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Ekalavya Munirathnam

Professional Business Analyst

Summary

  • 7 years of experience in Business Analysis in Healthcare Domain. Has expertise in identifying Business Needs, Eliciting Requirements and Stakeholder communication.
  • 6 years of experience in FirstDoc and Web services on health plan projects.
  • Extensive experience in Payer and Provider applications like Facets membership, billing & claims modules and Cerner PMOffice, RevCycle, Powerchart etc modules.
  • In depth knowledge of Sybase & Oracle SQL. Expertise in writing queries, joins etc
  • Worked in USA Healthcare domain for 7 years.
  • Excellent Team Player with good inter-personal, assertive, communication and documentation skills.

Skills

U.S Healthcare Business

Has 7 years of experience in USA Healthcare Payer and Provider business.

Facets v4.31, v4.71 and v5.10

Has multiple years of work experience on Trizetto Facets modules like Mebmership, Eligibility, Providers, Billing, Claims etc. Well acquainted with database tables for writing queries.

Cerner

Has extensive training and work experience on Cerner Provider modules, which include PMOffice, Powerchart, RevCycle, Firstnet etc

Sybase/Oracle SQL
CSC FirstDoc

Work History 

Project Details

Project: iCentra Application Integration

Client: Intermountain Healthcare

Project Abstract: iCentra Application Integration is aimed at transitioning Intermountain Healthcare’s applications from their legacy system eGate to InterSystems' Ensemble Integration Engine and create an integrated EMR solution for all Cerner Clinical Modules and interfaces while substantially reducing the cost.

Duration: Mar 2016 to Current

Project Specific Skills: Cerner, Ensemble, Oracle SQL, PTC Integrity

Role: Business Analyst

Responsibilities:

  • Assisting management team in planning the migration of Intermountain's Interfaces and Cerner Clinical Modules to Ensemble Integration Engine with no or minimum impact to Intermountain Healthcare’s day to day business.
  • Conduct Interface discovery sessions with subject matter experts from Intermountain Healthcare and Cerner and perform Gap Analysis to implement an integrated solution for Cerner Modules using Ensemble framework.
  • Create and maintain Integration Road map document.
  • Assisting & Training Development and Testing teams to understand business requirements.
  • Deployment and Configuration of the prototype EMR solution developed to match the business scenarios.
  • Prototype Evaluation, Feedback and R&D.
  • Product Scope definition and Workflow realization.

Project: FirstDoc

Client: CSC

Project Abstract: First Doc is a collection of market-leading applications hosted and maintained at CSC data center. Health plans and other payers can add applications “a la carte,” as their business needs change. CSC First Doc offering allows health plans to add market-leading functionality for a fraction of the time and capital cost it takes to complete traditional selections and implementations. First Doc service offering involves multiple products, CSC hosting services and CSC proprietary integration suite.

Duration: Mar 2011 to Mar 2016

Project Specific Skills: FirstDoc, Facets v5.10

Role: Business Analyst

Responsibilities:

  • Involved in requirement gathering and analysis of FirstDoc implementation for different CSC’s clients.
  • Enhancing the next version of FirstDoc with commercial Applications and Integration tools like Market prominence, Facets etc.
  • Conduct Interface discovery sessions and perform Gap Analysis to implement the interfaces in the FirstDoc framework.
  • Create and maintain Integration Road map document.
  • Prototype Evaluation, Feedback and R&D.
  • Involved in preparation of RFPs for prospective clients.

Project: BlueTransIT & EPMO

Client: Blue Cross & Blue Shield of RI

Project Abstract: BlueTransIT is a development project to Transmit BCBSRI's Health plan beneficiary base from their current Legacy system to Facets v4.71 and to establish required Interfaces, Reports and Extracts in the new environment for effective continuation of BCBSRI business. Projects under Enterprise Program Management Office (EPMO) are aimed at effectively managing key strategic programs in order to achieve operational excellence and high level of consumer satisfaction and at the same time establish a good bond between BCBSRI and State Federal Government.

Duration: Sep 2011 to Mar 2016

Project Specific Skills: Facets v5.10, Sybase SQL, HP Quality Centre, BOXI Reporting.

Role: Business Analyst

Responsibilities:

  • Working as onshore coordinator and business analyst since September 2011.
  • Analyzing and understanding Business needs and rules in order to elicit requirements for Facets data model.
  • Providing appropriate solutions to client, discussions and review meetings and forming the impact analysis document.
  • Interacting with onshore team and other stakeholders for effective implementation of the projects undertaken.
  • Preparing and maintaining the project documents like Business requirements, Functional requirements and other metrics.
  • Mentoring the junior team members.
  • Daily interaction with client to update the status activities and driving the status meeting.

Project: Phoenix 

Client: CVS Caremark

Project Abstract: Phoenix is a development project to upgrade the Facets application of CVS Membership maintenance from Version 4.31 to Version 4.81 which is associated with development and validation of conversion scripts and evaluation of existing components in the new environment.

Duration: Mar 2011 to Aug 2011

Project Specific Skills: Facets v4.31, Facets v4.81, Toad for Oracle SQL

Role: Business Analyst/User Acceptance Tester

Responsibilities:

  • Understanding the Impacts of Conversion process, eliciting business requirements and forming the Impact analysis document.
  • Evaluation of User Interface screens to check for successful implementation of new upgrades and proper functionality.
  • Communication with onshore coordinator for successful implementation of modules in the new environment and defect fixes.

Project: UA Part-D 

Client: Universal American/CVS Caremark

Project Abstract: Universal American is an organization offering Part D-only benefits to Medicare beneficiaries since January 2006. The Part D benefit plans offered by UA comprise approximately 2 million members. Through UA Part-D project CSC is responsible for Run and Maintenance of UA’s membership base with development and optimization of required Interfaces, Extracts and Reports.

Duration: Feb 2010 to Feb 2011

Project Specific Skills: Facets v4.31, Toad for Oracle SQL, PEGA Change Management

Role: Business Analyst

Responsibilities:

  • Client communication to understand different Business needs for Facets associated Change Requests which Include Interfaces, Extracts and Reports related to Member Enrollment, Reconciliation of Federal data, Billing Components etc.
  • Documentation of Business Requirements and Stakeholder communication.
  • Communication of Defects/Issues to Business owner for quality control.

Education

Jun 2005May 2009

Bachelor of Engineering

B M Shreenivasaiah College of Engineering

Personal Details

Father's Name         :    K Munirathnam Naidu

Nationality                :    Indian

Languages Known  : English, Kannada, Hindi, Telugu

Date of Birth              :    28 Jan 1988

Passport Number    : J7955059 (valid till 11/07/2021)