M Karthik Prasad Email & Phone Number

Hyderabad, Telangana, India

Hyderabad, Telangana, India

Hyderabad Area, India

1) Worked on Care Management systems with primary focus on writing business requirements for utilization management platforms2) Experience in working as a product owner for enabling bi-directional exchange of health information between healthcare providers and health plan, resulting in better data-driven insights in care decisions, simplify healthcare, and ultimately improve health outcomes3) Worked as a business analyst/product owner for different notifications received from different facilities to health plan systems. Work involved data integration, data standardisation and routing. 4) Extensive experience working with different standard data formats such as HL7 and Faster Healthcare Interoperability Resources (FHIR)5) Demonstrated and managed high quality API integrations across case management, care management and disease management systems. Experience in giving application demo’s to business 6) Worked on new product features for utilization management application. Application provides seamless integration of inbound care management data to Anthem?s medical management systems7) Worked on developing various business rules to route authorization data to various downstream systems8) Responsible for refining backlog user stories and working closely with business owners to come up with product plans

Hyderabad Area, India

1) Involved in developing a provider outreach and directory solution for a major US healthcare client. Project involved development of a proposal to transition the client from the existing outreach process to more streamlined and efficient process. 2) Formulated near shore and same shore strategy for Cognizant's marquee healthcare clients. Project involved assessing the current and projected demand for Near/same shore centers for customers3) Responsible for product backlog refinement as part of Agile process. Acted as a business analyst/product owner in prioritizing various features on the scrum board4) Actively participated in Design Discussions, Scrum Meetings and Sprint Planning of Agile projects5) Worked on new product features for provider portal application. Application used in the health insurance industry by in-network providers6) Worked on the system support and maintenance services contract for a leading healthcare payer. Purpose of the proposal was to leverage synergies across Optimized support services and Infrastructure support 7) Developed an ROI model for Customer Communication management product for a leading healthcare payer. Received consulting excellence award for exceptional project execution8) Performed product analysis for various care management products present in US healthcare market with respect to the prior authorization module. 9) Carried out web portal analysis for a major healthcare payer in the US and recommended solutions to improve the member interface for the client10) Analysed investment trends and startups in the healthcare payer sector to recommend transferable solutions to the client11) Involved in conceptualizing a multi-channel Customer Communication Management (CCM)product for Cognizant, meant to cater to a range of industry solutions12) Developed a point of view on digital mobility trends to gauge sources of value creation across dimensions of Care Quality, Operational Excellence and Customer Engagement

Chennai Area, India

Worked in Medical Devices Vertical for a leading cardiovascular client. Was involved in Design & Development of a Cardiovascular Device used for intravascular introduction into the coronary or peripheral vascular systems. Awarded a certificate of appreciation by HCL Technologies for helping in implementing defect removal efficiency (DRE) in the project. Experience in various quality related processes.

Learnt and executed various steps in Maynard’s Operation Sequencing Technique (MOST). MOST is a kind of Process Study and the main significance of carrying out this analysis is to a) Accomplish Planning b) Determine Costs c) Establish Costs.

Master Of Business Administration (M.B.A.), Marketing & Operations

Activities and Societies: Placement Committee Placement Co-coordinator at Great Lakes Institute Of Management.

Bachelor'S Degree, Mechanical Engineering

Developed the most cost efficient way for transporting of Wind Turbine Components for Vestas India Ltd. Recognized and was awarded.

Education record