Sudhanshu Gupta
Project Manager
Greater Noida,UP
Summary
Experienced professional with 12+ years of expertise in executing projects to address organizational pain points. Skilled in project management, service delivery, training (learning & development), and business processes. Objective is to utilize qualitative and managerial skills to drive growth and foster professional development. Demonstrated success in managing multiple projects and delivering within tight timelines. Proficient in incident management methodology and strong customer management skills. Currently running and managing a SAP-based project for a challenging and prominent client (TCS) in the US and Canada. Pioneer in revenue cycle management (RCM) business with proven track record and extensive knowledge of US healthcare across different verticals. Specialized in hospital claims engagements and terminology, having worked with various hospital clients of different specialties. Involved closely in various transformation and automation projects, resulting in cost savings, time efficiency, and error-free delivery.
Overview
15
15
years of professional experience
1
1
Certification
Work History
Project Manager
TATA Consultancy Services Ltd
10.2020 - Current
- Following up with technology for smooth transitioning/ process transformation
- Stabilizing the process to accomplish steady-state operations & continuousprocess improvements
- Ensuring continuous improvements in service levels by benchmarking best practices
- Determining training needs of Executives & Process associates and designing / conducting need-based training programs to enhance their operational efficiency leading to increased productivity
- Evaluating effectiveness of training & development programs; formulating or reviewing training strategy and determining appropriate instructional methodologies andformats
- Managing two of the projects SAP Rx & SAP Automation for one of a largest
- Client across TCS
- SAP Rx Runops- A project caters all the incidents management related and served b mix of professionals
- SAP P2P, MD, MF, MDG, PTP, STIBO
- Managing the project by timely resolution of Incidents, P1, P2, P3, PBI & PKE’s
- Implementation of CRQ & Upgrades or Code Fixes
- A mix of 45 SAP professionals is reporting to me in terms of Resolutions, escalations & other basic people management attributes
- Rolled out more than 9300 Retail stores of TOP US Rx retail Chain retailer
- SAP Automation- A project based for automating all new and old opportunities for across the SAP
- Modules for - SAP P2P, MD, MF, MDG, PTP, STIBO, ARIBA, BASIS, RTE
- Running A team of 20 professionals expertise in different ABAP programs, Tcodes & other automation tools such as AI and generative AI , TCS ION are part of the team who provide solutions
- Identifying the use cases and key pain area, calculating the ROI , accumulating necessary approvals, get the solutions developed, Tested and implementation/ go live with crisp time lines
- Delivering the project with a mixed manpower of developers, Leads, Testers
- Deriving all the technical approvals and access related challenges
- Reviewing the ARD (Automation request Document) CRQ documents, validating ROI
- Core Action Areas- Daily interaction with Team, client, Status Check with the team, Deployment of
- Staff basis of need and specialty, MSR/WSR review with customer & Delivery Head.
- Successfully managed multiple projects simultaneously by prioritizing tasks according to urgency, resource availability, and alignment with organizational goals.
- Planned, designed, and scheduled phases for large projects.
- Identified plans and resources required to meet project goals and objectives.
- Monitored project performance to identify areas of improvement and make adjustments.
- Monitored progress against established goals, adjusting schedules and resources as needed to keep projects on track.
- Met project deadlines without sacrificing build quality or workplace safety.
- Established effective communication among team members for enhanced collaboration and successful project completion.
- Coordinated with cross-functional teams to resolve project issues and mitigate risks.
- Managed risk assessments and implemented mitigation strategies to minimize potential issues during project execution.
- Developed comprehensive project plans with clear timelines, milestones, and budget requirements, ensuring timely delivery of high-quality results.
- Coordinated cross-functional teams and resolved conflicts, maintaining a positive work environment throughout the project lifecycle.
- Prepared detailed reports on project status for stakeholders, ensuring transparency and alignment with objectives.
- Provided detailed project status updates to stakeholders and executive management.
- Developed strong relationships with stakeholders through regular communication updates, fostering trust and confidence in the team''s ability to deliver results.
- Collaborated closely with senior management to align project objectives with strategic company initiatives, ensuring that efforts contributed to overall business growth.
- Provided detailed technical and operational direction in project challenges, consistently meeting deliverables according to deadlines.
- Enhanced overall project success by conducting thorough post-project evaluations and incorporating lessons learned into future efforts.
- Coordinated material procurement and required services for projects within budget requirements.
- Negotiated contracts with vendors and suppliers, securing quality materials at competitive prices for efficient use of resources.
- Fostered a culture of innovation and creativity within the project team, leading to improved problem-solving capabilities and enhanced outcomes.
- Delivered exceptional customer satisfaction by proactively addressing client concerns and meeting or exceeding expectations throughout the engagement process.
- Implemented continuous improvement initiatives to optimize project outcomes while maintaining costeffectiveness.
- Created accurate budgets based on resource requirements, allowing for optimal allocation of funds across all aspects of the projects.
- Proved successful working within tight deadlines and a fast-paced environment.
- Oversaw implementation of new project management software, facilitating more efficient workflow and better project tracking.
- Improved client relationships, consistently meeting or exceeding project expectations and maintaining open lines of communication.
Team Lead- Team/Delivery
CapGemini Technology Services Ltd
12.2018 - 10.2018
- Handling a Team of 27 members who are posting payments for theclient
- Communicating with client on daily, weekly and monthly meetings on calls/emails to discuss and solve operational challenges, SLA, Escalations, Rush assignments and timelines
- Managing leaves, attendance, monthly individual ratings, taking one-o-one discussions, inventory management, SLA Management, work Allocation
- Updates communication, team building activities and several other supervising Activities
- Taking care of timely delivery of work and supervising the entire delivery management of assignedteam in terms of quality and productivity
- SLA – Taking care of SLA to meeting and always have a goal of over achievements
- Insuring each individual is achieving their assigned targets and providing them the verity of assignments to insure everyone is meeting their targets
- Arranging fun activities on Fridays as well Mondays to create a healthy and full of fun environments which boosts team moral and efficiency
- Possess in-depth knowledge of InfoSec rules, BCP plans and other major organization’s standard rules
- Implementation of new updates and effective communication with in the team
- Playing key role between the team and senior management for any kind of issues
- Application
- Compass
- Gwew
- CDR
- OA
- MS Excel
- MDR
- Internal application for people management.
Team Lead
CapGemini Technology Services Ltd
12.2016 - 01.2017
- Working with Transition Managers with Setup of New process, Learning the process as a sheet anchor and training the team after certification
- Identifying the area of improvements in terms of quality and setting the basic Sop of entire process
- Preparing the work flow and Key Processing Guidelines
- Successfully Transitioned 3 clients onboard with 0 Escalations
- Set up the targets for new process by testing Time and Motion practice and hindrance during processing
- Identified the areas where man power could be saved and shortened the processing steps
- Trimmed the lengthy steps to short and easy error free processing
- Worked as a subject matter expert.
Quality Analyst
iGATE Global Solutions Ltd
06.2013 - 12.2016
- Currently auditing quality of 25 executives who are posting payments, charges, working On AR and patient demographics for the client
- Quality: Insulating client from errors o Very consistently delivering the quality work o Using the feedbacks to enhance quality
- O Identifying issues are leading to errors in the form of RCA, CAPA reports, 5Yanalysis o Working with the team members to prevent errors
- Regularly providing feedbacks to team members to eradicate repeated errors, helping them with
- Shortcuts & several reports which can curtail key errors
- Applications: - o Velocity
- O Nat o Onbase o Entergy o Emdeon Tool o Citrix
Quality Analyst
E4E Businesses Services Ltd
10.2012 - 06.2013
- Conducted thorough root cause analyses on recurring defects, resulting in the implementation of effective corrective actions.
- Provided detailed reports on quality metrics to senior management, enabling informed decision-making regarding process improvements.
- Provided regular updates to team leadership on quality metrics by communicating consistency problems or production deficiencies.
- Collaborated with cross-functional teams to develop and implement targeted solutions for identified quality issues, ensuring continuous improvement.
- Identified process inefficiencies through meticulous data analysis, leading to streamlined operations and increased productivity.
- Analyzed quality and performance data to support operational decision-making.
- Developed and maintained quality assurance procedure documentation.
- Created and revised procedures, checklists and job aids to reduce errors.
- Led root cause analysis initiatives that resulted in significant reduction in recurring defects.
Billing Executive
MD Everywhere India Pvt. Ltd, Hospital Centre of Excellence
12.2009 - 10.2012
- Part of a team of 15 associates who are part of a medical billing end to end process part of RCM and who post charges, payments, handle denials through correspondence, follow up on account
- Receivables, sends documentation to the insurance company from the provider’s end and also ensure that
- EDI (Electronic Data Interchange) is current and free on rejections if any
- To cater to the team’s need and ensure targets set by the management team is met on a regular basis maintaining quality at its level
- Adding support to Sups via- Monitor productivity, quality, breaks, and client requests and reporting daily
- Analyze AR and strategize ways to reduce the same, having people follow up on carriers having high balances on the oldest bucket for which clients are always furious as it is almost the lost money
- Working on a Hospital Client been very deep understanding of Urology & Radiology CPT’s & Modifiers
- Also Worked on DME and Workers compensation related benefits
- With detailed knowledge of procedure and terminology
- Closely Worked with EDI team towards 100% submission of claims with low denial percentages
- Worked on Submission Failure and studied system behavior while submission of Claims, eradicated the triggers taking preventive majors before alterations of claims which helps saving rework challenges and
- Infrastructure cost
- Been cross trained in multiple segments such as Patient Services, Coding, and EDI, Collections, AR & documentations
- Applications being used
- Medical Manager Version 10.31.05/ I05 – A medical billing software which enables to enter, record, track and generate reports on all medical and hospital claims, submit and transmit the same through clearing houses to insurance companies making sure acceptance at 100percent
- Console – Database of all kind of documentation like payment EOBs scanned by client/team, charge tickets, encounters, operative reports, correspondence and denial EOBs, prebills and ageing reports in the form of batches so that each one of it is tracked by person, date workedand closed etc
- Every charge, Appointpro and I Scheduler – An application which enables clients/providers/office assistants to enter data like charges, patient demographics, proceduresetc so that the same is routed to Medical Manager to be worked by Team India
- It also checks eligibility with insurances automatically
- And advise on correct billing initiatives to doctors and hospitals
- Salesforce – It is a third party web based application which tracks issues/cases
- It facilitates timely closure of client issues, regular reminders to team on cases on high priority, escalatesolder cases automatically to the next level of hierarchy so that each and every issue drives attention to seek resolution
- The application generates reports client, department, team, manager andspecialty wise to deal problem areas at the best possible way
- ENS, Transaction manager and Direct Connect – A web based platform to submit all kinds of commercial, federal, worker’s compensation and No Fault claims via Electronic transfer or on paper CMS 1500
- Transworld – A third party collections agency where bad debts are sent to be collected for clients
- This implies to patient AR only
- Identify the different individual team member’s need for both direction and support
- Assist the team lead as a whole in achieving its task(s) and in operating together as an effective team
- Represent the team to and communicate with the relevant levels of management
- Encourage full participation, foster a positive team spirit, ensure that the team makes clear and consensus decisions and lead any presentations to management
- Take supporting responsibility for team decisions, progress, and results
- Call meetings and set the schedule for meetings
- Keep meetings on time and team progress on track
- Key Areas / goals/ objectives;
- Client performance: Is the nodal point of the client centric setup, responsible for client satisfaction and retention o Delivering and organizing functioning to ensure high collections and lowAR o Workload management by prioritized & judicious allocation of resources toachieve the above o Co-ordination with the teams at Client Services to achieve team goals for client satisfaction
- O Addressing client complaints and suggesting effective solutions seekingguidance where required o Providing innovative ideas to achieve and maintain client satisfaction andretention
- O Review of charges, Pmnts making sure these are tracked against the Target forthe month and the overall client expectations, raise flags if necessary o Analyzing trends for each client work flow patterns, issues with regard to pmntsand
- AR at the level of client delight
- O Reporting on client statistics for charges, Pmnts and AR, with the objectiveof achieving consistent client service delivery
- O Identifying issues on the Electronic submissions o Client profile updation, ensuring all recent client updates are available to allteam members for reference o Utilizing the Team meetings for discussions on client related issues updates and focus areas o Communicating with account mangers on the status of various projects underwayfor the client o Effectively handling client requests with quick turnaround times of 24 to 48 hrs,an interim response needs to be sent if the task is not completed in 24hrs
- O Periodic laying down of analysis of client performance
- Problem Identification / Analysis and Reporting: o Identify problems and suggest practical and effective solutions to client related issues
- O Timely reporting and action on troubling trends in clientperformance
- O Reporting effectively findings from team members /follow up / denial handling to the Team Lead and proactively seeking their resolution
- Productivity; productivity standards need to be maintained
- Achieving the defined Targets, and functioning at the optimum levels ofefficiency o Judiciously use resources o Maintaining the Yield meter and using it effectively to gauge teammember performance and efficiency o Daily productivity reviews o Timely completion of work to optimize the Team productivity o Encouraging the Colleagues to use effective time management techniques, while working o Minimize unproductive time, by keeping a check on the discipline within the team
- Quality: Insulating client from errors o Very consistently delivering the quality work o Using the feedbacks to enhance quality
- O Identifying issues are leading to errors o Working with the QA to prevent errors
- Knowledge: ensuring that the knowledge permeates to the newest operator o Documenting all queries, processing specifications in order to enhance theknowledge o Using query handling as a method of enhancing the knowledge of the staff memberso that they are more independent in handling problematic cases over time
- Communication: o Communicating effectively with the team, in giving out instructionsappropriately
- O Communicating the organizations initiatives / policies / efforts to the team o Communicating with the Team Lead via mails
- O Communicating with other departments to coordinate the functioning of each Micro team in tandem with the functioning of the organizations e.g
- Following the sameprocess related instructions
Education
Graduation - undefined
Vir Bahadur Singh University
Jaunpur, U.PSkills
Automations
Certification
I certify the above information is true to the best of my knowledge & belief.
Personal Information
- Location Preference: Noida/Onsite
- Date of Birth: 09/27/84
- Marital Status: Married
Timeline
Project Manager
TATA Consultancy Services Ltd
10.2020 - Current
Team Lead- Team/Delivery
CapGemini Technology Services Ltd
12.2018 - 10.2018
Team Lead
CapGemini Technology Services Ltd
12.2016 - 01.2017
Quality Analyst
iGATE Global Solutions Ltd
06.2013 - 12.2016
Quality Analyst
E4E Businesses Services Ltd
10.2012 - 06.2013
Billing Executive
MD Everywhere India Pvt. Ltd, Hospital Centre of Excellence
12.2009 - 10.2012
Graduation - undefined
Vir Bahadur Singh University
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