MADHAVI CHENGATU
Hyderabad
Summary
An aspiring team worker, hardworking and dedicated professional seeking position in a growth-oriented organization demanding strong organizational and interpersonal skills and provide an opportunity to utilize the skills obtained from 8+ years of experience in US Healthcare Industry.
Overview
10
10
years of professional experience
1
1
Certification
Work History
Business Analyst
Carelon Global Solutions: Summitworks Technologies and UST GLOBAL
12.2023 - 04.2025
- As a dedicated Business Analyst, my role was to evaluate business process, anticipate requirements, developing and implementing solutions
- I played a vital role in conducting meetings to gather critical information from various stakeholders and users and to share ideas and findings by documenting and communicating the results
- My role was to serve as a liaison between stakeholders and users, facilitating clear and effective communication, managing resources and priorities, monitoring deliverables and ensuring timely completion of project works
- I have been effectively communicating my insights and plans to cross functional team members and Management
- Provided support for critical business applications, ensuring system stability and user satisfaction
- Developed and maintained product documentation including user guides, training materials and release notes, to ensure clients have access to accurate and up to date information about product features and functionality
- Basic knowledge of databases and SQL for effective data management and querying
- Demonstrated business expertise to bridge gaps and deliver solutions that meet business needs
- Gathered critical information from meetings with various stakeholders and produced useful reports
- Supported QA team and played a key role in user acceptance testing and product launches, ensuring that new features and enhancements meet client requirement, quality standards and regulatory compliance
- Actively participated in Scrum Ceremonies within the US Healthcare domain, including daily stand-ups, sprint planning, sprint reviews, and retrospectives, fostering effective collaboration, transparency, delivery of high-quality products and successful healthcare solutions through iterative and agile methodologies.
Business Analyst-Quality Auditor
EXL SERVICES PRIVATE LIMITED
08.2021 - 07.2023
- As a dedicated Business Analyst, I assumed a pivotal role in the execution of the Annual Enrollment Period (AEP), Open Enrollment Period (OEP), and Special Enrollment Period (SEP) within the healthcare domain
- My responsibilities encompassed meticulously analyzing and optimizing enrollment processes, collaborating closely with stakeholders to adapt eligibility criteria, and ensuring the seamless functioning of systems
- I played a vital role in facilitating timely access to healthcare coverage for beneficiaries during these crucial enrollment phases
- Proficient in Requirement Gathering, utilizing effective communication and analytical skills to collaborate with stakeholders and capture comprehensive project needs for informed decision-making and successful project outcomes
- I collaborated with the product Manager, senior Business Analysts and QA Analysts to establish, document and visually represent the Business Requirements
- Managing the team and keeping the team motivation and environment high to achieve maximum efficiency and productivity
- Experienced in overseeing Revenue Cycle Management Processes within the US healthcare domain, implementing efficient billing, coding, and reimbursement practices to optimize financial performance, streamline operations, and ensure compliance with industry regulations
- Proficient in handling revenue cycle management processes, including accurate completion and submission of CMS-1500 and UB-04 forms, ensuring seamless billing, claims processing, and reimbursement within the US healthcare domain while adhering to industry standards and guidelines
Clinical Business Analyst- Clinical Investigator
UNITEDHEALTH GROUP, AN OPTUM COMPANY
10.2015 - 08.2021
- Working on and handling medical files
- Preventing fraud in claims
- I meticulously documented project-related artifacts and facilitated their review by stakeholders on-site
- Furthermore, I ensured the secure storage of these artifacts in the project database for easy access and reference
- Demonstrated active participation in the development and maintenance of Requirement Traceability Matrix (RTM), ensuring comprehensive coverage of requirements and effective tracking throughout the project lifecycle
- Maintained more than 98 percent of accuracy and productivity
- Preparing and collating required data for the maintenance of team's quality and production
- Motivating the team to achieve high standards and targets
- I provided guidance and inspiration to the product development team, ensuring the timely delivery of a high-quality product through the implementation of appropriate Agile practices
- Mentoring new resources
- Exhibited proactive involvement in Requirement Elicitation Sessions, engaging stakeholders to gather and analyze their needs, resulting in accurate and comprehensive requirements documentation
- Giving support in maintaining quality and productivity of team by mentoring and auditing
Education
Bachelor of physiotherapy -
Sree Ratna College of Physiotherapy
01.2011
Intermediate -
ISO Junior College
01.2005
Frobel's Garden High School -
01.2003
Skills
- Analytical thinking
- Revenue development
- Gap analysis
- Attention to detail
- Industry knowledge
- Change management
- Cost-benefit analysis
- Reporting and documentation
- Stakeholder management
- Clear communication
- Time management
- Product development
Certification
- Completed CCBA certification prep course
- Participated in YOGA teacher training certification course (I.e RYT 200) by TRADITIONAL YOGA from August2011 to October 2011
- Six Sigma Certified - White belt. License number: - Foqmk3BFUv
- M&R certification - Certified from both M&R certified foundation and M&R certified practitioner level 1 &2
- Certified NPS champion
Timeline
Business Analyst
Carelon Global Solutions: Summitworks Technologies and UST GLOBAL
12.2023 - 04.2025
Business Analyst-Quality Auditor
EXL SERVICES PRIVATE LIMITED
08.2021 - 07.2023
Clinical Business Analyst- Clinical Investigator
UNITEDHEALTH GROUP, AN OPTUM COMPANY
10.2015 - 08.2021
Bachelor of physiotherapy -
Sree Ratna College of Physiotherapy
Intermediate -
ISO Junior College
Frobel's Garden High School -
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