Lead Technical Consultant Resume

SUMMARY:

6 years of Total Experience in IT and Healthcare industry.
Strong experience in US Healthcare across Provider and Payer space.
Ancillary Healthcare Product Management experience, applications such as - Sunquest Laboratory, Sunquest Copath Plus and Sunquest Collection Manager.
Well verse with Revenue Cycle Management in Provider space - Confidential Centricity PMA Claims Business logic building and processing, Professional Billing, Health Plan Management, Encounters’ processing and managing Provider Business Services.
Strong skills in building efficient Claim forms (837), Payer exchanges ( Payment Posting ), Trading Partner configurations and setting-up business rules in Provider Financial services.
Worked on development of advanced Confidential and CCP Portals for leading US Healthcare Payer and Provider, including Artificial Intelligence and Natural Language Utterance concepts.
Also have experience across various technologies, .NET Framework (3.5 & 4.0), C#, and WCF, SQL Server 2005/2008, and Object Oriented Programming concepts, IBM DB2 and Voice based XML ( VXML )
Strong experience in Agile methodology under onshore-offshore delivery model.
Experience in LEAN concepts and successfully implemented multiple LEAN VAS in my Syntel career.
Well verse in waste identification and reduction using Automation Concepts.
Familiar with HL7 standards.

TECHNICAL SKILLS:

PROFESSIONAL EXPERIENCE:

Confidential

Lead Technical Consultant

Responsibilities:

Coordinating with Client’s user group for requirement gathering and providing effective solutions.
Improving existing systems and implementing latest IT and LEAN concepts.
Solving Critical and High priority issues related to RCM, Business Services, Ancillary Lab and Pathology, Health Information Management.
Coordinating with Client’s Interface team to create inbound and outbound interfaces for my applications.
Coordinating with Business Services Director and Manager for Claim form logic and Payment posting exchange set-up.
Working with HIM senior management for Confidential (Formerly Confidential ) Product’s management.
Working with Offshore team for day to day deliveries and reviewing their work before delivering to customer.
Chairing/Attending Project Planning, SCRUM, Stand-Up meetings.
Creating Technical Documents, RCAs, Project documentations, SOPs and work flow diagrams.
Identifying automation scope and implementing LEAN programming concepts.
Waste identification and reduction.

Confidential

Technical Consultant

Responsibilities:

Analyzing Sprint requirements stories, creating technical design/research document and maturing requirements.
Research for Project requirements and to develop Confidential more effectively.
Develop Client’s Confidential portal by using Confidential WCF, C#, MS-SQL, IBM DB2 and Confidential IC platform.
Embedding Artificial Intelligence and Natural Language Utterance Concepts in existing Confidential system and to enhance Confidential flow for new products.
Chairing/Attending Sprint/Pre Sprint planning, Retro/Pre Retro meetings and all other agile related calls including VersionOne and stand up calls.
Managing half Confidential delivery of the project.