Dhinesh Babu Chandrasekaran

• Certified SAFe® POPM (Product Owner/Product Manager).
• More than 10 years of experience in Business Analysis, Product ownership, Consulting, solutioning for US Healthcare customers, specializing in FACETS Trizetto, Ikasystems, NetworX Pricer and other Health care payer and provider applications.
• Possess strong knowledge on End-to-End process flows in Payer applications specializing in Claims, EDI, Enrollment, Benefits and Order to Cash, clinical trials process flows in Provider systems.
• Experienced in customer collaboration to understand business challenges, problems, solution proposals. BRD, FRD documentation, Root Cause Analysis, Gap Analysis, Current state (AS-IS) and Future state (TO-BE) analysis, New solution proposals, recommending problem solving business proposals, Business process modelling.
• Experienced in analyzing the market and market needs and proposing enhancements, solutions, new features and capabilities.
• Experienced in End-to-End Product Ownership, Epic, Feature, User stories management in Agile and Scrum working model.
• Experienced in preparing software development plans, executions, test plans, test case creation, performing UAT and test execution across environments.
• Experienced in troubleshooting production issues/defects and proposing the resolution/fix, assisting the team for the defect fixes.
• Experienced in Agile, waterfall, Scaled Agile frameworks.
• Highly adaptive and a quick learner to any business processes, applications and models.

Customer: Quest Diagnostics

Module: Clinical trials, Lab and results data management

Roles and responsibilities:

• Product ownership, Business Analysis, Requirement gathering, Consulting, Solution proposals, Preparing BRDs, FRDs,Test plans, Test execution.
• Epic, feature, user stories creation and management in Rally.
• Feature prioritization, preparing yearly actionable roadmaps, PI planning, sprint planning, backlog grooming.
• Preparing design document, prototyping for new functionalities.
• Collaborating with stakeholders, understand the customer needs and requirements, prepare the objectives, proposing new functionalities to overcome challenges and execution.
• Collaborating with cross functional teams to sort the dependencies and coordinating the deliverables.
• Assist in end to end configuration of the proposed design of Healthcare functionalities.
• Take ownership of various product epics and features in Agile project environment.
• Assist the Development and Testing teams with proper Healthcare functional assistance.
• Acknowledge customer issues and resolve their problems quickly and efficiently.
• Effectively educate and communicate with other teams on approaches to design and configure Healthcare functionalities.
• Evaluate the customers' needs and provided configuration options to meet their requirements.

Customer: EHI - Advantasure

Module: Claims, Enrollment, Billing, EDIs, EOBS, EOPs

Roles and responsibilities:

• Business Analysis, Requirement gathering, Consulting, Solution proposals, Preparing BRDs, FRDs, Test plans, Test execution.
• Understand the customer needs and requirements, prepare the objectives and prioritize, drive Sprint Planning, define the User stories and Acceptance Criteria for the Sprints and Product ownership.
• Preparing Design for Healthcare functionalities based on Customer Health plan requirements.
• Assist in end-to-end configuration of the proposed design of Healthcare functionalities.
• Take ownership of various Products and features in Agile project environment. Assist the Development and Testing teams with proper Healthcare functional assistance.
• Acknowledge customer issues and resolve their problems quickly and efficiently.
• Effectively educate and communicate with other teams on approaches to design and configure Healthcare functionalities.
• Evaluate the customers' needs and provided configuration options to meet their requirements.

Customer: Healthcare Highways

Module: NetworX Pricing

Roles and responsibilities:

• Business Analysis, Requirement gathering, Consulting, Solution proposals, Preparing BRDs, FRDs,Test plans, Test execution.
• Analyze the Contract agreements and Configured the agreements for Network pricing. Unit test the contracts configured by Claim Processing. Drive the weekly calls with the client and onsite counterparts to discuss and bridge the gap between requirements and implementation.
• Acknowledge customer issues and resolve their problems quickly and efficiently.
• Effectively educate and communicate with other team members on approaches to design the pricing to meet the expectations and deadline.
• Evaluate the customers' needs and provided configuration options to meet their requirements.
• Emphasize the specific product features that would stand out to customers, showing them product limitations and capabilities.

Customer : EMBLEM HEALTH, Inc 

Module: Capitation, Provider setup 

Roles and Responsibilities:

• Business Analysis, Requirement gathering, Consulting, Solution proposals, Preparing BRDs, FRDs,Test plans, Test execution.
• Understand the customer needs and requirements, prepare the objectives and prioritize, take part in Sprint Planning, define the User stories and Acceptance Criteria for the Sprints and Product ownership.
• Drive the weekly calls with the client and onsite counterparts to discuss and bridge the gap between requirements and implementation.
• Acknowledge Client issues and resolved their problems with less turn around duration. Assist the support team and Build team for Batch run in Capitation.

Customer: CareFirst Healthcare, Inc 

Module: Extensions developer in FACETS. 

Roles and Responsibilities:

• Business Analysis, Requirement gathering, Test cases and Unit testing.
• Understand the customer needs and requirements, prepare the objectives and prioritize, take part in Sprint Planning, define the User stories and Acceptance Criteria for the Sprints and Product ownership.
• Design the extensions to run the batch for various application groups of FACETS. Develop the extensions based on business requirements of Healthcare.
• Unit test the extensions based on the Healthcare standards.

Customer: HUMANA Healthcare, Inc

Module: Extensions development in stand-alone health care applications.

Roles and Responsibilities:

• Business Analysis, Requirement gathering
• Understand the customer needs and requirements, prepare the objectives and prioritize, take part in Sprint Planning, define the User stories and Acceptance Criteria for the Sprints and Product ownership.
• Design the extensions to run the batch for various stand-alone applications. Develop the extensions based on business requirements of Healthcare.
• Unit test the extensions based on the Health care standards.

Payer: Claims, EDIs (837, 270, 271, 276, 277), Billing, Explanation of Benefits, Payer and Provider set up, Enrollment, Capitation, Membership, Pricing, Division of Financial Responsibility (DOFR).

Provider: Clinical trials, Lab data management

SAFe® 6 Product Owner/ Product Manager (POPM)

• MS Word
• Excel
• Powerpoint
• Rally
• JIRA
• SQL
• Oracle
• Business Process Modelers like Visio
• ARIS
• Power BI
• VersionOne
• ASP.net