Summary
Overview
Work History
Education
Skills
Timeline
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Dipesh Shakya

Application Systems Analyst
Herriman,Utah

Summary

Systems Analyst with over 12 years experience working with US Healthcare data. Skilled in engaging with stakeholders of all levels to facilitate requirements gathering and document as-is and to-be processes. Experienced in supervising On Shore, Off Shore teams, design, user acceptance testing (UAT), defect resolution and implementation of technical solutions.

Overview

13
13
years of professional experience
7
7
years of post-secondary education

Work History

Application Systems Analyst III

Cotiviti Inc, 10897 S
River Front, South Jordan, Utah
09.2012 - Current

Responsibilities:

  • Supervise and Coordinate with various Teams in Nepal
  • SME payment data,production support and Nucleus application
  • Integrate Business and Client specific requirements
  • Performance tuning of PL/SQL, SQL
  • Production Support / monitoring processes
  • Implementation of New Clients
  • Lead Dataops teams new development and enhancement projects
  • Supervise on shore data ops team members
  • Maintain and Support Nurse training sites and clinical team
  • Develop Automation process for Monitoring and Reporting


Experiences:

  • Payment Accuracy maintaining customizations and policy rules datasets
  • Developed & performed Automated tests for Rules Engine conversion project
  • Established Incident Management Process workflow for Data Ops
  • Developed Java based Desktop Application to load policy changes data from Excel to Oracle DB for over 30 tables
  • Business Operations Ad Hoc requests
  • Fraud Waste Abuse (FWA) generate mail using Winward API
  • Batch process improvement to reduce MTTR by over 80% by making processes self recoverable with User friendly prompts
  • Automated testing and report generation initiative for monthly policy releases
  • Threshold driven automated monitoring system for batch process
  • FWA Engine deployment in Kubernetes cluster
  • FWA rules development in drools

Software Engineer

Verisk Information Technologies Pvt. Ltd
, Nepal
04.2010 - 08.2012

Responsibilities:

  • Development of database objects/database designs to implement various business logics
  • Performance tuning, maintenance and development of the system
  • Managing tasks among team members and reporting
  • Maintenance and development of Normative database (Benchmark data), which is a part of Medical Intelligence Suite


Experiences:

  • Developing, maintenance, performance tuning of Client Customizations in project related to Payment Accuracy Solutions
  • Production Support for Payment Accuracy Solutions

Internship Student

Verisk Information Technologies Pvt. Ltd, Service Pvt. Ltd, Hattisar
, Nepal
11.2009 - 02.2010
  • Project Worked on: College final year project titled “Health Point” -Analysis and Reporting tool of health care data of Nepal using SQL Server Business Intelligence, processing OLAP cube
  • Frontend: web Application in ASP.NET using C# language

Education

Master of Science - Database Management And Business Intelligence

Boston University | Metropolitan College
01.2015 - 09.2016

Bachelor of Engineering - Computer Engineering

Tribhuwan University| Institute of Engineering, Kantipur Engineering College
01.2005 - 01.2010

Skills

PL/SQL

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Timeline

Master of Science - Database Management And Business Intelligence

Boston University | Metropolitan College
01.2015 - 09.2016

Application Systems Analyst III

Cotiviti Inc, 10897 S
09.2012 - Current

Software Engineer

Verisk Information Technologies Pvt. Ltd
04.2010 - 08.2012

Internship Student

Verisk Information Technologies Pvt. Ltd, Service Pvt. Ltd, Hattisar
11.2009 - 02.2010

Bachelor of Engineering - Computer Engineering

Tribhuwan University| Institute of Engineering, Kantipur Engineering College
01.2005 - 01.2010
Dipesh ShakyaApplication Systems Analyst