Sunitha Krishnamoorthy

Experience

• 

  Satyam Computer Services Ltd

  Oct 2006 - Feb 2009

  Software Engineer
• 

  ABCO India Private Ltd

  Mar 2009 - Oct 2015

  • Managing a team of 6 Data Analyst to provide Implementation and Recurring Member Support services to 300+ healthcare clients.• Collaborate with Austin counterparts, development and automation teams to optimize and improve process efficiency of data loads.• Managing multiple project initiatives and strategically driving higher productivity with 100% Quality, ensuring staffing efficiency and engagement.• Led a team which efficiently analyzed, developed a new process to improve the QA feature for 300+ clients and implemented in 3 weeks thereby reducing the QA efforts to 1/4th of its initial duration.• Part of the pilot team to execute a new process of migrating 80% of the workload from onsite to offshore thereby contributing to high ROI.• Collaboration with business leaders in Austin to develop new processes to identify gap and implement process improvements and mitigate risks.• Work closely with management to prioritize business and information needs for successful member renewal and customer satisfaction. Show less

  • Lead Data Analyst

    Jan 2011 - Oct 2015

  • Data Analyst

    Mar 2009 - Dec 2010
• 

  Advisory Board

  Nov 2015 - Aug 2016

  Integration Engineer

  • Managing a team of 25+ Data Analysts in Chennai, India who provides Implementation (IMPL) and Recurring Member Support (RMS) services to 300+ healthcare clients annually across Crimson Continuum of Care and Ambulatory products.• Project managed multiple strategic initiatives that produced higher productivity, member experience, staffing efficiency and engagement. Collaborated with Business leaders and Development to identify gaps, implement process improvements and mitigate risks.• Defined team goals and measuring key performance indicators and ROI to provide transparency into work performed by Chennai. Established a centralized knowledge repository in Confluence to track and monitor metrics, projects and documents.• Responsible for monitoring production statuses product Implementations, ensuring that ABC’s implementation and data integration process for CCC is carried out as planned and to time and cost constraints. • Interface with and maintain ongoing communication with Chennai leads regarding workloads, resource requirements, work schedules, performance improvement, planning and resolution of issues associated with assignments.• Compile and maintain comprehensive management reports detailing staffing usage, quality analysis and new opportunities. • As an internal expert , have collaborated with the development, support and platform teams to identify the process gaps/issues, co-ordinate with the stake holders and have resolved multiple time critical issues and increasing client engagement.• Liaise between business and technical personnel and onsite & offshore to ensure a mutual understanding of process.• As a business Analyst, proficient in eliciting & analyzing business requirement & communicating to technical stakeholders for Deployments.• Led the Chennai team to come up with right measure for tracking quality and thereby reducing the frequency of reported issues. Show less

• 

  ABCO India Private Ltd

  Sept 2016 - Jan 2017

  Lead Business Analyst

  • Led a team of 4 Business Analyst in defining product implementation and support processes designed to mitigate risk and developed key performance indicators to allow for ongoing updates to executive teams.• Documented and prioritized business and functional requirements from clients and liaised with product management to introduce strategic features and track defects to drive customer net promoter scores• Developed internal processes to improve productivity including the first fully supported customer service portal using Salesforce, reducing Service Level Agreement (SLA) penalties and cutting queue for issues by over 50%.• Prioritized projects and initiatives across U.S. and offshore teams, balancing business needs with customer retention and growth strategies.• Fostered and nurtured client relationships by overseeing customer requirements, exceeding customer expectations and bringing critical issues to closure in a timely manner Show less

• 

  OptumInsight India Private Limited

  Feb 2017 - Oct 2021

  • Led and established the first offshore contract analyst team in 2017 and expanded to a team of 18 by 2019. • Involved in Resource planning and Recruitment process by conducting Interviews and working on staffing model.• Responsible for updating and maintaining contracts between payer and provider for over 30+ clients. • Responsible for the analysis, modeling, interpretation and loading of healthcare/managed care contracts in Payment Integrity Compass application. • Responsible for identifying and resolving underpayments & denials, identify trends in reimbursement discrepancies, model optimal future contracts, building sophisticated reporting and automation system.• Developed 15+ project initiatives and process improvement opportunities to improve SLA and quality.• Liaise with engineering and product team in automation opportunities and have reduced about 5+ resources involved in contract maintenance process.• Responsible for product Implementations, ensuring that Optum’s implementation and data integration process for PIC is carried out as planned and to time and cost constraints. Led the first implementation from offshore, spear headed 20+ implementations till date.• Capable of handling time critical and emergency situations with less pressure by executing proper action plan and driving results. • Defined team goals and measuring key performance indicators and ROI to provide transparency into work performed by Chennai. Established a centralized knowledge repository in wiki to track and monitor metrics, projects and documents. Show less

  • Associate Manager Contract Analyst

    Mar 2020 - Oct 2021

  • Lead Contract Analyst

    Feb 2017 - Feb 2020
• 

  Optum Insight India Pvt. Ltd.

  Nov 2021 - now

  Capability Manager