Siddeswar Ambarkar work email
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Executive Summary• A seasoned Health IT industry expert with 18 years of experience implementing solutionsfor state and federal government agencies.• Hands-on experience in project delivery with various roles, including Technical Manager,Principal Architect, Solutions Architect, Technical Lead, and Senior Consultant in fastpaced and rapidly changing environment.• An innovator who plays a key role in business development activities such as designing andpresenting innovative IT solutions to potential customers, writing proposals for State andFederal RFPs and doing market research for new products.• Extensive experience leading impact and gap analysis with a strong capability to bridge thegap between business and technical landscapes in healthcare financials, population healthmanagement, and analytics arena.Technical Skills Summary• Proficient in Object-Oriented Analysis and Design Techniques, Iterative, Agile & Model-driven architecture.• More than 15 years of Hands-on experience in the analysis, design, development, andimplementation of scalable, robust software systems.• Clear understanding of Enterprises Application Integrations and extensively worked ondifferent Electronic Data Interchange/Enterprise Application Integration & Business toBusiness Integrations Project.• Proven track record in leading Fit Gap Session, Requirements Validation and Designsessions with State (Medicaid Management Information Systems) and federal (Center forMedicare and Medicaid Services) clients.• Experience working with Data Scientist, Subject Matter Expert, and Marketing team anddevelop a Proof Of Concepts into a production-ready product.
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Claims SmeMacannie, Inc. Jul 2020 - PresentLeesburg, Virginia , Us -
CofounderSnovation Llc Oct 2013 - PresentSnovation is a premier custom software development and quality assurance company delivering complex world-class software solutions on a variety of technology platforms to clients ranging from Fortune 500 companies to dynamic startups. Our impeccable track record spans around two decades and includes helping develop well over a hundreds of successful software initiatives that generated hundreds of millions of dollars for our clients.By combining a broad range of technical expertise with an unparalleled commitment to client satisfaction, we have become an authoritative option for companies looking for custom software development services, including supplementing in-house resources in the delivery of discrete project components, integration of the latest technology with existing enterprise infrastructure, creating complex interactive and multimedia environments.
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Principal ConsultantCnsi Nov 2019 - Jul 2020Mclean, Virginia, UsActing as the Principal Architect to ensure a smooth transition from Wyoming state’slegacy MMIS system to CNSI’s evoBrix X core claims module through stakeholderengagement, constant, transparent communication, and end-user training and mentoring.Routinely facilitates communications with technical and non-technical stakeholders at alllevels to gain buy-in and help with organizational change and successful businessintegration. -
Technical Project ManagerCnsi Jul 2016 - Oct 2019Mclean, Virginia, Us• Led the solution integration of DOL, Workers’ Compensation Medical Bill Process(WCMBP) solution in the Amazon Web Services (AWS) cloud.• Instrumental in delivering several frameworks and architectural patterns from concept tocompleteness, enabling a lean team to meet aggressive deadlines of a strategicallycritical Veterans Affairs FSC (VAFSC) contract.• Played a key role in the development of a high volume claims processing engine that helpedCNSI retain the EDPS NextGen (Encounter Data Processing System)
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Senior Solutions ArchitectNorthrop Grumman Mar 2015 - Jun 2016Falls Church, Va, Us• Orchestrate solution integration between business units, vendors, and applicationdevelopers.• Designed and developed the most effective architectural solutions to meet cost, quality, andschedule requirements.• Coordinate with the software development team in developing and implementing softwareapplications.• Single point of contact for Healthcare Claims Adjudication Platform’s (HCAP), rulesengine, (SMARTS). -
Lead Systems Specialist / Client Service Manager, HealthcareVerizon Business Oct 2012 - Jan 2015Basking Ridge, Nj, UsOrchestrate solution integration between business units, vendors and application developers.Provide support to the team in responding Risk Analytics RFP's for State MMIS and Private Payer systems.Oversee all development and technical activity associated with Claim Fraud Management and Privacy Management in Healthcare and other POC initiatives.Design and develop several prototypes and present to internal stake holders and customers.Estimate and prioritise product road map based on customer feedback and product enhancements. -
Claims Expert Manager / Group Lead , Medicaid Claims Processing And PaymentsCnsi Apr 2011 - Sep 2012Mclean, Virginia, UsSingle point of contact for Claims Adjudication and Payments to the Maryland DHS client, responsibilities include providing service excellence by identifying key client business issues, determining client needs with innovative approaches, analysis and developing recommendations for the client in the context of overall MMIS implementation.Provided leadership and framework to manage offshore resources for delivery of key projects.Leading 5 direct and 18 indirect reports across 6 functional areas (Claims Adjudication, Claims Screens, Reference, Rate settings, EDI and Direct Data Entry), 2 projects (MD,LA) & 3 locations (Gaithersburg, MD, Barton Rouge, LA, Chennai, India) in United States and overseas.Played a key role in CNSI's several product development initiatives such as Health Care Engine, RuleIT and One Stop Claims Testing
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Claims Solutions ArchitectCnsi May 2009 - Mar 2011Mclean, Virginia, UsDeveloped rules-based architecture for Medicaid services reimbursements – an architecture well-received by healthcare payers’ community.Dramatically decreased UAT time and reduced testing costs by building sophisticated and highly performant automated test applications.Played a key role in the Claims team from requirement gathering phase to go-live phase of an MMIS implementation for the state of Washington, an MMIS implementation that is known as one of the best MMIS implementations of the United States. Played a key role in the development of a prototype that won a strategically critical (to break into the federal health IT space) contract with CMS (Centers for Medicare & Medicaid Services) on reducing overpayments in Medicare Claims Payment.
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Team Lead / Senior Systems EngineerCnsi Aug 2006 - May 2009Mclean, Virginia, UsPlayed the role of a team lead to integrate Claims Adjudication, Ratesettings, DDE components with the eCAMS architecture. Desing, develop and maintain a performance rich Java Code and Rules (In Rule Engine) to accomplish the requirements. Implemented applications using various standard design patterns like Adaptor, Factory, Singleton, Template, Composite etc., Map the requirement with the base system functionality and identify the gap in the base system. Estimate and plan the time required to develop the gap identified . Instituted a legislative health policies knowledge training group, leading to $1M annual savings in efficient resource utilization.
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Technical LeadWipro Technologies Jan 2005 - May 2006Bangalore, Karnataka, InPlayed a key role as Onsite Technical lead at SUN Mircorsystems,Canada, implementing different types of Change Requests.Handled customer escalations, coordinating and supporting the offshore team with their development and maintenance activities. -
Senior AnalystVerizon Data Services Mar 2003 - Jan 2005Whitehouse Station, UsPlayed the role of the offshore team lead in driving the project from the requirements gathering phase to deployment in production. Developed detailed project plan, BSDR doc (Business System Design Report). Identified high & low level tasks. Designed database schema, n-tier layered application architecture and OO modeling for the system. Involved in the documentation of the various modules and functional testing of the product Onsite & offshore coordination, running through status calls etc. Coordinated project activities between different groups.
Siddeswar Ambarkar Skills
Siddeswar Ambarkar Education Details
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Birla Institute Of Technology And Science, PilaniComputer Science -
Indian Institute Of Management, KozhikodeGeneral
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University Of MadrasComputer Science
Frequently Asked Questions about Siddeswar Ambarkar
What company does Siddeswar Ambarkar work for?
Siddeswar Ambarkar works for Macannie, Inc.
What is Siddeswar Ambarkar's role at the current company?
Siddeswar Ambarkar's current role is Claims SME at Macannie, Inc..
What is Siddeswar Ambarkar's email address?
Siddeswar Ambarkar's email address is si****@****inc.com
What schools did Siddeswar Ambarkar attend?
Siddeswar Ambarkar attended Birla Institute Of Technology And Science, Pilani, Indian Institute Of Management, Kozhikode, University Of Madras.
What skills is Siddeswar Ambarkar known for?
Siddeswar Ambarkar has skills like Java, J2ee, Struts, Spring Framework, Requirements Gathering, Sdlc, Medicare/medicaid Reimbursement, Software Development, Angularjs, Business Analysis, Javascript, Architectures.
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