VENKATESHWARLU MANCHUKONDA
Ontario,CA
Summary
Achievement-driven, results-oriented professional with 15 years of experience spanning Project Financials, Product Management, Quality Assurance, Systems and Business Analysis, Requirements Management, Business Process Mapping, and Project Planning within the US Healthcare PBM domain. Recognized for leading large-scale data migration and modernization initiatives and delivering complex solutions across Agile and Waterfall environments. Adept at driving cross-functional collaboration, optimizing processes, and translating business needs into actionable, high‑impact outcomes.
Overview
15
15
years of professional experience
1
1
Certification
Work History
EPMO Solutions Analyst III
L.A. Care Health Plan
06.2024 - Current
- Accountable for intake, execution, and oversight of strategic programs and projects across multiple functions and departments, and are enterprise investments in infrastructure and process excellence.
- Work on the complex and difficult projects, but also mentor other analysts both within the ePMO and within the business units, to strengthen L.A. Care's business analysis capability.
- Evaluated business requirements to align technology solutions with organizational goals.
- Partnered with cross-functional teams to streamline workflows and elevate service delivery.
- Lead analysis and requirements gathering sessions on large, complex programs and projects using methodologies such as JAD, JAR, SCRUM, etc., to define, analyze, and document business needs and requirements in support of strategic initiatives.
- Document functional and non-functional business needs and requirements, ensuring requirements are usable, specific and testable, and in alignment to business goals and overall business architecture.
- Authored comprehensive documentation, including system process guides and user manuals, to support end-users.
- Assist in defining Acceptance Test Criteria, tracing back to documented business requirements. Creates and updates complex asis and future state business workflows to enable the documentation of business process needs and production of requirements for all related business, and operational systems critical to the project or program.
- Research and analyze data in support of business functions, process knowledge, and systems requirements.
- Support the Project Manager by providing more detailed project objectives; clear structured, and useable requirements; tradeoff analysis; requirement feasibility; and risk analysis to improve the execution of the project plan.
- Conduct analysis in support of the entire ePMO.
- Facilitated staff training on new software implementations, ensuring seamless transitions and high adoption rates.
- Oversaw project timelines and deliverables, maintaining alignment with strategic objectives and stakeholder expectations.
- Enhanced reporting processes to improve data accuracy, accessibility, and decision-making efficiency.
- Acted as a bridge between technical teams and business stakeholders, translating complex concepts into clear, actionable insights.
- Strengthened solution delivery through in-depth business analysis and identification of client requirements.
- Increased project efficiency by fostering collaboration across diverse teams.
- Supported Project and Program Managers with budget forecasting and tracking throughout the project life cycle.
- Prepared month-end financial reports for Account Services.
- Monitor and track project capitalization across all road map initiatives.
- Managed on boarding and off boarding of resources via Microsoft Project Server.
- Administered time sheet delegations and maintained resource records in Project Server.
- Added and updated service requests (SRs) within road map, backlog, and production support projects.
- Generated reports for Finance and PMO teams, including demand capacity, IT weekly labor, month-end, and project life-to-date metrics.
- Executed operational tasks in Project Server such as budget freezes/unfreezes, promotions/unpromote, and project baselining.
Sr Technical Product Manager
Optum Global Solutions
03.2020 - 02.2024
- Led and implemented million-dollar worth of business for major healthcare clients in revamping and modernizing their existing eligibility load in healthcare systems.
- Proficient in communicating with Subject Matter Experts (SMEs), gathering requirements using techniques such as Document Analysis, Stakeholder Interviews, Brainstorming, Focus Group Sessions, Joint Application Development Sessions (JAD)
- Experience in creating meticulous artifacts like Business Requirements Documents (BRD) as well as creating Requirements Traceability Matrix (RTM) and Use Cases.
- Business analysis experience in conducting Impact analysis for change requests and conflicting stakeholder requirements, GAP analysis for assessing business differences and Root cause analysis for finding core issue of defects.
- Developed UML diagrams such as Use Case Diagram, Data Flow diagram, using MS Visio which enabled business and developers to understand the system.
- Focused on User Centric Design (UCD) from initial phase of UI design to enhance User Experience on Member portal.
- Articulate in business values, managing user expectations and client satisfaction, and introducing innovation to business processes through technology.
- Acted as liaison between business and IT teams to refine product and incorporate features based on Client demand/feedback.
- Partnered with IT and product leadership to drive and manage solution development process and ensure product team understands direction and vision.
- Collaborated with different business teams to discover and deliver best solution to product team and business.
- Created and maintained solution vision, roadmap, and backlog of work through project’s life cycle.
- Proficiency in mapping business processes and studying requirements and perform functional and User acceptance testing in line with the guidelines specified by clients; effective in ensuring business functionality & enhancement of competitive advantage.
- Defined Objectives to achieve long term goals using SMART Technique.
- Features prioritization using RICE framework.
- Translated features into user stories within team’s backlog while managing, ranking, and prioritizing this backlog to reflect stakeholder’s requirements.
- Responsible for defining Stories and prioritizing team backlog to streamline execution of program priorities while maintaining conceptual and technical integrity of features or components for team.
- Conducted Product backlog refinement by writing user stories based on the INVEST Criteria, prioritizing user stories based on the Moscow Technique, tearing down user stories based on the SPIDR criteria.
- Engaged in all scrum ceremonies such as Product Backlog Grooming, Sprint Planning, Daily Scrum, Sprint Review, and Sprint Retrospective with off-shore team and on-shore team and maintained project plans and schedules.
- Excellent Business skills in writing Use Case Specifications, Acceptance criteria in Gherkin format.
- Empower team to make their own decisions by creating shared brain.
- Analyzed Member/Claims and transformation data loads within application through multiple UI dashboards and monthly, daily reports.
- Responsible for developing business-oriented visualization using Power BI and sharing different reports to business teams.
- Manage cross functional team and stakeholder communication and oversaw product development from inception to implementation.
- Prepared technical documents including reference manuals product manuals.
- Secured long-term accounts by recommending strategies to promote brand effectiveness and highlight product benefits.
- Analyzed KPI metrics to measure product performance.
- Established criteria for each milestone within product roadmap as means to measure developmental progress.
- Boosted customer base penetration using creative promotional approaches.
- Continuously monitored customer feedback channels after launch to gather insightful data for future iterations or updates.
- Reduced project downtime with quality product inspections.
- Managed full product lifecycle, from ideation through post-launch support, ensuring consistent quality.
- Cloud-based application Optum Data Integration Services (ODIS) is designed to modernize, scale and replace PEER, RxFTS and TPUI applications to support file inbound and outbound to RxClaims including Eligibility, Accumulator, Claim History files etc.
Associated Lead/Associate Quality Manager
United Health Group (Optum)
04.2014 - 02.2020
- Forward focused Quality Analyst, expertise in QA Methodologies and process providing Client Demos, Resource Training, Functional Testing, UAT.
- Led cross-functional teams for successful project completion, ensuring timely delivery and high-quality results.
- Optimized resource allocation to ensure all projects were adequately staffed and met budget constraints.
- Responsible for internal audits performing within project to ensure Quality process compliance.
- Responsible for Test Planning, estimation and resource allocation
- Perform end-end system testing, web-services and database testing on mainframe platforms.
- Excellent Analytical, Presentation, Communication and Interpersonal skills with proficiency in demonstration and highly adaptable to new technologies & business environment
- Ensured all artifacts complied with SDLC policies and guidelines.
- Design test automation cases using Lean FT framework.
- Used SQL queries to extract data from databases for validation.
- Responsible for change request deployment and maintained change log for CCB committee review.
- Extensive working experience and knowledge in Claims adjudication (Medicare, Medicaid (LICS) and Commercial), Member Eligibility, New Client Onboarding, Claim History Files and Standard and Real Time Accumulators in Health care PBM domain.
- Experience in validating EDI 834 and 837 file formats.
- Improved team productivity by streamlining workflow processes and implementing efficient project management practices.
- Assisted with new hire processing and existing training programs.
- Enhanced client satisfaction with effective communication, regular progress updates, and prompt resolution of concerns.
- Developed comprehensive training materials to onboard new team members quickly and efficiently.
- Demonstrated knowledge of company mission and goals and mentored employees in reaching objectives aligned with company core values.
- Volunteered to help with special projects of varying degrees of complexity.
- Delivered an innovative solution ‘In-sprint Automation’ for reducing the cost to organization through which automation team saved 30% of the project cost.
- Design, Develop and Enhance Test automation scripts which will help to reduce significant manual effort and reduce regression cycle time.
- Develop and customize the test scripts which have ability to execute smoothly on As400 (Rx Claims) using Lean FT ATDD Framework
- Implemented innovative solutions to overcome project challenges, maintaining timelines without compromising quality.
- Evaluated team member performance regularly, providing constructive feedback for continuous improvement.
- Assisted with day-to-day operations, working efficiently and productively with all team members.
- Demonstrated strong organizational and time management skills while managing multiple projects.
Senior Test Engineer
United Health Group (Optum)
04.2011 - 03.2014
- Understand the requirements from SMEs or from BRD, FRD documents and convert requirements into Test Scenarios.
- Break down Test Scenarios in to Test Cases for Test Execution, Defect Management.
- Status reporting to Test leads.
- Proficiency in writing SQL queries to extract and validate the data from the Eligible Members database.
- Optimized regression testing efforts through continuous improvement of test cases and methodologies.
- Develop and customize the test scripts which have ability to execute smoothly across different browsers using Selenium Web Driver and As400 (Rx Claims) using Lean FT ATDD Framework
- Worked for PBM business in Optum Rx, supporting Member Eligibility, Rx claim adjudications, CHF and accumulator calculations.
Education
Bachelor of Science - Electrical, Electronics Engineering Technologies
Jawaharlal Nehru University
Hyderabad, India04.2006
Skills
- Project and product management (Aha Tool)
- Problem-solving expertise
- Agile project management
- Stakeholder management
- Cross-functional collaboration
- Budget management
- Informed decision-making
- Employee training
- Pharmacy benefit management expertise
- PBM Plan Setup,Member Eligibility
- Medicare and commercial claims oversight
- Real-time data accumulators
- Experience with AS400 systems
- Project management tools (Rally,HP ALM, Jira,Confluence)
- ServiceNow platform knowledge
- Selenium testing expertise
- Proficient in API testing
- Microsoft Project proficiency
- SharePoint management
Certification
- Certified Tester from ISTQB
- Product Management from Skillsoft
Timeline
EPMO Solutions Analyst III
L.A. Care Health Plan
06.2024 - Current
Sr Technical Product Manager
Optum Global Solutions
03.2020 - 02.2024
Associated Lead/Associate Quality Manager
United Health Group (Optum)
04.2014 - 02.2020
Senior Test Engineer
United Health Group (Optum)
04.2011 - 03.2014
Bachelor of Science - Electrical, Electronics Engineering Technologies
Jawaharlal Nehru University