HealthCare Insurance

HealthRules Architect

Data Migration

Technical Solution Architect

Data Migration

Healthcare Insurance Domain Solution and Technical Architect Leader with exceptional problem-solving, troubleshooting, planning, and organizational skills. Keen understanding of business issues and how systems integrate on an enterprise-wide level.

Systems logistics specialist with 20+ years of experience in designing, implementing, and maintaining IT systems and migrating data to new or upgraded platforms. Served as trusted advisor to customers to create requirements specifications, during product functionality and API exploration sessions, establishing test plans and defining test patterns, suggesting enhancements to business processes during implementation, and coordinating delivery.

Experience managing cross-functional and geographically matrixed teams, assigning tasks, documenting issues and progress, and reporting status to senior management.

1. Provided HealthRules Architectural Guidance to AvMed HRP Implementation to the Successful Go live
2. Participated in RFP Process for Gateway Health from the HRP perspective
3. Worked with :

a. CIGNA for PBM Migration Project
b. HEALTHEDGE (Next-generation core administration and care coordination Software Company) and Supported 5 Clients and completed 4 HRP implementation
c. ANTHEM (Deloitte) for Multiple Claim System Consolidation Project
d. CVS for Data Migration Projects
e. American College of Cardiology for CDA Architecture projects
f. Health First Health Plan for PBM Projects
g. Fresenius Medical Care for HEDIS related Projects
h. WellCare (Now Centene) for 8 years and worked on Medicare / Medicaid/Pharmacy/PBM related Projects