Punit Kaur Lamba Email & Phone Number

Healthcare IT professional with extensive experience with various Blue Cross Blue Shield Licensees across multiple US states as Senior Healthcare consultant, Business Configuration Lead and System Analyst.In depth knowledge of various Healthcare applications including TriZetto Facets,Facets Data Model, NetworX and Macess.Worked in various modules within TriZettos facets like medical plan,subscriber/member, claim processing, Business Process Automation, providers, NetworX, Application support.Experience with Healthcare Payor operations including Member Benefits, Provider networks, Membership, Service Ids, Care Management, Pricing and Reimbursement, Billing, Claims Adjudication and Provider Data Management. Worked on various Cross Functional Team Projects including Release Management, PPACA Product Enhancements, Standard Product Renewals, Annual/Quarterly codes updates, Pricing, Utilization management, Production Issues related to Pricing/Benefits/ Product Components/Preauthorization, Reimbursement rules, Pricing Agreements, Networks, Class Plan, Membership and Provider Data.Expertise in requirement elicitation and requirement V&V, translating business and system needs to Business requirements and technical requirements. Generating requirement Traceability matrix for cross function high complexity projects. Configuration experience for various Healthcare Products - HMO, PPO, POS, Medicare and Medicaid. Strong background in MS Office Suite (Word, Excel, Access, Visio, Project, PowerPoint), SQL queries, DBMS, User Stories, Use Cases, Acceptance Criteria, Test Scenarios, Unit Testing, Report Writing and Preparing Training Documentation.Experience in Release planning for regular and cross functional projects, conducting pre-implementation and post implementation validations, coordinating with technical team to resolve errors. Strong Analytical Background with focus on data analysis, process improvements and solution designing.Bachelors in Computer Science, Masters in Computer Engineering, Certified Six sigma Lean Green Belt and Black belt professional and Certified Scrum Master (CSM)Other Knowledge areas – Compliance Audits, Change Management, Applications Upgrades, SDLC, Agile, CPT/HCPCS/PLA codes, HIPPA, ICD9-10 codes.

Listed skills include Requirements Analysis, C, Data Modeling, C++, and 26 others.