Venkata Lakshmi Narasimha Anil Kumar Neelumraju

Product – MTT. MTT will validate and transform the source system's member data in such way that target system can understand and consume it.

• Owned and prioritized product backlog.
• Facilitated communication between development teams and stakeholders, ensuring clear understanding of requirements and expectations.
• Cultivated strong relationships with key stakeholders by maintaining open lines of communication and addressing concerns promptly.
• Managed backlog prioritization, ensuring alignment with business goals and stakeholder expectations.
• Developed comprehensive roadmaps outlining the product vision, goals, and milestones for successful execution.
• Conducted gap analyses to identify discrepancies between current and desired states, leading to actionable recommendations.
• Created detailed user stories for system enhancements, leading to improved functionality and user satisfaction.
• Facilitated requirement gathering workshops, resulting in clear project objectives and deliverables.

Product – Utilization Management.

• Product developed on Salesforce Health cloud provides, end to end solution for Utilization Management - Prior Authorization & Referrals, CRM and Member & Provider Portals for the States, who wanted robust infrastructure for the Medicaid Line of Business.

Product – Deloitte Does That

• Product - Enhance existing product DDT which provides details of various services provided by Deloitte.

Client – Ameri Group

Product - PCP Auto Assignment

• Develop the product that will identify the Medicaid members with no PCP and solution will assign appropriate PCP to them, considering the factors such as Age, Gender, PCP Distance from Home, Rating of the provider & More.

Client – Kaiser Permanente.

• Program -
• Retire Diamond 950 Claims system & Home-grown solutions
• Replace them with EPIC Payer product solution and integrate with existing EPIC hospital product to have complete enterprise solution in single platform.

Client – Express Scripts

• Program Scope –
• MEDCO PBM merged to become ESI
• Migrate the MEDCO enterprise data to ESI and enhance the existing ESI solutions to support the existing MEDCO business.

Client – Highmark

• Program Scope –
• Develop robust home-grown supporting Claims system & Claims workflow in Pega to address the non-adjudicated claims and improve claims efficiency.

Client - Lovelace

• Program Scope –
• Retire the legacy home-grown healthcare platform and Implement FACETS as solution for the enterprise.

Client - Wellpoint

• Program Scope –
• To enhance the operation capabilities & to address the limits of existing functionality, the healthcare Platform is upgraded to FACETS 4.41 to 4.71.

• Project Scope –
• Develop the interface which Connects, Integrates, and Operates the Machines, Fermenters, Reactors and Small vessels through Command Center while reducing the Manual interaction with them.