Krishna Battu

Associate Consultant

Hyderabad, Telangana, India6 yrs 1 mo experience

Highly Stable

Key Highlights

5+ years of experience in US Healthcare domain
Expertise in NetworX and Facets applications
Strong leadership and communication skills

Stackforce AI infers this person is a Healthcare Consultant specializing in claims management and configuration solutions.

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Skills

Core Skills

Business AnalystNetworx PricingClaims ManagementWorkflow ApplicationBenefits Configuration

Other Skills

AgileFacetsMicrosoft ExcelMicrosoft SQL ServerNetworX SuiteSQLSoftware Development Life Cycle (SDLC)TFSWorkflow Configuration

About

As a Senior Associate Consultant at Infosys , I apply my knowledge and skills in US Healthcare Domain on NetworX, Workflow, and Benefits configuration to analyze, design, and test provider contracts and claim processing for various clients in Facets application. I work with Health Insurance clients to provide NetworX Pricing, Benefits and Workflow Configuration solutions for their claims management. I have 5+ years of experience in this domain, working with different platforms and tools such as Facets, NetworX Suite, SQL, and AWS. I have successfully designed, configured, and tested multiple provider contracts, plans, products and workflows using NetworX Suite, FACETS and Workflow applications, ensuring accuracy, compliance, and efficiency. I have also contributed to the redesign of NetworX Agreements and the removal of legacy systems. I have strong knowledge of claim processing flow, status, and Healthcare terminologies, as well as software development life cycle (SDLC) and agile methodology. I have also demonstrated leadership, communication, and collaboration skills by handling client calls, providing daily updates, and participating in status meetings. My goal is to continuously learn and grow as a professional in the dynamic and challenging field of US Healthcare.

Experience

Infosys

Senior Associate Consultant

Sep 2024 – Present · 1 yr 6 mos · Hyderabad, Telangana, India · Hybrid

Business analystFacets

Cognizant

3 roles

Product Specialist - Technical

Promoted

Jan 2022 – Aug 2024 · 2 yrs 7 mos · Hyderabad, Telangana, India · On-site

Worked as an NetworX Pricing Config analyst for Client CareSource. My role is to analyze the Provider contract and Need to design the agreement accordingly and Unit test the claims. Supporting the testing team,until the config changes moves to production and monitoring claims behavior in production. Redesign of NetworX Agreements to establish Configuration Standards and Improve Pricing Accuracy and ongoing Agreements Maintenance. Have Knowledge on Optum Pricer and NetworX Suite products( Pricer , Modeler and PBA(Payment Bundling Administration)). Also Involved in Leadership Status calls and Handling the Client calls and providing daily updates of Offshore team progress.

Business analystFacetsNetworX PricingClaims ManagementWorkflow ConfigurationAgile

Programmer Analyst

Promoted

Dec 2020 – Dec 2021 · 1 yr · Hyderabad, Telangana, India · On-site

Worked for Client Elevance Health Formerly Anthem in Providing Design and Config approach for Workflow application. Client was Overriding and pending the claims using the legacy system PEGA. As part of this project, our target is to remove PEGA and Handle overriding and pending the claims through Workflow application within FACETS. My roles is to Analyze the criteria used for claims Overriding and Pending in PEGA and Provide the design and config approach, how claims can be Overridden or pended by using Workflow application.

Business analystFacets

Programmer Analyst Trainee

Dec 2019 – Dec 2020 · 1 yr · Hyderabad, Telangana, India · On-site

Worked as an Benefits Design and configuration analyst for Client Emblem Health. Based on SOB's given by client, Design, configuration and Unit test was done for various plans like HMO, PPO, EPO , POS etc

Business analystFacets