Linda Antony
Cumming,GA
Summary
Highly competent and skilled professional with over 18 years of technical and managerial experience in Information Technology Expertise in Healthcare domain In-depth knowledge in end-to-end Claims processing with exposure to Membership, Provider and Pricing systems.
- Extensive experience in consulting and implementing Oracle Health Insurance (OHI) solutions for global clients.
- Experience in leading multi-year technical projects with Business and technical consultancy Expertise in WGS claims processing system that process over 30M claims monthly
- Experience in analyzing the gaps between proposed solution and existing system functions and in solutioning to bridge gaps Strong exposure in developing database driven applications
- Expertise in various IT roles including Senior Principal Consultant, Technical Lead/Management, Project Management, Business Analyst, system analyst and Scrum Master Experience in Migration projects and external system interface projects
- A skilled communicator with strong interpersonal skills and an inherent focus on quality, rapport as well as team handling
- An analytical bent of mind coupled with zeal to utilize and enhance ideas, knowledge, and skills
Overview
18
18
years of professional experience
1
1
Certification
Work History
Senior Principal Consultant
Oracle America, Inc
11.2021 - Current
- Consulted and implemented Oracle Health Insurance (OHI) solutions focusing on Claims, Policy Administration and Product Definition modules.
- Acted as a trusted Advisor translating complex business needs into scalable technical solutions.
- Led requirement gathering workshops and translated business requirements into OHI configurations.
- Worked with cross-functional teams to implement cloud solutions, enhancing operational efficiency for clients.
- Developed and executed strategic consulting plans, aligning technology solutions with client business objectives.
- Mentored junior consultants, fostering professional growth and knowledge sharing within the team.
- Analyzed complex client requirements to design tailored software applications, improving user experience.
- Collaborated with Oracle product teams on enhancements and patches
Associate Project Manager/Technical Lead
ANTHEM/UST
03.2008 - 11.2021
High exposure in various WGS Projects. WGS is the flagship system of Anthem that process over 1M claims daily.
- Healthcare Mandates projects (HIX, HealthCare Reform)
- WGS provider system consolidation
- External system integration with WGS system to support additional CDHP vendors
- Project to revamp Utilization management processing to improve the system efficiency and accuracy
- Project to improve Claims Auto Adjudication rate
- Project to scale up WGS system to handle Market expansions
- Individual/Small group claims processing migration from legacy system to WGS system
- Third party Administration (TPA) claims projects
Program Manager
As a program Manager, involved in the following responsibilities
- Tracking the program milestones
- Daily tracking of the progress through standup calls
- Preparation and presentation of program dashboards
- Interactions with multiple levels of project stakeholders
- Risk/Issue management
Technical/Solution Lead
As a Technical/Solution Lead, involved in the following responsibilities
- Requirement discussions with Business team
- Solution discussions with Architects and impacted interface teams
- System gap analysis and Designing that includes the interactions with other impacted systems
- Requirement and functional/technical design presentations
- End to End Testing team coordination and support
- Reviews of various project artifacts and deliverables
- Implementation planning and support
Business Analyst/Consultant
As a Business Analyst/Consultant, involved in the following responsibilities
- Business issue and data analysis
- Pattern study to understand the Business needs
- Drafting of Business requirements and Triaging to technical team
- Evaluation of the fulfillment after the implementation and closure
Programmer Analyst/Developer
As a Programmer Analyst, involved in the following responsibilities
- Requirement gathering and requirement analysis
- Development Estimations
- System analysis and preparation the Technical design
- Frequent communication with Business team and Technical counterparts to get clarifications and decisions
- Ensure the quality of the deliverables
- Development, End to End testing support and Implementation support
Education
Bachelor of Technology - Electrical and Electronics Engineering
Mahatma Gandhi University
Kerala, IndiaSkills
- Healthcare Domain, Program Lead/management, Risk/Issue management
Functional Expertise
Technical/Process Tools
- Oracle Health Insurance (OHI) products
- Oracle JET UI
- MVS/OS390, Z/OS, Windows, UNIX, COBOL, JCL, IMS DC/DB, PL/SQL, DB2, IMS DB, ORACLE, TeraData, MS Excel, MS Project, Mainframe tools, Informatica, Cognos
Certification
- SSM – SAFE 4
- BSAC - Business Systems Analysis Certificate
- LOMA certification on Health Concepts
- AHM 250 equivalent certificates from UST academy (GAMA)
- IBM 000-700 - DB2 Universal Database V8.1 Family Fundamentals
- IBM 000-701 – IBM DB2 UDB V8.1 Database Administration
- IBM 000-703 - IBM DB2 UDB V8.1 Family Application Development
- IBM 000-640 – Rational Test Management
Timeline
Senior Principal Consultant
Oracle America, Inc
11.2021 - Current
Associate Project Manager/Technical Lead
ANTHEM/UST
03.2008 - 11.2021
Bachelor of Technology - Electrical and Electronics Engineering
Mahatma Gandhi University