KRISHNA ARU
Los Angeles,CA
Summary
20 Years of extremely successful IT and business operations experience in healthcare. 12+ years in Project Management Roles. Strong leader with motivational management style. Results-oriented achiever with excellent record of accomplishment for identifying opportunities for accelerated growth. Expertise in Strategic Technology & Business Planning, Design IT Blueprints & Roadmap, Global IT Delivery & Operational Readiness. Highly analytical decision-maker with extensive experience in building, turning around, and operating companies, along with proven history of increasing productivity and turning around demanding situations. Seasoned executive with in-depth understanding of emerging technologies and their commercial applications. Motivated self-starter who earned multiple achievement awards during early career, as well as sustained recognition for community service.
Overview
13
13
years of professional experience
4
4
years of post-secondary education
7
7
Certifications
Work History
Senior Product Manager
INNOVACCER
06.2022 - Current
- Lead a team of over 20 IT professionals, driving a high performing team culture aligned to business outcomes
- Worked on broad array of technologies - CRM, Ecommerce, Cloud operations, SaaS, and integration suites, Microservices, components, AI, Salesforce Sales, Service and Marketing components
- Development and execution of an IT roadmap aligned with clientele’s priorities and long - term strategic imperatives
- Reviewed and analyzed the effectiveness/efficiency of existing solutions and developed strategies and/or new proposed tools/applications for improvement
- Collaborated across and within the IT Enterprise in planning, designing, developing, and deploying new applications and enhancements to existing ones
- Worked with peers in Global IT to define and address business limitations and establish best practices for the implementation and adoption of new systems, including relevant training standards.
Senior Project Manager
DIGNITY HEALTH
05.2021 - 06.2023
- Ensured department understands and complies with quality standards and requirements as documented
- Successfully transformed the broken systems/applications into exceptionally reliable Operations Model – saving the organization from several Corrective Action plans on Enrollment/Eligibility
- Championed the team to resolve Four Corrective Action Plans on Encounter data submission in the span of 5 months
- Saved $4 Million in licensing costs and negotiations by identifying and eliminating redundant systems/applications/processes across the company through
- Instrumental in creating an excellent Operations model by streamlining processes in Enrollment, Configuration and Encounters
- Created Opportunities for growth by collaborating with Health Plans
- Met and exceeded KPIs on Enrollment/Eligibility data Ingestion on Timeliness, Completeness and Accuracy.
Senior Project Manager
BLUE SHIELD OF CA
03.2019 - 05.2021
- Identified gaps and resolved issues related to encounter data submissions for 2015 and 2016 Dates of Services and enabled Molina to retrieve $6 Million in additional Revenue in 30 days
- Identified gaps in Member Targeting process and increased the revenue by $2 Million in 60 days
- Developed a strategic roadmap of increasing the Risk Score and Financial impact
- Developed risk adjustment policies and procedures related to risk adjustment programs, risk adjustment data validations (RADV) and encounter data based on regulatory requirements
- Created Tools and Techniques to establish dashboards
- Monitored risk adjustment related activities including but not limited to risk adjustment programs, RADV and encounter data to ensure that all tasks are completed in a timely manner and achieve expected outcomes.
Senior Project Manager
MOLINA HEALTHCARE
07.2018 - 03.2019
- Mainframe to Java Transformation project
- Created Tools and Techniques to establish dashboards
- Monitored risk adjustment related activities including but not limited to risk adjustment programs, RADV and encounter data to ensure that all tasks are completed in a timely manner and achieve expected outcomes
- Coordinate with internal departments and external parties such as medical groups and vendors to ensure timely execution of project plans
- Develop tools to be used to improve accuracy of coding and documentation by involving external vendors.
Senior IT Project Manager
ANTHEM INC/ CareMore HMO Plan
01.2015 - 07.2018
- Mainframe Modernization project
- Lead Risk Adjustment Analytics by developing business cases and ROIs, defining roles, assigning staff, and developing training programs resulting in a 25% reduction in application lifecycle times and a 35% improvement in customer satisfaction survey scores
- Created IT Governance framework structure, Managed finances, delineated power and the governing or management roles in an organization
- Set up rules, procedures, and other informational guidelines to define guide and provide for enforcement of the processes using HIPPA, ISO 27001 and financial reporting
- Designed and developed fully automated end-to-end Claim Tracking system to account for over $1.25 billion in annual revenue, improving overall financial accountability from $20 million in variances to less than $100
- Implementation resulted in approximately 550 hours in labor savings per month.
Project Manager
MOLINA HEALTHCARE INC
07.2011 - 01.2015
- Instrumental in finalization of project requirements and resource planning and playing a key role in strategic planning to assure achievement of agreed to functional and business objectives
- Directed the implementation of a system-wide workflow and end-to-end automation system that reduced the average bed turnover time by over 50% and increased hospital revenue by over 20%
- System reduced operational costs by $1.5 million per year
- Provided thought leadership, influence, and hands-on engagement to develop, direct and implement the innovation culture for technology solutions, resulted in best-in-class solutions that met global customers’ needs
- Involved in end-to-end project management & planning and implementation from scope management to activity sequencing, effort & cost estimation, risk analysis to quality management in line with international guidelines and norms
- Responsible for monitoring and resolving any issues that arise throughout the course of development.
Project Manager/ Senior Consultant
ANTHEM INC
- Advised WellPoint’s Senior Management on initiating offshore strategy program and created a new operating model, resulting in a cost saving of 0.5m in first year
- Contributed as Portfolio Management SME on MC 2004 Strategy Program
- Advised and assisted customer management with creation/implementation of Balanced Score Card based Performance management measures for outsourcing service providers
- Led the initiation of portfolio analysis, knowledge management and outlining strategies for continued process and project performance improvements
- Managed a distributed team of 35 people, for delivering projects increasing revenue by $4m.
Mainframe Developer/ Consultant
MBNA/BANK OF AMERICA
Mainframe Developer
KANBAY INC.
Mainframe Technical Lead/ Consultant
WELLPOINT
Customer Care Representative
HTMT INC.
Education
Bachelor of Science - Computers And Information Science
VijayaNagar Engineering College
India 05.1997 - 05.2001
Skills
Project Management
Business Objective Analysis
Goal Setting
Creative and Innovative
Client Relationship Management
Vendor Management
Relationship Building
Product Team Leadership
Stakeholder Management
Decision-Making
Task Prioritization
Teamwork and Collaboration
Effective Communication
Problem-Solving
Certification
CSM
Timeline
Senior Product Manager
INNOVACCER
06.2022 - Current
Senior Project Manager
DIGNITY HEALTH
05.2021 - 06.2023
Senior Project Manager
BLUE SHIELD OF CA
03.2019 - 05.2021
Senior Project Manager
MOLINA HEALTHCARE
07.2018 - 03.2019
Senior IT Project Manager
ANTHEM INC/ CareMore HMO Plan
01.2015 - 07.2018
Project Manager
MOLINA HEALTHCARE INC
07.2011 - 01.2015
Bachelor of Science - Computers And Information Science
VijayaNagar Engineering College
05.1997 - 05.2001
Project Manager/ Senior Consultant
ANTHEM INC
Mainframe Developer/ Consultant
MBNA/BANK OF AMERICA
Mainframe Developer
KANBAY INC.
Mainframe Technical Lead/ Consultant
WELLPOINT
Customer Care Representative
HTMT INC.