Sangeetha Sathyan

PROJECT: Coordination of benefits(COB)

Identifying other insurance coverage is the hallmark of an effective COB program.

In this Project we accurately and consistently match eligibility data from a multitude of sources with our clients' data to discover the existence of any other insurance coverage available to their members.

Using this Product, Medicaid Payers can implement effective measures to recover significant cost with improved coordination of care, more accurate reimbursements and reduced administrative work.

• Facilitated requirement gathering workshops, resulting in clear project objectives and deliverables.
• Collaborated with cross-functional teams, ensuring a cohesive approach to business analysis.
• Assisted in the successful completion of projects by coordinating tasks, monitoring progress, and maintaining documentation.
• Actively participated in weekly project reviews with senior management to discuss progress updates, challenges faced, potential solutions, and future plans.
• Aided in achieving project objectives through diligent monitoring of timelines, milestones, and deliverables.
• Led team meetings to assess project progress and plan appropriately to meet delivery targets.
• Led development of project plans, achieving milestones through strategic planning and organization.
• Mentored Junior Analysts on best practices for Business Analysis techniques, fostering professional growth within th team.
• Conducted Gap Analysis to identify discrepancies between current and desired state processes, leading to actionable recommendations

• Managed End to End from design development and release of security framework for Managed care Module of DXC Health Care Payer Platform Product.
• Provided accurate release forecasting after requirement analysis & prioritizing requirements in form of User Stories in backlog using Azure DevOps.
• Established criteria for each milestone within product roadmap as means to measure developmental progress.
• Managed implementation of new features by outlining plans and specifications such as how, where and when each component would.
• Provided consultation to developers and technical writers for system design, Testing, and documentation changes for product.

• Owned and prioritized product backlog and broke project into epics and implementable user stories using Azure DevOps.
• Led 5 scrum teams to develop Task Management module for Portfolio.
• Provided user experience visualization in form of Wireframe sketching and generate concise view of proposed application screens using Visio, iRise.
• Analyzed Kendo User Interface designs and map them to requirements to implement best in class User Interface designs for product.
• Collaborated with all Stakeholders and conducted gap analysis of Product functionalities against proposed requirements in RFP of clients.
• Led team, that was tasked with implementing DXC product to drive creation of 378 use cases, 5000 data elements, 78 user experience screens, application simulation models, and requirements traceability matrix.
• Documented and translated all requirements in form of Use cases (Use case diagrams and Use case narration) along with Data Dictionary (DDC).
• Actively involved with QA lead to prepare test Plans for testing of new features and prepare test plan for regression testing and for various Shakeout testing.

• Proxy Product owner for Offshore Scrum teams and liaised with product team and development team to help break down requirements.
• Established appropriate partnerships across project and organizations to effectively handle challenges and problems in project.
• Possess Extensive analytical capability to help issue/risk avoidance by identifying as early as possible in project using right techniques.
• Effectively handled requirements, task and process steps with very little rework less than 5% by asking right questions upfront.
• Possess deep knowledge and experience of Hewlett-Packard's proprietary tools (Application Lifecycle Management 11, Requirements Risk Assessment tool, Project and Portfolio Management Center).
• Analyzed key aspects of business to evaluate factors driving results and summarized into presentations.

• Worked on implementation using FACETS for AmeriHealth Caritas, nation's leader in health care solutions for underserved and TMG Health's, serving Medicare and Medicaid market Place in USA.
• Designed and developed end to end functionality for custom Specific jobs and various new requirement and change request on Provider, Capitation, Claims and Eligibility Module.
• Gained technology and possess hands on experience on SQL, Sybase, VB Script, XML, Crystal Reports XI, DTS, SSIS.
• Retained existing clients and developed three new Business implementations by extending high quality and efficient support service.
• Trained and provided coaching to 20 + junior team members in both Projects.
• Supported project managers in managing schedules and milestones.