Prithwi CG

As a seasoned Team Lead (CSM) I specialize in building strong client relationships and providing exceptional credentialing service and Trizetto SaaS services relating Billing, EDI, Pulse provider portal, RCM software products. With a strong background in account management, I excel at understanding client needs, identifying growth opportunities, and implementing effective strategies. Proficient in best practices, market trends and regulatory requirements of industry operations. Talented leader with analytical approach to business planning and day-to-day problem-solving.

• 6 σ Black Belt Certified, Cognizant & AIGPE
• Certified process mapping specialist.
• Certified ScrumMaster, CSM, 1575736- Expired
• JIRA, Udemy Sponsored by (CTS)
• Microsoft Visio,Power BI Desktop service and Intermediate Excell.
• Cisco certified DATA analyst

• Coral award for 2 consecutive years. (For clearing the Auth denial over 2000+ Claims)
• Amber Award for 4 consecutive quarters. (For Generating the Highest invoice by retaining the Escalated clients)
• Received excellent rating of 4.5 out of 5 consistently last 3 years from clients for the quality of services.
• Received best performing team award for the year 2024 and 94% in Team health Study conducted by External audits.
• Used Microsoft Excel, UI path and Salesforce dashboard automations to develop inventory tracking spreadsheets, Productivity tracking, Client Process tracking to keep the transference with minimal resources.
• Received Valuable resource recognition from the Chairman of CTS Rajesh Nambiar (2020) for tend support in the time of COVID Situation for implementing the best BCP across BLR process.

• Lead & supervise a team of 15+ Senior Associate and Working on difference aspects of Credentialing and managing the workflow
• Working on over 25+ sites / facilities across 50 states for credentialing and other services over 200+ Successful and happy clients
• Generating status reports, Adherence report and invoice creating for the client.
• Negotiating the pricing and onboarding the clients for Trizetto software tools which includes implementation of tools to the client facilities with pricing of subscription, one-time payments and addon services cost.
• Helping Sales director and being the face to the client as a CSM to Trizetto clients easing the process of on boarding price negotiation and fulfilling the client requirement to their business.
• Managed a cross-functional team of 10 in 2 locations (Bangalore and Hyderabad), ranging from entry-level analysts to Midmanagement, and collaborated with business development, process improvement, process waste management, process mapping, and operations.
• Responsible for overall reconciliation, settlements, refunds and chargebacks process. Led as a product owner, overseeing the creation of an efficient inhouse dashboard to streamline technical complexity, enabling non-technical support members.
• Played a key role in decision-making processes related to product enhancements, process changes, and project timelines.
• Serving as the dedicated Customer Success Manager for our top 3 strategic clients, ensuring tailored and unparalleled support to meet their unique needs and foster long-term success partnerships.
• Managed high value and Escalated clients to retain their business, with a success rate of
• I designed a few aspects of the process to address it using automation and increased
• I worked on a special project with a revenue of $80,000 within 60 business days and received best employee of the month, Coral, and Six Sigma green belt awards.