Altaf Simavatwala

Operations Associate

Ahmedabad, Gujarat, India17 yrs 1 mo experience

Most Likely To SwitchHighly Stable

Key Highlights

Reduced AR aging from 70 to 42 days.
Increased team capacity by 25% without headcount addition.
Enabled crores-level incentive capture through data-driven redesign.

Stackforce AI infers this person is a Healthcare Operations Leader with expertise in Risk Adjustment and Data-Driven Process Improvement.

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Skills

Core Skills

Project ManagementData AnalysisProduct ManagementAgile MethodologiesQuality AssuranceClient ServicesCustomer Service

Other Skills

Project GovernanceClient DeliverySQLSenior Stakeholder ManagementReporting & AnalysisProject CoordinationProject DeliveryRequirements GatheringProject PlanningProblem SolvingProduct DesignStrategic PlanningPresentation SkillsMySQLProcess Flow Diagrams

About

I turn operational complexity into measurable business outcomes. With 15+ years in US healthcare RCM and Risk Adjustment, including 11 years at Advantmed, one of the leading in-home risk assessment companies. I've led process transformations that reduced AR aging from 70 to 42 days, increased team capacity 25% without headcount addition, and enabled crores-level incentive capture through data-driven workflow redesign. My edge: I diagnose before I prescribe. Every initiative I've led starts with data investigation: SQL queries, exception reports, controlled A/B tests, before a single process change is recommended. That's why my results are reproducible, not lucky. Domain depth: CMS-HCC v28 · Medicare Advantage Risk Adjustment · Claims Lifecycle · Denial Management · Availity · HL7 · HEDIS · Power BI · SQL. Currently exploring Director-level and Sr. Manager roles in RCM Operations and Risk Adjustment at GCCs and healthcare BPMs. Open to consulting engagements.

Experience

17 yrs 1 mo

Total Experience

5 yrs 8 mos

Average Tenure

11 yrs 3 mos

Current Experience

Advantmed india llp

4 roles

Data Account Manager

Promoted

Jan 2021 – Present · 5 yrs 4 mos

(Functioning as Healthcare Project Manager)
▸ Lead data collection and validation for 837 submission workflows across 20+ US healthcare clients
▸ Achieve 98% on-time delivery rate for Risk Adjustment, PHA, and Quality projects
▸ Own full product lifecycle as Product Owner: requirements gathering, backlog management, UAT, and release
▸ Build departmental process documentation and SOPs to reduce onboarding time and improve team efficiency
▸ Collaborate with software, operations, and compliance teams to deliver implementation projects end-to-end

Project ManagementProject GovernanceClient DeliveryData AnalysisSQLSenior Stakeholder Management+6

Product Owner

Sep 2018 – Jan 2021 · 2 yrs 4 mos

Owned and prioritized product backlog, ensuring the development team was working on the most critical features and requirements.
Oversaw the entire product deployment process, from initial vision and creation to rollout and delivery, ensuring all objectives were met.
Focused on building critical features upfront to identify technical constraints and challenges, ensuring timely resolution.
Developed plans and specifications outlining how, where, and when each component of the product would work, to guide the implementation of new features.
Collaborated closely with project members to identify and address problems promptly, ensuring smooth product delivery.
Developed and implemented automation tools to improve efficiency, eliminate waste, and free up labor hours for other needs, enhancing overall productivity.

Agile MethodologiesProduct DesignStrategic PlanningPresentation SkillsClient DeliveryMySQL+4

Associate Project Manager

Promoted

Jun 2016 – Aug 2018 · 2 yrs 2 mos

Identifying and planning the resources required to meet project goals and objectives by setting realistic timelines and checkpoints.
Developing implementation methodologies to rein in project costs while meeting key milestones.
Initiating and managing projects, including overseeing costs, schedules, and performance.
Driving team success through shared vision and recognition of quality performance.
Planning, executing, and controlling assigned projects to ensure that work performed complies with contractual requirements.
Implementing actions to mitigate risk by developing contingency and avoidance strategies.
Collaborating closely with project members to identify and quickly address problems, and ensuring effective communication throughout the project lifecycle.

Data AnalysisProduct DesignBusiness Intelligence (BI)Project GovernanceMicrosoft ExcelPresentation Skills+13

Quality Analyst

Jan 2015 – Jun 2016 · 1 yr 5 mos

Perform Transaction Audit for Calls and documentation
Compiled and distributed weekly feedback to team members to improve service time and quality while increasing productivity.
Provided regular updates to team leadership on quality metrics, communicating consistency problems or production deficiencies with quality and production leadership.
Led process improvement projects to help operations meet and exceed quality standards and reduce costs.
Collaborated with management to provide training on improved processes and assist with creation and maintenance of quality training.
Developed and maintained quality assurance procedure documentation.
Performed root cause analysis through Audit Data and Quality Tools.

Quality Assurance AnalysisRCAReporting & AnalysisQuality Assurance

Medusind

2 roles

Senior Cliant Service Executive

Feb 2011 – Jan 2015 · 3 yrs 11 mos

1. Handling projects : Production, Communication , Reporting
2. Monitor Quality and Publish quality reports
3. Create and maintain training documents
4. Train the new workforce

Client ServicesData AnalysisOperations ManagementCommunicationMicrosoft Excel

Senior Executive Client Servicing

Feb 2011 – Jan 2015 · 3 yrs 11 mos

Managed end-to-end project activities including production oversight, client communication, and leadership reporting, ensuring high satisfaction and service delivery standards. Monitored quality metrics and published regular quality reports for leadership, providing data-driven visibility into operational performance. Created training documents and onboarded new workforce members, building team capability and ensuring process adherence.