Lead Business Analyst (HCIT - US Healthcare) at Persistent (2025-03 – Present)
- Support the Product Solution Lead/Manager in planning and executing implementations, including sprint tracking and facilitating agile ceremonies.
- Mentor and guide Junior Business Analysts to ensure they complete their tasks on time and to a high standard.
- Gather, analyse, and translate client requirements into functional specifications by collaborating closely with SMEs, Product Owners, and clients to align expectations.
- Work closely with technical teams to define user stories and address any business-related questions or concerns raised by the client.
- Proactively identify issues, analyse root causes, and provide actionable recommendations with minimal supervision.
Senior Business Analyst (HCIT- US Healthcare) at Simplify Healthcare (2024-08 – 2024-11)
- Assist the Product Solution Lead/Manager in driving implementation and project planning, including sprint tracking and ceremonies.
- Guide and mentor Jr. Business Analysts to ensure the timely delivery of their tasks.
- Understand, analyse, and translate client requirements into functional solutions, working closely with SMEs, Product Owners, and clients to manage expectations.
- Participate in the full lifecycle of design, development, and testing, while ensuring requirements traceability and conducting unit testing.
- Collaborate with technical teams on user stories and address business questions or concerns raised by the client.
- Identify issues, perform analysis, and provide recommendations with minimal guidance.
Specialist Business Analyst (HCIT - US + Indian Healthcare) at Cuelogic, an LTIMindtree Company (2020-06 – 2024-06)
- Spearheaded the analysis and design phases for the Ayushman Bharat Digital Mission (ABDM), leading initiatives such as ABHA App (PHR), Drug Registry, and Unified Health Interface (UHI).
- Collaborated with cross-functional teams to optimise teleconsultation services, increasing remote healthcare access for remote users.
- Developed detailed use cases and comprehensive documentation, including epics, user stories, and acceptance criteria, ensuring stakeholder alignment.
- Analysed regulatory frameworks (including principles analogous to CMS-0057-F) to identify mandatory obligations, timelines, and reporting requirements for national digital health initiatives.
- Broke down complex regulatory text into clear business requirements, functional requirements, and acceptance criteria, establishing traceability to FHIR API capabilities and system features.
- Maintained a detailed Regulatory Traceability Matrix (RTM) linking specific regulatory clauses to actionable system requirements and validation outcomes.
- Defined and documented specifications for FHIR R4 resources (Coverage, Claim, ClaimResponse, PriorAuthorization) and API impacts (Patient Access, Provider Access, Payer-to-Payer) to enable seamless data exchange.
- Collaborated with solution architects to ensure FHIR-based Prior Authorisation API designs (for decisions, status, attachments) aligned with industry implementation guides.
- Conducted user research to optimise application usability and functionality, contributing to a user-centric product design.
- Played a key role in developing an augmented analytics platform, enabling healthcare institutions to transition to value-based care.
- Led efforts to detect and mitigate healthcare fraud, waste, and abuse through data-driven insights and strategic interventions.
- Provided actionable data visualisations and reports, facilitating informed decision-making by senior stakeholders.
Senior Business Analyst (HCIT - US Healthcare) at Radix Healthcare Technologies Pvt. Ltd (2019-04 – 2019-12)
- Developed and deployed custom healthcare solutions that met 100% of client requirements, reducing implementation time by 20% while adhering to industry standards.
- Partnered with product teams to enhance system monitoring, improving overall user experience and system efficiency.
Business Analyst (HCIT - US Healthcare) at Accenture (2014-09 – 2019-04)
- Managed projects focusing on revenue cycle management, professional billing, and system configurations across major healthcare systems.
- Acted as a functional Subject Matter Expert (SME) for Utilisation Management (UM) modules within payer systems, driving requirements for prior authorisation and medical necessity workflows.
- Documented current-state and future-state UM workflows, detailing processes for prior authorisation intake, medical necessity review, decision rendering, and member/provider notifications.
- Conducted gap analysis to identify discrepancies between existing UM system functionality and evolving regulatory/business requirements, defining clear remediation paths.
- Translated business needs into detailed API-level user stories, data mapping specifications, and workflow diagrams to support the development of interoperable services.
- Defined configuration versus customisation requirements for UM systems, balancing operational flexibility with long-term maintainability and compliance.
Implementation Analyst (Healthcare IT - US Healthcare) at Allscripts (2010-10 – 2014-05)
- Led implementation projects for Sunrise Clinical Manager (SCM), ensuring successful system configuration, testing, and user training across multiple hospitals.
Implementation Engineer (HCIT - Indian Healthcare) at Sajix Software Solutions Pvt. Ltd (2010-04 – 2010-10)
- Directed the implementation and configuration of HIS/HIMS, focusing on system customisation and end-user training.
