Swapnil Gadge

Senior Agile Product Manager/ Product Owner

Cognizant Technology Solutions US Corp.

B. Tech, CSPO, SAFe.

adi25u@r.postjobfree.com 201-***-****

SUMMARY

A highly motivated and dedicated Product Manager/owner/business Analyst with 13 years of experience with proven track record of delivering large-scale software development projects on time & on budget by effectively collaborating, facilitating, leading and coaching multiple scrum teams. Expert at driving the adoption and enforcement of Scrum rules, removing impediments and fostering self-management. A confident communicator with an emphasis on utilizing the strengths of colleagues and creating an environment of forward-thinking solutions.

Core Competencies

13+ years of experience in Healthcare, banking & Finance domain.

Exceptional analysis skills with an ability to transform the needs of business users and stakeholders into functional & technical requirements.

Excellent understanding and years of hands-on experience of Agile (Story grooming/refinement, maintaining Product backlog, Story mapping, MVPs, prioritization, PI planning) & Waterfall methodologies.

Extensive knowledge of all phases of software development life cycle (SDLC).

Proficient in technical & business writing, business process flows, swim lane diagrams for cross functional impact, As-is & To-be process mapping, business impact analysis, Driving Business case, Point of view articulation.

Experienced in conducting & facilitating JAD sessions with superior organization & presentation skills.

Experienced in merger & acquisition related projects.

Leading multiple Agile teams (Dev & QA) in Scrum sprints, a team player with ability to motivate and achieve the goals by bringing best out of individuals and teams.

Strong Engagement management skills, highly experienced in leading & managing teams spanning geographies via global delivery modules.

Domain Expertise

Strong Business knowledge of healthcare – Pharmacy Benefit Management with focus on healthcare Point of Sale (POS) system, Claims Adjudication and PBM Benefits & Enrollment.

Experienced in HIPPA Compliance, Medicare, Medicaid & Commercial Lines of Business.

Strong understanding of Member Eligibility, Client Benefit setup, Drug utilization review, Drug coverage, Drug formulary, Prior Authorization, Pharmacy network, Copay & Pricing, member Accumulators.

Key Achievements

Successfully Led & implemented Cigna-Express scripts integration projects for inbound Claims history for DUR & outbound adjudicated claims summary feeds & files for downstream processing & reporting to Cigna. Acting as a lead Product Manager Co-ordinated multiple teams across Cigna commercial, Cigna Health springs & Express scripts. Received multiple appreciation emails from Client VP, Senior Directors & Directors.

Delivered a Concept to Launch Claims automation testing tool with a cost saving of 1M per year going forward. Reduced dependency of 15+ teams on POS for Claims testing.

Successfully delivered a unique and one-of-a-kind product in healthcare industry “InsideRx”.

Successfully delivered “ParachuteRx” & other COVID-19 requirements in a very tight timeline.

Technologies & Tools

Operating System - z/OS, MVS, WINDOWS10

Programming Languages - COBOL, JCL, NATURAL, CICS, REXX, JAVA, Spring boot API

Databases - DB2, Teradata, MongoDB, ADABAS

Tools - JIRA & Confluence, JIRA Align, Alation, Rally, VISIO, MS office, Sharepoint

WORK EXPERIENCE

Claims POS (Point of Sale) Product Express Scripts Inc., NJ Jan 2017 to Present

Senior Agile Product Manager/Owner

Managing multiple products with multiple agile teams from concept to Lunch.

Subject matter Expert for the PBM, create & implement the roadmap for products owned.

Co-ordinated across multiple business owners, other product owners & IT stakeholders from PBM area for all new business requirements for the Products supported, prepare & present use cases, screen mock-ups & process flows.

Requirement gathering by collaborating with business stakeholders, Account team, Development & QA teams; translate them in JIRA Epics & User Stories following definition of Ready.

Day to day activities like Facilitate engagement/decomp sessions with internal & external teams, Conduct Refinement sessions, participate in all Scrum ceremonies.

Lead Agile teams in Scrum sprints, provide support to Dev & QA to remove impediments, review test cases, provide approvals & accept the stories after sprint reviews following the Definition of Done.

Analyze cross system & cross platform issues, perform Impact & GAP analysis, create product roadmaps consists of Business prioritize & Tech-debts, present roadmap -MVPs in PI planning events.

Successfully Lead heavy cross-functional Cigna-ESI integration Projects, data history load & Post claim adjudication data transfers for downstream processing & reporting.

Successfully delivered a Claims Automation Testing tool from concept to launch & then companywide adoption of the tool to remove the claims testing dependency on POS QA Team.

Successfully delivered a version 2.0 of the “Pharmacy level Benefits” benefit setup application to support both standard & maintenance hierarchy of client account structure.

Successfully delivered a very complex University of Texas projects for the Product owned “Accumulators” to make sure the family Accumulators are still in sync when the member aged into Medicare plan from commercial.

Successfully delivered many Government programs projects, state mandate requirements.

PBM Requirements & Intake COE Express Scripts Inc., NJ Jun 2015 to Dec 2016

Technical Business Analyst

Supported development projects in PBM area for the Point of Sale (POS) –Claims adjudication, PBM Benefits & Enrollment areas.

Lead projects following Waterfall & Agile (Scrum & KANBAN) software development cycle.

Lead engagements between the Business stakeholders, Business solution Architects, Development & QA teams

Lead the requirement gathering sessions, prepare the high-level requirement (HLR) documents & Detailed level requirement (DLR) documents for projects developed following waterfall SDLC.

Translated the requirements in JIRA Epics & User stories for the projects following Agile Methodology.

Lead Agile teams in Scrum sprints, provide support to Dev & QA to remove impediments, review test cases, provide approvals & accept the stories after sprint reviews following the Definition of Done (DoD).

Acted as a liaison between the Business and Dev-QA teams, Co-ordinate with other teams to deliver the end-to-end solution.

Successfully delivered many Government programs projects, state mandate requirements.

Successfully delivered many POS-Accumulator related projects.

POS Triage, POS Claims Compare Express Scripts Inc., NJ Nov 2012 to May 2015

Functional Business Analyst

Supported the Medco-ESI integration projects; perform Claims Compare by processing claims on F-14 (Medco) claims adjudication Engine & on ESI claims adjudication Engine.

Analyzed & Compared the claims to identify the Benefit setup Gaps & system Gaps by re-tracing the complete Claim life-cycle.

Collaborated with the Client Benefit Administrators to address the Benefit Setup Gaps.

Provided the requirement to the Development to team to address the system Gaps to address the Client Intent.

Worked on the Production tickets raised by the clients, members & account team to address the concerns related to Claims adjudication, copay-coinsurance charged on the claims, pricing setups, Accumulator Setups (DED, OOP, CAP), MED-D stages, drug coverage, member Eligibility, Drug utilization review, Benefit setups for commercial health plans, Medicare Part-D, Medicaid & HCR claims.

Provide the conclusion to the ticket requestors, re-route the tickets to Production support team and track the tickets to its resolution.

EARLIER EXPERIENCE

Tax Cost Basis-ESPP Bank of New York Mellon, Pune May 2010 to Oct 2012

Offshore POC, Software Developer

As a system analyst and offshore coordinator, I was responsible for activities such as Understanding of business requirements; Analysis of requirements; Impact analysis, Participation in design preparation.

Coding as per the standards followed and code reviews; System testing; Supporting QA testing and acting as point of contact for onsite coordinator.

Supporting UAT and warranty support.

AH&WB Development for COSMIC J P Morgan & Chase, Pune Dec 2007 to Apr 2010

Offshore POC, Software Developer

As a system analyst and offshore coordinator, I was responsible for activities such as Understanding of business requirements; Analysis of requirements; Impact analysis using SDLM jobs and NPP/SPoD.

Participation in design preparation Coding as per the standards followed and code reviews; System testing; Supporting QA testing

Acting as point of contact for Income and Tax applications; Supporting UAT, I was offshore lead/coordinator for Income and Tax applications and was responsible for overall turnaround of various UAT defects in those applications.

I was also responsible for Supporting team in critical defect analysis and fixes, reviewing the fixes and promoting the same for retest.

CERTIFICATIONS

Certified Scrum Product owner

SAFe Practitioner

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