience, Product development, FWA

Certification

  • Sep 2022 - SAFe 5 Agilist
  • Aug 2022 - A Manager's Guide to Inclusive Teams
  • Aug 2022 - Confronting Bias: Thriving Across Our Differences
  • Dec 2021 - Conflict Resolution Foundations
  • Jul 2021 - Certified SAFe 5 Product Owner/Product Manager
  • May 2012 - Certified Professional Coder (CPC)

Languages

English
Hindi
Marathi

Timeline

Manager- Operating Solutions

Cotiviti
02.2021 - Current

Manager CRA

FIGmd, Inc.
12.2016 - 03.2019

Sr Research Analyst

Cotiviti
02.2012 - 11.2016

Research Analyst Life

Principal Global Services
02.2008 - 06.2010

Claims Analyst

MEDI ASSIST INDIA TPA PRIVATE LIMITED
02.2007 - 01.2008

PGDHHM - Hospital And Healthcare Management

Symbiosis Institute of Business Management

BHMS -

Savitribai Phule Pune University
Pallavi Yenpure