Shilpa Aravind

Responsible for finding and implementing solutions to key client business challenges within the framework of the Claritas core product offering. This includes the following:

Understand the client business need, Claritas's technical capabilities and requirements, and provide the recommendations and actionable steps to the implementation team.

Creating a scalable blueprint for new customer implementations at Claritas Rx by defining the overall structure of systems, solution components, and their responsibilities and relationships.

• Improved solution efficiency by designing and implementing scalable architectures for enterprise clients.

• Led onsite and offsite teams in developing strategic product workflows, ensuring stakeholder requirements were meticulously understood and integrated.
  • Spearheaded the creation and management of dashboards across four products using Tableau, ensuring coherent data visualization and user-friendly interface.
  • Created a digital cockpit using Tableau, to provide a more concise, accurate, and real-time operational snapshot for strategic decision-making, resulting in a reduction of 25% in the time spent on operational reporting in the banking sector.
  • Lead around 10 cross functional teams for end-to-end implementation of 3-4 commercial banking software in parallel thus enhancing financial efficiency and accuracy in operations. Immediate manager to grp/cross teams of 15 managers/leads
  • Specialize in conversion, end user change management, product management and program management of commercial banking application SDLCs
  • Executed multiple end to end project plans for multiple cross functional teams to follow.
  • Process Improvement leader for Commercial Banking line of business - managed the transition from JIRA to JIRA align and onboarded 6 scrum teams on them
  • Mediated several steering committees meeting to make critical strategic decisions for project scoping, budgeting, and yearly/quarterly planning
  • Created plans based on the roadmaps for several lines of business such as collateral, small business, equipment finance
  • Ensured compliance with SOX and other audit requirements, enabled lower risk exposure and increased control efficiency.

• Managed sustenance of claims platform for 8 clients.
• Use extensive claims and EDI knowledge of claims processing in health care in day to day processing of claims.
• Carry out enhancements of requests coming in from clients on Claims platform.
• Involved with project team during project initiation phase, attend design and development meetings, work with QA on testing strategy, work with business operations for UAT testing and work with external clients on need to basis
• Worked on cross functional projects that include Business, Development, Testers, Product Owners, Shared services (IT), Scrum Master, RTE, Finance, Audit and external clients
• Coordinated with software developers to create custom applications and trackers to achieve client goals.
• Oversaw entire product deployments from vision and creation to rollout and delivery.
• Allocated and approved team resource usage.

• Handled key projects with multiple challenging deadlines.
• Consulted with clients and internal partners, including executive leadership and subject matter experts.
• Worked towards completion of project business requirements and documentation.
• Facilitated internal and client stakeholder meetings and presentations to arrive at key decisions.
• Used PBM knowledge in benefit set up and benefit processing for clients.
• Managed major clients like Centene and Fidelis. Implemented 700 plans with benefits
• Managed automation project that enabled testing major plans for all clients easier.
• Audited benefit programs and agreements to optimize service delivery.
• Oversaw open enrollment processes during last quarter.

• Participated in EDI and Integration product definition activities, and develop initial project plan estimates and baseline project plan.
• Product owner for a document management system (ONBASE) and the Appeals and grievances system (TRACX).
• Involved in writing Test plans, Creating Test scripts, Team Co-ordination and Documentation.
• Part of the Disaster Recovery team for a project that just went live.
• Work on reporting operational metrics for the team using Tableau on the Jump box.
• Use tableau and Power BI to create dashboards and reports.
• Querying the tables in production using MYSQL.
• Performed Integration testing with Hyland and HealthLogicx systems via Visiant Integrated Services (VIS). Set up indexing using Hyland for over 10,000 plus EOPs and EOBs.

• Assessed impact of emerging technology and system upgrades on workflow.

• Leading team of analysts who are responsible for collecting data and testing it from risk and compliance perspective.

• Involved in risk and compliance mitigation process.

• Prepared Job aides for entire project team to guide them through testing and decision making process. Job aides prepared are approved by bank and OCC (Office of Comptroller of Currency) respectively.

• Assist in Data profiling, mining and modelling using SQL and SharePoint.

• Investigated individual and corporate financial activities suggestive of possible anti-money laundering.

• Monitored and reviewed customer account transactional activities and made recommendations for further review or closure.

• Work with Anti Money Laundering Analysts & ensured that regulatory, legal, bank & audit requirements are met.

• Using financial regulation knowledge help in testing current cases and help in drafting responses for OCC.

• Assist in development of Program-wide Test Strategy, E2E UAT Plan and Pilot Plan.

• Prepare daily defect triage log. Assist with daily triage facilitation.

• Provide HP ALM expertise to test teams.

• Involved in SOX audits and reviewing audit reports.

• Responsible for collecting, reviewing, responding, and analyzing data and/or documentation and to ensure compliance with department service level agreements, policies, procedures, and/or regulatory and risk requirements in fast paced environment.
• Worked with vendors and gave requirements on UI and UX of claims processing tool(DCM) that was being designed.
  Reporting of productivity, quality, and other ad hoc requirements in accurate and timely manner.
• Application of various methods, procedures, and knowledge of business unit’s product(s) and system application(s).
• Worked on cases to complete according to internal AML procedures and process
  Accountable for documenting and reporting investigation findings in case management system.
• Ensured that databases are effectively provided only those situations that are truly suspicious.
• Efficiently Monitored Currency Transaction Control Logs.
• Analyzed large amounts of data to find patterns of fraud and anomalies

• Participated in design sessions with clients to ascertain project specifications.
• Performed lead analyst role to complete technical systems design for new and enhanced systems.
• Created databases, data entry systems, web forms and other applications for diverse uses.
• Directed software design and development to meet client needs for functionality and performance
• Participated in design sessions with clients to ascertain project specifications