Deepti Akula
Tampa,FL
Summary
Seasoned Business Analyst offering 7 years of Healthcare industry success. Expert on business and systems requirements, user acceptance testing and end-user training. Accomplished at leveraging past lessons to inform future decision-making.
Overview
8
8
years of professional experience
Work History
Senior Business Analyst
Cognizant Technology Solutions, CTS
10.2022 - Current
- Worked very closely with 20+ key business stakeholders to understand business requirements and convert these requirements into user stories, define acceptance criteria
- Worked very closely with around 5 Technical Architects on story grooming and collaborate with cross stream TA's to identify dependencies and risk mitigation Involved in all aspects of Project life cycle, from initial kickoff through requirements analysis, design, implementation, testing and post-production solution and user support
- Applied honed problem-solving skills to analyze and resolve issues impacting business operations and goal achievement.
- Manage and Own product backlog, including mapping of features and user stories to ensure logical and continuous product improvement. Create, manage, and own epics, features, and user stories
- Facilitated seamless integrations between Salesforce and other critical business systems for a holistic view of customer information.
- Enhanced Salesforce efficiency by identifying and implementing process improvements.
Lead Business Analyst/ System Analyst
State Of Vermont, AHS, Vermont Health Connect
07.2018 - 09.2022
- Vermont Health Connect is administered by Department of Vermont Health Access
- Vermont Health Connect is way to choose QHP/Medicaid health plan for individuals and families that fits needs and budget
- VHC have all information that need to find plan offered through Vermont Health Connect which offers benefits like doctor visits, hospital stays, preventive care, and prescription coverage and about what's covered
- Also, VHC helps to find right plan for children and pregnant women through Medicaid
- This Project was to enhance Claims Adjudication System, which deals with different phase of claim process such as Intake Phase, Adjudication Phase and Reporting Phase
- Implementation of ACAS (Automated Claim Adjudication System) must have to comply with HIPAA 5010 Rules and Regulation of privacy and security
- Implementation of ACAS to generate automated Claim Submission, Processing and creating report
- As part of Adjudication process, made changes to systems around Benefits Administration, Benefits Determination, Payment Processing, Compatibility Edits, Validity Edits and many more.
Senior Business Analyst
Medical Mutual of Ohio
08.2016 - 07.2018
- Purpose of this project is to improve management and quality of Claim Management System for members
- Project involves Utilization management, claims adjudication, grievance and appeals, 820, 834, 837/278 EDI transactions to update claims and Prior Approval (Preauthorization) process for professional and Facility claims
- Developed complex dashboard and reporting tools to track business performance metrics.
- Conducted thorough requirement gathering sessions to ensure accurate understanding of client needs and priorities.
- Identified needed business improvements and determined appropriate systems required to implement solutions.
Education
Masters in software system -
University of St. Thomas
MNBachelor of Engineering -
University of Mumbai
IndiaSkills
- Business Analyst
- State / Federal government
- Requirements Documentation (BRD)
- System Design Documentation (SRS)
- Quality Center, JIRA
- MMIS/Claims Adjudication
- Visio, Excel, PowerPoint, Word
- Agile Scrum
- Waterfall
- JAD sessions
- Business Requirements
- Customer Communication
- Internal Auditing
Timeline
Senior Business Analyst
Cognizant Technology Solutions, CTS
10.2022 - Current
Lead Business Analyst/ System Analyst
State Of Vermont, AHS, Vermont Health Connect
07.2018 - 09.2022
Senior Business Analyst
Medical Mutual of Ohio
08.2016 - 07.2018
Masters in software system -
University of St. Thomas
Bachelor of Engineering -
University of Mumbai