Mohammad Sam Email & Phone Number

Troy, Michigan, US

• ATOS SYNTEL - BAYLOR SCOTT & WHITE HEALTH
• Proven track record of successfully leading and contributing to the development of portal modifications, enhancing the user experience and overall system functionality.
• Extensive experience in system integration, ensuring seamless communication and data exchange between various healthcare platforms and stakeholders.
• Skilled in collaborating with different stakeholders, including healthcare providers, IT teams, and management, to gather requirements, analyze needs, and deliver solutions that align with organizational objectives.
• Proficient in conducting thorough requirement gathering sessions, eliciting user stories, and documenting detailed functional and non-functional requirements for portal enhancements and integration projects.
• Adept at translating business requirements into actionable technical specifications, facilitating effective communication between business and technical teams.

Troy, Michigan, US

• ATOS SYNTEL - ALL STATE INSURANCE
• Collaborated with stakeholders to understand the specific requirements and objectives of the project, ensuring alignment with the client's goals.
• Conducted thorough analysis of existing systems and processes to identify gaps and areas for improvement in the trade management system.
• Documented detailed business requirements, encompassing the need for global accessibility, support for multiple business areas (Asset insurance, property insurance, and vendor's insurances), and specific trade.
• Conducted extensive research on technology platforms and recommended suitable upgrades to enable web-based trade activities and improve system performance.
• Facilitated meetings and workshops with the client's IT teams and developers to ensure a clear understanding of technical requirements and feasibility.

Cleveland, Ohio, US

• Played a key role in the System Development Life Cycle (SDLC) process, including design and gap analysis, business requirements gathering, systems requirements documentation, test criteria development, and.
• Created specifications for EDI HL7 (A28, A31, ADT) and X12 (837/835) transactions, facilitating seamless data transmission between Claims Editor, Legacy Billing application, and external payers.
• Developed meaningful reports for analysis and integrated performance testing within the SDLC, ensuring system optimization and reliability.
• Created comprehensive business requirement documents, aligning requirements with underlying platform functionality for seamless integration.
• Conducted requirements walkthroughs with the business team, ensuring their needs were met and validating back-end table updates through SQL queries. Generated data for User Acceptance Testing (UAT) upon request.
• Processed initial health plan/payer authorizations, utilizing request for determination forms (RFD), payer web portals, or verbal authorization methods.

Bangalore, Karnataka, IN

• Infosys - Movement Mortgage
• Led the migration project from an outdated mortgage application to a new, advanced technology application, resulting in improved database functionality, streamlined processes, and enhanced reporting capabilities.
• Collaborated with stakeholders to identify and document database requirements, ensuring that the new application met the needs of underwriters, bank loaners, and third-party organizations.
• Implemented a robust database structure, including data tracking, process creation, and inputs, leveraging Access Database as a reporting tool to provide comprehensive and advanced reporting services.
• Worked closely with the movement mortgage company team to understand their specific requirements and challenges, ensuring that the new application addressed their pain points and facilitated efficient operations.
• Conducted thorough testing and quality assurance activities to validate the functionality and performance of the updated application, ensuring a smooth transition and minimizing disruptions for end-users.

Bangalore, Karnataka, IN

• Infosys - AllState Insurance
• Carry out scoping survey and analysis to determine eligibility for CCPA implications.
• Create, communicate, and educate on process flows for each scoping mechanism (In Scope, Deferred, Out of Scope, or Partial)
• Outline Consumer Request process and technical requirements to both technical and business teams
• Actively seeks understanding of projects deliverables and impact on stakeholders, products and services.
• Represents the projects/program and its objectives in all governance/compliance/regulatory and gating forums.

Bangalore, Karnataka, IN

• Infosys - Aetna
• Spearheaded the enhancement of the Pay Flex payment platform, focusing on strengthening fraud security measures and expanding payment capabilities to meet evolving industry standards and customer demands.
• Implemented robust incident response protocols, establishing a comprehensive framework for effectively detecting, responding to, and mitigating security incidents, ensuring the platform's resilience against potential.
• Led the development and implementation of a threat and vulnerability management program, conducting regular assessments, identifying vulnerabilities, and implementing appropriate remediation measures to safeguard the.
• Streamlined software security practices by integrating secure coding principles, conducting regular reviews, and implementing industry best practices to fortify the platform against potential security breaches.
• Oversaw the implementation of effective configuration management processes, ensuring that the payment platform's components and settings remained secure, up-to-date, and aligned with organizational policies and.

Bangalore, Karnataka, IN

• Infosys - AllState Insurance
• Design and develop a Point of Sale (POS) system that integrates seamlessly with the company's existing infrastructure and supports a streamlined insurance plan experience for customers.
• Enhance the Quote and Application system to improve efficiency, accuracy, and user- friendliness, allowing customers to easily request quotes and submit applications.
• Collaborate with cross-functional teams to gather requirements, analyze business processes, and identify opportunities for system improvement and automation.
• Implement data integration and synchronization between the POS system, Quote and Application system, and the centralized connect system to ensure accurate and up-to-date transaction records.
• Conduct thorough testing, debugging, and troubleshooting of the implemented systems, ensuring their stability, security, and performance, and provide ongoing support and maintenance to address any issues or enhancements.

Bangalore, Karnataka, IN

• Infosys - Aetna
• Gather and analyze business requirements for healthcare projects within AETNA, ensuring alignment with the company's strategic goals and regulatory requirements.
• Collaborate with stakeholders, including business users, subject matter experts, and IT teams, to identify areas for process improvement, cost reduction, and increased operational efficiency.
• Conduct detailed data analysis to identify trends, patterns, and insights, leveraging healthcare industry knowledge and best practices to provide recommendations for enhancing business processes and systems.
• Develop and document business requirements, functional specifications, and use cases, effectively communicating with technical teams to ensure accurate and timely implementation of healthcare projects.
• Support the testing and quality assurance process, collaborating with QA teams to develop test plans, test cases, and test scenarios, and ensuring successful implementation and deployment of healthcare projects within.

Bangalore, Karnataka, IN

• Infosys - BCBS
• Collaborate with stakeholders across different business units within Blue Cross Blue Shield to gather and analyze requirements for various projects and initiatives.
• Conduct in-depth research and analysis of industry trends, regulatory changes, and market dynamics to provide insights and recommendations for strategic decision-making.
• Translate business needs into clear and comprehensive business requirements, functional specifications, and user stories to guide the development and implementation of IT solutions.
• Facilitate meetings, workshops, and interviews with business users and subject matter experts to elicit requirements, define workflows, and document business processes.
• Work closely with cross-functional teams, including developers, QA testers, and project managers, to ensure successful project delivery, adherence to timelines, and alignment with business objectives.