Management Project

* KEY AREAS OF EXPERTISE

Management Consulting: Client account management, Contract negotiation and

analysis, Six sigma methodologies, Financial Analysis- Cost Benefit, ROI,

Project valuation, Requirement gathering, Business Process Improvement,

Project management, Data Analysis, Systems Analysis & Vendor management,

RFI, RFQ analysis

Industries: Pharmaceutical Benefits Management, Healthcare Insurance,

Property and Casualty Insurance, Investment Banking

Technology: UML, Windows OS X, MS-Office, Visio, Access, MS Project and SQL

* EDUCATION

MBA - Temple University, Fox School of Business

Philadelphia, PA

Concentration: Finance & Strategy

August

2004 - Dec 2006

BS - Madras University, Sreeram College of Engineering

Madras, INDIA

Concentration: Computer Information Systems & IT

August 1999 - May 2003

* RELEVANT PROFESSIONAL EXPERIENCE

Sr. Business Analyst

Bloomfield, CT

Client - CIGNA Corporation

Aug 2008- Present

Project Description: Cigna acquired Great West Health in 2008 as a result

of which Cigna and Great west Pharmacy divisions were to be integrated

followed by the medical divisions. A new Pharmaceutical Rebate contract

management and Billing system needed to be developed since the old system

was based on antiquated technology and would not have been able to handle

both Cigna and Great West claims/contracts.

. Acted as the Business Representative responsible for the entire

project on behalf of the primary business sponsor, the President

of Contracting-Cigna Pharmacy

. Created a new Workflow process and got key business sign offs

from internal audit and senior leadership

. Identified Business requirements and converted them into

technical design for the new system

. Facilitated requirements sessions with business representatives

to identify gaps/opportunities for Improvement within various

business processes

. Held numerous brainstorming and design sessions with the

Technical team to come up with ways to handle each different

business scenario

. Made the technical team understand the vision of the business

leadership in how the new system would change business and

create new opportunities

. Worked with the Technical architects to give the business users

the power to manage data through a Rules based design of the

system

. Analyzed, created and documented the business rules to handle a

system where the business user can create different models to

aid in increased billing and future contract negotiation

. Performed detailed data analysis involving several upstream

systems and different data sources each having different feeds

and formats to make sure that the business rules have the data

required to support them.

. Created field level rules to support the design for the business

rules

. Identified future reporting requirements for the new system and

helped create a new reporting process including Contract

reporting, Manufacturer Billing packages and Financial reporting

. Created a workflow for Claim level reporting using the latest

NCPDP format for automatic reconciliation between billed and

paid amounts at the claim level

. Identified the different Data integration requirements between

the various upstream and downstream systems and feeds

. Made sure that the newly acquired company's claim and contract

management data is seamlessly integrated with CIGNA's systems

and all reporting needs are met

. Gathered requirements for the Executive approval process,

Business controls and Audit requirements for the new system

. Helped both Business users and the Testing team to understand

how the system works and the new/old processes

. Worked closely with both business users and the test team for

UAT

. Performed Due diligence for the new system, compared results to

the old system for a variety of contracts having all possible

scenarios, investigated the differences at the claim level and

validated the results

. Designed and documented the Rules and Business Setup required to

setup each contract within the new system.

. Created several documents for Design, Development and Training

including Business Requirement documents, Process flow diagrams,

Business Process Models, Use Cases, Business Rules documents,

User manual and System Requirement Specifications

. Successfully deployed the new system into production within the

required deadlines and realized increased billing on $1.5

million for the 4th qtr 2009 billing period using the new

system.

Business Analyst/Management Consultant

Wayne, PA

Info724 Ltd

Dec 2006-

July 2008

Description: Info724 ltd. is a boutique Management and Technology

consulting firm concentrating on the Insurance & Healthcare Industries. The

firm utilizes Six Sigma type methodologies to identify Opportunities for

improvement for its clients and then develops plans and executes them to

maximize ROI for the clients.

. Worked with global software vendors in Israel and India on two

separate projects as a Client Representative and liaison in

charge of all business req./Project management functions for

Property &Casualty systems

. Undertook a Vendor selection process involving RFP, RFQ and Cost

benefit analyses for P &C system

. Used Six Sigma methodology for business process improvement and

quality control

. Handled multiple projects and clients at the same time providing

Business Analysis and Project management services

. Worked with small and medium sized P &C Insurance companies and

Agencies to develop Web applications leading to better exposure

and more premium revenue for the clients

. Performed Analysis and developed strategies, Business Processes

and Risk analyses for Insurance & Financial services clients

. Performed Operations/data analysis and reorganized processes to

increase billing potential for CIGNA Pharma

. Performed cost benefit analyses including financial forecasting

modeling to determine long-term benefits.

. Performed Systems analysis, Requirement gathering and data

analysis for our clients

. Performed Workflow analysis and identified root causes of

reporting and billing issues

. Identified opportunities for improvement and developed technical

strategies to maximize revenue and optimize costs

Clients worked for: CIGNA Corporation, Tuscorara Wayne Mutual Insurance

Company, Aetna Inc., Lititz Mutual Insurance Company

Other Relevant Experience:

. Worked as a Jr. Business Analyst for Omniscient Technologies

Inc. from May-Dec 2006 in Philadelphia

. Worked as a Business Consultant Intern for the Small Business

Dev. Center (SBDC) from Aug 2004 - Aug 2005

. Worked as Adjunct faculty in the Statistics department of Temple

University, Philadelphia from Sep 2005 - Apr 2006

. Worked for Deutsche Bank as an Investment Reporting Analyst from

Jan 2003 - Jun 2004 in Bangalore, India

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