Manager - Karnataka Operations (Optimus Medical Services)
Bengaluru,KA
Summary
Experienced professional with 9+ years in Insurance Coordination, Operations Management, and Research & Development. Proven success in managing non-IT transition projects, field operations, and project governance with a strong emphasis on stakeholder engagement and reporting.
Overview
16
16
years of professional experience
Work History
PMO Lead / Manager - Operations
Optimus Medical Services Pvt Ltd
Bengaluru
02.2022 - 02.2023
Led a statewide operational transformation project to streamline and monitor over 40 field officers' activities related to insurance backend verification.
Developed a centralized status reporting system, coordinated field resource allocation, and ensured stakeholder alignment for timely claim verification and data consolidation.
Tracked and managed field officers' (40+) assignments across Karnataka for insurance verification (cashless, RI, accident).
Oversaw project schedules and created weekly project health reports for leadership.
Monitored and ensured SLA adherence for case turnaround times (TAT > 92% for cashless).
Coordinated between Optimus and FO's in completing the primary screening of medical documents.
Coordinated with finance to reconcile field officer payments: bi-monthly cycle.
Collaborated with hospital staff, insured members, and internal stakeholders for primary data validation.
Supported transition projects (e.g., new empanelments, NABH alignment).
Handled stakeholder communication across internal departments and external insurance companies.
Conducted training sessions for new field officers to align with operational protocols.
Insurance Coordinator
Lotus Multispecialty Hospital
Bengaluru
04.2017 - 01.2022
Worked with TPAs for claim processing and empanelments.
Supported NABH affiliation process.
Processed corporate and retail claims and facilitated cashless services.
Prepared insurance claims for submission to insurance companies.
Enhanced customer satisfaction by efficiently handling insurance claims and processing policy updates.
Jr Scientist - R&D
Malladi Drugs & Pharmaceuticals
Hyderabad
06.2008 - 11.2009
Handled literature search and review, bench-scale synthesis, and process development.
Developed cosmetic ingredients and specialty chemicals.
R&D Chemist
Everest Organic Ltd
Sadasivapeta
11.2006 - 06.2008
Improved process yields and quality of products like Esomeprazole and Omeprazole.
Education
Master of Science - Organic Chemistry
Andhra University
Rajamahendravaram
04.2024 - 04.2006
Bachelor of Science - Chemistry
Andhra University
Rajamahendravaram
04.2001 - 04.2004
Skills
Project management
Operational readiness
Training development
MS Excel
Current Role
PMO Manager - Non-IT (Operations & Insurance Coordination), 02/01/22, 02/01/23, Optimus Medical Services Pvt Ltd, Bangalore, Karnataka, Leading project governance and reporting for insurance operations across Karnataka., Creating and maintaining dashboards for project schedules, escalations, and field officer performance., Coordinating field transitions, new TPA empanelments, and operational readiness., Managing stakeholder communication and providing support to transition teams., Working with finance to ensure reconciliation and timely disbursement of field payments., Supporting leadership with project status reports and continuous process improvements.
Salary Details
Rs. 4.0 Lakh / Annum, Negotiable
Personal Information
Date of Birth: 11/30/84
Previous Experience
Insurance Coordinator, Lotus Multispecialty Hospital, 04/01/17, 01/31/22, Worked with TPAs for claim processing and empanelments., Supported NABH affiliation process., Processed corporate and retail claims and facilitated cashless services.
Jr Scientist - R&D, Malladi Drugs & Pharmaceuticals, Hyderabad, Telangana, 06/01/08, 11/30/09, Handled literature search and review, bench-scale synthesis, and process development., Developed cosmetic ingredients and specialty chemicals.
R&D Chemist, Everest Organic Ltd, Hyderabad, Telangana, 11/01/06, 06/30/08, Improved process yields and quality of products like Esomeprazole and Omeprazole.