Swati Surana
Summary
Results-driven Senior Engagement Manager with a proven track record of completing projects efficiently and surpassing objectives with over 15 years of experience. Specialize in client relationship management, strategic planning, and team leadership. Excel at communication, problem-solving, and adaptability, ensuring seamless collaboration and innovative solutions to complex challenges.
Overview
18
18
years of professional experience
Work History
Sr Engagement Manager
Lyric
10.2022 - Current
- Managed coordination of multiple projects and provided production support.
- Monitored progress towards goals and scoped needed enhancements.
- Collaborated with a cross-functional team of partners.
- Delivered key information to executives on strategy progress.
- Support and prioritize new initiatives from external and internal partners
- Monitored and resolved production-related issues.
- Conducted client meetings to discuss project status and potential solutions.
- Analyzed trends in customer feedback data to identify opportunities for improvement.
- Created detailed reports outlining project progress and results achieved.
- Coordinated resources among different teams to maximize efficiency of delivery timescales.
- Maintained relationships with key customers by providing ongoing support services.
- Acted as primary point-of-contact for all customer inquiries related to engagements.
Sr. Engagement Manager
Change Healthcare
06.2017 - 10.2022
- Clients: Anthem, Aetna, Humana, and Business.
- Spearheaded a 16-state project implementation for Aetna's Medicaid Line of Business with QNXT integration.
- Facilitated acquisition of extra business from Aetna by implementing rule-based promotions.
- Led the Upgrade of ClaimsXten software from version 4.4 to 6.0 for 14 Anthem States.
- Managed execution and HealthEdge integration for Humana's year-long Medicare project.
- Facilitated transition of multiple CarePlus initiatives to cloud(AWS) and new health system (HealthEdge).
- Contributed to diverse internal projects, including Content Manager and PMM.
- Coordinated with Account Management for continuous client roadmap development.
- Collaborated with sales team to define project scope.
- Developed JIRA Dashboards to monitor projects and releases.
- Collaborated on portfolio management steering committee to monitor project progress.
- Manage the progress of the projects ensuring an on schedule, on budget delivery, using salesforce (PSA)
- Communicate effectively with all stakeholders for regular status reporting
- Collaborated with diverse, virtual, cross-functional teams on various initiatives.
Sr Business Systems Analyst
Mckesson Health Solutions
07.2013 - 05.2017
- Collaborated with top healthcare clients including Anthem GBD, BCBSRI, United Healthcare, HNJH and Horizon.
- Supported all assigned projects ensuring deliverables, goals, and quality.
- Serviced ClaimsXten clients to improve their operational efficiency.
- Translated business needs into functional specifications.
- Developed business requirements documents and functional specifications for IT projects.
- Designed test scenarios to validate software upgrades.
- Collaborate with application development and QA teams to address testing issues.
- Participated in system testing activities such as unit, integration, and acceptance tests.
- Partnered with integration, development, and testing teams for seamless implementation.
- Coordinated with external vendors for product installation and maintenance services.
- Performed root cause analysis on production incidents to determine corrective actions.
- Acted as a liaison between business units and technology teams when needed.
Business Analyst
The Computer Merchant Ltd
01.2012 - 07.2013
- Supported HP Enterprise, Cigna, and State of Florida projects.
- CIGNA’s project involved working on processes and technology to comply with HIPAA 5010 and ICD 10 coding standards
- Analyzed and implemented fix for existing defects/issues with 837 transactions
- Researched issues reported by the Client or the Alliances and prioritized them for putting a fix
- Assessed the detailed business enhancement requirements from the Client and prepared comprehensive documentation as per the change requests implemented
- Maintained a very close interaction between business users, developers, and testers to avoid any gaps in understanding or implementation of requirements using problem solving abilities and extensive knowledge of x12 transactions
- Held regular walk through on behalf of the Project Manager to keep track of the status
- Worked on HIPAA Upgrade from version 7.0.6 to 7.0.20
- Coordinating with offshore team members and Acted as a Lead Business Analyst
- State of Florida project involved claims resolution to support provider testing for DRG implementation
Medical Office Manager
Center for Pain Control & Medical Group
Northridge, USA
02.2010 - 12.2011
- Established and implemented Inventory Procedures
- Facilitated preparation and submission of employee payroll to payroll processing company
- Generated and reconciled accounting records on Quick books
- Knowledge of claim eligibility-initial eligibility, claim status, EDI, payments; knowledge in/around setting up and managing electronic records
- Gained knowledge of workman’s compensation comprising rules and regulations, Filing Liens, Billing & Collections, investigations, and settlement procedures in California Worker Compensation system
- Organized patient records and archived to comply with Health Insurance Portability and Accountability Act of 1996 (HIPAA) guidelines
Analyst
Klotz Student Health Center, California State University Northridge
Northridge, USA
09.2008 - 01.2010
- Reviewed medical records and identified gaps in clinical documentation
- Verified credentials and privileging for the ambulatory accreditation survey in January 2010 as per JCAHO rules
- Validated compliance of provider’s documentation of anesthetic use and informed consents, prior to any procedure as a quality improvement check
- Collected and analyzed data using SQL for provider referral centers to assist in decision making for purchase of new practice management system
- Ensured accuracy of databases and their availability only to authorized personnel
- Monitored processes for assessment and evaluation of services, policies, and procedures
- Created and Executed Test Cases in quality center, identified Test Data specific to each test conditions
- Actively participated in preparing Test Plans and high-level Test Scenarios
Dental Surgeon
Modern Dental College and Research Center
Indore, India
01.2007 - 07.2008
- Executed general dental procedures and surgeries including Surgical extractions, Clinical crown lengthening surgeries, Fixed/Removable prosthodontics, Basic restorative work, which included – Composite & other tooth-colored restorations, Root Canal treatment, Oral prophylaxis
- Conducted oral health education to patients
- Assisted in Anti-tobacco and Anti-Smoking community outreach programs
- Prepared and maintained patient health records
- Assisted in various community outreach programs
- Conducted oral health education to patients
Education
Mini MBA - Business Essentials
Rutgers
NJ05.2015
Master of Science - Health Administration
California State University Northridge
Northridge, CA08.2010
Bachelor’s - dental surgery
Modern Dental College and Research Center
Indore, India03.2007
Skills
- Project Planning
- Project Management
- Quality Assurance Expertise
- Decision Making
- Data analysis
- ClaimsXten claims editing
- Client Management
- Customer Relations
- Managing Expectations
- Cost and Budget Management
- Software Development Life Cycle
Tools
- Salesforce
- JIRA
- AWS
- Microsoft office 365 (including Visio, Access, Project, SharePoint)
- Smartsheet
- Workday
- SQL
- Tableau
- Confluence
- Agile/Scrum
- RGA
- Rules Debugger
- Content Manager
- FACETS
- QNXT
- NASCO
- Health Edge
Timeline
Sr Engagement Manager
Lyric
10.2022 - Current
Sr. Engagement Manager
Change Healthcare
06.2017 - 10.2022
Sr Business Systems Analyst
Mckesson Health Solutions
07.2013 - 05.2017
Business Analyst
The Computer Merchant Ltd
01.2012 - 07.2013
Medical Office Manager
Center for Pain Control & Medical Group
02.2010 - 12.2011
Analyst
Klotz Student Health Center, California State University Northridge
09.2008 - 01.2010
Dental Surgeon
Modern Dental College and Research Center
01.2007 - 07.2008
Mini MBA - Business Essentials
Rutgers
Master of Science - Health Administration
California State University Northridge
Bachelor’s - dental surgery
Modern Dental College and Research Center
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