Prateek Mohan Agarwal Email & Phone Number

Greater Minneapolis-St. Paul Area

Client: Express Scripts IncCurrently working for Express Scripts as BSA/Implementation Project Manager in GP BAT. Supporting compliance and new client implementations projects:•Understand and document business needs/new client expectations, review business outcome of opportunity/Client performance guarantees related to government programs•Prepare details work plans starting from gathering business needs to implementing solutions in production for new clients implementations•Manage and track all client expectations including post-production validations and monitoring•Work with account team to understand client expectations and develop monitoring tools to validate client performance grantees and preventive measurements•Develop & Maintain relationship with account team, client teams, operations and technology product teams to deliver projects successfully with high quality•Identify impacted business capabilities, and prepare business area context diagram. Participate, Review and approve ‘Rough Order of Magnitude’ technology project estimation•Develop project work plan to align different business and technical product owner. Prepare project story deck, opportunity canvas, project charter. Maintain project story deck through life cycle of technology project•Facilitate meetings with business sponsor, business & technology product owners, subject matter expert, and document high level technical solution•Work with business to define minimum viable product and break high level business need into smaller deliverable work product to deliver business value•Define technology/business solution across multiple technology products, ensure strategy alignment, and recommend sequencing of work•Manage and deliver end to end solutions from technology and business operations point of view•Define non-functional requirements and reduce tech debt by developing technology solution aligning with architecture patterns

Greater Minneapolis-St. Paul Area

Client: Express Scripts Inc.Working for Express Scripts as Sr. Business Systems Analyst aligned to Medicaid, Medicare Part D business and Compounds 2011 Programs. Responsibilities include:• Lead Business Systems Analyst for Compounds 2011, Medicaid and Medicare Part D programs implementation for Express Scripts• Create high level architecture for “Claims Adjudication” system for processing compounds claims with respect to pricing, Benefit evaluation, and drug utilization reviews• Documenting existing business rules and writing new business rules for compounds 2011, Medicare and Medicaid programs• Creating and designing Business Processes Modeling for Compounds 2011 programs• Working with business partners in distinguishing compliance needs from business value needs• Moderating JAR sessions with various business and IT stakeholders. Creating Business Functional and Non-Functional Requirements Specifications Documents• Creating Business Context diagram/flows, Providing solution definition, and functional decomposition to IT execution team. Creating mock ups of user interfaces• Reviewing and approving System/QA Test Plan, Test Cases and Test Results• Requirements Traceability Matrix / Capability Mapping Worksheet

Greater Minneapolis-St. Paul Area

Client: Express Scripts Inc• Delivering release artifacts and deliverable as per process in the form of final package• Responsible for tracking release mile stones for each project with in release• Identifying issues and risks to release and developing mitigation strategy• Creating and providing weekly release status report• Develop and streamline Release Management Process

Greater Minneapolis-St. Paul Area

Client: Express Scripts Inc• Business Analyst for NCPDP D.0 and 5010 implementation for Express Scripts• Creating high level architecture for ‘Claim Adjudication’ system for accepting new HIPAA 2 D.0 format and ICD10 diagnosis codes for pharmacy claims billing transaction• Developing the transition strategy to accept both NCPDP 5.1 and D.0 formats of claims and how to cutover to NCPDP D.0 format completely• Moderating JAR sessions with various business and IT stakeholders. Creating Business Functional and Non-Functional Requirements Specifications Documents• Working with business partners in distinguishing compliance needs from business value needs• Responsible for healthcare competency building and People Management for 8+ employees• Reviewing and approving System/QA Test Plan, Test Cases and Test Results

Greater Seattle Area

Client: Regence BlueShield• Business Analyst for Proxy id, Medicare Part D, HPPN for Boeing and NPI projects implementation for Regence BlueShield• Prepare presentations for JAR sessions• Document business rules based on code analysis• Lead Business Requirements gathering sessions• Responsible for healthcare competency building• Reviewing and approving System/QA Test Plan, Test Cases and Test Results• Requirements Traceability Matrix

Greater Seattle Area

Client: Regence BlueShield• Creating design documents for various enhancement projects• Allocating different work requests between the team members• Track and control work request• Making sure that team has sufficient work for next 2 months• Creating visibility matrix and effort forecasting sheet• Conducting Look Ahead meeting, Root cause analysis meetings on regular basis• Discuss Track and log risks, issues and minutes of meeting

Bangalore, India

CLIENT: AT&T• Designing, Coding and Unit Testing system enhancements for mainframes Z/OS and Unix applicationso Applications: Data Service Manager, QUIPP, MIG/IMIG, POCITs etc• Delivering code to system/QA environments and supporting production implementations

Bachelor'S Of Technology, Electrical And Electronics Engineering, Honours

Science