Shreekanta Sahu
Healthcare IT & Consulting
Hyderabad
Summary
Experienced healthcare technology professional with over 18 years of experience in the US healthcare payer domain. Proven expertise in consulting, pre-sales/sales support, project delivery, and product development.
Expertise in the healthcare payer/payvider business functions and IT ecosystem, with a strong track record in implementing core administrative processing systems and building BPaaS capabilities.
Demonstrated ability to develop and execute business development strategies for payer core applications, digital transformation, and BPaaS. Proven experience in supporting sales activities, including proposal, RFP, and SoW.
Proficient knowledge of various US Healthcare Payor work-streams, encompassing Claims Management, Provider/Network Management, Payment Integrity, Medical Management, Premium Billing and Payment, Member Management, and Benefits Management.
Overview
20
20
years of professional experience
5
5
years of post-secondary education
5
5
Certificates
Work History
Sr Healthcare Consultant-III/Sr Director
CitiusTech Healthcare Technology Pvt Ltd
Hyderabad
12.2020 - Current
- Providing expert advice to payers and provider-sponsored health plans on enhancing operations, digital transformations, improving interoperability, and evaluating IT systems.
- Supporting strategic growth and business development of payer core applications practice and BPaaS by providing sales/pre-sales activities, including proposals, RFPs and SoW preparation.
- Setting up and managing HealthEdge/HealthRules Center of Excellence in partnership with HealthEdge. Building BPaaS capabilities through solution and service design, resource planning, training, upskilling, and vendor selections.
- Managing team of technical and business specialists in requirement gathering, configuration, integration, and testing of HealthRules Payor.
- Providing project plans, estimates, and documentation for ongoing client needs and new customer opportunities, managing project stakeholders, teams, risks, schedules, and budgets.
- Conducting market research to uncover opportunities for partnership in healthcare IT, consulting, digital transformation, and emerging technology space.
- Identifying opportunities to engage external resources to provide solutions and contribute to the development of supporting documentation to facilitate appropriate vendor identification and selection.
- Sharing insights and thought leadership through writing, conducting, PoVs, PoCs, and product and solution ideations.
Lead Business Analyst/Product Owner
Product Management, Optum Global Solutions
Hyderabad
08.2018 - 12.2020
- Built Conversational AI Platform and designed virtual assistants (ChatBots) for Member Service Agents, Provider Service Agents, and Portal. Deployed for 3500 agents with 20% reduction in average handling time.
- Established product vision, created comprehensive business plan, and charted out roadmap. Created compelling value propositions aimed at relevant audiences to drive product planning and implementation.
- Collaborated with cross-functional teams and stakeholders to design effective solutions while maintaining alignment with business and product objectives.
- Developed necessary product collateral in conjunction with business partners. Ensured project documentation was kept up-to-date and communicated effectively to relevant stakeholders.
Senior Business Analyst
Healthcare Platform Practice, Optum Global Solution
Hyderabad
01.2013 - 07.2018
- Established the HealthRules practice within the Platform Practice portfolio and strengthened its capabilities by creating solutions and services, hiring resources, designing training programs, and developing accelerators and tools.
- Led HealthRules and Facets projects for both internal and external clients, offering comprehensive implementation support and acting as the subject matter expert for both platforms.
- Developed implementation frameworks specifically tailored for HealthRules, which were utilized in our commercial BPaaS offering.
- Successfully directed the design of benefit and pricing/contract configuration in Facets for the Medicaid/MMIS-BPaaS offering.
Associate Team Lead
NTT Data, Keane India Limited
Gurgaon
02.2007 - 12.2012
- Led various Health Insurance clients' implementations of new platforms – HealthRules (HealthEdge) and BenefitBuilder (NASCO)
- Led configuration of HealthRules: Benefit Configuration, Pricing Configuration, Provider Setup, Account Setup, Plan Design, Product Setup, Billing Cycle Configuration, Supplier Contract Configuration, Re-insurance Configuration, etc.
- Participated in onshore/remote process transition and ensured knowledge transfer to the team
- Designed and developed training materials and conducted training sessions. Led, mentored, and motivated team.
Operation – Executive
IBM Daksh Business Process Services Pvt. Ltd.
Gurgaon
05.2006 - 02.2007
Information Executive
Standard Data Pvt. Ltd
New Delhi
11.2003 - 05.2006
Education
Bachelor of Arts - Economics
Berhampur University
Odisha 05.1993 - 04.1996
MBA - Insurance
Amity University
Noida, India 04.2009 - 04.2011
Certification
FAHM®: Fellow, Academy for Healthcare Management from AHIP
Timeline
Sr Healthcare Consultant-III/Sr Director
CitiusTech Healthcare Technology Pvt Ltd
12.2020 - Current
Lead Business Analyst/Product Owner
Product Management, Optum Global Solutions
08.2018 - 12.2020
Senior Business Analyst
Healthcare Platform Practice, Optum Global Solution
01.2013 - 07.2018
MBA - Insurance
Amity University
04.2009 - 04.2011
Associate Team Lead
NTT Data, Keane India Limited
02.2007 - 12.2012
Operation – Executive
IBM Daksh Business Process Services Pvt. Ltd.
05.2006 - 02.2007
Information Executive
Standard Data Pvt. Ltd
11.2003 - 05.2006
Bachelor of Arts - Economics
Berhampur University
05.1993 - 04.1996
Skills
Healthcare Payer Domain Expertise
Payer IT Systems Ecosystem
Core Platforms Implementation
BPaaS (Business Process as a Service)
Delivery Oversight and Project Management
Regulatory and Compliances
Data Analysis
Strategic Planning
Market and Industry Knowledge
Develop/Manage Client Relationships
Pre-Sales and Business Development
Product Development
Awards & Recognition
- Selected for Keane Sponsored MBA (3 Years) program in 2008 (NTT Data)
- Awarded with Gold Club (Young Leader Development Program) Certificate (NTT Data)
- Awarded with Champion Award in 2007 & 2008 (NTT Data)
- Awarded with Outstanding Contribution Award in 2010 (NTT Data)
- Awarded with Star Award for the Month of May 2014 (Optum Global Solutions)
- Awarded with SustainEdge Award in the Year 2016 (Optum Global Solutions)
- Awarded with Amethyst Award in the Year 2018 (Optum Global Solutions)
- Recognized as Key Employee in the year 2022 (CitiusTech)
Awards & Recognition
- Selected for Keane Sponsored MBA (3 Years) program in 2008 (NTT Data)
- Awarded with Gold Club (Young Leader Development Program) Certificate (NTT Data)
- Awarded with Champion Award in 2007 & 2008 (NTT Data)
- Awarded with Outstanding Contribution Award in 2010 (NTT Data)
- Awarded with Star Award for the Month of May 2014 (Optum Global Solutions)
- Awarded with SustainEdge Award in the Year 2016 (Optum Global Solutions)
- Awarded with Amethyst Award in the Year 2018 (Optum Global Solutions)
- Recognized as Key Employee in the year 2022 (CitiusTech)
Awards & Recognition
- Selected for Keane Sponsored MBA (3 Years) program in 2008 (NTT Data)
- Awarded with Gold Club (Young Leader Development Program) Certificate (NTT Data)
- Awarded with Champion Award in 2007 & 2008 (NTT Data)
- Awarded with Outstanding Contribution Award in 2010 (NTT Data)
- Awarded with Star Award for the Month of May 2014 (Optum Global Solutions)
- Awarded with SustainEdge Award in the Year 2016 (Optum Global Solutions)
- Awarded with Amethyst Award in the Year 2018 (Optum Global Solutions)
- Recognized as Key Employee in the year 2022 (CitiusTech)
Awards & Recognition
- Selected for Keane Sponsored MBA (3 Years) program in 2008 (NTT Data)
- Awarded with Gold Club (Young Leader Development Program) Certificate (NTT Data)
- Awarded with Champion Award in 2007 & 2008 (NTT Data)
- Awarded with Outstanding Contribution Award in 2010 (NTT Data)
- Awarded with Star Award for the Month of May 2014 (Optum Global Solutions)
- Awarded with SustainEdge Award in the Year 2016 (Optum Global Solutions)
- Awarded with Amethyst Award in the Year 2018 (Optum Global Solutions)
- Recognized as Key Employee in the year 2022 (CitiusTech)