Summary
Overview
Work History
Education
Skills
Awards
References
Personal Information
Trainingprograms
Timeline
Generic

AMAR NARAYAN PUNJARI

Hyderabad

Summary

Has 23 years of experience in US Healthcare Mid-backend and spent 2 years working out of customer CBO’s in the US. Hands on experience not only in setting up and managing multi geography large scale operations but also leading hospital, Physician’s, Lab, DME and payer side coding 1400 FTE operations teams which support HCC and HEDIS programs. Holds a post graduate degree in finance. Analyzing business problems, suggest enhancements to add functionality and/or re-design work flows and documentation to improve efficiency. Experience in pre-sales proposals, BA, research and reporting. Strong project management skills including planning, scheduling, monitoring and budgeting with experience in requirement gathering, gap analysis, risk analysis, effort estimation etc. Strong expertise on creating, maintaining automation engine using HIPAA Transaction sets (Provider area) and web scraping. Experience in leading Hiring, Pan India PMO, MIS and Vendor Performance management functions

Overview

24
24
years of professional experience
7
7
years of post-secondary education

Work History

Director of Global Operations

R1 RCM
Hyderabad
01.2022 - Current
  • Business Leader for provider client Accounts receivables ( OPS, automations, PMO) - 800+ FTE operations
  • Conduct PAN India 'Monthly Operations Review' on key KPI/penalties
  • Added additional headcount based data mining exercises on new start up clients - 100 FTE additional revenue in last 2 years
  • Annual 1-3% FTE efficiency gains thru AI/Automations/production improvement
  • Manage Budget FTE Vs P&L for 6000+ FTE (Multiple locations and cross geo)
  • Leading PAN India PMO, MIS and 600+ vendor FTE "performance" management functions
  • Developed high-performing teams by providing mentorship, guidance, and opportunities for professional growth.
  • Improved project efficiency with strategic planning, resource allocation, and time management practices.
  • Enhanced team collaboration through regular communication, goal setting, and performance evaluations.
  • Leveraged data analytics to identify trends, inform decision-making, and drive operational improvements.
  • Championed change management initiatives that successfully led the organization through periods of significant transition or growth.
  • Managed budgets effectively and ensure +/- 0.5% variance at end of each year
  • Facilitated cross-functional collaboration for improved decision-making processes within the organization.
  • Proactively identified potential risks and implemented mitigation strategies to minimize negative impacts on projects or business operations.
  • Boosted client satisfaction rates through exceptional relationship management and prompt resolution of issues.
  • Established departmental performance goals and provided feedback for underperforming areas.
  • Setting up of new locations within India
  • Handled site leader responsibilities
  • Conducted regular market research analyses to keep abreast of industry trends and competitor activities for informed decision making.
  • Streamlined global operations by implementing cost-effective strategies and efficient processes.

Director Operations

Optum Global Solutions
12.2016 - 01.2022
  • Business Leader for payer side Medical coding - Grew business from 400 to 1400 FTE in 3 years
  • Lead HCC (Hirerachial condition category) coding and HEDIS
  • Managed and ran span level employee satisfaction survey initiatives - 5000 FTE span on my reporting manager - People champion
  • Negotiated with vendors, suppliers and other stakeholders to acquire mutually beneficial contracts and agreement.
  • Ran AAPC/AHIMA Medical coding academy ( 50-70 FTE ) every year with 85% passing rate in getting batches clear CPC certification
  • Automated 90% work assignment to 1400 FTE thru employee past performance and specialty

Senior Business Operations Manager

Hinduja Global Solutions India Pvt Ltd.
10.2012 - 12.2016
  • Managed various engagements in the capacity of a project lead with team sizes ranging from 50 to 250 members, both onshore and offshore
  • Project set up, Process migration, BAU Service delivery, Project closure
  • Going through the client SLAs, setting up processes according to the same and understand data flow between Clients and HGS
  • Working with BA and reporting teams to provide operational and control reports on the projects and also to assess and analyze the business needs requirements etc. using SDLC process.
  • Deep dive and data mine into open inventory for all new clients to find better assignment and automation opportunities - Reduce manual intervention
  • Conducted thorough market research to identify industry trends and opportunities for growth.

Executive Manager

Deloitte Consulting India Pvt. Ltd
07.2001 - 10.2012
  • Project lead Revenue cycle management (US Healthcare) back office operations
  • Worked out of Miami - FL and Burlington-NC client billing office locations for 2 years on L1 Visa
  • Ran a 200 FTE pilot in 2012 on a Medicaid Reclamation project for a 1200 FTE RFP
  • Implemented 7 Step automation ensuring only manual touch needed accounts are assigned to users
  • Was head of Recruiting for EBOS apart from managing 200 FTE OPS engagements
  • Lead hospital, physician, DME, Medicaid Reclaimation clients
  • Specialist in project start up's and HiPAA transaction set 835/276 file based automations
  • SME/project Leader in Medicare, Medicaid and Blue Cross related inventory

Education

Post Graduate Diploma - Finance

All India Institute Of Management Studies
04.2001 - 11.2007

Skills

  • Expertise in Management Consulting with 23 years’ experience in leading complex, revenue focused projects, sales support /data analysis for diverse US healthcare clients

  • Program Management

  • People Skills: Manage and handle large teams and virtual teams

  • Process re-design and reengineering

  • End to End process automation management – To ensure effective utilization of resources Working with technology groups to automate and take open AR to the next stage of claim life cycle Basic SQL query writing - 835, 270/271, 276/277

  • Strategic Planning, Workflow Analysis, Risk assessment and mitigation strategies and Resource Allocation

  • Leading HCC Coding and HEDIS operations between 2016 to 2022

  • Experience in leading Pan India PMO, Transitions, and MIS functions apart from core US healthcare Coding and backend Operations

  • Budget Control

Workforce planning

Organizational development

Cross-functional team leadership

Operational efficiency

Budgets

Awards

  • Employee engagement champion for a span size of 5000 FTE between 2019-2022 – Optum/UHG
  • Has successfully implemented AR categorization on a 100 man project using 835 and client denial files(2008)
  • Awarded as one of the top performers of the firm(Across India offices) for the year 2011 and 2012 at Deloitte
  • Spent 2 years from 2003 to 2005 in the US hospital CBO’s managing team of L1’s
  • Developed and implemented Monthly one on one employee supervisor discussion tool, Daily SOP review tool(E-Base)
  • Managed HCC Coding and HEDIS Operations

References

Professional References available as required

Personal Information

Trainingprograms

  • Manager Excellence program
  • Coach approach
  • Ethics and compliance
  • Leaders As Trainers
  • Basic SQL
  • PMP - PMBOK
  • Harvard certified Leadership program

Timeline

Director of Global Operations

R1 RCM
01.2022 - Current

Director Operations

Optum Global Solutions
12.2016 - 01.2022

Senior Business Operations Manager

Hinduja Global Solutions India Pvt Ltd.
10.2012 - 12.2016

Executive Manager

Deloitte Consulting India Pvt. Ltd
07.2001 - 10.2012

Post Graduate Diploma - Finance

All India Institute Of Management Studies
04.2001 - 11.2007

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