Manager - Solutions Architect Resume - Hire IT People

SUMMARY

Confidential has more than 15 years of IT consulting and outsourcing industry experience with proven expertise inleading multiple and various - sized projects/programs from conception through completion on time, with quality and within budget using best methodology and processes.
Confidential has an exceptional track record in identifying and delivering business solutions in the area of automation, system integration, enterprise cloud solution, business process reengineering and analytics.
Confidential demonstrated strong problem solving skills in multiple business operational areas including marketing, sales, product and pricing, membership onboarding, claims processing, order management and billing, customer service and case management. Confidential posses strong functional knowledge in US Healthcare and Insurance domain and contributed in many successful business proposals for various customers.
Confidential was a guest author of the tutorial article named, “Medicare Enrollment Analysis Using Visual Data Mining” in the book, Practical Predictive Analytics and Decisioning Systems for Medicine.

TECHNICAL SKILLS

Core Competencies and Skill Sets: Enterprise Cloud Solutions · Salesforce Sales, Service and Community Clouds · Marketing Automation · Configure-Price-Quote(CPQ) Solutions · Analytics and Reporting · Business Process Modeling · Requirement and Use case Management · Functional knowledge in Healthcare Payer Operations and Healthcare Reform · Client Presentations/SOW and RFP response · IT Strategy and Roadmap · Project Management using SDLC and Agile Methodology · Onshore/Offshore Delivery Model · Change Management · Performance Metrics, Process Excellence, KP

PROFESSIONAL EXPERIENCE

Confidential

Manager - Solutions Architect

Responsibilities:

Led end-to-end solution designing for case management project for a federal government client that involved implementation of Salesforce Service Cloud and Community Cloud.
Led analysis and solution designing for Salesforce platform consolidation project for nation’s leading real estate portal client that involved end-to-end designing of an integrated platform to support marketing campaign management, sales process management, product and pricing management, order management and case Management

Confidential

Application Development Manager/Subject Matter Expert/Business Solutions Architect

Responsibilities:

Analyzing, Designing and Data Modeling for Marketing and Sales Automation project for a large Dental Insurance which aims to build an integrated platform using Salesforce Sales Cloud, ADOBE Campaign and Enterprise Data Warehouse for a large Dental plan. The projects aims to automate Prospect-to-Enrollee lifecycle which involves Campaign Management and Lead Management using Adobe Campaign, Account and Contact management using Salesforce and Analytics using Marketing Data Mart.
Analytical reports and Executive dashboard designing using Marketing Data Mart, Actuarial Data Mart and for a large dental plan.
Managing Sales process automation initiative to support ACA Small Business Health Options Program(SHOP) compliance for a large health plan using Salesforce Sales Cloud and PEGA BPM solution.
Managed Health Insurance Exchange(HIX) integration project for a large Health Plan which involves integration of Plan Management, Membership Enrollment, Billing and Payment systems for Health Insurance Exchange(HIX) plans.
Strategized and managed the engagement for $15+ M program on Output Center of Excellence(OCoE) for a large Healthcare payer to bring $20M print and fulfilment cost savings annually. The program achieved the status of model program for its end-to-end platform independent output optimization and was nominated for project of the year.

Business and Solutions Development

Confidential

Responsibilities:

Working closely with healthcare payer CIO organization on long term platform rationalization and channel optimization roadmap on CRM - BPM - Web platform integration initiative.
Managed business development team on Healthcare Reform(Affordable Care Act) readiness consulting for various healthcare payers.
Key team member for level-0 analysis for the $12M 5010 program for a large health plan.
One of the key members of strategic management team in winning large Application Outsourcing deal($150M) for a US healthcare payer.
Contributed in many RFP response process for large healthcare payers and Blues.
Business process automation, management, design and support of Integration, system operations and production support for multi-platform healthcare print output systems.
Designed the workflow and architecture for Electronic Document Distribution(EDD) project which made the digital copy of EOB, EOC, GSA and ID Cards accessible through the web portal causing $8M printing cost saving.
Designed, constructed and implemented 200+ Facets Reports for multiple healthcare payers.
Requirement analysis, designing for General Insurance Portal engine product development on Java/J2EE platform.
System analysis for code migration tool development.

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