Summary
Overview
Work History
Education
Skills
Certification
Projects
Timeline
Generic

Sushma Kandala

Plano,TX

Summary

Detail-oriented professional with expertise in Agile methodologies and SDLC. Proven ability to conduct gap analysis and develop high-quality documentation, driving efficient project delivery and enhancing team collaboration.

Overview

11
11
years of professional experience
1
1
Certification

Work History

DXC Technology
02.2022 - 04.2025
  • Proficient working on various products like WMA, EQH & Assure Policy Services, Interfaces testing from 2022-2025.
  • Actively took part in team meetings to share knowledge, exchange ideas, address challenges, and collaborate on potential solutions.
  • Developed high-quality documentation to support training efforts, helping employees fully understand new systems and procedures.
  • Performed gap analysis between existing systems or processes and desired state, finding areas for improvement or enhancement.
  • Worked directly with the Project Manager to manage project scope, manage deliverables, updating BA Dashboard.
  • Conducted JAD sessions, user interviews, and detailed research requirement meetings to capture the requirements and prepare BRD.
  • Good understanding of various kinds of testing like Back-End Testing, Positive/Negative Testing, Configuration Testing, Data Driven Testing, User Acceptance Testing (UAT), Unit Testing, System Integration Testing (SIT), Smoke testing and Regression Testing.
  • Worked on the design and enhancement of claims management systems, including automation of first notice of loss (FNOL), claims adjudication workflows, and claims payout processes, reducing manual errors and improving efficiency.
  • Involved Building Platform features, user stories, and support backlog with priorities, using Confluence and JIRA platforms.
  • Performed data mapping for complex API integrations, translating business requirements into technical specifications to ensure right data flow across systems.
  • Analyzed and mapped data elements for policy lifecycle processes, including policy issuance, endorsements, renewals, cancellations, and reinstatements, ensuring data accuracy across systems.
  • Conducted gap analysis to find discrepancies between existing system capabilities and business needs in stock loan operations.
  • Improved software quality by executing thorough test cases and finding critical defects.
  • Streamlined regression testing process with the implementation of automated testing tools.
  • Helped team with development of web-based applications in Agile environment.
  • Supported agile development methodologies by actively taking part in sprint planning meetings and providing valuable input during daily standups.
  • Conducted tests to find, report and repair bugs and glitches.
  • Collaborated with QA team to evaluate software quality through manual and automated testing.
  • Teamed on planned tests and time-sensitive ad hoc requests.
  • Collaborated with development teams to understand product features, resulting in more targeted and effective testing strategies.
  • Gathered data on integration issues and vulnerabilities, reported findings and recommended improvements.

Sutherland Healthcare Solutions (RCM Lab)
07.2018 - 01.2022
  • Involved in developing and keeping project management plans that effectively address all aspects of effective project management within the compliance in healthcare domain.
  • Worked on variety of denial management tasks, preparing reports in SQL and analyzing data. Responsible for analyzing and reporting accurate denials to upper-level management regarding monthly key points of interest using queries in access to shorten the work of analyzing and sharing required data with HIT/RPA Team for implementation of BOTS.
  • Participated in working with products related to Health Insurance and Asset Management.
  • Validated the existing documented process flows to ensure the logical sequence of their output.
  • Conducted KT Sessions to teammates while helping them to learn the process flow and implementation.
  • Involved in analysis and creation of current state process flow diagrams for various stages involved in Asset lifecycle from planning.
  • Involved in documenting weekly team meetings with Supervisors and circulating among the team.
  • Involved in maintaining the project document repository using MS Share Point and making updates to plans using MS Office.
  • Involved in identifying the requirements and preparing excellent documentation on business requirements.
  • Worked on various activities of the project like information gathering, analyzing the information gathered, documenting the functional or business requirements.
  • Worked with business and IT across all phases of software development life cycle.
  • Worked on requirements using interviews, document analysis, requirements workshops, surveys, business process descriptions, business, and workflow analysis.
  • Identifying gaps between what is specified in our written policies and procedures and any new regulatory changes, allowing for better audit preparation.
  • Involved in writing internal compliance bulletins to provide guidelines to financial advisers for policy procedures.
  • Good understanding of various kinds of testing like Back-End Testing, Positive/Negative Testing, Configuration Testing, Data Driven Testing, User Acceptance Testing (UAT), Unit Testing, System Integration Testing (SIT), Smoke testing and Regression Testing.

Cognizant Technology Solutions
05.2016 - 06.2018
  • Worked as Senior specialist for healthcare services.
  • Worked for AR-RCM handling denial Management analysis.
  • The focus of the project is to analyze the claim denials, finding out the global resolutions to meet the client expectations and to reach cash goals.
  • Negotiating with the payers for the incorrect denials and low payments made on the claims.
  • Used various systems in project like Citrix, Invision, GECB, Stockamp, Soarian, AEHR, Logix, and RIS for many United State hospitals.
  • Involved in developing and supporting project management plans that effectively address all aspects of effective project management within the compliance and regulatory landscape.
  • Documented test case scenarios with specific instructions for creating test data.
  • Involved in documenting weekly team meetings with Business Executives & circulating among the team.
  • Conducted KT Sessions to New Joines.
  • Involved in supporting the project document repository using MS Share Point while working for Mod-Med.

Sutherland Healthcare Solutions
06.2014 - 05.2016
  • Worked as Specialist for Healthcare services.
  • Worked for AR-RCM handling denial Management analysis.
  • The focus of the project is to analyze the claim denials, finding out the global resolutions to meet the client expectations and to reach cash goals.
  • Negotiating with the payers for the incorrect denials and low payments made on the claims (Underpaid & Half paid Claims).
  • Used various systems related to USA Medical services.
  • Hands on experience on MS-Excel.

Education

Bachelor’s - biotechnology

University of Osmania
03.2014

Skills

  • Waterfall
  • Agile/Scrum
  • SDLC
  • JIRA
  • Confluence
  • SmartRev
  • Windows
  • Microsoft PowerPoint
  • SharePoint
  • MS SQL Server
  • SQL
  • Service Now
  • Project management
  • Training and development
  • Quality assurance

Certification

  • Certified FLMI Batch 1
  • LOMA 281-Meeting Customer Needs with Insurance & Annuities
  • LOMA 291-Improving the Bottom Line-Insurance Company Operations

Projects

DXC Technology, 02/01/22, 04/01/25, Worked on various products like WMA, EQH & Assure Policy Services, Participated in team meetings, Developed documentation for training, Performed gap analysis, Managed project scope and deliverables, Conducted JAD sessions and user interviews, Executed various types of testing, Improved software quality, Collaborated with QA team Sutherland Healthcare Solutions (RCM Lab), 07/01/18, 01/01/22, Developed project management plans, Worked on denial management tasks, Validated process flows, Conducted KT Sessions, Maintained project document repository, Identified requirements and prepared documentation Cognizant Technology Solutions, 05/01/16, 06/01/18, Worked as Senior specialist for healthcare services, Handled denial Management analysis, Negotiated with payers, Documented test case scenarios, Conducted KT Sessions Sutherland Healthcare Solutions, 06/01/14, 05/01/16, Worked as Specialist for Healthcare services, Handled denial Management analysis, Negotiated with payers, Hands on experience on MS-Excel

Timeline

DXC Technology
02.2022 - 04.2025

Sutherland Healthcare Solutions (RCM Lab)
07.2018 - 01.2022

Cognizant Technology Solutions
05.2016 - 06.2018

Sutherland Healthcare Solutions
06.2014 - 05.2016

Bachelor’s - biotechnology

University of Osmania

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Sushma Kandala