Ajay Lothe

Results-driven Configuration Analyst with 5+ years of expertise in U.S. healthcare consulting, specializing in QNXT benefits configuration and NetworX Pricer. Proven track record translating complex benefit designs, provider contracts, and pricing methodologies into scalable, production-ready solutions that improve accuracy and speed benefit launches. Adept at implementing AI-driven automation to reduce manual effort, mentoring junior analysts, and collaborating cross-functionally across Product, Actuarial, Claims, and QA teams.

Strong background in HIPAA compliance, root cause analysis, and end-to-end configuration lifecycle management.

Senior Process Executive – Configuration Analyst SME at Cognizant Technology Solutions (2022-02 – Present)

Subject Matter Expert (SME) for U.S. healthcare product configuration in QNXT and NetworX Pricer, supporting commercial and government health plans for large-scale payer clients.

• Translated complex benefit designs, provider contracts, and pricing methodologies into accurate, scalable system configurations — directly reducing configuration errors and rework cycles.
• Led end-to-end product configuration lifecycle including requirements analysis, build, unit testing, validation, and production support across multiple benefit launches.
• Implemented AI-driven and automation solutions to streamline configuration workflows, cutting manual effort by an estimated 30% and improving turnaround time on configuration builds.
• Collaborated with Product, Business Analysts, Actuarial, Claims, Network, and QA teams to ensure configurations align with business, regulatory, and compliance requirements.
• Diagnosed and resolved claims and pricing issues through structured root cause analysis, delivering long-term corrective solutions that reduced repeat defects.
• Created and maintained technical documentation, SOPs, and configuration standards to support audits, knowledge transfer, and operational consistency across teams.
• Mentored junior analysts and served as escalation point for high-impact configuration and pricing issues, improving team resolution speed and quality.
• Performed SQL-based data migrations into production environments, ensuring data integrity, accuracy, and zero-downtime deployments for critical configuration updates.
• Drove daily POD (Point of Delivery) standup calls, collecting team status updates, tracking blockers, and aligning delivery timelines across configuration workstreams.
• Served as primary client liaison for escalation management, coordinating directly with clients to diagnose issues, communicate resolution plans, and deliver timely solutions — maintaining high client satisfaction.

Operations Assistant – Enrollment & Compliance at Concentrix (2020-09 – 2022-02)

• Tested and validated enrollment changes, system updates, and process enhancements to ensure data accuracy and system integrity.
• Documented procedures, workflows, and issue resolutions to support audit readiness and process standardization across operations.
• Ensured full HIPAA and data privacy compliance while handling sensitive member information, maintaining zero data-breach incidents.

Associate – Mortgage Insurance Enrollment at SLK Global Solutions (2020-01 – 2020-08)

• Processed and managed mortgage insurance (MI) enrollment requests in compliance with U.S. mortgage insurance guidelines and underwriting standards.
• Reviewed and validated loan-level data including borrower information, loan amount, LTV, property details, and coverage terms to ensure enrollment accuracy.
• Performed end-to-end enrollment transactions (new submissions, updates, cancellations, reinstatements) while maintaining data integrity across systems.

Master of Computer Applications in Computer Software Engineering – Saraswati College, Shegaon (2016-01 – 2019-01)

Bachelor of Computer Applications in Computer Programming – L.G.M.G Science College, Khamgao (2010-01 – 2014-01)