Rajesh Kumar

Rajesh Kumar Email and Phone Number

Sr. Business Analyst and Product Owner -Healthcare @ TALENDICA
Monroe Township, NJ, US
Rajesh Kumar's Location
Monroe, New Jersey, United States, United States
About Rajesh Kumar

Healthcare/Life Sciences IT Domain Adviser/Executive/SMEAttended HIPAA Colloquium at Harvard University, Cambridge, MA, U.S.A -2002.Sybase Healthcare Head India Operation, built team of 30 strong team on HIPAA at Irvine, CA, in the year 2003. Setup Healthcare Practice at HCL Technologies India in the year 2004.26 years + of extensive experience in analysis, design and development of distributed business applications and legacy System. From last 21 years working with big Healthcare/Insurance clients like Blue Cross Blue Shield Michigan, Blue Shield California, Kaiser Permanente, AHCCS (Medicaid. of Arizona), Allianz Life Insurance, APS Healthcare, Medco/Express Scripts, United Healthcare, Atena, WellPoint and Emblem Health.Strong working Project Management knowledge of HIPAA Regulations 4010, 4010A1 and 5010 for ANSI X12N. Very strong understanding of all 8-transaction sets and expert in the Healthcare & Insurance Domain, he also Worked on Gap Analysis & Assessment for HIPAA EDI also Experience in assessing and gathering business development related to HIPAA compliance. On the Healthcare product side, managed team working on FACETS - Trizetto’s, ECGateway, Mercator/IBM Transformation Extender, EDIFECS (SpecBuilder, EAM and TM) and ECMap used mainly by Managed Care/Healthcare Payer Organization.Complete understanding of MMIS system and Electronic Health Record, also possess complete understanding of HL7 and also trained team of 20 on persons till they got their HL7 certification.Very strong Project Coordination, Team Leadership, inter-personal and client relationship management, Advisory skills.

Rajesh Kumar's Current Company Details
TALENDICA

Talendica

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Sr. Business Analyst and Product Owner -Healthcare
Monroe Township, NJ, US
Website:
talendica.com
Employees:
27
Rajesh Kumar Work Experience Details
  • Talendica
    Sr. Business Analyst And Product Owner -Healthcare
    Talendica
    Monroe Township, Nj, Us
  • Talendica
    Healthcare Professional
    Talendica Feb 2023 - Present
  • Riverpoint Group
    Product Owner
    Riverpoint Group Aug 2020 - Jan 2023
    Chicago, Illinois, United States
  • Cognizant Technology Solutions Us Corporation
    Healthcare Subject Matter Expert
    Cognizant Technology Solutions Us Corporation Dec 2008 - Jul 2020
    New Jersey, U.S.A
    Apr 2016 - July 2020New York City/New YorkFrom last 4 years working with one of the New York based biggest Healthcare client, this project is a part of BPaaS (Business Process As A Service) Solution and I look after complete migration of existing Customer Service applications including various portals to a brand new platform.Dec 2011 - Mar 2016Franklin Lakes/NJWorked with Medco Health Solutions/Express Scripts client on various projects like Universal Order Processing, F14 Integration and Client Testing Environment (CTE). The F14 integration was one of the biggest integration in the USA history where out of every 10 Americans, 1 was definitely impacted.Jan 2011 - Nov 2011Atlanta/GeorgiaWorked with ACS (A Xerox Company) client for their BI Reporting and HIPAA 5010 Remediation for for Medicaid clients.Dec 2008 - Dec 2010Teaneck/NJHealthcare Solution GroupHelp the client for understanding of new/future requirement in Healthcare, build capability in Healthcare Solution space and providing High level guidance/Training on EDIFECS Product to the Technical team.
  • Hcl America, Inc.
    Associate Project Manager
    Hcl America, Inc. Aug 2007 - Nov 2008
    Minneapolis, Minnesota, United States.
    Worked as a EDI Manager at the client Allianz Insurance to ensure smooth functioning of standard feeds coming/going from/to DTCC/DST.As a Project Manager involved in Software Validation of the Package used for Medical Device Manufacturing client, Boston Scientific at Minneapolis, MN. As a Test Manager involved in End to End testing of Care 360 Lab Portal of Quest Diagnostics at Mason, OH.
  • Hcl Technologies
    Associate Project Manager
    Hcl Technologies Jul 2004 - Jul 2007
    India
    Built/Trained Team on Electronic Health Record, HIPAA, HL7 and Claim Processing. Involved in several large deal Proposal for Healthcare/Life Sciences company. Managed required coordination between Healthcare Operation/Business and Strategic Accounts team
  • Cognizant
    Senior Associate
    Cognizant Aug 2003 - Jun 2004
    Chennai, Tamil Nadu
    Manged BCN Reporting Project for the client Blue Cross Blue Shield Michigan.Writing different business scenario related with 270/271 and 837 transactions which is used by FACETS HIPAA GatewayPrepared detailed analysis document for Small Group Renewal Process including inputs, outputs and the Process flow diagram for the client BSC (Blue Shield California).
  • Sybase Software
    Healthcare Head India Operation
    Sybase Software May 2003 - Jul 2003
    California, United States
    Trained a team which can execute HIPAA 278 Transaction for DMA(Department of Medical Assistance) and Neighborhood Health Plan, Boston, MA.Train Team on SYBASE’s Healthcare Tool (ECMap, ECGateway)
  • Concio Corp
    Senior Developer
    Concio Corp Aug 2000 - Apr 2003
    Santa Clara County, California, United States
    Worked as Senior Business Analyst for client AHCCCS, Phoenix, AZ for HIPAA Transactions and Code Set Project. The main objective of HIPAA Transactions and Code Sets(TCS) project of AHCCCS(A Medicaid organization of Govt. of AZ) is to identify and implement the systems and administrative changes necessary to support achieving the HIPAA Compliance.Worked as a Senior Functional Analyst for Assessment and gap analysis Tool: This involves the development for the CAP (HIPAA-privacy & security) & MAP (HIPAA-EDI) tool to do the assessment and gap analysis for existing system as per HIPAA Compliance Rule. Worked as a Senior Developer for ClinicAmerica.com Project at SFO, CA: This product offers a virtual clinic for physicians to provide care to their patients over the Internet. It enables traditional physician practices to extend their services online. The services include full front office functionality with secure physician/patient messaging, one-on-one live chat, self service appointment system, provider schedule/calendar, provider web pages, patient personal health records, electronic encounter records and financial transaction capability on a proprietary, patent-pending platform.

Rajesh Kumar Education Details

  • M. S. Ramaiah Institute Of Technology
    M. S. Ramaiah Institute Of Technology
    Computer Science

Frequently Asked Questions about Rajesh Kumar

What company does Rajesh Kumar work for?

Rajesh Kumar works for Talendica

What is Rajesh Kumar's role at the current company?

Rajesh Kumar's current role is Sr. Business Analyst and Product Owner -Healthcare.

What schools did Rajesh Kumar attend?

Rajesh Kumar attended M. S. Ramaiah Institute Of Technology.

Who are Rajesh Kumar's colleagues?

Rajesh Kumar's colleagues are Karan Singh, Amit Singh, Rahul Somnath, Jyoti(Jia) .., Swati Singh, Vivek Kumar Singh, George P.

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