Aditya Sachidananda

Product Owner/Business Systems Analyst/Technical Analyst at Elevance Health

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Aditya Sachidananda's Summary

• 14+ years of experience in US Healthcare. • Senior Business Consultant with diverse experience on various healthcare modules and delivering business transformation solutions for complex Healthcare projects. • Owned complete Business architecture for multiple projects in Claims, Encounters, Provider, Care Management, Member Enrollment System, and Benefit Administration. • Closely worked with leading Health Plans throughout the strategy, solution development, training and implementation cycles. • Extensive Knowledge in Claims Intake, Claims Adjudication, Pricing and Payment • Working Knowledge in Facets and QNXT healthcare products • Good experience in Encounter management specifically in Edifecs Migration for multiple markets and state submissions • EDI Analyst for 837/834/277CA transactions • Experienced working in Medicare and Medicaid projects • Proficient in creating/reviewing the Business Requirement Documents (BRDs), Requirement Traceability Matrix (RTM), work-flows using Visio, MPP Project plans and training materials. • Expertise in Medicaid Management Information System(MMIS) • Worked as an Agile Coach and Scrum Master to identify multifaceted organizational problems and devise data-driven solutions using the Scaled Agile Framework (SAFe) • Worked as a Project manager managing cross-functional project teams in international settings utilizing standardized Project Methodologies within budgets in excess of $1.5MM • Worked as an Operations Manager • Defect Tracking and management. Triaging the same with the testing team • Experienced in conducting GAP analysis, User Acceptance Testing (UAT), SWOT analysis, Risk Analysis and mitigation plan, Cost benefit analysis and ROI analysis. • Exhibited competence in processing Test Plans, executed Test Cases, validated and tested complex scenarios for SIT, UAT testing roll-out/support and third party integrations.