Pramod Adhikary

Irving, TX *****

720-***-****

ad1ehu@r.postjobfree.com

LinkedIn Link: https://www.linkedin.com/in/pramod-adhikary-28a106244/

Professional Summery

With over 15 years of professional experience, I have proven my ability to excel in multiple roles, including Program Manager, Scrum Master, Business Analyst, and Quality Analyst. I have successfully delivered projects in time-constrained environments within various industries, such as Finance, and Healthcare. My extensive domain expertise in these industries has allowed me to consistently deliver successful outcomes, both onsite and offshore.

My proficiency in managing project functions, including stakeholder communication, human resource management, budgeting, timeframe management, resource allocation, business planning, and change management, has enabled me to manage projects effectively and deliver successful outcomes. These skills, coupled with my ability to adapt to different industries and project scopes, make me capable of managing and delivering successful projects in various settings.

I have a proven track record of leading projects to successful completion, which has made me an important contributor to the success of the organizations I have worked with. My extensive experience and expertise make me an invaluable member of any team, and I am confident in my ability to deliver successful outcomes in any industry.

Education & Certification

MBA (Corporate Finance) – June 2008 - Keller Graduate School of Management, Devry University, New York, USA

MBA (HRD) – Sept. 1997 - Central Department of Management, Tribhuvan University, Kathmandu

SAFe 4.5 (Scaled Agile Framework) Certified: Feb. 2018, Travelport, Denver, CO

SAFe 5.0 (Scaled Agile Framework) Certified: Feb. 2018, Travelport, Denver, CO

PMP Certification: 35 Contact Hours for PMP Certification Training Completed (Sept. 28, 2023)

Scrum Master Training: June 2011, Liberty Institutions, FL

Epic Tapestry AP: Healthcare Core (TAP 110) –Jan. 2015 - Epic University, Madison, WI

Epic Tapestry AP: Healthcare Claims and Contracts (TAP 112) –Jan. 2015 - Epic Univ., Madison, WI

Six Sigma Certified - 2011– Liberty Institution, FL, USA

Business Analyst - 2011- Liberty Institution, FL, USA

Diploma in Quality Analysis - 2009 – Liberty Institution, FL, USA

Graduated in SAP/FICO - 2007– Global InfoTech, NY, USA

-Work Authorization: US Citizen

Skills:

Project Management

Business Analysis

Scrum Master

Quality Analysis

Data Analysis

Risk Analysis

Planning and tracking

Stakeholder Communication

Budget Management

Change Management

RFPs and RFQs

Contract Amendments

Chronological Summary of Experience

1

CITI Bank, Irving TX

Aug. 2018 – May 2023

Project Manager

Responsibilities:

Effectively managed concurrent projects, including the regulatory project (CPR Data Consumption) and the development project (Collibra Integration). Successfully collaborated with different stakeholders to define, plan, and organize project scope, goals, and deliverables for different projects.

Conducted daily stand-up meetings with the development and testing teams to review progress and identify hurdles and roadblocks.

Developed project timelines, PowerPoint presentations, graphical presentations using MS Visio, established communication channels, managed budgets, produced regular reports and presentations, and maintained up-to-date project documentation accessible to authorized team members.

Encouraged a culture of continuous improvement and facilitated agile best practices, including sprint planning, retrospectives, and managing change requests.

Planned, organized, and managed the data consumption needs, risks, and approvals. Created dataflow diagrams, and worked on data modeling, data analysis, data cleansing, and developed and implemented the internal controls of data consumption security risks and developed remedial action.

Worked on Test cycles including test case writing, test executing within different environment, test update into the JIRA, and communicating with stakeholders.

Monitored risk management activities and reported on the effectiveness of risk mitigation strategies for the citi’s wholesale data related to – Securities, Debt, Bond, Debentures, long term Loans etc.

Conducted regular audits of data management processes and reported on compliance with data-related regulations and standards.

Major Techniques/Hardware/Software Used: Collibra, Tableau, GCP, Power Point, MS Excel Analytical Tool, VLOOKUP, Agile, JIRA, Confluence, HP Quality Center ALM, Outlook, MSP, PTS, MS Visio, Teams, SharePoint, SQL, XML, Teams, Black Berry Office Products, VM Horizon.

2

Transamerica Financial Advisors, Plano, TX

Nov. 2017 – Jul. 2018

Risk Analysis Manager

Responsibilities:

Designed operational frameworks and processes that established efficient workflows, procedures, and policies, ensuring consistency, quality, and compliance to achieve organizational goals.

Analyzed and reported risk levels for business strategies and transactions, conducted analysis of business documentation to identify areas of risk and to enhance workflow processes. Also worked on Risk Mitigation plan.

Evaluated client needs, managed requirements, and communicated with all levels of internal work partners, suppliers, and employees across all departments to complete project stages. Also developed presentations with graphical charts, figures, and analytical charts.

Followed a proactive approach to managing the strategic project lifecycle, effectively communicating with the multicultural project team, and collaborating with them to plan, track, share, and execute the project plan.

Conducted an audit and analysis of financial documents and asset data to assess the level of risk appetite, and formulated, validated, and executed strategies for internal controls and risk mitigation.

Major Techniques/Hardware/Software Used: Hadoop, GCP, Power Point, SharePoint, VLOOKUP, Teams, Agile, JIRA, Confluence, HP Quality Center ALM, SOX, GAAP, MSP, MA Excel Analytical Tool, Webex, MS Visio, SQL, XML, Webex, CITRIX, Clarity.

3

ClubCorp, Dallas, TX

May 2014 – Nov. 2017

Program Manager/Scrum Master

Responsibilities:

Worked as a Program manager and a Scrum Master as well for its Financial Application Support and Maintenance project – an HRM and Revenue based Ecommerce Platforms.

Lead the team to complete all project phases, including planning, budgeting, development, testing, and implementation of a sizable and intricate Oracle ERP project.

Managed various project activities related to OPMS, Oracle ERP, Paychex, HRMS, Dynamics AX, and other financial tools, including the strategic investment plan of the company. Additionally, contributed to the development of ERP billing and customer loyalty programs.

Worked on Hospitality, Pricing, Membership, Customer Loyalty, Reward System, and HRM to develop the SynXis CRS based integrated operational tool.

Identified, recommended, and managed priorities for revenue generation projects within the company. Coordinated, implemented, and executed projects with a strong sense of responsibility.

As a Scrum Master, facilitated various Scrum ceremonies such as sprint planning, daily stand-up meetings, reviews, retrospectives, release planning, demos, and others.

Used JIRA tool for maintaining the project records and maintaining the work statuses, and MSP for planning and tracking the project activities.

Major Techniques/Hardware/Software Used: Altove XML SpyAPI, ResortSuite, MemberPride, CA Rally, team SharePoint, MS Office packages, MS Vision, MS Teams, Dynamics AX, SharePoint, Clarity, JIRA, Oracle Financials, ERP Tools, ADP, Paychecks, Control Center, Mainframe AS400, Primavera, Oracle SCM, and VB Scripting.

4

Kaiser Permanente (KP), Denver, CO

May 2013 – May 2014

Business System Analyst

Responsibilities:

Started working on HLR, and organized requirements into logical groupings of essential business processes, rules, and information needs of Kaiser’s Epic Implementation Project. Followed Agile Scrum Methodology.

As a member of the national team, was responsible for creating and defining paper intake batches, which involved scanning, error analysis, and loading and storing paper claims in the EDI format.

Developed comprehensive training programs for end-users to ensure they are proficient in using the new IT systems/software. Offered ongoing support channels to address their questions and concerns during and after implementation.

Anticipated and proactively addressed sponsor's change requests. Provided clear communication about the likelihood of the requested change being accepted or denied and how it would impact workflows and the overall project. Actively engaged in open dialogue to address concerns and consistently demonstrated the value of the changes being implemented.

Responsibility carried out on retrieving and sending out recently loaded batches to various trading partners, such as Relay Health, Optum Health, Apria, MedQuest, Stratos, and others. Additionally, I collaborated with these trading partners on various health-related arrangements, including Health Reimbursement Arrangements (HRA), Flex Saving Arrangements (FSA), and Health Savings Account (HSA).

Worked extensively on the healthcare financial side by implementing Kaiser's Epic-based clinical solution and overseeing the entire revenue cycle from patient account creation to payment.

Prepared Functional Design Specifications (FRS) employing Use case scenarios, sequence diagrams, DFDs and class diagrams. Proficiently working on java, XML, VB Scripting, and Unix, and worked on SOAP UI, Rally and HP QC and QTP as well for different test cases.

Major Techniques/Hardware/Software Used: TAP 110 (Core) and TAP 112 (Claims and Contracts), Epic Hyperspace and Text, Rally, java, Linux, PUTTY, CRM, Availity, WinSCP, Notepad ++, Adobe CQ5, Epic Mainframe, JIRA, SharePoint, Clarity, Dynamics AX 2009 ERP, Citrix, Kofax, SharePoint, HEDIS, MS Visio, MS Project Professional, MS Project, Lotus Notes, WebEx.

5

Blue Cross Blue Shield of TX, Abilene, TX

Apr. 2008 – Apr 2013

Business / Quality Analyst

Responsibilities:

Began working on the High-Level Requirements (HLR) for the project, which involves collecting information from stakeholders, setting up communication channels, organizing team meetings, and gathering project requirements based on the HLR.

Performed the role of subject matter expert (SME) on multiple healthcare regulations, such as the Affordable Care Act (ACA), Health Level Seven (HL7), Medicare, Medicare Advantage, MediGap, Health Insurance Portability and Accountability Act (HIPAA), Health Information Exchange (HIE), Healthcare Eligibility and Exchange (HEX), Electronic Data Interchange (EDI) Transactions, Electronic Health Records (EHR), and other relevant compliances.

Worked on Stakeholder Engagement and Communication. Carried out effective change management decisions, involved engaging and communicating with various stakeholders, including healthcare professionals and administrators as end users, and regulatory bodies for real-time experience. Keep stakeholders informed about the project's goals, progress, and potential impacts on their roles.

Worked on healthcare reform process and procedure for the Montana Streamline project and collaborated with HCSC to facilitate the merger of the Montana Blue Cross Blue Shield (BCBS) program with the Texas BCBS program.

Gained experience working on various claims and claim adjudication systems, which include Inter-Plan Teleprocessing Services (ITS), Health Reimbursement Arrangements (HRA), Flex Saving Arrangements (FSA), BlueCard Program, BlueExchange transactions, and Health Savings Account (HSA).

Provided guidance to the QA team in creating the test plan and performed various types of testing in different environments such as User Acceptance Testing (UAT), User Interface Testing (UIT), and System Integration Testing (SIT), including regression, parallel, and load runner testing, among other testing techniques.

Major Techniques/Hardware/Software Used: FEP Express, HER, ACA, ITS, HRA, HAS, HIPAA, Availity, BlueChip, PRAP, VDR, Rally, BlueSource, Availity, CM Mouse, System Magic, SharePoint, MS Visio, MS Project Professional, MS Project, Lotus Notes, WebEx, and Microsoft Office package with Blue’s Outlook Express and Blue’s Link.

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