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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:

  • Convergys IC
  • Voiyager
  • CA LISA
  • Machine Language - Azure

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.

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