Yagya Adhikari, PMP

856-***-****

ad3nq5@r.postjobfree.com

SUMMARY:

Proven Product Management Leader: With over ten years of software development experience, consistently excels in product management leadership, guiding teams to successful project completion.

Effective Communication and Collaboration: My exceptional interpersonal and communication skills bridge the gap between business and engineering teams, ensuring the smooth progress of projects.

Visionary Product Development: I initiate strong team sprints and convey product visions, value propositions, success metrics, and key indicators from project inception, fostering a collaborative atmosphere with a shared goal.

Data-Driven Product Iteration: I excel at conceiving and iterating product feature requirements based on data, analytics, and strategy, leading through influence to develop user-centric solutions.

Strategic Planning and Alignment: I take ownership of multi-year project planning, aligning roadmaps with corporate strategy, and advocating for solution-driven visions, ensuring effective change management across the organization.

API and Technology Proficiency: My broad understanding of API platform strategies and modern web technologies, including the cloud and cloud-native environments, drives product innovation in line with industry trends.

Agile Methodologies Champion: With advanced knowledge of Agile development methodologies like Agile/Scrum/SAFE/Kanban, I've introduced transformative changes to product development processes and trained teams to follow these principles effectively.

User-Centric Design Advocate: Proficient in UI & UX Interface designs, data analysis, conversion, and ETL mapping, I prioritize exceptional user experiences.

Re-engineering and Documentation Expert: My accomplishments include software re-engineering, AS-IS and TO-BE analysis, and comprehensive documentation (BRDs/FRDs/Use Cases), showcasing diverse experience in Information Technology.

Scrum Facilitation and Healthcare Expertise: Actively engaged in Scrum ceremonies, I possess expertise in Medicare and Medicaid line of business, including Medicare parts A, B, C & D, and Insurance Claims.

Knowledge Sharing and Continuous Improvement: I promote the implementation of tools, techniques, and best practices for bug-free applications and improved development lifecycles.

Client-Centric Problem Solver: My extensive experience includes customer/client interaction, with a deep understanding of business systems functionality and technical intricacies, ensuring effective meeting of client needs.

TECHNICAL SKILLS:

Methodologies: Agile, SCRUM, SAFE Agile, Waterfall, Kanban, BDD, and ATDD.

Requirement Tracking: Jira, ServiceNow, Trello, AHA, and Azure Dev Ops (ADO).

Operating Systems: MS Windows, Linux, and Mac.

Web/Design Tools: MS Visio, Lucid Chart, Photoshop, Adobe XD, and Figma.

Databases: DB2, MS SQL Server, T SQL, and MS Access.

Project Management: Smartsheet, Confluence.

Certifications

Project Management Professional (PMP) 2023

Professional Work Experience

Homecare Homebase, Dallas, TX Jun 2022 – Feb 2024

Product Owner

Homecare Homebase, a subsidiary of HEARST, is a leading SaaS provider for home care and hospice EMR. Within the Home Care Homebase platform, tailored solutions effectively streamline a wide range of operations, including scheduling, mapping, routing, billing, compliance, and revenue cycle management. My primary responsibilities center around elevating interoperability across approximately 10 organizations. This spans various functions, including visit requests, confirmations, billing, supplies, claims, authorization, eligibility, medications, compliance, security, and more.

Responsibilities:

Acted as a liaison between the product and development team of 10 members throughout the Software Development Life Cycle (SDLC) to understand customer needs, create features, stories and prioritize the product backlog.

Spearheaded initiatives to significantly boost interoperabilitys success, resulting in a remarkable 10% improvement.

Developed interoperability workflows, with a strong emphasis on self-service con, scalability, and Security.

Effectively prioritize items in the Azure DevOps product backlog based on business value, customer needs, and strategic objectives, ensuring that the team is focused on delivering the highest impact features first.

Regularly update the product backlog to reflect changes, evolving priorities, and new insights. Keep stakeholders informed about the status of backlog items, fostering transparency and alignment.

Engaged in the development and implementation of JSON-RPC and XML-RPC APIs, harnessing the power of JSON and XML as versatile data interchange formats.

Created specification documents for APIs, covering both XML and JSON formats, with detailed information on source tables, specifying whether each element is mandatory or optional, outlining data types with max data values, and logics.

Leveraged Data as a Service (DaaS) to provide valuable insights and support decision-making processes.

Utilized ongoing user research and analysis of customer feedback to pinpoint and articulate common usability pain points, driving user-centric enhancements.

Led with vision and strategy, outlining product direction while advocating for user self-service, scalable interoperability applications with EDI, FHIR API, and HL7 technologies.

Collaborated seamlessly with cross-functional teams to streamline the product, energetically prioritizing initiatives and delivering impactful outcomes.

Defined, evaluated, and meticulously tracked key performance metrics to elevate product quality and enhance customer sentiment on a larger scale.

Simplified complex ideas into accessible concepts, nurturing the evolution and enrichment of the product experience.

Collaborated with organizational leaders, ensuring alignment and successful outcomes across the entirety of product.

Orchestrated the end-to-end creation of process flow diagrams, Gherkin scenarios, and BDD (Behavior-Driven Development) user stories, facilitating clarity and alignment within the team.

Facilitated and actively participated "3 Amigos," Refinement, Stand Ups, IP (Iteration Planning), and sprint planning sessions, ensuring alignment and the successful development of features adhering to the SAFE principles.

Steered stories through the Change Advisory Board (CAB) review process for Hotfix and Late Check-in, while also spearheading release planning and meticulous documentation.

Conducted insightful customer demos to showcase release enhancements, collecting valuable feedback in the process.

Environment: SAFE Agile, Scrum, MS Office, MS Visio, Lucid Chart, API, EDI, Smartsheet, Aha, and Azure DevOps.

Dominion National, Arlington, VA May 2020 – Jun 2022

Product Owner/Product Manager

Dominion National is a subsidiary of Capital Blue Cross, specializing in dental and vision insurance. Within my role, I am tasked with managing and taking ownership of medium to large-scale compliance-driven software development projects.

Responsibilities:

Led a product development team of 7-9 members, fostering collaboration and synergy between onshore and offshore contributors. Leveraged tools like Confluence, Jira, and SmartSheet to facilitate teamwork and project tracking.

Lead team to refine user stories and bugs, adding the necessary details and BDD acceptance criteria to facilitate a clear understanding for development and testing.

Delivered multiple complex compliance projects within stringent timelines, resulting in error-free User Acceptance Testing (UAT) and seamless live environment deployments.

Expertly managed and orchestrated multifaceted enhancements spanning reports, dashboards, configurable setups, models, workflows, and automation platforms, driving continuous product improvement and innovation.

Collaborated with UI/UX designers using Adobe XD and Figma to enhance user experiences and effectively demonstrated these enhancements.

Crafted detailed product roadmaps that highlighted dependencies, ensuring seamless performance optimization, and conveyed these strategies to stakeholders. Presented these roadmaps in tools like Confluence for clear documentation.

Actively participated in agile ceremonies, adeptly identifying and addressing team blockers, thus fostering a streamlined workflow and maintaining project momentum. Used Jira for agile project management.

Collaborated seamlessly with compliance teams, ensuring alignment of products with regulatory mandates and compliance requirements to meet industry standards. Coordinated compliance efforts through EDI, and API integration.

Provided invaluable subject matter expertise, effectively addressing customer needs and alleviating blockers to deliver products that consistently met or exceeded expectations.

Conducted thorough and insightful stakeholder needs analyses, translating findings into well-crafted technical and non-technical requirement documents that provided the foundation for successful product development. Documented requirements in tools like Confluence and Jira.

Transformed stakeholder needs into actionable items by translating requirements into meticulously refined and prioritized backlog items that effectively aligned with Iteration objectives and Agile principles.

Developed and championed Epics and Behavior Driven User Stories (BDD), providing the development team with clear guidelines and objectives for efficient software development cycles.

Environment: Agile, Scrum, Kanban, MS Office, MS Visio, Adobe XD, API, UML, BRD, FRD, Confluence, Smartsheet, Jira, and Azure.

J. B. Hunt, Lowell, Arkansas July 2019 – May 2020

Product Owner

J.B. Hunt Transport, Inc., a publicly-traded (NASDAQ: JBHT) Fortune 500 company, is known for its technology-driven freight shipping services for large and small businesses in North America, including the United States, Canada, and Mexico. The project's goal is to conduct business process reengineering (BPR) of the mainframe system and create a cutting-edge software ecosystem to connect shippers and carriers, with a particular focus on EDI transactions and subsystem integration.

Responsibilities:

Acted as a liaison between teams, ensuring prioritization of items in alignment with business goals. Led business requirements development, reviewing current/approaching releases, and ensuring compliance with IT standards.

Utilized various techniques such as interviews, document analysis, and use cases to elicit business requirements. Conducted workflow analysis, documented meeting minutes, and maintained reference documentation for the ERD and Data dictionary.

Engage with stakeholders to gather requirements, feedback, and insights. Maintain clear and open communication channels to ensure that stakeholder expectations are understood and addressed.

Authored requirements (BRD and FRD) for the GAP analysis, proposing future states for process/system enhancements. Outlined project requirements, visualized and articulated solutions to enhance efficiency and productivity gains.

Created GUI, screen, and interface designs to convey functional and technical requirements effectively to both internal teams and external clients.

Translated complex technical/process issues into easy-to-understand diagrams (process flow, data flow, system flow, and algorithm flow) and presented the information to stakeholders. This included data mapping between source and target systems for EDI application.

Led in creating formal communication to be delivered to relevant stakeholders and provided guidance and training to application end users.

Oversaw the overall success of user acceptance testing (UAT), including documentation, verification, and release management.

Developed a detailed project plan and assisted in managing the data migration from the legacy mainframe system to the target SQL Server database.

Responsible for creating and managing a product backlog, including Epics, Features, User stories, product specifications, and process flow diagrams. Conducted data analysis and profiling using complex SQL queries on various sources systems.

Executed demos of working solutions to stakeholders and coordinated with the Release Management Team for the release plan.

Played an integral role in data modeling, source system analysis, data transformation, loading, validation for Data Marts, operational data store, and data warehouse.

Environment: SQL, MS Visio, MS Office Suite, Agile, Windows, DB2, Power BI, XML, JSON.

Optima Health, Virginia Beach, VA Jan 2014 – Jun 2019

Sr. Business Systems Analyst

In my role as a Product Owner at Optima Health, I was responsible for the enhancement of existing system and integration with various other systems. Optima Health, a provider of health plan coverage to over five million Virginians through a vast network of 15,000 primary care, specialty, and hospital providers. My key responsibilities included gathering requirements, drafting detailed specifications, and extensively working with EDI claim files to ensure optimal system functionality and integration.

Responsibilities:

Gathered requirements from various business areas (Claims, Provider Relations, Enrollment, Finance, and Billing) and created BRD, FRD, and maintained the Traceability Matrix.

Work closely with product managers to ensure that the product backlog aligns with the overall product strategy and roadmap. Advocate for features that contribute to the long-term success and vision of the product.

Worked on various EDI healthcare transactions, including 837, 835, 834, 270, 271, 276, 277, and 278.

Responsible for data conversion, validation, and updates according to HIPAA X12 standards.

Documented user stories, use cases, and process flows using MS Visio.

Actively participated in Agile/Scrum activities, including daily stand-ups, sprint planning, and retrospectives.

Created and managed JIRA stories, SQL scripts, and collaborated with UI/UX designers.

Prepared impact documents, system flow diagrams, data flow diagrams, GAP analyses, and data mapping documents.

Managed and billed Medicare, Commercial HMO/PPO claims, including data extraction and validation.

Validated EDI transactions and worked with providers and Medicaid entities.

Prioritized user stories, prepared sprint backlogs, and participated in sprint retrospective meetings.

Analyzed business and user requirements and assisted in UI development.

Modeled requirements using UML diagrams and facilitated Agile/Scrum workshops.

Performed testing (Smoke, Functional, SIT, UAT, End-to-End) and documented defects.

Configured processes, standards, and procedures using Agile methodology.

Attended daily SCRUM meetings and provided guidance to QA and developers.

Environment: Agile/ Scrum, Waterfall, ServiceNow, HIPAA, UX/UI, PL/SQL, MS Office, SnagIt, MS Visio, Macess, wIntegrate.

Education

Masters in Science, Digital and Mobile Business Information Systems 2018

Åbo University, Finland

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