Summary
Overview
Work History
Education
Skills
Accomplishments
Languages
Timeline
Generic
Prasad H. Salaskar

Prasad H. Salaskar

Healthcare Strategic lead with AI & Analytics Expertise
Mumbai

Summary

US Healthcare - Payer and Provider Market Subject Matter Expert Accomplished IT professional playing the Strategic lead role, managing Healthcare customer engagements, long term partnerships & nurturing emerging opportunities. Confident AI/Analytics lead with innovative thought leadership. Consulting lead working closely with pre-sales team and key accounts. Am a trusted advisor in client relationship management and Business growth. Responsible for customer success and market profitability (P&L). Have laser focus on influencing strategic outcomes with determination. Have been a part of Consulting, Delivery, Pre-Sales and Market initiatives. Seasoned delivery lead who has driven multi-Year, multi-LoB, onshore-offshore model comprising of multi-country engagements in cross-cultural environment. Subject Matter expert / Guiding star on Contract Management and Pricing models. Responsible for budgeting and reviewing invoices for all engagements with me. Global exposure with fortune clients across North America and Europe region. Ability to learn rapidly and grasp new concepts and business models. Strong analytical, planning, presentation, and organizational skills. Results-oriented leader with a can-do, adaptable attitude Passionate about learning, coaching, and mentoring. Motivates and builds high-performance teams

Overview

13
13
years of professional experience
22
22
years of post-secondary education

Work History

Lead Consulting SME

CitiusTech One Consulting
Mumbai
11.2023 - 07.2024
  • Evaluated student progress regularly, providing timely feedback for continuous improvement in academic performance.
  • Implemented differentiated instruction techniques to accommodate various learning styles and abilities within a classroom.
  • Continually pursued professional development opportunities to stay current with educational trends and research, ensuring high-quality instruction for all students.

· Strategic Leadership:

· Designed and implemented key initiatives: Responsible for crafting and executing market-focused initiatives that align with the CitiusTech consulting goals.

· Contribute to account intelligence reviews: Participated in the review of account intelligence plans for accounts (within markets) focusing on interoperability solutions and data exchange architecture.

· Collaboration with key teams: Coordinated with the delivery leads and Training team to ensure alignment and synergy across various accounts.

· Crafting consulting unit’s growth strategy: Created detailed operational and business opportunities roadmaps for both Payer and Provider markets, identifying key areas for growth and innovation

· Evaluate new service offerings: Assess proficiency documents, articles and white papers created by consulting team members for publication on the Citius Vision website and internal distribution to all CitiusTech (CT) employees. Maintain the consulting deck by adding the Payvider case studies.

· Identify consulting business opportunities: Analyze Payer and Provider markets from functional and technical perspectives. Share insights and outcomes with the consulting lead, market leads, customer success team and senior management.

· Portfolio Management:

· Conduct training sessions: Delivered a session on "Denial Management" to onshore leads from 3 accounts in provider market covering the entire claim life cycle.

· Research healthcare tools: Investigate tools in areas like Core Administration Processing systems and document GTM strategies for sales teams.

· Create thought leadership materials: Collaborated with the customer success team to develop strategies like the 'Provider Experience' initiative from a payer's perspective for affiliated providers. Authored research papers, including 'Trends of Payer and Provider Market for 2024,' covering regulations and trends such as Gen AI, digital health, value-based care, preventive care, patient engagement, price transparency, telehealth, and population health management. Shared insights with the Market Delivery Lead (MDL) and COO.

· Led the development of key deliverables: Developed in-depth analysis of “Patient Engagement” within the Provider market. This document illustrates enhanced patient communication strategies which can result in an increase in positive patient feedback. Also, it highlights efforts to engage patients and enhance their understanding of care.

· Develop cross-functional teams: Build a team of cross-functional talent, integrating relevant technologies and market knowledge with training programs.

· Facilitate brainstorming workshops: Lead consulting team workshops on planned topics to drive innovation and cost-effective strategy.

Senior Delivery Partner

Strategic Growth Offering
Mumbai
05.2022 - 10.2023

SGO, or Strategic Growth Offering, serves as the Health Rules Payor (HealthEdge CAPs) Center of Excellence at CitiusTech, enhancing the HealthEdge-CitiusTech partnership to effectively market, win, and execute service agreements with focused Healthcare Insurance customers. This collaboration aims to elevate the partnership to a strategic level by jointly investing in the development of capabilities, accelerators, and engagements for the HRP tool. CitiusTech and Fluid Edge have identified key accelerators—Smart Start, Configuration CoE, Testing CoE, Training CoE, Tech Services, and BPass—with the potential to transform HRP implementations. The intent is to establish an 'as a service' model for these CoEs.

  • Negotiated favorable terms and conditions in contracts, protecting company interests and ensuring mutual benefits.
  • Implemented joint marketing initiatives to increase brand visibility and drive sales for both parties.
  • Evaluated potential partners based on their alignment with company strategy, financial stability, market presence, and overall fit within the partnership ecosystem.
  • Organized joint training sessions to strengthen collaborative capabilities and foster knowledge sharing among team members from both organizations.

· Strategic leadership:

· Develop SGO roadmap: Acts as a technology partner for customers by aligning with the delivery vision. Created and implemented account roadmaps across lines of business (LOBs) and developed knowledge roadmaps for accounts. Formulated and executed a three-year strategic plan aligned with SGO goals, boosting market share by 15% and positioning the company as a market leader. Executed strategic initiatives resulting in a 25% increase in annual revenue

· Stakeholder Engagement and Communication: Engaged key stakeholders, boosting collaboration and improving project satisfaction ratings by 20%. Cultivated relationships and developed communication strategies to enhance engagement and achieve strategic goals.

· Conducted comprehensive market analysis: to identify growth opportunities. Led business development efforts, resulting in a 25% increase in new client acquisitions within the 1st year. Expanded market reach by 25% through targeted strategies and partnerships. This helped improving competitive positioning by 10%.

· Role-Based organization: Established SGO with logical goal roadmaps.

· Set up budget: As relationship lead, defined SGO targets, collaborating closely

with sales, account management, and customer success team to set realistic future

targets based on historical data.

· Reporting: Participated in CitiusTech - HealthEdge Leadership meetings, providing inputs to CitiusTech CXO leadership using Power BI tool.

· Managed new client proposals and sales-to-delivery handoffs. Developed RFP solutions using SGO templates.

· Portfolio Management:

· Led consultative business development and client engagement across 15+ Payer and Provider market projects. Managed projects involving claims management (claim lifecycle, EoB, EoP, denial management), product configuration, and Revenue Cycle Management (RCM), including claim validation, adjudication, Utilization Management (UM) in disease and case management, and reporting (communication and letters).

· Responsible for Change Management, Deal Renewal and Contract/SOW/CR preparation.

· Helped clients achieve significant business impact. Contributed to the delivery of a utilization management module for a leading payer's HMO and MA plans. Enhanced patient adherence to treatment plans by 10% and improved health outcomes through analytics-driven risk stratification. Used predictive analytics to identify high-risk patients, reducing emergency visits. Implemented an EHR system, cutting documentation errors by 30% and improving care continuity. Expanded telehealth services, increasing virtual patient consultations by 50% and enhancing access to care. Improved efficiency and coordination through better care coordination, reduced wait times, and streamlined processes.

· Interacted with organizational departments like TLG, Recruitment, PMO, Staffing, etc. Built HealthEdge/HealthRules Practice capability by designing solutions, service offerings, resourcing, training design, and upskilling for the SGO.

· Help clients reducing average patient wait times by 10% by improved scheduling systems. Improved care coordination, resulting in reduction in hospital readmissions. Implemented process improvements that increased patient throughput.

· Gen AI implementation: Executed AI/ML project for extracting benefits from input health plans. Implemented benefits comparison across health plans using Python.

· Financial Management: Managed a $80+ million core budget, achieving a 12% cost reduction and an 8% margin increase through strategic financial planning.

· CSAT: Boosted customer satisfaction by 25% via improved service delivery and innovative feedback mechanisms.

· As a consulting lead, implemented frameworks for delivery, workforce, knowledge, and quality management, and appointed accountable executives.

· Managed PHI delivery with a clean room model and reviewed product implementations for each project, addressing customer satisfaction.

Simplify account : Managed this account alongwith SGO. I was responsible for web development of eProviderSync (Provider data life cycle & contracts management) and eBenefitSync (automate benefit plan design and document generation) modules using .NET,react JS, SQL etc.

  • SGO, or Strategic Growth Offering, serves as the Health Rules Payor (HealthEdge CAPs) Center of Excellence at CitiusTech, enhancing the HealthEdge-CitiusTech partnership to effectively market, win, and execute service agreements with focused Healthcare Insurance customers
  • This collaboration aims to elevate the partnership to a strategic level by jointly investing in the development of capabilities, accelerators, and engagements for the HRP tool
  • CitiusTech and Fluid Edge have identified key accelerators—Smart Start, Configuration CoE, Testing CoE, Training CoE, Tech Services, and BPass—with the potential to transform HRP implementations
  • The intent is to establish an 'as a service' model for these CoEs
  • Strategic leadership:
  • Develop SGO roadmap: Acts as a technology partner for customers by aligning with the delivery vision
  • Created and implemented account roadmaps across lines of business (LOBs) and developed knowledge roadmaps for accounts
  • Formulated and executed a three-year strategic plan aligned with SGO goals, boosting market share by 15% and positioning the company as a market leader
  • Executed strategic initiatives resulting in a 25% increase in annual revenue
  • Stakeholder Engagement and Communication: Engaged key stakeholders, boosting collaboration and improving project satisfaction ratings by 20%
  • Cultivated relationships and developed communication strategies to enhance engagement and achieve strategic goals
  • Conducted comprehensive market analysis: to identify growth opportunities
  • Led business development efforts, resulting in a 25% increase in new client acquisitions within the 1st year
  • Expanded market reach by 25% through targeted strategies and partnerships
  • This helped improving competitive positioning by 10%
  • Role-Based organization: Established SGO with logical goal roadmaps
  • Set up budget: As relationship lead, defined SGO targets, collaborating closely with sales, account management, and customer success team to set realistic future targets based on historical data
  • Reporting: Participated in CitiusTech - HealthEdge Leadership meetings, providing inputs to CitiusTech CXO leadership using Power BI tool
  • Managed new client proposals and sales-to-delivery handoffs
  • Developed RFP solutions using SGO templates
  • Portfolio Management:
  • Led consultative business development and client engagement across 15+ Payer and Provider market projects
  • Managed projects involving claims management (claim lifecycle, EoB, EoP, denial management), product configuration, and Revenue Cycle Management (RCM), including claim validation, adjudication, Utilization Management (UM) in disease and case management, and reporting (communication and letters)
  • Responsible for Change Management, Deal Renewal and Contract/SOW/CR preparation
  • Helped clients achieve significant business impact
  • Contributed to the delivery of a utilization management module for a leading payer's HMO and MA plans
  • Enhanced patient adherence to treatment plans by 10% and improved health outcomes through analytics-driven risk stratification
  • Used predictive analytics to identify high-risk patients, reducing emergency visits
  • Implemented an EHR system, cutting documentation errors by 30% and improving care continuity
  • Expanded telehealth services, increasing virtual patient consultations by 50% and enhancing access to care
  • Improved efficiency and coordination through better care coordination, reduced wait times, and streamlined processes
  • Interacted with organizational departments like TLG, Recruitment, PMO, Staffing, etc
  • Built HealthEdge/HealthRules Practice capability by designing solutions, service offerings, resourcing, training design, and upskilling for the SGO
  • Help clients reducing average patient wait times by 10% by improved scheduling systems
  • Improved care coordination, resulting in reduction in hospital readmissions
  • Implemented process improvements that increased patient throughput
  • Gen AI implementation: Executed AI/ML project for extracting benefits from input health plans
  • Implemented benefits comparison across health plans using Python
  • Financial Management: Managed a $80+ million core budget, achieving a 12% cost reduction and an 8% margin increase through strategic financial planning
  • CSAT: Boosted customer satisfaction by 25% via improved service delivery and innovative feedback mechanisms
  • As a consulting lead, implemented frameworks for delivery, workforce, knowledge, and quality management, and appointed accountable executives
  • Managed PHI delivery with a clean room model and reviewed product implementations for each project, addressing customer satisfaction
  • Simplify account : Managed this account alongwith SGO
  • I was responsible for web development of eProviderSync (Provider data life cycle & contracts management) and eBenefitSync (automate benefit plan design and document generation) modules using .NET,react JS, SQL etc
  • Domain & Op
  • Model Healthcare: Fixed Price/ Development, Testing and Support
  • Platform Java, DevOps, Springboot, AWS, Azure, Angular, Pega (CRM), Amazon Redshift, APIs and Robot framework, Tableau, Salesforce, Teradata etc. Role Engagement Manager / Delivery Partner / Client interfacing role / Product Management
  • Cultivated a culture of collaboration within the team, enabling seamless execution of project deliverables at each stage of the engagement process.
  • Collaborated with sales teams to identify new business opportunities and expand the company''s client base.

Delivery Partner

American Family Life Assurance Company, AFLAC
Mumbai
04.2021 - 04.2022
  • Aflac Inc., the largest provider of supplemental insurance in the U.S., is accelerating its digital strategy by simplifying products, enabling digital sales, and automating back-office processes. Capgemini supported the development and QA of supplemental health insurance services.
  • Strategic leadership:
  • · Taking care of overall leadership for Healthcare accounts in Insurance BU
  • · Run BU initiative of Impact model, Forecasting and Monthly review documents.
  • · Tracking account and BU margins and levers taken to track the margins.
  • · Manage account numbers in terms of revenue, margins, profitability and NBUS
  • · Provide Tableau based Engagement updates to BU leaders and onshore stakeholders
  • Portfolio Management:
  • · Financial Management: Review and guide team on domain aspects of Account Receivable
  • & Payable delivery.
  • · Communication Management: Conduct regular touchbase meetings with Managers and
  • · New Business Development: Manage solutions in coordination with Capgemini group,
  • · Delivery Management: Responsible delivery oversight and strategic direction for theand CoE. Administer agile sprints, scrums, backlogs, and retrospectives. Overseedeal execution and billing for the multi-program structure. Collaborate withdata teams on cloud data architecture and design challenges. Serve as Product Owner,
  • · Workforce Management: Motivate the team through events, rewards, and engaginginspire high-performing teams.
  • · Performance Management: Achieved a client satisfaction score of 95%+ by deliveringHigh>
  • high quality service and maintaining strong relationships. Increased clientRetentionretention by 90% through proactive communication and consistent delivery excellence.

Delivery Partner

Arthur J Gallagher
Mumbai
7 2017 - 5 2021
  • (AJG), Illinois, US Domain & Op
  • Model ERP: Waterfall: Fixed Price – ADM and Enhancements
  • Platform Oracle Apps HRMS 11i, Cloud R12, ServiceNow Role Engagement Manager /, CSAT 4.6/5 (H2 2020)
  • Arthur J
  • Gallagher, a leading insurance broker, implemented Oracle E-Business Suite (EBS) for human capital management and OBIA 10g for HR analytics reporting across 16 global business groups
  • The Oracle HCM application includes core HR, SSHR, Payroll, Benefits, and Time & Labor modules
  • OBIA integrates Informatica, DAC, and OBIEE
  • The project's main objective is to manage operational support and enhancements for these applications
  • ServiceNow was implemented as the ticketing tool to manage operations
  • Visited the Chicago office for deal renewal
  • Client Relationship: via Ad-hoc, due, weekly, and monthly connects
  • Well managed customer escalations & ensure those are addressed on priority
  • Financial Management: Managed Project Financials, project reporting and people in the team
  • Complete ownership of Contract Management & renewals
  • Accountability on Metrics like Contribution Margin, BU Gross Margin, Billability rate, Daily Cost Rate, Daily Revenue Rate etc
  • Take corrective actions
  • Prepare and present financial documents - Forecast, Impact Model to BU Head
  • Delivery Management: Responsible for Production support and stabilization post UAT
  • Participated in discussion related to data tier challenges
  • Supported multiple legislations with same team by providing cross skilling among the team members across ADM, BI and IMS Bus
  • Advance planning to cover support during public holidays, COVID lockdown etc
  • Conduct the team periodic status meetings on various intervals, share the minutes and track the open items for closure
  • Regular monitor and identify the areas of service improvement through process re-engineering, streamlining and automation
  • Developed powerful and advanced pure excel based tools like Billing Rate Calculator, Task tracker, KRA framework and Fortnightly PM Reporting with maximum information required for management
  • Status reports on various intervals to the stake holders as required
  • Resource Management: Implemented flexible resourcing with 20
  • 5 shift model
  • Quality improvement: Led a quality improvement initiative that increased adherence to clinical guidelines by 22%, enhancing patient outcomes
  • Achieved a 98% compliance rate with regulatory standards, reflecting excellence in care delivery
  • Process improvement: Implemented a new project management framework that reduced delivery times by 10% and increased client satisfaction
  • Optimized delivery processes, leading to a 10% reduction in operational costs.
  • Resolved customer issues promptly, resulting in increased loyalty and repeat business.
  • Contributed to an increase in on-time deliveries by consistently adhering to schedules and prioritizing tasks effectively.
  • Developed strong relationships with clients through consistent communication and excellent service.

Engagement Manager

StoneRiver Inc
Mumbai
06.2016 - 03.2019
  • Ohio and Colorado, US Domain & Model P&C Insurance: Waterfall: T& M: ADM & QA, Product Management
  • Platform Windows, Dev-Ops, Agile, Java, Snowflake, Data warehousing Role, CSAT 5 / 5 (Q4 2018 and Q1 2019)
  • StoneRiver Inc
  • Is a leading provider of insurance software solutions for Workers’ Compensation LOB, Commercial Property & Casualty and Risk Administration
  • PowerSuite is the flagship product of StoneRiver that supports end to end activities of Worker’s compensation LOB
  • The scope of the project involves maintenance and enhancements to the base product and multiple product implementations and customizations across different clients of StoneRiver
  • Financial Management: Responsible for overall service delivery, Metrics, Budget, RoI and Financials
  • Interface with client managers on growth of Engagement
  • Delivery Management: Good understanding of the DevOps Concepts – Continuous Delivery, Continuous Integration, Continuous Deployment (and Automation)
  • Responsible for engagement building relationships with key client contacts
  • Workforce Management: Responsible for visa processing of the resources
  • Accountable for accurate
  • Monthly resource forecasting and Demand fulfilment
  • Consulted with teams on established best practices and process improvements.
  • Conducted comprehensive analyses of industry trends and competitor strategies to inform strategic planning efforts.
  • Managed complex engagements involving multiple teams and large budgets, consistently meeting or exceeding expectations.
  • Managed client expectations and mitigated potential conflicts, ensuring a high level of customer satisfaction throughout the engagement process.

Delivery Manager

Universal American
Mumbai
01.2016 - 04.2017
  • American (NYSE: UAM) is healthcare company which provides health benefits to people with Medicare
  • UAM is dedicated to working together with healthcare professionals to improve the health and well-being of UAM members
  • Had member enrollment, provider portal, facets (including care management, Medical billing, Payment Integrity and provider network management etc.), EoB, EoP and communication / letters functionality etc
  • UAM offers affordable healthcare products and programs, including Mediclaim (Part C insurance) and traditional health insurance
  • The prescription drug benefits for UAM Medicare Advantage plans are administered by CVS Caremark Part D Services
  • UAM Works collaboratively with ACO and doctors/pharmacists/other caring professionals to improve health and wellbeing of its members
  • Process Improvement: Implemented process improvements that reduced delivery time by 5% and increased productivity by noticeable 15%
  • Streamlined operations, resulting in a 10% reduction in costs
  • Change Management: Successfully managed organizational change
  • Managed change initiatives that improved operational efficiency by 20%
  • Delivery Management: Led the development of three new products, resulting in a 15% revenue increase
  • Program management for different projects under Universal American engagement
  • Responsible for delivery governance and RPA Automation using Redwood tool
  • Communication Management: Organize monthly meetings for Insurance as well as Healthcare Market
  • Interact with clientele for periodical status meetings
  • Risk Management: Developed and implemented risk management plan that reduced project risks by more than 60%, ensuring successful delivery
  • Identified potential project risks early, mitigating delays and maintaining a 90% project success rate
  • RFP responses: Have provided Healthcare solutions and waiting for responses for ‘Aetna
  • Healthcare’ and ‘CVS Pharmacy’
  • Client Lincoln Finance Group (LFG), US (Illinois) Domain & Op
  • Model Life & Annuity: Agile: Time & Material: AMD and Testing

Senior Delivery Manager

Chubb and sons
Mumbai
04.2015 - 01.2016
  • Chubb) is a global provider of property and casualty (P&C) insurance for businesses and individuals
  • Its Personal Insurance division offers coverage to homeowners and individuals, while the Commercial Insurance division provides underwriting and commercial insurance services to businesses
  • The Specialty Insurance division delivers customized insurance solutions to a wide range of clients, including privately held and publicly traded companies, financial institutions, professional firms, and healthcare and not-for-profit organizations
  • CoE Management : Testing and Java Development in parallel to account management
  • Delivery Management: Consistently met or exceeded delivery KPIs, achieving a 98% delivery success rate and driving business growth
  • Improved on-time delivery metrics by 25% through the implementation of agile project management techniques
  • Managing 2 programs/products ‘Commercial Insurance ‘& ‘Specialized Insurance’
  • Working closely with Non-Functional Testing manager to bring in improvements and Customer savings
  • Drove Duckcreek training for new entrants in the account
  • Accountable for C-SAT, Revenue margin and leak, Pyramid Ratio
  • Resource Management: Implemented leadership programs that increased employee retention by 10%
  • Managed and developed a high-performing team of professionals, achieving remarkable 15% increase in productivity
  • Communication Management:Develop BI reports using SAP BI Dashboard analytics tool
  • Taking care of cost and delivery metrics and Customer/COO reporting with PMO.
  • Strategic Leadership:
  • Designed and implemented key initiatives: Responsible for crafting and executing market-focused initiatives that align with the CitiusTech’s consulting goals
  • Contribute to account intelligence reviews: Participated in the review of account intelligence plans for accounts (within markets) focusing on interoperability solutions and data exchange architecture
  • Collaboration with key teams: Coordinated with the delivery leads and Training team to ensure alignment and synergy across various accounts
  • Crafting consulting unit’s growth strategy: Created detailed operational and business opportunities roadmaps for both Payer and Provider markets, identifying key areas for growth and innovation
  • Evaluate new service offerings: Assess proficiency documents, articles and white papers created by consulting team members for publication on the Citius Vision website and internal distribution to all CitiusTech (CT) employees
  • Maintain the consulting deck by adding Payvider case studies
  • Identify consulting business opportunities: Analyze Payer and Provider markets from functional and technical perspectives
  • Share insights and outcomes with the consulting lead, market leads, customer success team and senior management
  • Portfolio Management:
  • Conduct training sessions: Delivered a session on "Denial Management" to onshore leads from 3 accounts in provider market covering the entire claim life cycle
  • Research healthcare tools: Investigate tools in areas like Core Administration Processing systems and document GTM strategies for sales teams
  • Create thought leadership materials: Collaborated with the customer success team to develop strategies like the 'Provider Experience' initiative from a payer's perspective for affiliated providers
  • Authored research papers, including 'Trends of Payer and Provider Market for 2024,' covering regulations and trends such as Gen AI, digital health, value-based care, preventive care, patient engagement, price transparency, telehealth, and population health management
  • Shared insights with the Market Delivery Lead (MDL) and COO
  • Led the development of key deliverables: Developed in-depth analysis of “Patient Engagement” within the Provider market
  • This document illustrates enhanced patient communication strategies which can result in an increase in positive patient feedback
  • Also, it highlights efforts to engage patients and enhance their understanding of care
  • Develop cross-functional teams: Build a team of cross-functional talent, integrating relevant technologies and market knowledge with training programs
  • Facilitate brainstorming workshops: Lead consulting team workshops on planned topics to drive innovation and cost-effective strategy
  • Client SGO (HealthEdge and other products) + Simplify account Domain & Op
  • Model Healthcare: T & M, Fixed and capacity based
  • Platform Web based, .NET full stack and HealthRulesPayor, Role Delivery lead and strategic partner, Jersey, US Domain & Op
  • Model, Technology P&C Insurance (Specialized / Commercial Insurance units): Agile / Product Management, Fixed Price: Testing: Duckcreek
  • Ensured overall project success by tracking key performance indicators, identifying trends, and proactively addressing issues that could impact delivery timelines.
  • Increased on-time delivery rates by continuously analyzing processes and identifying areas for improvement.
  • Streamlined project delivery by implementing agile methodologies and enhancing team collaboration.
  • Mentored junior project managers, fostering professional growth and improving overall team performance.
  • Improved customer satisfaction rates by closely monitoring project progress and addressing concerns promptly.
  • Negotiated contractual agreements with vendors to secure favorable terms for the company while maintaining strong partnerships in the supply chain network.

Onshore Delivery Manager

Lincoln Financial Group
Mumbai
09.2011 - 04.2014
  • Mumbai during Nov 13 till Apr 14
  • Customer Satisfaction Not Available
  • LFG is fortune 250 American Holding company indulged in Insurance and Investment management business
  • LFG does business into four segments: 1) Retirement Plan Services, 2) Group Protection 3) Annuities and 4) Life Insurance
  • As the sole initial resource, I established the client management process, served as the primary client contact, and initiated team collaboration
  • Delivered effective responses for intra-account opportunities, leading to the acquisition of additional resource opportunities
  • Expanded the team from 1 to 26 members, including 4 onsite and 22 offsite
  • Portfolio Management: from inception to completion, delivering within budget
  • Projects namely 'Bob Full Regression Release 1,' 'Delegate User,' 'Primerica-1 Hour,' 'Advisor Portal,' 'Registration,' 'Chase,' 'Unpaid Premium, Reports,' 'SharePoint,' 'Pending Status,' and 'Group Protection.' Managed 'Consumer Mobile App' & 'Annuity Visualizer.' mobile applications
  • Guided innovative PoC: Led the Proof of Concept for an iPad simulator on Windows
  • Team Leadership: Led team in developing scenario-based customer analytics reports and SQL-based defect reports using ALM, advanced Excel, and pivot charts, increasing productivity by 10% through a collaborative environment
  • Client Relationship: Cultivated cultural agility between IGATE & LFG teams to make them high performing
  • Accountable for ESAT & CSAT
  • Focused on strategic partnerships by providing viable negotiations
  • Workforce Management: Competency management by keeping track of all skills and technologies required in the account
  • Delivery Management: Help business continuity on India Holidays
  • Plan Offshore shift hours during Emergency releases
  • Deliver weekly and monthly report/metrics to customer and IGATE management.

Education

PGDBA - Finance

Symbiosis
Pune
04.2004 - 05.2009

B.E - Computer Science

Vivekananda E.S.I.T
Mumbai
05.1993 - 05.1997

H.S.C - Science

Vaze Kelkar College
Mumbai
05.1991 - 05.1993

S.S.C -

M.V.M. High School
Mumbai
05.1980 - 05.1991

Skills

Healthcare Management expertise / Experience

Utilization Management, Care Management Contracts Management, Provider Data Management, Revenue cycle Management, Claims Management, Benefits Management, Provider and Network Management, Clinical care and non-clinical operations, Medical Billing, Payment Integrity etc

Healthcare functional expertise: Interoperability, Regulations, Member Enrolment, Facets, Billing or Payments, EMR and EHR, EoB, EoP and Correspondence etc

Healthcare Trends – Deep Knowledge: Value Based Care, Price Transparency, Preventive Care, Payment Integrity, Digital Health, Data Exchange, Payvider, Patient Engagement, Provider Experience and Telehealth (Virtual Care) etc

HealthCare Interoperability: HL7 and FHIR

Healthcare Core Administration Processing Systems Tools: Trizetto Facets, HealthEdge’s HealthrulesPayor etc

Healthcare Care Management Tool: HealthEdge or Altruista’s GuidingCare

Healthcare Utilization Management Tool: Optum’s Utilization Management tool

Healthcare Provider Data Management Tool: Simplify eProviderSync tool

Healthcare markets leadership (other than Payer and Provider): Life Sciences, Med Tech and Pharmacy Benefit Management

Cloud platforms

AWS, Azure, Salesforce and Google (Big Query) etc

Cloud Data monitoring: Azure data factory, Azure & Amazon data Lake, Azure data bricks

Cloud Data integration

Informatica, MuleSoft, Talend and Snowflake etc

Cloud data warehousing: Big Data, Teradata and Apache Hadoop

Analytics: MS Power BI, SAP Crystal Dashboard (Xcelsius), Tableau, QlikView

Artificial intelligence: Generative AI, ML, Deep Learning, NLP and Python etc

Domain: Healthcare, Insurance, Banking, Retail and Telecom etc

Life Cycles: Development, Testing, Support, Migration, Maintenance, BOT etc

Delivery: Product Engineering and implementation, Project / Service Management

Technologies: J2EE, Microsoft, ERP, DWH , Win32 API, Data Analytics etc

Methodologies: Waterfall, V-Model, Iterative, Agile, Dev-Ops etc

Billing Or Pricing Models: Staff augmentation, Time & Material, Fixed Fee, Fixed Price, Managed Services with SLA (Penalty and rewards) etc

Ticket Management: JIRA, Bugzilla and ServiceNow etc

CRMs Managed: Salesforce, Pega Systems etc

Agile methodologies: Scrum, Kanban, XP etc

Application Servers: Apache Tomcat, WebLogic, WebSphere and JBoss etc

Development Frameworks: TDD, BDD etc

J2EE Frameworks: Spring, Struts, Hibernate and JSF etc

Testing Frameworks: Robot, Modular, Data Driven, Keyboard driven, Hybrid etc

IDE: Eclipse, IntelliJ, NetBeans, JDeveloper, Anaconda & Visual Studio etc

Scripting languages: JavaScript, React JS, Node JS, VBScript etc

Test Management: HP ALM, QA Complete, Test link etc

Automation / RPA: Microfocus UFT, Apache Selenium, UI Path and Redwood

Project/Agile Mgmt: MSP, Confluence, Asana and Version One etc

Estimation Techniques: What-If, Top-Down, Bottom-Up, Three Point etc

Relational Databases: Oracle, SQL Server, IBM DB2 etc

Configuration Repositories: GitHub, Apache SVN, CVS etc

Unified Modelling: MS Visio, Rational Rose, Ent Architect, MS Project Plan

Accomplishments

  • Q2-2024: Prepared and submitted white paper on ‘Patient Engagement’ in CitiusTech (https://www.citiustech.com/citius-vision Whitepaper Redefining Healthcare Excellence)
  • Also delivered session on the same to organization
  • Q2-2024: Prepared and submitted article on ‘Healthcare Payer Market - FY 24 Trends’ to CitiusTech
  • Q2-2024: Delivered session on ‘Practice Empathy in cohesive leadership’ to AVPs
  • Q1-2024: Delivered session on ‘Effective Feedbacks’ to whole organization
  • Q1-2024: Mentored and reviewed ‘Premium Billing and Premium Payment’ (Healthcare)
  • Q3-2023: Mentored and reviewed ‘Communication and Letters’ (Healthcare)
  • Q1-2018: Mentored white paper ‘Cyber Security resilience & imperatives to Solve challenges in digital world’ in Capgemini
  • Q3-2016: Co-authored white paper ‘Challenges and mitigations for Healthcare industry in North America’ in Capgemini
  • Q1-2015: Mentored white paper published on ISOCIALIZE portal on ‘Microsoft based SSIS tool’ in IGATE
  • Q4-2014: Mentored domain rich presentation on ‘Accountable Care Organization’ (Healthcare domain) in IGATE
  • Portfolio of Engagements / Programs / Projects
  • Client CT Consulting Unit Domain & Op
  • Model Healthcare: Payer, Provider, MedTech & Life Science markets, Sun Certified Java Programmer Q3 2005 Sun Development – Java
  • Career Achievements or rewards / Organizational Leadership
  • 2013 to 2024: Participate in Business Development / Pre-Sales solutions for Healthcare and Insurance domains
  • Contribute to practices OR Center of Excellence, Consulting, Coordination with PMO, Conducting Program Training, L1 and L2 Interviews, Interfacing with recruitment teams for onboarding process etc
  • 2022 to 2024: Extremely Popular in Training, HR and Delivery teams
  • 2022: Developed Project Execution quality metrics for couple of pilot projects
  • 2014: Volunteered individually for Bi-Monthly forum for ‘Insurance and Healthcare’ accounts across globe (attended by BU head, Delivery Head, Delivery Managers, Program and Project managers)
  • Time Org Achievements illustrating my impact on delivery
  • Q2-2024 CitiusTech Won reward for conducting multiple knowledge sessions and contributing to training programs in different ways
  • Jun 2018 Capgemini Won Engagement Champion award in Jun-2018(1% of EMs in SBU)
  • Apr-2015 IGATE Pat on back for arranging Smart minds workshop in honor of women employees for QA Bus
  • Jan-2015 IGATE Pat on back for volunteering for sessions in PM forum on ‘Challenges and solutions on Resource Management’, ‘Different and this time, new Solution to leading Insurance Client’
  • Jul-2013 iGATE Appreciation from LFG Client manager for my individual Onshore performance in year 2013 (Q1, Q2 & Q3)
  • Nov-2012 iGATE Appreciation from LFG Client manager for my individual Onshore Annual performance of year 2012
  • Jan-2011 IGATE Represented IGATE at Navi Mumbai conference
  • Presented an individual session on “what’s new in QA”
  • Nov-2010 Patni Appreciation sent to Patni BU Head by McDonald’s Client manager for my effective individual consulting at onshore
  • Jun-2009 Patni Patni plus Methodology’s Best Individual Evangelist award at organizational level
  • Feb-2009 Patni “Dream Team” award for “Car Phone Warehousing Managed Services” Fixed price project
  • Feb-2007 Patni “Dream Team” award for “RID Tools” Web QA support project
  • Dec-2004 Accenture Represented Accenture for CMM 5 reassessments for Mumbai DC
  • Nov-2003 Mastek Appreciation letter from Mastek’s HR for Leadership qualities
  • Sep-2001 Patni “Dream Team” award for “CWC Turbo” project

Languages

English, Hindi, Marathi, Gujrati and Sanskrit.

Timeline

Lead Consulting SME

CitiusTech One Consulting
11.2023 - 07.2024

Senior Delivery Partner

Strategic Growth Offering
05.2022 - 10.2023

Delivery Partner

American Family Life Assurance Company, AFLAC
04.2021 - 04.2022

Engagement Manager

StoneRiver Inc
06.2016 - 03.2019

Delivery Manager

Universal American
01.2016 - 04.2017

Senior Delivery Manager

Chubb and sons
04.2015 - 01.2016

Onshore Delivery Manager

Lincoln Financial Group
09.2011 - 04.2014

PGDBA - Finance

Symbiosis
04.2004 - 05.2009

B.E - Computer Science

Vivekananda E.S.I.T
05.1993 - 05.1997

H.S.C - Science

Vaze Kelkar College
05.1991 - 05.1993

S.S.C -

M.V.M. High School
05.1980 - 05.1991

Delivery Partner

Arthur J Gallagher
7 2017 - 5 2021
Prasad H. SalaskarHealthcare Strategic lead with AI & Analytics Expertise