Dr. Shashank Agarwal — Operations Associate

As a dedicated professional in healthcare policy management, I bring a wealth of experience in ensuring the accuracy and currency of payment policies within the medical industry. Collaborating closely with esteemed US Research Medical Directors, I meticulously manage the integrity of the Payment Policy Library, guaranteeing its up-to-date status. In my role, I provide essential support for the review processes of State Medicaid policies, working alongside US Client Medical Directors and Client Policy Managers to ensure compliance and efficacy. Addressing complex research inquiries regarding medical policy, I offer insights and recommendations on claims edits alignment, interpretation, and potential modifications, fostering clarity and consistency. Additionally, I actively contribute to quarterly and annual updates, as well as the review of global and specialty policies, collaborating seamlessly with US Research Medical Directors to maintain comprehensive policy frameworks. Committed to excellence, I consistently strive to exceed productivity and quality benchmarks, demonstrating a proactive approach to ongoing learning and development through participation in relevant training activities. My collaborative spirit extends beyond internal initiatives as I effectively engage with global research team members to drive forward our collective Research agenda. Moreover, I readily support other departments and client teams within Cotiviti on assigned project work, showcasing adaptability and versatility in fulfilling organizational objectives. In summary, I am a seasoned professional dedicated to advancing healthcare policy management, adept at navigating complex policy landscapes and driving impactful outcomes through meticulous attention to detail and collaborative engagement.

Stackforce AI infers this person is a Healthcare Policy Specialist with expertise in clinical documentation and policy management.

Location: Maharashtra, India

Experience: 3 yrs 10 mos