Dear Partner, Hope you are doing great today! This is Vikas representing Captevo Inc. Currently, we have pool of W2 consultants available Immediately on C2C basis. Request: please take a minute and add vikas@captevo.com in your mailing list for current and future requirements. Below is my updated Resume of my consultant Preetham currently on bench., Please let me know if you have open requirements for them. - Over 7 years of experience as a Business Analyst with a solid understanding of Business Requirement gathering, Business Process flow, and Business Process Modeling and Analysis.
- Several years of experience and advance knowledge of the Systems Development Life Cycle (SDLC), waterfall, Spiral, Rapid Application Development (RAD), Extreme Programming (XP), Rational Unified Process (RUP)
- Worked with ICD 9 to ICD 10 upgrade, 4010 to 5010 conversions and worked on HIPAA X12 EDI transaction codes such as 270/271(inquiry/response health care benefits), 276/277(Claim status), 834(Benefit enrollment), 835 (Payment/remittance advice/ Explanation of benefits), 837(Health care claim)
- Has a very good knowledge of FACETS tool and Healthcare domain, Worked on the various modules like Subscriber/Member, Groups, Enrollment, Claims, Billing, Accounting, Provider, MTM and Utilization Management.
- Detail-oriented Agile Business Analyst with strong analytical and people skills. Adept at taking in important business process information analyzing fluid business processes and developing complete and helpful reports.
- Proven record of accomplishment with handling Change Requests by the Clients.
- Strong knowledge of HL7, HIX (Health Insurance Exchange), EMR/EHR, Health Care Reform and Patient Protection and Affordable Care Act (PPACA) and Facets.
Extensive knowledge of Healthcare Insurance including Medicaid. Medicaid Information Technology (MITA), Medicare (Part A, B, C, D), Procedural and Diagnostic codes, Claims Process, and Medicaid Management Information Systems (MMIS) - Managed complex business initiatives to balance requirements for functionality, efficiency, and quality. Experience in working with JIRA management tools.
- Developed business requirements by analyzing the As-Is system and designing the To-Be system to streamline business strategies. Suggested improvements to business processes through better use of existing technology.
- Exceptional Documentation Skills for writing Use Cases and Functional Requirement Documents as well as for creating Use Case diagrams, Activity diagrams, Data Flow Diagrams (DFD), Sequence diagrams, State diagrams, Diagrams based on UML Methodology and business process flow diagrams using MS Visio/Enterprise Architect/Rational Rose.
- Experienced in performing Business Process Reengineering/GAP Analysis to check the compatibility of the existing system infrastructure with the new business requirements.
- Coordinated with the testing team during the formulation of Test Plan and Test Cases for Functional, System, Integration, UAT and Regression Testing based on the Design Document and User Requirement Document for the Functional and Performance Testing.
- Used SQL queries for the arrangement of customer data. Created and maintained end-to-end data mapping and data conversion spreadsheet.
Thanks & Regards, Vikas Captevo Inc Phone: (248) 630-3001 X 109 | Direct: 248 653 0130. Address: 24175, Northwestern Hwy, Suite # 121, Southfield, MI – 48075 Disclaimer: We respect your Online Privacy. This e-mail message, including any attachments, is for the sole use of the intenvded recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message. If you are not interested in receiving our e-mails then please reply with a "REMOVE" in the subject line at and mention all the e-mail addresses to be removed with any e-mail addresses, which might be diverting the e mails to you. We are sorry for the inconvenience | |
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