Summary
Overview
Work History
Education
Skills
Timeline
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Pragati Sawhney

Porter Ranch,CA

Summary

Persistent innovative award-winning founder with 10+ years of start-up experience. Self-taught e-commerce and digital marketer. Passionate about putting systems in place for saving time and costs. Recognized for providing great customer service and problem-solving. Background in clinical healthcare and health management. Graduate of Columbia University's Masters of Public Health program.

Overview

16
16
years of professional experience

Work History

Startup Founder

Chockriti
Gurgaon, Haryana
10.2011 - Current
  • Created India's first pure premium artisan Belgian chocolate products and India's first boutique online chocolate store for less than $400. Won the "Woman Entrepreneur Year Award 2015" hosted by TiE and Power2SME and made it to India's 21 most innovative startups in 2016 via Runway to Success program powered by Lufthansa and ETNow. www,chockriti.com
  • Curated the chocolate brand and single-handedly built a chocolate working studio, and an international e-commerce site.
  • Overcame barriers to International cold shipping from India and US FDA compliance
  • Qualified for International Chocolate Awards in 2012 and featured in the Amsterdam Chocolate Festival in 2013
  • Self-taught digital marketing and increased online sales to 450% during Covid in 2020.
  • Trained and hired women from low economic backgrounds with competitive wages for packaging. Work with farmers and family-owned cacao farms to market their products both locally and internationally.

Start-Up Consultant and Project Manager

HealthPatrol
Gurgaon, Haryana
08.2020 - 09.2020
  • Established Health Patrol- an online Not-for-Profit initiative, to bust fake health news being circulated on the internet and social media by checking their authenticity through evidence-backed fact check by team of experts and releasing verified news back in public domain. www.healthpatrol.in
  • Scheduled and facilitated meetings between project stakeholders to discuss deliverables, schedules, and conflicts.
  • Increased user base via effective Digital Marketing
  • Completed Covid Health Educator and Basic Life Support Certificate from the Heart Care Foundation of India to volunteer in the community during the pandemic.

Consultant

EWA TPA
New Delhi, New Delhi
09.2015 - 05.2016
  • Analyzed problematic areas by process mapping to provide recommendations and solutions.
  • Implemented corrective action plans to resolve issues while establishing individual departmental responsibilities and overseeing progress.
  • Evaluated organization's technology use, and needs and worked with stakeholders to improve systems, integrate new technologies to digitize, and make work processes more efficient reducing expenditures and increasing savings.
  • Created a new online hospital paneling system to verify documents for faster TPA approvals for cashless services to clients.
  • Re-negotiated contract with Glaxosmith corporate client, and set up processes at client site.
  • Aligned closely with business owners and employees to gather information and gain operational insight.

Research Associate

HealthBridge
New Delhi, New Delhi
03.2011 - 08.2011
  • Completed feasibility studies for pricing of different procedures in private/public hospital in Delhi.
  • Research on private and public health systems of Gujarat for a project (including PPPs, NRHM schemes, health care delivery models, and health indicators).
  • Research for insights into the national human resources, medical schools, and hospitals.
  • Assisted in Supply Chain Management and establishing reorder levels for Action Balaji Cancer Hospital
  • Collaborated with the leadership team to create a new website for the company.

Revenue Cycle Manager

New York Health And Hospitals
New York, NY
11.2007 - 09.2010
  • Worked at the Lincoln Medical Center site in Bronx with the Business Process Outsourcing (BPO) company, PhyCare Solutions Practice Management Company, and Downtown Bronx Medical Associates to improve the quality of Revenue Cycle business operations for the hospital’s multi-specialty practice of over 300 providers.
  • Responsible for analyzing the Billing Dashboard and using Key Performance Indicators (KPIs) checked high account receivables from private/government insurances. Recovered $6 million in Medicare/Medicaid reimbursements and $1 million revenue from Emblem Health and Empire Blue Managed Care Companies.
  • Enhanced productivity of the faculty practice business process from front-end to back-end by better communication with the offshore billing company, streamlining operational work flow and regularly auditing provider database for errors.
  • Started the Council of Affordable Quality Healthcare (CAQH) system to affiliate MDs to 250 health plans, reduce paperwork and credentialing costs.
  • Completed Physician Practice Management Certificate from the Healthcare Financial Management Association (49 Lessons, 12.25 credit hours) while working full-time.

Compliance Manager

Memorial Sloan Kettering Hospital Center
New York, NY
06.2007 - 11.2008
  • Managed quality of the Physician Coding Compliance Project for 400 physicians, including direct oversight of each of the 54 clinical services in the audit life cycle, including pre-audit preparation, audit, data analysis, delivery of audit results, and reconciliation.
  • Doubled audit cycles in 3 months leading to a 60-75% decrease in Medicaid outpatient over-/under-billing error rates.
  • Prepared and presented comprehensive reports to upper management and audit team, covering issues and recommendations.
  • Established audit standard/quality by streamlining samples and optimizing the Compliance Audit IT Application Program via liaison between the offshore coding company (WNS) and the Compliance department.
  • Created monthly financial reports to study individual department revenues, ensure analyst accuracy, identify trends in physician billing patterns, and compare against national data to identify potential risk areas.
  • Completed the Management Program at the Center of Leadership Studies along with Billing and HIPAA certificates during the full time work

Compliance Intern

Continuum Health
New York, NY
07.2006 - 09.2006
  • Created Revenue Cycle Mapping across different services of the hospital to identify areas for improvements and made recommendations on best practices to the Department Board and GNYHA meeting.
  • Studied inpatient charges versus reimbursements in all clinical departments and Financial Classes to compare two consecutive fiscal years.
  • Using Excel Pivot Tables and PowerPoint, condensed and classified large data while representing findings graphically to show discrepancies.
  • Identified potential areas of compliance vulnerability and risk to develop and implement corrective action plans

Education

Advanced Endodontics Certificate - Dentistry

AHEAD
New Delhi
09.2011

Masters of Health Management And Policy - Public Health

Columbia University in The City of New York
New York, NY
05.2005

Bachelors of Dental Surgery - Dentistry

Pune University
India
05.1997

Skills

  • Business Planning
  • Research and Development
  • Boot strapping and budget planning
  • Solving problems and innovating
  • Digital marketing
  • Persistence and resilience

Timeline

Start-Up Consultant and Project Manager

HealthPatrol
08.2020 - 09.2020

Consultant

EWA TPA
09.2015 - 05.2016

Startup Founder

Chockriti
10.2011 - Current

Research Associate

HealthBridge
03.2011 - 08.2011

Revenue Cycle Manager

New York Health And Hospitals
11.2007 - 09.2010

Compliance Manager

Memorial Sloan Kettering Hospital Center
06.2007 - 11.2008

Compliance Intern

Continuum Health
07.2006 - 09.2006

Advanced Endodontics Certificate - Dentistry

AHEAD

Masters of Health Management And Policy - Public Health

Columbia University in The City of New York

Bachelors of Dental Surgery - Dentistry

Pune University

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Pragati Sawhney