

Around 14 + years of IT experience in US Healthcare Industry [Payer side and Provider] as a, Scrum Master/Business Manager/Project Manager, Senior Business Analyst.
Dynamic Business Manager with a proven track record at HCL Technologies, excelling in strategic planning and team leadership. Enhanced customer satisfaction through effective problem resolution and mentoring, while driving project delivery improvements. Skilled in operations management and fostering client relationships, consistently achieving high performance metrics.
· Goal setting done for each team member.
· Assigned the task to the team as per team member bandwidth.
· Effort tracker and Capacity tracker maintaining for team members.
· Handle the Onboard/off board request process to our team.
· Prepared the Maintain the KT document for new joiners.
· Preparation of leadership review presentations / vertical level dashboards.
· To ensure SLA’s adhering to the client’s goals. Continuously met the SLA of 100%.
· To ensure daily volumes managed in order to bring the volume to very minimal on ageing claims.
· To ensure all the process audit work done on time by SME without any delays.
· Maintained Attendance/Cab delay tracker/Application issue tracker.
· Preparation DAG audit review reports/Presentations.
· Daily Team performance (SLA status) share to Client through mail.
· Responsible for conducting one on one at a regular interval to address the grievances of employees.
· Encourage Team people to attend the relevant training course conducted by academy team to enhance their technical skills for their current or future roles.
· Frequently appreciating the team members & awarded with Celebrating points as per the parameters.
· Help the team member to get their login credentials in Citrix and get the Project related share point access.
· Completed successful KT from business people in onshore and successful Go Live from offshore.
· Capacity planning of the production based on the resources available
· Manages the team’s leaves (Planned & Unplanned) in such a way to manage the client’s commitment.
· Responsible to manage team member working hours should be compliant (8 hrs daily)
· Responsible for managing and coordinating with the onshore team to bring the inventory under control.
· TAT claims and Urgency claims picked separately and allocate the team to process in high priority.
· Manages and maintains the required parameters of Control Charts inputs in such a way to result in an appropriate output without any deviations in UCL and LCL
· To ensure that the Control Charts, SLA metrics are correct data updated by the SME and visualized to the management on a daily basis for their periodical review.
· To ensure daily individual production and quality share to the team member by SME and visualize to the management on a weekly basis for their periodical review.
· To ensure all the update/query tracker need to track by SME and send to the team regular basis.
· Allocation (Allocation request, Consolidation, Allocation and Follow up, Compare report, Auto Extension/Increase) and Under/Over assignment validation
· Timesheet reconciliation and SO creation/ Inter Account Resource Movement
· WO/CR Amendments submitted.
· Auditing Health care claims.
· Analysing Trends, monitoring & reporting across processes on matters relating to Quality
· Analyse Quality SLA impact and Provide Process Improvement recommendations
· Analyse scope for Productivity Improvements
· Floor support and guiding rep’s to achieve the goal of the process at needy / complex situations.
· Joined as Team player, in completing the Training manuals.
· Manage, coach and develop junior team members.
· Conducting Training & Test to the team, based on the error report and facility feedback.
· Process the US healthcare claims.
· Entering patient demographic details
· Entering provider details.
Customer service
· Have successfully went onsite (US) and completed Knowledge transition in healthcare project.
· Having 7 years of experience in Team Handling, handled multi member’s team and exceeded the production and quality target.
· Hands on experience in JIRA, Agility, and Salesforce application [Care force], Confluence
· Cognizant Certified Trainer in Health care domain through TTT (Train the Trainer method)
· Certified Lean Navigator and completed two Lean projects; Received IDEA Champion award from Innovation group.
· Leadership review presentations / vertical level dashboards
· Possess good knowledge and experience working on Project Development Life Cycle (PDLC) and SDLC in waterfall and Agile Methodology SCRUM and KANBAN frameworks.
· Received Frontline Leadership award and multiple Wow and Opel awards
SAFE AGILE SCRUM MASTER