Ujjawal Bhatnagar - Post Grad, PAHM®, SAFe® POPM® — Business Analyst

Healthcare IT professional with an enterprise-wide experience of 16 years in the Healthcare industry includes Healthcare Product design, pre-sales, consulting, development, Client Services, business analysis & operation activities for US healthcare Payer & Provider domain. Certified Professional, Academy for Healthcare Management (PAHM)® SAFe® Product Owner / Product Manager (POPM)® MBA in Finance Post Graduate in Computers Yellow Belt holder in Six Sigma. PMP Trained US Work Authorization: H1B Visa, I-140 Approved Skills Summary: US Healthcare – Payer: • Product Design and Implementation • FHIR - Interoperability • Encounter Management • Risk Adjustment Suite • Benefit Plans/Products (HMO, PPO, POS, HDHP, CHP) • Govt programs (Medicare, Medicaid) • CMS-regulated products- Risk Adjustment, Enrollment, Encounter, Risk Score, Rx • Configuration Plan Product & Provider agreements-Facets • Claims & Operations • Federal regulations (HIPAA, COBRA) • Patient Protection & Affordable Care Act (PPACA) • ICD9-10 Business Change • Health Insurance Exchanges (Private & Public HIX), ACO, ASO • Healthcare Payer & Go-to-Market Strategy, Product Consulting • Pre-sales activities with sales, Client partners, and clients • Payer Core Administration & Care Management platforms • Legacy EDI Expertise – 820, 834, 835, 837, 271, 272, 276, 277, 278 & Acknowledgements US Healthcare – Provider: • FHIR - Interoperability Product Design and Implementation • Risk Adjustment Suite Products Design and Implementation • Revenue Cycle Management (RCM) Products and Services • HL7 & EDI expertise • Claim Adjudication process • Physician & Hospital information systems & operations - EHR/EMR • Health care terminologies include:- Explanation of Benefit (EOB), HCFA 1500, UB92/UB04, CPT, HCPCS, Revenue codes, Remittance Advice. • Claim & Patient Life Cycle Business Analysis: • Requirement Elicitation & Analysis • Requirement Management & Communication • Solution Assessment & Validation • BA Techniques – BRD, FSD, Wireframes, Workflows, User stories, Business Rules, UAT, Data Dictionary & Modelling • Support the Sales team for a demo, Pre-Sales, and Implementation • BA Tools – MS VSTS, Visio, Balsamiq, MS Office, JIRA, IBM Blueworks Professional Portfolio: • Team Management • Business Development • Agile Project Management using Scrum • SDLC Product Management • Product Ops • Products Revenue Adherence • Delivery Compliance as contracted with Client • Solution Provider to operational & and delivery issues • Project Implementation • Business Process Modular • Pre-Sales

Stackforce AI infers this person is a Healthcare IT expert with extensive experience in product design and consulting.

Location: Atlanta, Georgia, United States

Experience: 0 mo