Sugandha Raj

United Healthcare – RxClaim
Description: RxClaim is United Healthcare’s core claim adjudication engine designed for online, real-time processing of prescription drug claims. The system supports Payer operations and is built on legacy code, comprising 15,000 screens and 30,000 users.

• Modernization Strategy: Spearheaded the modernization of United Healthcare’s legacy RxClaim adjudication engine using GenAI, aligning with industry best practices.
• Product Lifecycle Management: Owned and managed the product lifecycle for modernization capabilities, including ideation, exploration, approval, development, implementation, and ongoing enhancements.
• Backlog Management: Maintained and prioritized the product backlog, ensuring alignment with stakeholder objectives and business goals. Delivered 100+ user stories, conducting grooming sessions with global stakeholders to ensure clarity and alignment.
• Prompt Engineering: Leveraged prompt engineering to create detailed acceptance criteria for modernized screens, ensuring compliance with healthcare regulations and improving user workflows.
• Stakeholder Collaboration: Facilitated architecture design discussions and decisions, communicating impacts to key stakeholders across Payer and Provider organizations.
• Agile Methodology: Implemented Agile Product Development methodology, ensuring efficient collaboration between development, QA, and business teams.
• Healthcare Expertise: Acquired knowledge of Medicare, Medicaid, Claims, and Billing while designing solutions for the modernization of the application.

Robinhood SuperApp

Description: Thailand's first super app offering food delivery, ride-hailing, shopping, express services, and OTA deals. Robinhood Travel is an all-in-one travel service portal for hotel bookings, tours, car rentals, and flight services.

Roles and Responsibilities:

• Managed modules within the Online Travel Agency application, driving a 25% boost in user satisfaction.
• Coordinated with UI/UX teams to visualize and develop user journeys, ensuring seamless user experiences.

Waters Corporation

Description: Waters Corporation is an analytical and laboratory instrument and software company. The focus was on digital transformation to enhance their digital business and improve customer experiences.

Roles and Responsibilities:

• Formulated a digital transformation strategy to enhance Waters Corporation's digital business and improve customer experiences.
• Liaised between clients and development teams, prioritizing product roadmap features, and ensuring timely delivery.
• Orchestrated two-week sprint planning and scheduling, articulating the product vision to the engineering team.

• Led a team in managing support and upgrade/implementation projects for Eli Lilly and Company's Clinical Trial System.
• Expert in reviewing and updating lab and IT operational procedures (SOPs) for new software releases, ensuring a 30% reduction in operational errors.
• Automated the archival process using RPA, saving 800+ hours of manual labor.
• In the ESA and BI@IBM projects, ensured 100% availability of Sales Analytics reports and BI dashboards contributing to a 25% improvement in data-driven decision-making.