Vijay Sharma

• Directed a $20 M annual budget, achieving 20% cost savings.
• Translate organizational strategy into actionable roadmaps, KPIs.
• Led multiple teams of 250+ associates across 3 locations
• Build, mentor and scale high‑performing teams of 250+ associates: hire key leadership roles, develop succession plans and drive career‑pathing.
• Foster a culture of accountability, collaboration and continuous learning.
• Conduct regular performance reviews, set development goals and champion talent retention.
• Maintained 98% SLA compliance and 4.8/5 CSAT across global support releases
• Own the P&L, forecast spend, control project budgets of up to $20 million; implement cost‑optimization measures and vendor negotiations to achieve savings; set priorities and allocate resources to maximize ROI.

Highlights:

• Expanded business growth with more than $0.8 million
• SLA Rating “4.0/5.0” for continuous 24 months
• Mentored being a part of building resource pool in terms of recruiting, training and mentoring
• Saved the recovery cost by $3 million by identifying new areas of overpayment.
• Rewarded as Outstanding Manager in 2018 in EXL Service

Projects:

Care Management Informatics:

• Automated reporting packages for reducing TAT by 50%; Tools used: SAS Macros & VBA
• Managed multiple programs like Disease Management, Case Management, Lifestyle coaching.
• Data Analysis done to identify Non ER Cases
• Delivered actionable insights by leveraging data mining techniques and visualization tools leading stakeholders to take business decisions
• Created, Tracked Process Management work flows for measuring the outcomes of these programs to ensure their PGs; Tools used: SAS, SQL & Excel
• Created dashboards for the various reports to highlight the insights of the reports; Tools used: Excel, VBA & Tableau

Payment Integrity Solutions:

• Leading a team of 60+ FTEs; High client SLA ratings
  Developed proposal in co-ordination of benefit through correct business guidelines resulting in savings of $2 million; Tools used: SAS, Excel & VBA
• Corrected multiple system glitches in payment contracts by comparing actual with current payments which removed wastage by $500K from incorrect payment; Tools used: SAS, SQL & Excel
• Analyzed the billing pattern trends of in-network physicians billing outside their network hospitals which led to reduction in overpayment by $250k; Tools used: SAS, SQL & Tableau
• Monitored the difference in actual specialty vs. billed specialty of physicians by segmentation based on the factors like credentials, location etc. and compared with services billed by them; Tools used: Crystal Reports, SQL, Excel & VBA
• Monitored incorrect billing of units by the physician through setting business rule saving client’s incorrect payment by $150k annually; Tools used: MS Access & Excel
• Analyzed trends of competitors, found out gaps in areas concentrated currently, developed 20+ projects in multiple areas; Tools used: SAS & Tableau

Automation and Robotics Process Automation:

• Developed Bots to do web scrapping through Python
• Automated the manual process through VBA to ensure 100% quality

• Led multiple teams of 100+ FTEs
• Increased billing hours by extra 400 hours per month which helped increase the company's revenue
• Made a systematic way of business process flow and set the outcome measures increasing the efficiency of the project; Tools used: PowerPoint & Excel
• Received 'Excellent' rating for proficiently dealing with clients & executing the assigned work on time
• Organized business training of the new process for 3 months that helped in process transitioning
• Ramp up the team successfully from training to production; Improved the production and quality by 40%
• Involved in the strategic planning for process flow and improvisation of workflow for ensuring better results
• Conducted weekly operational meetings with clients to answer all the queries
• Automated the team process flow which reduces the TAT by 30%; Tools used: Excel & VBA
• Developed dashboards to showcase insights of internal audit scores vs
• Client targets which helped to improve the quality by 20% (97% to 99%); Tools used: Excel & PowerPoint
• Being a part of business process management worked with multiple teams to setup a process flow
• Volunteered in the internal compliance team for ensuring compliance is adhered across the BU