Syed Azfar Mujtawa
New Delhi
Summary
Project Management and Data Specialist with over 6 years of experience in U.S. healthcare, focusing on Medicare and Medicaid claims management. Expertise in SQL, Tableau, Power BI, and Agile methodologies, with a proven track record of leading cross-functional teams and automating processes. Proficient in utilizing prompt engineering and generative AI tools to enhance workflows and improve documentation accuracy. Strong ability to connect technical and business teams for successful implementation of complex systems.
Overview
13
13
years of professional experience
1
1
Certification
Work History
PROVIDER DATA SPECIALIST – Project Management
OPTUM Global Solutions
Gurgaon
05.2018 - 11.2024
- Led automation initiatives, including provider appeals submission and dispute resolution, reducing manual effort by up to 40% through ETS-based workflows.
- Authored comprehensive Business Requirements Documents (BRDs) and Functional Requirement Documents (FRDs) using prompt engineering techniques to enhance documentation clarity.
- Designed interactive dashboards in Tableau and Power BI for real-time insights into provider data quality and SLA adherence.
- Utilized generative AI tools to draft SOPs, training materials, and test case descriptions, boosting productivity and documentation quality.
- Collaborated with developers and SMEs during Agile sprints, managing backlog grooming and sprint planning via Jira and Rally.
- Conducted UAT testing, developed test cases, and facilitated training sessions to ensure compliance with SOPs.
- Acted as liaison between business stakeholders and technical teams, ensuring effective deployment of automation workflows.
Senior Executive – Business Analysis & Operations
Exl Service.Com (I) Pvt. Ltd.
Noida
12.2011 - 02.2016
- Defined scope for utility operations improvement initiatives based on stakeholder requirements for British Gas clients.
- Created detailed process flowcharts with MS Visio and documented SOPs to standardize workflows.
- Managed updates to customer data in SAP systems, correcting discrepancies to enhance data accuracy.
- Conducted quality audits and monitored performance metrics to drive team productivity improvements.
- Mentored junior staff to foster professional development and improve overall team output.
- Participated in system migration projects and automation efforts.
Education
Bachelor of Computer Application - Computer Applications
Magadh University
Bodh Gaya07-2009
Intermediate of Science - Science
B.I.E.C Patna
Patna07-2006
Matriculation -
Bihar School Examination Board
Patna07-2004
Skills
- Project Management
- Data visualization
- Agile & Scrum
- BRD and FRD documentation
- Prompt Engineering
- Generative AI applications
- Solution Architecture
- Process Automation
- Stakeholder Engagement
- SOP Development
PROJECTS
Provider Appeals Submission Automation (ETS)
• Automated routing and submission of provider appeals, reducing manual effort and improving turnaround time.
• Documented requirements using prompt-engineered prompts for consistency, designed process flows, and collaborated with developers for integration.
• Conducted UAT testing and led Agile ceremonies to ensure timely delivery.
All Savers Screening Automation
• Digitized scanned documents and automated routing of disputes/appeals using generative AI-assisted templates.
• Gathered requirements from SMEs and defined functional specifications.
• Trained stakeholders and ensured smooth post-deployment adoption.
NPPA Inquiry Automation
• Implemented logic-based verification of appeal details and dynamic letter generation using AI-generated templates.
• Maintained documentation and trained users for long-term sustainability.
PROMPT ENGINEERING & AI USAGE
- Applied prompt engineering frameworks to generate accurate and consistent BRDs, FRDs, and test cases
- Leveraged generative AI models like ChatGPT, Gemini, and Claude to assist in creating SOPs, drafting emails, and generating automation logic
- Trained team members on prompt best practices to improve documentation quality and reduce rework
Tools & Technologies
- SQL
- Tableau
- Power BI
- Jira
- Rally
- ServiceNow
- Facets
- MS Office Suite
- MS Visio
- AI Tools: ChatGPT, Gemini, Claude, QWIN
- Prompt Engineering Frameworks
Certification
- Scrum Master Certification – Coursera (LearnQuest)
- Agile Project Management Professional – Atlassian / LinkedIn Learning
- Business Analysis Foundations – IIBA Approved (LinkedIn Learning)
- Managing Projects with Microsoft 365 – PMI Approved (LinkedIn Learning)
- Software Development Life Cycle (SDLC) – LinkedIn Learning
PERSONAL INFORMATION
Date of Birth: March 29, 1989
Gender: Male
Nationality: Indian
Marital Status: Single
Father’s Name: Syed Zeyaul Mujtawa
Passport Number: X6650837
Languages
Hindi
Advanced
C1
English
Advanced
C1
Timeline
PROVIDER DATA SPECIALIST – Project Management
OPTUM Global Solutions
05.2018 - 11.2024
Senior Executive – Business Analysis & Operations
Exl Service.Com (I) Pvt. Ltd.
12.2011 - 02.2016
Bachelor of Computer Application - Computer Applications
Magadh University
Intermediate of Science - Science
B.I.E.C Patna
Matriculation -
Bihar School Examination Board
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