Prachi S Gawde

Diligent Senior Manager with over 20 years of experience maintaining seamless business operations for US payer and provider clients. In-depth knowledge of operational and client relationship management. Highly-motivated employee with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.

• Enhanced the production efficiency of over 100 FTEs in the back-office process from 87% to 95% within six months as a deputy manager.
• Initiated and secured client approval for a new 20 FTE team for member appeals and grievances. Led the training and transition of a 34 FTE team, achieving a 90% throughput at Wipro's Atlanta, GA location.
• Certified in Six Sigma Green Belt with a quality improvement project for the US claims process, yielding a savings of $60k each quarter.
• Mentored team members in career development, resulting in nine promotions within a year. Earned client praise for consistently maintaining a 0% appeal rate over one year, surpassing the target of 17% in 2013, while overseeing a team of quality analysts.
• Completed Lean training and a project on misroute reduction from 20% to 7%, saving $5k annually.
• HIPAA certified and completed AHM 250 training through AHIP.
• Participated as a Six Sigma team member in a project focused on Training Throughput and CSAT improvement.
• Honored as the best SME for the Kolkata location and recognized for exceptional support during my tenure. Successfully managed the transition of over 35 trainee batches from training to operational floor as an OJT SPOC.
• Awarded as the best CCP overall in Airoli twice, from January 2004 to July 2005.