Lead current state mapping workshop for understanding E2E Medicaid New Market strategy (Plan to Execution) & Health Plan Operations and also Medicaid CCRM project which captured E2E Medicaid claim related issue resolutions. Identified opportunities and gaps on key areas that needed improvements and presented it to the stakeholders. Lead and facilitated process improvement-based workshops to document Current State Processes, ideated & lead brainstorming sessions for Future State for Provider Issue Resolution(PIR) Project rollout (Pilot completed Q3- 2020 for 2 Commercial - GA, VA & 1 Medicaid-WA Market). Successfully lead the Current State assessments on the Pre Authorization/Auth. needs (Utilization Management aspects) for the initiative focused on improving Member/Provider First Call Resolution for authorization needs. Analyzed the Auth. process & gaps via various internal intake channels/ processes for 4 Medicaid markets (NV, WA, TX & CO). As a crucial member of Fast Forward – Future of Operations – Provider Management team, worked directly with leadership for transforming the current Provider Experience to a next level, by introducing various improvements (automation, technology & processes) to suffice the assessed gaps & opportunities tracked on E2E Provider journey. Created Storyboards for these initiatives for capturing current state in a story format, easy to understand for Executive Leadership approval (including OTIC approval & funding). Lead and facilitated Current State interviews with Business & IT stakeholders to capture the E2E (Commercial & GBD) processes on various internal initiatives. Driving a data driven approach wherever data can be obtained in order to identify trends and process variations and convey the findings to support the current state process gaps & future state transformational activities.

At Anthem’s Federal Employee Program (FEP) Business Solutions Team (BST) Strategic Services managed and fulfilled the Business and IT outsourcing and SW requirements via executing Vendor Management functionality. Strategically stood up and managed Compliance functionality within Federal Health Products & Services Business Unit bringing structure to execution and delivery of annual audit requirements (SOC2 and other related controls), enterprise preaudit reviews, critical business process gaps and issues, FEP DO audit needs, Enterprise Information Security Exceptions and requirements, Enterprise Vulnerability Management requirements.

At Anthem’s Federal Employee Program (FEP) Business Solutions Team (BST) Strategy office my work objective was to build, define and form Vendor Management Office processes and functional capabilities. Work objectives: leveraged the existing well suited processes from the Enterprise and customize some new processes where required in FEP Vendor Management function. Researched their current processes - SOWs, SLAs, Performance Metrics, Business Continuity, VM Policies in the Enterprise. Developed High Level & End to End Process Maps for Vendor and Sourcing in Vendor Management Function. Developed new procedures for Vendor Support and also customized Support models for various application Vendors. Interviewed Enterprise key contacts to validate my research about their processes and also to seek collaboration for future state design/model options. Interviewed the internal FEP Business Strategy Team Senior Leadership and its members to understand their pain points and gaps in the current processes. Guided them and provided recommendations and assessments for changing the current state scenario, to increase process efficiency while filling gaps with introducing necessary processes. Developed the Hybrid Models to leverage the opportunities from the Anthem Procurement Team at Enterprise Level and including independent process for COTS solutions. Researched and adopted the above methodologies to develop other Business Capabilities in FEP like Resource Management and Work Intake Process. Worked with the Senior Management team to produce Heat Maps using Functional Value & CMMI Methodology to track the periodic progress of each functional capability involved in the FEP Business. Prepared & utilized Value Stream Maps to show the current progress for IT processes and capabilities for the whole Business Unit to track their value & progress in the bigger picture. Prepared the Dashboard Reporting tools and documentation for OCM (Org. Change Mgmt.) for the Executive Leadership.

Chakolas Inc. offers professional strategic business consulting in the area of Logistics execution, Sales and Distribution, Planning and Manufacturing using SAP ERP Systems in North America and Europe since 2003. Some of my recent and previous assignments in Chakolas were in Green Air HVAC temperature controller Product Development & Vendor Management through Envolve Engineering. My main objective involved building Business Capabilities and Process improvements implementation utilizing Lean Methodologies. In Chakolas, I maintain Business Operations like Vendor Performance & Relationship Management, Budgeting, and Legal Documentation for our Patented Product and current Product Development through Chakolas Vendors. Co-ordinated new product design, development, research, and financially analyzing projects of investment interest in various business/ industry sectors. Ensured to utilize the key competencies & KPI’s during the design, implementation or changing any process for maintaining the competitive advantage of the business. Leading as an active mentor, advisor, and motivator inside and outside of the organization.

Main objective of work at Maui Jim involved piloting the Process improvements in the areas of inventory management. My duties were to understand and scope out specific needs of core business functions by requirement gathering process in the areas of Manufacturing Operations. Researched and finalized the specific areas where process needed improvement in both environments, existing & new developments in manufacturing processes using various Lean Six Sigma tools. Coordinated strategic planning and organized the workflow processes to develop detailed work plans, schedules, project estimates, resource plans, and status reports; to apply control procedures resulting in permanent corrective action, yield, and productivity improvement to fit within the Project scope and overall budget. Created Project Plan/Charters with internal stakeholders to determine the scope and objectives of each project; by working with business stakeholders to establish project performance goals; developing project timeline, identified milestones and tracked performances against goals & timeline. Designed Project plans with tangible and measurable business outcomes and to lead the program. Identified and resolved project issues with viable solutions. Monitored and communicated the project status to project team. Strategically analyzed & evaluated the current business model using High Level Process Map and Value Stream Mapping to distinguish the value add and the non-value adds processes. Identified manufacturing issues using Fishbone tool (5 why’s) to get to the core of the root cause for the desired product quality. Used SIPOC tool and Voice of the Customer data to analyze the customer requirements/specifications for the product. Used Cost of Poor Quality Matrix to check for losses and its effect on the ROI. Brain Stormed & applied appropriate cost effective, error proof solutions with the Production team.

My responsibilities included coordinating with delivery team to ensure technology, process changes and timing are in alignment. Monitoring the improved processes for desired quality within expected time using various tools. Use of Control Plan to monitor & measure process characteristics continuously. Used Reports for monitoring, testing and coordinated with business & functional leaders to adequately remediation of any hardware, software, process or product issues. Used MSA/MSE (Measurement Systems Analysis & Evaluation) to ensure good Quality Control procedures for products to obtain low part-to-part variation, operator differences and gauge differences. Analyzed & managed project risk using Risk Management quality tools like (FMEA) Failure Mode Effects Analysis for corrective and preventative measures. Alternatively using motivational techniques to promote organizational change issues. Provided Training and consultation to users and subordinates for effective implementation of the new processes using DMAIC & DMADV models.

Computer Explorers is a franchise business which offers technology curriculum and education to preschools, elementary and middle schools and other educational and recreational facilities. As a Director, was duties involved in managing the day to day operations like recruiting and training of teachers, marketing and sales presentations in various school districts, curriculum design and program selection and customization according to the client needs and invoicing , accounting, managing payroll activities and advertising locally.

Worked as an ABAP consultant in the GBIP project of Eli Lilly and worked remotely for other clients through K2 systems.Was responsible for developing custom programs and reports for the calculation of active ingredients required to be dispensed from the warehouse system (Catalyst) to the SAP Manufacturing Operations. My main tasks were to interact with users along with SAP R/3 Functional Consultants to finalize functional specifications and report formats, create Classical and interactive reports, uploading data to SAP system, by using Data Interface (BDC) and Remote Function Calls (RFC) also Printing Invoices and Sales orders using standard layout sets of SAP script.