Summary
Overview
Work History
Education
Skills
Websites
Certification
Timeline
Generic
BABU S PETER PALATHOTI

BABU S PETER PALATHOTI

SOUTH JORDAN,United States

Summary

Strong leader and problem-solver dedicated to streamlining operations to decrease costs and promote organizational efficiency. Uses independent decision-making skills and sound judgment to positively impact company success. Pragmatic thinking, developing evidence-based business plans backed by swift action in operationalizing, implementing, and transforming business units into profitable company assets. Deep knowledge of American Healthcare, Banking, and Financial Services, delivering immediate results and savings using my complementary skills of Lean Six Sigma approach, Data Driven decision and Agile methodologies

Overview

26
26
years of professional experience
1
1
Certification

Work History

Director Operations

Optum Financial (Div of Optum Inc.)
12.2019 - Current
  • Spearheading the accountable oversight of FSA, DCFSA, and other Employer-driven Benefit plan Claims & Appeals Operations for senior executives
  • Elevated the efficiency of claims processing within the domain, achieving high accuracy rates (DAR, PAR & FAR) and stringent turnaround times
  • Directed and mentored claims analysts, focusing on daily data validation and the development of data-driven metrics to pinpoint gaps, implementing targeted interventions for enhanced performance on key metrics
  • Achieved ongoing savings of 9MM over 5 years by orchestrating the automation of adjudication through AI-OCR, significantly reducing manual intervention in processing
  • Supported the Client Net Promoter System and Voice of Client strategies by facilitating client experience improvements and synergies across Optum Financial
  • Proactively identified and initiated changes in processing and tools to boost operational efficiency
  • Defined key metrics and KPIs aligned with MBOs, executed plans, and delivered results while collaborating with leadership and the team
  • Pioneered an innovative tier-2 Claims call center within back-office Operations, ensuring 100% First Call Resolution (FCR) and maintaining a Net Promoter Score (NPS) greater than 65 since its inception in October 2022
  • Drove continual improvement within the vertical by identifying process improvements and proposing solutions leading to increased efficiency, revenue, and/or reduced costs
  • Collaborated with Senior Leadership in planning, implementing, and evaluating/modifying existing operations, systems, and procedures
  • Established and maintained an environment fostering positive morale, creativity, and teamwork
  • Ensured stringent compliance with all regulatory requirements.

Associate Director

Optum Behavioral Health Provider Operations
05.2010 - 12.2019
  • Oversaw Provider Onboarding for Behavioral Health in OPTUM, setting goals, designing action plans, and ensuring execution
  • Demonstrated strong governance by uniting team leaderships to drive comprehensive process enhancements
  • Led Provider Credentialing efforts to add providers to the network promptly, facilitating services for Optum and its affiliates.

Assistant Manager - Large Client Operations

Bank Of America
04.2007 - 05.2010
  • Re-engineered the process to derive productivity benefits within the process
  • Derived a benefit of close to $500K per annum with a lift of productivity by 30%
  • Developed Synergies between IT and BPS Teams within the bank to gain technical edge to derive the required benefits with in the process
  • Initiated the development of IT tools to improvise the overall processing of requests within the Bank (first of its kind in the Bank)
  • Migrated a 50 FTE process from US to India for Front and Middle Office business
  • Responsible for the performance of a team of 126 members and 7 Frontline Managers (Team Leaders)
  • Staffing and rostering the team as per business requirement on a weekly basis
  • Formulate the weekly forecast of volumes based on the analysis done for the week on a daily basis
  • Driving LEAN and SIX SIGMA ideology in the team
  • Been the LEAN SPOC for entire process (250 FTE) to drive for overall results
  • Played key role in acquiring and successfully integrating two processes through strategic re-engineering
  • Reengineered Transaction function into new organizational design, enabling more effective approach efficient handling, updating job descriptions, performance management standards
  • Establishing new goals, including benchmarks and monitors
  • Recruited, screened, and hired staff to open positions
  • Implemented successful anti-fraud program; created and implemented audit and self-audit programs Designed and implemented new training and management mentoring program
  • Developed and maintained strong relationships with clients and provided timely customer service
  • Monitored and reported on client operations performance to ensure deadlines and objectives were met.

Principal

The Rock School - India
06.1998 - 04.2007
  • Collaborate with teachers to develop and maintain an engaging class curriculum
  • Mentor and coach teachers on effective teaching and classroom management methods
  • Build and maintain open lines of communication with students' parents and guardians
  • Coordinated training and development programs for both teachers and administrators
  • Set policies ensuring student safety and security at all points
  • Provide counseling, support, and encouragement to students
  • Address and resolve escalated student conflicts and behavioral issues
  • Updated teacher evaluation standards to better align with state and federal performance guidelines.

Education

Certified Black Belt in Lean Six Sigma -

Council for Six Sigma Certification at USA

Agile Leader in Agile Methodology -

Six Sigma Global Institute at USA

Certified Scrum Product Owner in Product Management -

Six Sigma Global Institute at USA

Certified Data Analyst With R Programming in Data Analysis -

Google Coursera at USA

Project Management in Project Management -

Six Sigma Global Institute at USA

Executive Education in Business Administration in Business Administration -

Indian Institute of Management at Bangalore India

Masters in Arts in English -

Andhra University at India

Masters in Education in Biology & English -

Bharathidasan University at India

Skills

  • Performance Management
  • Operational Excellence
  • Global Management
  • Change Management
  • Problem Solving
  • Out of the box thinking
  • Strategic & Tactical Solutioning
  • Calculated Risk Taking

Certification

  • Lean Six Sigma Black Best - Council for Six Sigma Certification

Timeline

Director Operations

Optum Financial (Div of Optum Inc.)
12.2019 - Current

Associate Director

Optum Behavioral Health Provider Operations
05.2010 - 12.2019

Assistant Manager - Large Client Operations

Bank Of America
04.2007 - 05.2010

Principal

The Rock School - India
06.1998 - 04.2007

Certified Black Belt in Lean Six Sigma -

Council for Six Sigma Certification at USA

Agile Leader in Agile Methodology -

Six Sigma Global Institute at USA

Certified Scrum Product Owner in Product Management -

Six Sigma Global Institute at USA

Certified Data Analyst With R Programming in Data Analysis -

Google Coursera at USA

Project Management in Project Management -

Six Sigma Global Institute at USA

Executive Education in Business Administration in Business Administration -

Indian Institute of Management at Bangalore India

Masters in Arts in English -

Andhra University at India

Masters in Education in Biology & English -

Bharathidasan University at India

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