Pega
Abishek R
Senior consultant
Chennai
Summary
Dynamic professional with over 7 years of experience in the IT industry, including 4 years as a Techno-Functional Business Analyst, specializing in requirements gathering, process improvement, and change management within the healthcare and banking sectors. Expertise in Agile and Scrum methodologies, combined with strong stakeholder management skills, enhances the ability to drive system integration and business process automation. Proven leadership and analytical capabilities thrive in cross-functional, client-facing environments, fostering trusted partnerships with C-level stakeholders. A keen interest in financial services trends and challenges, coupled with a global mindset and entrepreneurial spirit, positions as a valuable asset for organizations navigating digital transformation.
Holding Germany Opportunity Card Visa.
Overview
9
9
years of professional experience
3
3
Certifications
1
1
Language
Work History
Senior Associate Consultant
Infosys
06.2022 - Current
- Project: Banking
- Client: CITI
- Role: Senior Business Architect
- Team Size: 40
- Duration: Jan 2023 – Jun 2024
- Team: Application Development and Application management
- Description: Implemented the SME requirements into the application using current technology for CITI bank globally.
- Responsibilities
- Direct application rollout across nations, optimizing banking methodologies and improving customer data management for proficient data and policy governance.
- Proactively conduct client requirement-gathering sessions and maintain daily interactions, creating functional required
- Facilitate stakeholder collaboration with C-level business and technical leaders, reinforcing position as trusted partner
- Effectively coordinate cross-functional teams of developers and testers, facilitating seamless communication with the QA team to clarify requirements and incorporate feedback.
- Actively engage in functional testing, identifying and resolving critical observations to ensure smooth project delivery, while delivering knowledge transfer sessions for new members to ensure effective onboarding.
- Accurately manage release activities, analyze defects reported by QA and POs, and ensure smooth workflow execution through Agile/Scrum methodologies, delivering projects within timelines.
- Project 2: US Health care
- Client: Molina Healthcare
- Role: Senior Business Architect
- Team Size: 15
- Duration: July 2022 – Dec 2022
- Team: Utilization Management
- Description: Implementation of PEGA Utilization Management Workflow application for client across 20 states to create authorizations and maintain customer data more efficiently for claims and healthcare policy management.
- Responsibilities
- Client Requirement Gathering and Day to Day interaction with client to understand requirements and enhancement to the workflow of application.
- Involving in grooming ofstories and providing estimations.
- Coordinating team of Developers and testers to drive the changes.
- Undergoing discussions with Quality Assurance team for any clarifications.
- Involving in functional testing process and raising observations within the team.
- Proving KT sessions for the new joiners in the project and driving through the application.
- Release Management preparation and documentation related activities.
- Analyzing bugs and defectsraised from QA team and PO’s.
- Managing the work flow through Agile/ Scrum Methodology.
- Providing strategic solutions and leading the team from offshore
Senior Analyst
Cerner (R1 RCM)
05.2019 - 06.2022
- Analyzed business processes to identify critical issues, gaps, and inefficiencies, driving targeted improvements across workflows.
- Proactively managed the technical aspects of electronic payments, including UB-04 forms, collaborating with clients to measure production value and ensure cost-efficient processes.
- Diligently evaluated financial reports, including charges, insurance receipts, write-offs, and charge adjustments, ensuring accuracy across accounting periods.
- Provided strategic feedback on the effort, risk, and resources required for potential project initiatives, supporting well-informed decision-making.
- Collaborated with subject matter experts and managers to design advanced analytics solutions, applying statistical modeling techniques across platforms to support data-driven decision-making.
Specialist
GeBBS Healthcare Solutions
02.2018 - 05.2019
- Developed comprehensive business plans by identifying key performance indicators (KPIs) and coordinating result measurement to track progress and performance.
- Analyzed qualitative and quantitative data to uncover competitive and industry insights, driving strategic initiatives that boost business revenue.
- Efficiently gathered and allocated relevant data across departments, ensuring seamless information flow and cross-functional collaboration.
- Evaluated and improved organizational workflows using Microsoft SharePoint, optimizing internal processes, identifying cost drivers, and translating business needs into technical solutions for enhanced operational efficiency.
Senior Executive
Inventurus Knowledge Solutions
07.2016 - 07.2017
- Efficiently managed the technical aspects of the electronic payment system for UB-04 forms, ensuring accurate processing and compliance.
- Oversaw and validated production reports, including demographics, changes, and cash entries from data entry staff, ensuring data accuracy and completeness.
- Analyzed financial reports, assessing charges, insurance receipts, write-offs, adjustments, and procedure units to ensure compliance.
- Proactively advocated for payment claims by preparing compelling appeals for payers and regularly updating EOB reports, pay-to addresses, and provider details for smooth processing.
Education
Master of Business Administration - Systems Management
Bachelor of Technology - Electronics and Communication
Skills
- Functional business analysis specialist
- Sales strategy development
- Effective cash flow oversight
- Business banking proficiency
- Workflow optimization skills
- Operational efficiency enhancement
- Identifying performance gaps
- Change control process
- Stakeholder engagement in development
- Functional & Integration Testing
- Digital payment processing
- Software release coordination
- Financial analysis and reporting
- Data-driven decision making
Certification
Professional Scrum Master I (PSM I) – Scrum.org
Software
Appian
Jira
Service now
MS Office
Timeline
Senior Associate Consultant
Infosys
06.2022 - Current
Senior Analyst
Cerner (R1 RCM)
05.2019 - 06.2022
Specialist
GeBBS Healthcare Solutions
02.2018 - 05.2019
Senior Executive
Inventurus Knowledge Solutions
07.2016 - 07.2017