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Praneeth V is listed as Sr Healthcare BA / BSA || Healthcare || Medicare and Insurance || HL7 || FHIR ||Claims processing || EDI || Payer || Facets || at Stanford Health Care, a company with 9828 employees, based in Downingtown, Pennsylvania, United States. AeroLeads shows a matched LinkedIn profile for Praneeth V.
Praneeth V previously worked as Sr. Business Analyst at Stanford Health Care and SR. Business Analyst at Ohio Department Of Health. Praneeth V holds Bachelor Of Technology - Btech, Information Technology, A from Jntuh College Of Engineering Hyderabad.
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Detail-oriented Business Analyst/Systems Analyst with 9+ years of experience in analysing business needs of healthcare organizations and translating them into technical requirements. Immense knowledge in Health care payer operations, Interfaces, Reports, Letters and system Migrations, Health Administration - Claims processing (auto adjudication), Claims pricing, testing, HIPAA, enrolment, Medicare, Medicaid. Excellent understanding of EDI Transactions, Claims Processing (834, 835, 837) and Claims Validation including Manual Claim submission and process knowledge. Extensive experience with MMIS subsystems (Claims, Provider, Recipient, Codes, Clinical) and industry standards (HL7, Six Sigma, SOX). Possess strong knowledge of Service-Oriented Architecture (SOA) and expertise in designing and developing API documentation for RESTful and SOAP web services (WSDL, HTTP, JSON, and XML). Utilized UML development tools (MS Visio, Enterprise Architect, UML2 Tools, and Power Designer) effectively.
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California, United States
Responsibilities include researching a quicker and more efficient way to implement HL7 interfaces by using FHIR.Facilitated interview, one on one and brainstorming sessions with SME's User's in understanding the requirements pertaining to billing Origination to billing Processing.Developed HL7 messaging for bi-directional case and disease report exchange.
Columbus, Ohio Metropolitan Area
Managed the team of consultants responsible for developing on-demand Medicaid Management System reports.Reviewed the data model and reporting requirements for Cognos Reports with the Data warehouse/ETL and Reporting team.Used knowledge of Health Care Information Systems EMR model to develop proposed workflow in MS Visio.Knowledge in guidelines and.
New York, United States
Migrated legacy data integration processes from another platform to QNXT, ensuring a smooth transition for the client's Edifecs workflows. Leveraged TriZetto QNXT's provider network management tools to ensure accurate and up-to-date network data for efficient claims processing. Involved in EDI automated first-pass claims adjudication, requiring thorough.
Chicago, Illinois, United States
Mapped TANF data elements to existing system data structures and identified data quality issues.Used MS-Visio BPMN for developing Medicaid AS-IS and TO-BE business process flow. Involved in creating documents and diagrams for Claims Processing and Claims Management according to the HIPAA Compliance Standards for Claims Processing.Created data migration.
Chicago, Illinois, United States
Ensured the timely signoff of the BRDs from business. Understand the client's business process/architecture for Business Analysis tasks. Deep dive into clients Life Insurance products and business process to better integrate in proposed tactical solution. Conducted requirement walkthroughs for the technical team (developers, testers, data analyst and tech.
Other employees you can reach at stanfordhealthcare.org. View company contacts for 9828 employees →
Frances Camille Parrilla, Mba
Colleague at Stanford Health Care
Daly City, California, United States, United States
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David Despotakis
Colleague at Stanford Health Care
Tres Pinos, California, United States, United States
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Evan Terrio -Rces
Colleague at Stanford Health Care
United States, United States
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JT
Jayceon Taylor
Colleague at Stanford Health Care
Burlingame, California, United States, United States
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Tim Mckenna
Colleague at Stanford Health Care
San Francisco, California, United States, United States
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SG
Stefanie Gollmer
Colleague at Stanford Health Care
United States, United States
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Avegail Laureles
Colleague at Stanford Health Care
Fremont, California, United States, United States
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Sophi Scarnewman
Colleague at Stanford Health Care
Sunnyvale, California, United States, United States
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SF
Sebastian Fernandez-Pol
Colleague at Stanford Health Care
Palo Alto, California, United States, United States
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MP
Melissa Pierce
Colleague at Stanford Health Care
Mountain View, California, United States, United States
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Quick answers generated from the profile data available on this page.
Praneeth V works for Stanford Health Care.
Praneeth V is listed as Sr Healthcare BA / BSA || Healthcare || Medicare and Insurance || HL7 || FHIR ||Claims processing || EDI || Payer || Facets || at Stanford Health Care.
Praneeth V is based in Downingtown, Pennsylvania, United States while working with Stanford Health Care.
Praneeth V has worked for Stanford Health Care, Ohio Department Of Health, Emblemhealth, Illinois Department Of Human Services, and Gohealth.
Praneeth V's colleagues at Stanford Health Care include Frances Camille Parrilla, Mba, David Despotakis, Evan Terrio -Rces, Jayceon Taylor, and Tim Mckenna.
You can use AeroLeads to view verified contact signals for Praneeth V at Stanford Health Care, including work email, phone, and LinkedIn data when available.
Praneeth V holds Bachelor Of Technology - Btech, Information Technology, A from Jntuh College Of Engineering Hyderabad.
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