Bharath P.

The scope of the project was to customize the changes in the pricing & contract management system, new plan/packages configuration, benefits enrolments, eligibility, care coordination, funding contracts, provider enrolments, RCM claims, payments, UM reporting, grievances in HIP/HIS platform to support Medicare, Medicaid, Medigap, Managed Care Programs & Private Health Insurance Plans & Product Administration. As part of the project, documented requirements, supported program & project management, test management, change management, system implementations resulting in automating business processes, system modernizations, supporting EDI transactions in the health insurance functional/operational areas

•Identified business users, organized and facilitated meeting with medium to large business user groups, user interviews, site visit & workshops, questionnaire to gather requirements. •Performed GAP, AS IS and TO BE analysis, included user experience principles & techniques when documenting BRD, FSD, business rules, exceptions, report specification, recommended process improvements & obtained sign off. •Performed project management tasks includes gathering estimates from development team, server & DBA, testing team, dependencies, constraints, risks & ensured the deliverables are on track as planned & delivered in a timely manner •Daily stand up's, project tasks status, ensured all critical items/roadblocks are taken up with SA or delivery manager & addressed in a timely manner to avoid any deployment delays •Performed root cause analysis, feasibility analysis, swot & cost benefit analysis. Created business use cases, user stories, BPMN and swim lane diagrams •Conducted JAD session with technical team for requirements development, proposed cost effective solution i.e. reengineered solution, release notes, user manual, UI prototypes, provided KT & clarified requirements to QA team •Created use case models, process (As is/to be models) & logical flow models, business rules etc •Worked with Integration team for system integration or update/build interface •Reviewed all test cases written by QA’s, facilitated triage sessions with business users for defects priortization •Assessed various downtime approaches, proposed low cost downtime solution & obtained buy-ins •Worked with development team, DBA’s for database migration projects, documented interfaces list, source/target mapping, JPBM business processes and integration specification document •Coordinated with business users, technical, DBA’s, Integration, reports & production team for release planning & deployments •Resolved technical, environmental challenges road blocks during requirement development & deployments

Oasys Cybernetics Limited is a system integrator, IT service & consulting company with head quarters in Chennai, India having branches in California, USA under brand name Troondx. Project 1: The project scope was to implement EMR(20 modules)/ERP system for the hospitals, HC centers, clinics that are managed by MOH/DOH (DME, DMS & DPH, DRH & ESI), TN state, India through NHM, MOH &FW and MEITY, GOI. 16 EMR modules were implemented successfully and the MRD based on HIPAA, Purchase (Block chain), Molecular biology & Genetics Integration with Care Plans, Blood Bank & Bio Medical Waste Disposal, Doctor @DoorStep Service modules are being implemented. The EMR modules that are implemented are based on service oriented/micro services architecture. ABDM (Federal Unique EHR) implemented based on Federated Architecture. The EMR project tenure & value is 5 years & $50 million CAD. The project work model is onsite/offsite work model Project 2 Performed project study, As is & To be, Feasibility & Gap analysis, Prepared Project Plan, Solution Proposal, Approach & Methodology, Effort Estimation, Technical Architecture, Resource Planning, Created Tasks, Training Plan & Presentation etc as part of request for proposal/invitation for EMR/EHR system implementation bidding for Pune City, Maharashtra state, India. Oasys was shortlisted as L1, approved & contract awarded for HMS-EMR 3.0 implementation for Pune City (PSCDL) managed hospitals & HC's Maharashtra(State), India Project 3: As part of Oasys EMR ecosystem initiative & global outreach, identified & prioritized key growth/demand areas, performed as is & to be analysis, identified gaps & documented EMR requirements revenue cycle & billing, claims, preauthorization's, service provider payments, patient accounting, HIPAA privacy & security, clinical modules & ensured the EMR system is customized compliance with privacy & security guidelines (HIPAA standards) plus local, state, national, international jurisdictions

Project 4 ABDM(Federal Unique EHR) includes ABHA Card, HFR, HIP, HIU, Gateway Post & Get, Call Back API's response development & subsequent Integration with ABDM system, NHM, GOI for sharing patient PHI's Project 5 Business Intelligence & Analytics Gathered requirements & worked with report developers to build business intelligence based interactive dashboards & reports like predictive analytics on disease flow, population health management & epidemic outbreaks corona dashboards. The HMIS EMR 3.0 system has been successfully implemented in 376 Hospitals (Tertiary & Secondary Care Multi Specialty Hospitals, District/Taluk/Non-Taluk ), 238 Dispensaries, 2266 PHCs & APHCs,2275 CHCs, 8713 HSC's & AHSC's, 416 Mobile Medical Units 10 Government Women & Children hospital & Research Centre, Hospitals for Tuberculosis & HIV Infectious Diseases & Research Centre, 5 Hospitals for Leprosy Infectious Disease & Research Centre 12 Hospitals for Cardiovascular Diseases & Research Centre(Tertiary Care Super Specialty Hospitals) 10 Cancer Hospitals & Research Centers,10 Rehabilitation Institute & Mental Health (RIMH) Population Statistics The total service counts by service category as rendered by the Health Care Centers & Hospitals managed by TN, India includes IP admissions daily 23000,OP admissions daily 240,000, Major Operations by year 240,000, Minor Operation by year 149,000, Emergency Cases by year 5,661,000, Medico Legal Cases by year 454,000, Laboratory Tests daily 184,937 & by year 62195000, Diagnostic Investigations (X rays, CT scan, MRI scan etc.) by year1,104,000, Post-Mortems by year 23,000, Accident Cases by year 294,000, Deliveries by year 186,000 As a project manager, managed the project deliverables, coordinated with PMO team, infrastructure & delivery team for project planning & deployments, stand ups, tracked decisions, actions, issues, identified, assessed, mitigated risks prior deployments, post implementation feedback & project closure etc.

The project scope is to implement HMIS ERP EMR 3.0 system (Admission, registrations, nurse & ward management, OT, ICU, Case management & discharge planning, Case sheets, MRD, Billing, PT, OT, SW laboratory & radiology, fraud risk management (SAS), Diet, Bio Med, Blood Bank, Payroll, Finance, Procurement, Asset, Housekeeping & Security modules etc.) for all the hospitals/health care centers that are managed by DHS (DME, DMS, DPH, DRH, ESI, SS), HIPAA 837 HIPAA 270,271,276,277,278,834,835, MMIS Unique EHR Project includes patient enrollment in to unique EHR program, HFR, HIP, HIU, payer system for health information exchange via Gateway Post, Get, Call back API's request/response, make the medical records, appointments, orders, claims information available and managing the patient consent for record sharing with the providers in PHR app Documented requirements for business intelligence based interactive dashboards, predictive analytics, population/public health reporting, epidemic outbreaks, performance, financial, MIS & UM reports as part of operational decision making, recording disease flow pattern, performance measure, improve patient safety, risk assessment, better revenue cycle management & overall cost reduction, improve patient outcomes As part of the compliance with EHR 2016 standards gaps are identified & addressed in the EMR 3.0 administration, direct care, continuity of care, clinical operations, pharmacy, radiology, laboratory, IT security, privacy & confidentiality (HIPAA security, privacy & breach mandates) As part of the compliance with FHIR4.3 version entities & data types gaps were identified & addressed in the administration, direct care, clinical operations, pharmacy, radiology, laboratory, continuity of care, IT security, privacy & confidentiality (HIPAA security, privacy & breach mandate) & Insurance operations

Roles & Resp. •Identified business users, organized and facilitated meeting with medium to large business user groups, user interviews, site visit & workshops, questionnaire to gather requirements. •Performed GAP, AS IS and TO BE analysis, included user experience principles & techniques when documenting BRD, FSD, business rules, exceptions, report specification, recommended process improvements & obtained sign off •Performed project management tasks includes gathering estimates from development team, server & DBA, testing team, dependencies, constraints, risks & ensured the deliverables are on track as planned & delivered in a timely manner •Daily stand up's, project tasks status, ensured all critical items/roadblocks are taken up with SA or delivery manager & addressed in a timely manner to avoid any deployment delays •Performed root cause analysis, feasibility analysis, swot & cost benefit analysis. Created business use cases, user stories, BPMN and swim lane diagrams •Conducted JAD session with technical team for requirements development, proposed cost effective solution i.e. reengineered solution, release notes, user manual, UI prototypes, provided KT & clarified requirements to QA team •Created use case models, process (As is/to be models), logical flow models, business rules etc •Worked with Integration team for system integration, build/update interfaces •Reviewed all test cases written by QA, facilitated triage sessions with business users for defects prioritization •Assessed various downtime approaches, proposed low cost downtime solution & obtained buy-ins •Worked with development team, DBA’s for database migration projects, documented interfaces list, source/target mapping, JPBM business processes & integration specification document •Coordinated with business users, technical, DBA’s, Integration, reports & prod team for release planning & deployments •Resolved technical, environmental challenges road blocks during requirement development & deployments

Project 1 As a maintenance business analyst role worked with Medicare business users, elicited & documented requirements for the maintenance tickets related to the following claims, service provider, resident, service and fees, payee, account management & administration related areas and other Medicare dependent systems along with identifying the impacted business areas, propose cost effective i.e. reengineered solution & ensured implementation with minimal impacts Project 2 The objective of the SSRS conversion project was to move all required Cognos impromptu based Medicare MIS, operational and utilization reports to SSRS. The project was to identify the changes required for all existing reports; capture requirements for new reports, identifying reports that are not required anymore and document RRS & performance of all required reports in Cognos impromptu and SSRS. Project 3 The objective of the PACS project is to consolidate 8 provincial IMPAX system in to one single Enterprise Imaging system. The role involves identifying key impacted workflows, gather and document current state workflows, requirements and business processes, work with vendor for implementing the requirements in the proposed EI system Project 4 The scope of the project was to provide self-serve access to the ECP service providers, account managers and delegates. The objective of this project was to streamline ECP document access authorization, Improve service provider and delegate patronage, reduce service provider and delegate enquiries pertaining to delegate request and document access authorizations, decrease turn over time for enquiries received from other operational areas and Improve customer relations overall

Medicare Maintenance & Report Business Analyst Roles & Responsibilities •Organized and facilitated meetings with Medicare and other impacted business users to gather business & report requirements •Identify impacted areas, analyze and validate the findings, documented requirements for all change request, proposed cost effective solution while leverage existing functionalities •Created report inventory containing list of existing active and new reports i.e MIS operational & utilization Medicare reports •Proposed cost effective solution by leveraging existing functionality and features (or) reengineered solution to meet Medicare release tickets business objectives •Worked with Medicare business users and SNB report development team to identify the list of report related tickets that are in scope for the Cognos impromptu-SSRS conversion project •Performed GAP analysis on the tickets *& Identified impacted business areas, documented requirements •Documented current state challenges, constraints & limitations •Identified and defined source and target mapping for current & new reports. Documented all current views and catalogue information for all existing reports •Documented current state and future state model using Ms visio. •Created BRD, FSR and RRS in SNB format based requirement document for all Medicare ticket, ECP & report related requirement •Coordinated with Medicare maintenance team, report development & QA team for knowledge transfer and development, solution proposal, testing support and triage sessions. •Documented UAT test cases, reviewed all test cases written by QA’s, facilitated triage sessions with business and clarified requirements as required until release roll-out. •Compared & evaluated the performance results of reports generated in Cognos impromptu and SSRS •Worked with SNB IT infrastructure & report development team to improve SSRS report performances and ensured the reports meet the established SNB performance benchmarks for report generation

IMPAC-EI PACS Conversion Project Roles & Responsibilities •Identified business users for each Zone/Area and DI-R •Organized and facilitated meeting with Zone/Area DI resources and Provincial DI-R team. •Conducted user Interviews, site visits and workshops, gathered requirements and performed GAP analysis, documented business rules, tracked requirements and assigned markers •Designed current and future state DI model -BPMN, Swim lane & validated the requirements/obtained sign off. •Documented PACS-IMPAX system Interfaces list, impacted dependent systems, Integration requirements. •Documented current state DI PACS-IMPAX Downtime requirements ex- WAN, SAN, IMPAX, CM (or) EMR down •Assessed various downtime options / approaches with IT infrastructure team/proposed low cost downtime solutions. •Conducted JAD session with Agfa technical team for requirements development and clarified requirements. •Worked with Zone/Area PACS Administrators, DI-R and Radiologist to get buy-ins on the Downtime approach/documented PACS-EI Consolidated Downtime strategy. •Identified and documented all Risks and action items, applied RACI and ensured all risks are addressed. •Worked with SNB Provincial DI-R technical team to make required changes in Oracle 11g Sql server databases. •Worked with Meditech, SNB Integration team to build/update EMR HL-7 interfaces or work around to send and receive messages from PACS-EI and reviewed all test cases written by QA’s.

The scope of the project was to replace the MBC legacy system that currently sells packages, products, benefits and riders with the MAXX system built on HIP platform using SOA and Java technology. This includes documenting the functionality/business rules that currently exists in BMS –Benefit management suite system as 90% of functions /process matches with the MBC real time current state create package/product system functions and business rules plus additional requirements from the MBC business operations team •The role also involves working with WIPRO Offsite designers, developers and QA team for requirements. MBC packages/product domain and data models were designed based on service oriented architecture and RUP methodology was used for requirements development, testing and implementation. Responsibilities: •Organized and facilitated meeting with MBC business users and gathered package, product, benefits and riders requirements. •Documented package/product/benefits/riders use case requirements, and obtain sign off. •Created product and package use cases, process flow model. •Tracked all package/product/benefits/riders requirements through requirements traceability matrix. •Documented package/product/benefit/riders business rules, current state challenges, constraints and limitations. •Documented the impacted systems, integration requirements and changes required to the upstream and downstream systems such as claim adjudication system to process claims, finance to process payments, operational and utilization reports. •Created UI prototype document using Fore UI. •Worked with MBC business team for use case, UI prototype, business rules, process flow model review and sign off. •Conducted KT /JAD session with Offsite development and testing team for requirements development, testing and implementation, reviewed all test cases written by offsite QA team, facilitated triage sessions with MBC business

The scope of the project was to replace the REDIS Emergency legacy system with Sunrise SCM -SEC to manage the AHS hospital emergency departmental operations with the latest state of art technology, reduce patient waiting period, prompt treatment, reduction in recovery time & workload management Responsibilities • Identified the user groups, scheduled work group session, facilitated meetings, gathered and analyzed the requirements, validated with stakeholders on ED existing business process, CTAS score, Care coordination and provisioning business process. • Performed gap analysis between REDIS and SCM and identified gaps and worked with business to identify the requirements that are in scope and out of scope • Created use stories based on the approved scope document. • Interacted with IT build team to check out the feasibility, task estimate and to build the requirements. • Based on feasibility, created system specification documents and after validation with IT and business team updated the documents based on review comments • Updated the design deliverable documents and software architectural document • Created ED work flows and process flow diagrams in MS visio. • Developed business use stories and system use cases, Activity and Sequence Diagrams • Coordinated with testing team and SME's for UAT, System integration testing, functional testing and regression testing for bug fixes and issue resolutions

The scope at Mills peninsula hospital managed by PAMF -Sutter group was to integrate EPIC RIS with GE PACS and PACS web (Radiology applications) & Other Non GE APPS and replace IDX databases (GE PACS), Misys, sun quest, other ancillary & ambulatory care services with EPIC Clinical Management system. Also part of scope was to make the EPIC clinical management systems & EPIC RIS & EPIC ADT interface be available as central repository for dual operations (FAC ORG) to process orders, view results and store images & results. Business domain models and Data models were designed based on Service oriented architecture and RUP Methodology. Responsibilities: • Conducted user interviews, facilitated meetings and gathered requirements, analyzed the requirements. • Developed BRD & system specification document and obtained approval from client. • Designed and developed system use case, activity diagrams and sequence diagrams based for current state and future state workflows. • Updated design deliverable document as per the requirements after validating with the IT build team and gathered task estimate for development and followed through the task and provided status update report to PM • Coordinated with development, testing team, vendors for requirements development, system enhancements, bug fixes & Issue resolutions related to modalities configurations. • Coordinated with VPN team to set up VPN connections for business users to gain access to GE PACS and EPIC EMR RIS and Exit. • Developed test plans, test conditions and test cases based on business requirements. • Coordinated with Dual operation team, Server operations, Network Engineering team, User management, Security management for EPIC RIS with GE & Non GE Apps integration and testing.

The project was undertaken for Solano County Health and Social Secuirty Administration, Mental Health Services. The scope was to replace CC, Intake, Flow sheets, Assessment, Referrals, CP & IPC paper process, paper claims submission with digital CADCARE EMR, claim submissions & reimbursements (HIPAA270 271,275,276,277,834,835,837 EDI transactions, MMIS), record the clinical data electronically historical & real time data’s for different disciplines like nurses, physicians, PT, OT, Social worker, LCSW, Speech therapist for multi-disciplinary care planning, IPC’s, improve treatment planning, manage medical & ancillary services needs more efficiently for the Solano County Medicare & Medicaid members. As part of the project, documented requirements, supported program & project management, test management, system implementations includes benefits administration, clinical management process automations, system modernizations, electronic claim submissions & reimbursements Responsibilities • Gathered requirements from the medical & ancillary services departments, CFR 22 & HIPAAguidelines • Identified the stake holders, scheduled meeting, facilitated meetings & gathered business requirements • Identified OOS & In-scope items and communicated to stake holders during the follow up meeting and brought consensus on OOS items. • Conducted JAD session with development team resolved conflicts & brought consensus among the teams and ensured the all the team members, business users are aligned with in scope & OOS items • Created BRD, FSD and obtain approval from the business. • Designed and developed user cases, activity diagrams and sequence diagrams and process flow diagrams. • Designed UAT test scenarios and coordinated with testing team to document test scripts, TSD, test cases and for bug fixes and issue resolutions. • Performed feasibility analysis on HL-7 interfaces and coordinated with interface team to build/redirect the interface to the requirements developed in CADCARE.

The scope of the project was to customize the pricing & contract management system, benefits &, enrolment management system, claims adjudication system as per the guidelines established by social security administration & department of health care services for the state of new Mexico. The scope was to manage the medical needs of Medicaid & Medicare members through Medicare advantage plans. Also part of scope was to predict the future cost of the members for 12months based on UTI rates for (lab, radiology, Ancillary services IP OP services) and Age & gender markers Responsibilities: • Conducted user interviews, facilitated meetings, gathered requirements, and analyzed the requirements based on RUP methodology and SOA. • Created business use case and system use case upon approval from client managed the versions and communicated the necessary changes to the impacted team members • Designed and developed Use cases, Activity Diagrams, sequence Diagrams and workflow diagrams. • Updated design deliverable document as per the requirements after validating with the IT build team and collected task estimate for development and followed through the task and provided status update report to PM • Performed GAP Analysis in SERCL, LINX, ARTT, MS access, Facets and coordinated with development team to enhance the apps to suit State of New Mexico requirements. • Performed migration and mapping of authorizations codes approved by DHS, SONM to support claims processes and reimbursements to SONM providers • Identified different sources and validated the sources for report requirements and created source to target mapping document and • Upon approval from client coordinated with ETL team and DWH team to develop the reports to meet internal and external reports requirements, UTI reports & performance reports requirements.