Roop Kumar A

+91-810*******

Mail ID : adg2e3@r.postjobfree.com

Https://www.linkedin.com/in/roop2911/

SKILL SET

Product Life Cycle Management

Strategic thinking & planning

Roadmapping

Stakeholder Management

Project Management

Innovative solutions

Customer centric

SaaS-Web applications

Multi-tenant software

Story Mapping – Cardboard IT tool

9- Boxing

UX prototyping

BDD (Behaviour Driven tests)

Toastmaster

Analytical skills

Leadership

Agile/SAFe/Scrum/Kanban

Scrum Master

Selenium/DevOps/CI-CD

Rally JIRA

Confluence

HP ALM

Acceptance testing

Project management

Oracle/SQL DB, querying

Confluence

Leadership

Influencer

Public speaking

Salesforce CRM

SharePoint

SVN

Confluence

Strong communication skills

Quality assurance

ACADEMICS

B.Sc., Bio-technology University of Madras. April, 2007

Diploma in Computer Applications (DCA)

Certifications

Certified Scrum Product Owner (CSPO)

Certified Scrum Master (CSM)

Certified Healthcare domain expert (AHM250)

External - ITIL V3 Foundation

VISA

Have B1 VISA

Have L1 VISA

Been to Utah, U.S for 2015 Optum Forum & DDR Summit (Product marketing conference)

Ideations

Ideated and created BAT tool (Business Assessment Tool, an ROI application for clients). This tool increased the product’s NPS score and client satisfaction to greater heights

Recognized for putting forth suggestions for automating the DDR module (Data driven rules) that saved about 45% efforts compared to manual execution for clinical edits

Submitted White paper on “Importance of IoT in healthcare. It was well received and recognized for the futuristic vision

Presented Bright ideas on “Use of Mobile apps in Emergency Hospital finding” and “Importance of Saving cord blood for healthier future”

Worked with UI/UX architects on transforming the entire look & feel of the product’s classic UI to current trend – panel based UI; this was well received in Optum client forum.

Accolades

Awarded 'Emerging Leader' by UHG(Optum) for Product & leadership skills & demonstration

Awarded 'Above & Beyond' by UHG(Optum) for implementing Session based testing, Time-box testing, Cyclomatic complexity in Agile practices

Felicitated with six Bravo Awards consecutively from 2014-2018 at UnitedHealth Group IT (Optum) for contributions towards:

Awarded “Innovation Evangelist” by Cognizant technologies limited for ideating a new application to identify fraudulent claims by provider

Technical Abilities

Good understanding of CI/CD pipeline

Worked on Multi-Tenancy, IaaS & Optum Cloud based applications

Knows DevOps process, have been a PO for a DevOps team for a while

Worked with the DevOps tools such Git & Github for Source code management (Version Control System), Jenkins for Automation server, with plugins built for developing CI/ CD pipelines, Selenium for QA Automation testing, XAAS environments for QA testing the performance of the application.

Creating and Working on a Multi-Tenant environment

Worked with Wiki, Confluence, JIRA, Rally and AHA – Tools for Product Management, Defect Management

Worked on databases - SQL server, Oracle 12c, Open source H2

Worked on iLOG business rules server

Worked on QTP/UFT, Selenium automation tools

Lead Product Manager & Project Management

PROFESSIONAL SUMMARY

Seasoned Product Manager Offering over 13 years’ experience in product management with extensive background in both market research and Agile methodology. Passion for identifying client product needs, delivering solutions to meet those needs, and improving KPI’s. Experience managing EHR and patient portal products. Served as a Project Manager - Scrum Master for multiple software projects before earning a role as Product Manager. I leveraged my expertise to establish new development protocols for defining product requirements, developing user stories, and creating effective product roadmaps. These protocols resulted in a 35% decrease in final-stage QA defects and were implemented across multiple projects. Highly skilled leader and strategist that fosters collaborative and supportive team environments. Proficiency in Agile/SAFe/ Scrum methodologies. Facilitated and implemented SAFe for 3 offshore projects in Nextgen healthcare pvt ltd.

WORK EXPERIENCE

Company: Nextgen Healthcare (Sep 2019 – Till Date)

Project: Nextgen Patient Portal, EHR, API, HIE, PM, Medfusion acquisition

Role: Lead Product Manager, Project Management

Responsible for building state of art systems for complex healthcare challenges with patient engagement & connectivity apps, physician practice management and EHRs, Lead product management, Agile design and implementations.

Proved my abilities as a product manager for medfusion acquisition with Nextgen for patient portal, EHR and EPM. Creating crisp MVP features for the integration.

Worked and Managed 4 different products within NextGen.

Skilled at fostering innovation, creativity and excellence, as well as client relationship management.

Managing a team of efficient agile technical product owners including physicians.

Do financial planning and budgeting for teams, anticipating future headcount requirements

Identify infrastructure needs for the teams, including travel and other resource needs

Provide mentorship and career guidance to the teams. The mentorship should include both technical as well as non-technical (Soft Skills)

Help in developing and implementing product vision and strategy.

Stay abreast with the latest technological and industry trends in the domain where the team is working

Be aware of the growth and development of the company, customer feedback, product roadmap and overall strategy

Both being tactical and strategic

Proficient in Capacity based planning, velocity-based planning and Throughput based planning.

Worked closely with program management of developing the automation solution by closely working with Technology team and ensure adoption.

Collaborates with Senior Management across organisation including VPs, Directors, Program Managers to define the processes, effective operations and SoW is met on time with optimised profit

Conduct and Co-Ordinate internal audits for Customer specific development teams to ensure quality guidelines are met with GO/NO-GO stage gates

Adept at identifying and removing impediments slowing the Development team down, as well as shielding the team from external interruptions and distractions

Own complete tracking and reporting of program goals, updates on initiatives, periodical business updates (Monthly/Quarterly) and quarterly stakeholder connect on Product mapping Programs.

Communicate regularly with senior management on status, risks and change control

Being the subject matter expert for all aspects and operations for the portfolio of initiatives for the data team – and ensure that we are staying true to timelines.

Company: UnitedHealth Group - Optum (Sep 2013 – Sep 2019)

Project: Integrated Claims Platform

Role: Agile Product Owner, Scrum Master

Owned a couple of major products – CES & CM. They are SaaS based software applications that adjudicate medical insurance claims submitted by hospitals and other medical service providers to insurance company. The claim adjudication is done based on iLOG & DDR business rules supported by knowledge based clinical codes regulated by CMMS.

Responsible for coordinating the full product-development lifecycle, including strategic planning, requirements analysis, QA testing, and product launches

Create, Maintain and Own Product Roadmap for these 2 Claims adjudication products.

Prepared and worked with Product Manager on multiple product launches - User reports on Mobile, Ability to purge historical claims etc.

Helped increasing the NPS (Net Promoter Score) for the provider claims product from 6.5 to 8 during 2018 by working with UX architect on usability improvements for UI reporting.

Experienced in Scrum development methodology and have participated in all phases of product delivery. Proficient in requirement engineering, product backlog grooming, forecasting, requirement transition, and stakeholder management. Acts as a voice of business and strives to delight customers with exciters. Efficiently handles a team of Business Analysts and drives innovation in work with fun and feedback

Maintain professional and technical knowledge by attending educational workshops on EHRs, Cloud computing, reviewing professional publications; establishing personal networks; participating in professional societies.

Requirement elicitation from stakeholders such as strategic product management, implementation consultants, client and third-party consultants for EDI implementation, mobile apps creation

Own the creative process of generating, developing, and curating new domain and product ideas

Lead the team of business analysts and senior business analysts group, mentor them to gather requirements and guide them towards market research and analysis.

Employ various techniques in the requirement prioritization and analysis process such as – business domain model, business process diagrams, use case modelling, data flow diagrams, ER Diagrams, cyclomatic complexity and SWOT analysis for the areas of scope in the healthcare and EHR, EDI market

Collaborate with UX designers for screen designing to ensure improved usability and configurability

Performed various market analysis, Competitive analysis

Own, prioritize and communicate the short, medium and long term release plan of the team

Create high quality features, user stories and clear distinct tasks together with the team

Conduct JAD meetings, had ability to clearly articulate difficult concepts and ensure full stakeholder understanding to gain support and sign off of deliverables

Been a strong liaison between strategic team, architects and development to ensure a transparent and productive workflow environment

Company: Cognizant Technologies Solution (Aug 2010 – Sep 2013)

Project: HealthNet & Ingenix Claims processor

Role: Senior Business Analyst

HIPAA 5010 Remediation X12 version 5010 were the new sets of standards that regulate the electronic transmission of specific healthcare transactions, including eligibility, claim status, referrals, claims, and remittances.

Health Net needs to identify design, test, and launch the new systems, processes, and protocols required for a smooth transition from 4010 to 5010.

Analyse and research on the impact of migration from 4010 to 5010 X12 Transactions for the below:

o837I: Health Care Claims Institutional

o837P: Health Care Claims Professional

o270 (Eligibility Request) - I / O

o276 (Claims Status Request) - I / O

o277 (CA Claim Acknowledgement) - O

o278 (Authorization Review - Request) - I

oInbound 834 (Enrolment and Disenrollment for Medi-Cal business)

Making use of pertinent data and facts to identify and solve issues in the domain of expertise

Analysing, investigating issues and suggesting explanations; providing updates to team members on subject-related matters

Accepting the user stories delivered by the Engineering Team and coordinating with others for studying non-standard requests & problems; prioritizing and organizing work to ensure all deadlines are achieved

Defining project roles to drive gathering of detailed business, functional and non-functional requirements

Identifying applicable technical & business stakeholders, using appropriate Stakeholder Analysis Tools/Approaches

Determining approach and effort for defining business requirements (business, functional and non-functional); maintaining updated project schedule to track/measure progress of the requirements-gathering process (with regard to status, milestones, tasks & deliverables)

Finalising approach for storing and updating business requirements (SharePoint, Rally & Quality Centre)

Adhering to established project lifecycle standards/requirements; collaborating with stakeholders (including Product Owners, Program Managers & Domain Experts) to identify specific business requirements

Conducting current state analysis to gather current business, functional/non-functional requirements and constraints

Collating information needed for the definition of requirements in terms of business use cases and user stories

Company: Infosys Limited (April 2007 – Aug 2010)

Project: British Telecoms

Role: Data Analyst

Thorough and meticulous Data Analyst passionate about collecting and interpreting BT user data, covert that data into actionable insights by predicting and modelling future outcomes

Analysed data on established and prospective customers, competitors and marketing channels, sources

Identifying patterns and trends in changing data sets, build reports to submit the analysis to the stakeholders

Investigate and conduct studies on the forecasts, demand and capital of BT products

Adhere to company’s data governance standards

Domain Knowledge

Provider/Physician workflows

EHR, Practice Management systems, HIE, Patient Portal

21st Century cures

Strong functional expertise in the Health Insurance process, Claims Adjudication systems for Provider and Payer – CMS 1500 & UB04, Denial & Appeal management, Claims Lifecycle, Clearing house.

Knows to write Clinical business rules for Medicare, Medicaid and Commercial rulesets using iLOG software for claim editing/claims scrubbing using Proc codes, Diag codes, Modifiers, E&M codes, LCD-NCD, claims history, frequency history, NPT, ICD 10, Unbundling codes, Fraud, Waste and Abuse, other government regulations and compliance etc.

Good knowledge on Healthcare Payer Area - Membership claims, benefits, eligibility check, ICD10, Worked in in ICD 9 to ICD 10 codes mapping and Crosswalking

HIPAA, CMS HCPCS Exposure to Health Care Industry standards like HIPAA / PHI.

Working Knowledge of Claims Processing, Insurance Workflow, HMP, PPO, HIPAA, COBRA

Also participated in HIPPA 4010 to 5010 upgrade (Level 1)

Knowledge of HIPAA 5010A rules to store the transactions

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