Rajasekar Harikrishnan

• Good sound Knowledge in Health Care Domain and US healthcare system (Payer & Provider).
• Worked on Eligibility, Various denials, Refunds,

Credentialing, Provider enrollments.

• Able to understand and implement Processing ICD-9

ICD-10.

• Involved in Claims Work flow Integration development.
• HIPPA rules followup
• Complete Member Enrollment cycle, complete Claims Life cycle, Medical

Plans like HMO, PPO, POS, EPO, CHIP, Medicaid, Medicare services. (Healthcare Enrollment system,

claims adjudication system, EHR, EMR, Healthcare Data Migration, Health Data mapping, Health data Crosswalk files).

• Intense knowledge of Agile (Scrum) framework including

Scrum ceremonies like Backlog grooming, Sprint planning meeting, Daily Scrum, Sprint demo, Review meeting, and Sprint retrospective meeting. Efficiently involved in requirement elaboration .Efficient in solving all the impediments dealing with internal and external stakeholders.

Performed multiple feasibility studies, Risk analysis, Cost-

benefit analysis, Root cause analysis,

SWOT analysis, and impact analysis to find the needs of a project and execution of business decisions and possess an in depth understanding of GAP analysis and defined the AS-IS and TO-BE business processes to help the organization with designing the new system.

• Expertise in documentation like BRD (Business

Requirement document), FRS (Functional requirement specification) SRS (System requirement specifications) Unit test plan (QC & UAT), test scripts, test cases and also supporting UAT (User acceptance testing) to build an error free software application.

• Skilled in eliciting requirements from business owners and stakeholders through a variety of elicitation techniques such as Brainstorming, JAD sessions,

Requirement workshops.

• Good sound Knowledge in Health Care Domain and US healthcare system (Payer & Provider).
• Worked on Eligibility, Various denials, Refunds,

Credentialing, Provider enrollments.

• Able to understand and implement Processing ICD-9

ICD-10.

• Involved in Claims Work flow Integration development.
• HIPPA rules follow up
• Complete Member Enrollment cycle, complete Claims Life cycle, Medical

Plans like HMO, PPO, POS, EPO, CHIP, Medicaid, Medicare services. (Healthcare Enrollment system,

claims adjudication system, EHR, EMR, Healthcare Data Migration, Health Data mapping, Health data Crosswalk files).

• Intense knowledge of Agile (Scrum) framework including

Scrum ceremonies like Backlog grooming, Sprint planning meeting, Daily Scrum, Sprint demo, Review meeting, and Sprint retrospective meeting. Efficiently involved in requirement elaboration .Efficient in solving all the impediments dealing with internal and external stakeholders.

Performed multiple feasibility studies, Risk analysis, Cost-

benefit analysis, Root cause analysis,

SWOT analysis, and impact analysis to find the needs of a proiect and execution of business decisions and possess an in depth understanding of GAP analysis and defined the AS-IS and TO-BE business processes to help the organization with designing the new system.

• Expertise in documentation like BRD (Business

Requirement document), FRS (Functional requirement specification) SRS (System requirement specifications) Unit test plan (QC & UAT), test scripts, test cases and also supporting UAT (User acceptance testing) to build an error free software application.

• Skilled in eliciting requirements from business owners and stakeholders through a variety of elicitation techniques such as Brainstorming, JAD sessions,

Requirement workshops.

Msc in Information Technology