Ankith Nekkanti
Montgomery,AL
Summary
Highly accomplished and results-driven Senior Business Analyst with 9+ years of experience providing effective Data solutions for healthcare organizations. Strong experience in Claims Processing and Claims Scrubbing in HMO, PPO, Medicaid, and Medicare. Deep knowledge of healthcare rules, regulations, governance, compliance, plans, and processes. Extensively worked on all phases of Data Warehousing projects including Data cleansing and modeling for Data Marts. Highly adaptable and skilled at wearing multiple hats in ambiguous and highly matrixed environments. Exceptional interpersonal communication skills with a strong ability to collaborate with technical and non-technical audiences at all levels of Business in Agile/Scrum environments.
Overview
11
11
years of professional experience
1
1
Certification
Work History
Senior Business/Systems Analyst
Blue Cross Blue Shield – Minnesota
05.2022 - Current
- Worked on Care360 Project Engage which dealt with understanding the current plans in BCBS designated to the members yearly
- Implemented and updated BCBSMN business processes related to the care360 tool set from Castlight.
- Analyzed the number of members enrolled in health training programs and projected enrollment for the following fiscal year.
- Worked on Blue Care Advisor project analyzing member-level program benefits and rewards.
- Documented scenarios and requirements to ensure accurate member data transfer to the next fiscal year.
- Created documentation for modifications in the process of training enrollment for members of different tiers.
- Monitored enrolled, completed, and dropped members' data eligibility for incentives.
- Coordinated with the team to gather requirements from various sources of Castlight.
- Worked on MOM-T program analyzing processes included in MOM-T program including Blue Plus for Medicaid in BCBS.
- Created business requirement documents and functional documentation for workflow projection.
- Designed workflow processes to eliminate one of the major third-party vendors.
- Worked on the workflow associated with developing new ID cards for Blue Plus Medicaid plans for 2024.
Senior Business/Systems Analyst
MEDICA - Minnetonka, MN
01.2021 - 03.2022
- Improved process of fixing discrepancy reports for CMS and MNSure for Enrollment Reconciliation Process.
- Responsible for CMS and MNSure discrepancy reports and provide detailed analysis reports to business.
- Performed enrollment and claims enrichment process before provision files to CMS and MNSure.
- Created documentation for modifications in process of training enrollment for members of different tiers.
- Analyzed data between source file and processed TIBCO files before loading into HR application.
- Documented detailed analysis of modifying existing code for CMS and MNSure extracts.
- Validated all inbound and outbound discrepancy files from CMS and MNSure.
Business Analyst
Cardinal Health - Ohio
01.2018 - 12.2020
- Migrated “Admit, Discharge & Transfer (ADT)” data from Oracle system to Bigdata platform for Single Data Repository (SDR).
- Brought all 60 submitters data (ADT) into SDR.
- Performed member enrichment process before provision files to customers.
- Responsible for bringing all source data (60 submitters) accurately and loaded into one consolidated layer.
- Responsible for bringing Member and Provider data from multiple sources for all ADT submitter’s data for Enrichment process.
- Analyzed and created mapping document for Member Match and Enrichment process.
- Validated data after loading it into multiple environments.
Business Analyst
Prime Therapeutics – Eagan, Minnesota
01.2017 - 12.2017
- Moved data from old Data warehouse to New Warehouse called EDW.
- Worked on experience in HIPPA,EDI270/271,834,835,837 for Claims processing.
- Facilitated JAD sessions to collect requirements from system users.
- Worked in mainframe environment and used SQL to query various reporting Databases.
- Knowledge in Electronic Medical Record (EMR)/Electronic Health Records(EHR)modules and process flow
Business Analyst
Vitech Systems Group
03.2013 - 11.2015
- · Facilitated and interacted with different teams to perform gap analysis to identify deficiencies in system by comparing actual objectives with system objectives desired.
- Worked closely with Business and stakeholder to gather and documented requirements.
- Worked on RUP to configure and develop process, standards, and procedures.
- · Identified all use case components including basic, alternate and exception flows.
- Worked with QA Team as tester during test phase, maintained issue Track log to make sure all issues are addressed played part in troubleshooting before QA Analysis.
Education
Master of Science - Information Technology Management
Campbellsville University
KentuckyBachelor of Science - Computer Science Engineering
Jawaharlal Nehru Technology University
IndiaSkills
Technical Experience
- Programming Languages: SQL, Visual Basic 60, XML, HTML
- Databases: Oracle 10g/9i/8i, SQL Server 2000/2005/2008, IBM DB2, MS Access 2000
- Data Modeling Tools: Erwin, Rational Rose, MS Visio, ER Studio, Oracle BPA
- Reporting Tools: Business Objects 5x / 65, Cognos 70/60, Crystal (6, 8, and 11), SSRS, OBIEE Business Intelligence Enterprise edition 10341
- Project Methodologies: Agile, Waterfall, JAD, UML
- Requirement Management Tools: Rational Requisite Pro, TFS, Rally, Jira, ALM, Team Velocity
Certification
Scrum Master Accredited Certification
Timeline
Senior Business/Systems Analyst
Blue Cross Blue Shield – Minnesota
05.2022 - Current
Senior Business/Systems Analyst
MEDICA - Minnetonka, MN
01.2021 - 03.2022
Business Analyst
Cardinal Health - Ohio
01.2018 - 12.2020
Business Analyst
Prime Therapeutics – Eagan, Minnesota
01.2017 - 12.2017
Business Analyst
Vitech Systems Group
03.2013 - 11.2015
Master of Science - Information Technology Management
Campbellsville University
Bachelor of Science - Computer Science Engineering
Jawaharlal Nehru Technology University