Anjalin Priya

CPC, CANPC, CEDC

Chennai, Chennai districtMember since January 26, 2026

Surgical ASAPain ManagementDenial ManagementIP DRGQuality AssuranceDelivery QualityOperationsQuality AuditProcess AuditsRoot Cause AnalysisAudit SamplingClaim Appeal

About

I wish to work in an organization which as conductive environment for learning and growth. I aspire to apply the knowledge and skills acquired in my professional career (Both Operations and in Quality/Training Dept) for the fulfillment of organization objectives

Experience

Assistant Manager in delivery quality - Omega Healthcare

(2025-05)

Currently acting as delivery quality manager in multispecialty client majorly for Surgery and anesthesia specialties

Former Assistant Manager in delivery quality - Omega Healthcare

(2024-06 - 2025-05)

Currently acting as delivery quality manager and working for special program known as 'First Time right' –kind of analytical functions

Former Assistant Manager in service delivery (Ops) - Omega Healthcare

(2023-02 - 2024-06)

In charge of team size 50 and managing day-to-day operational functions including client-facing activities

Former Assistant Manager in Service Quality - Omega Healthcare

(2022-05 - 2023-02)

Managed quality related task of team size 40 (Auditor group)

Former Assistant Manager (Ops) - Omega Healthcare

(2022-02 - 2022-05)

In charge of team size 20 and managed day to day operational/quality/denial management and claim appeal functions by coordinating with US Team

Former Process Lead (Delivery Quality) - Omega Healthcare

(2014-06 - 2022-02)

In charge of team size 15-20 (Auditor Group) and managing Delivery Quality

External and internal accuracy maintainence
Audit Sampling definition
quality planning assurance, control and improvement

Former Team Lead (Delivery Quality) - Omega Healthcare Management Service

(2014-06 - 2022-01)

In charge of team size 8-10 and managed critical client's quality management system

Former Lead in Quality Assurance Team - Omega Healthcare Management Service

(2014-06 - 2022-01)

Quality Audit (Monthly Basis)
Process Audits
SWAT (A group of highly specialized subject matter experts from Quality assurance and training team, who carries quality vision, do groundwork and accountable to fix all quality needs)
Root Cause Analysis and POA

Former Subject Matrix Expert - Omega Healthcare Management Service

(2014-06 - 2022-01)

Surgical ASA and Pain Management and EM Specialties

Former Level-2 Auditor (Retro Auditor) - Omega Healthcare Management Service

(2014-06 - 2022-01)

E/M, ED, IVR, Surgical ASA and Pain Management Specialties

Former Quality Control analyst - Omega Healthcare Management Service

(2014-06 - 2022-01)