Vimal Prasath Email and Phone Number
1) Working as Salesforce BA for 2years now in Patient Connect HUB platform2) Having 13+ years of experience in Healthcare domain.3) 5+ Years of experience in HEDIS Product implementation for several customers and provided service bureau support in generating measures for more than 10Mn lives. Played a pivotal role as HEDIS measures SME and as an expert in data analysis for performing measure reconciliation identifying the gaps and improving the scores. Expert and Experienced in HEDIS quality measures , CMS Star measures, State regulatory measures and helped with the data improvement for several US health plans leading to a successful Retrospective and Prospective rolling.4) 7+ Years of experience as FACETS Developer / System Analyst involved in various FACETS related development and application setup activities.
Citiustech
View- Website:
- citiustech.com
- Employees:
- 2968
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Salesforce Business Analyst - Wilco SourceCitiustech Jun 2023 - PresentRemoteI am a results-driven Salesforce Business Analyst with a strong focus on healthcare technology, specializing in Health Cloud solutions. My expertise lies in successfully leading and implementing a groundbreaking pharma program for a prominent pharmaceutical client, revolutionizing their patient engagement and data management strategies.In my role while working for Wilco Source, I played a pivotal role in reshaping the client's operations by designing and optimizing key components of their Salesforce Health Cloud platform. My key achievements include:1. Innovative Pharma Program Implementation 1.1 New Call Flow Implementation 1.2. New Patient Enrollment Journey 1.3. Seamless Integration with MuleSoft API 1.4. Implementation of logging framework for various scheduled apex jobs2. Requirements Gathering, Mapping Expertise & User story development3. Team Collaboration and Mentorship4. Agile Adaptability -
Product Management - Hedis (Payer Measurement Advisory)Citiustech Dec 2021 - Jun 2023Remote1) Worked as HEDIS SME and improvising the product capabilities2) Defining product roadmaps and product reporting strategic activities prioritization 3) Designing and solutioning few key Audit reports (Tableau & Angular) to aid HEDIS audits 4) Being product owner for reporting modules and redesigning of Utilization and Risk Adjusted Utilization reporting modules for better user experience5) Validating the MRR abstraction forms to align with the Year-On-Year measure spec updates6) Conducting various user trainings and review sessions with customers7) Executing thorough business use cases before rolling out the changes to end user.8) Co-ordination with customer, product and support teams to ensure the smoother flow of requirements and conducting reviews -
Product Consultant - Hedis (Project Manager)Cognizant Aug 2021 - Nov 2021Coimbatore, Tamil Nadu, IndiaThorough understanding of end to end HEDIS® workflows including:1) Retrospective Administrative Workflow (Data Intake, Rate Refresh, Measure Rate generation, Rate Reconciliation, Rate Analysis, Debugging),2) Prospective Measurement Workflow (Provider Opportunity Reports, Outreach campaigns),3) Hybrid Measure Workflow (Chase Sample frame, Hybrid Refresh, Admin Hybrid Refresh),4) Chart abstraction (Medical Record Review) Workflow,5) Clinical Data Acquisition Workflow (Non-Standard Supplemental Data collection),6) Audit (HEDIS® Roadmap documents, PSV, MRRV) Workflow,7) Regulatory Submission Workflow (CAHPS, IDSS, PLD)8) Supporting onsite Audit visits, offsite audit queries review and submission.9) FHIR consumer implementation for US Core profiles. -
Senior Associate - Hedis And FacetsCognizant Jun 2015 - Aug 2021Coimbatore, Tamil Nadu, IndiaWorked as a TeamLead cum HealthCare data analyst.Roles & Responsibilities:1) Team lead for HEDIS ClaimSphere® - implementation for Health Plans2) Involved in Retrospective and Prospective submission rollover3) Managed team of 8 members working across various Health Plans4) Implementation of MQ based Near Real Time integration between FACETS and HEDIS ClaimSphere® Thorough understanding of end to end HEDIS® workflows including:1) Retrospective Administrative Workflow (Data Intake, Rate Refresh, Measure Rate generation, Rate Reconciliation, Rate Analysis, Debugging),2) Prospective Measurement Workflow (Provider Opportunity Reports, Outreach campaigns),3) Hybrid Measure Workflow (Chase Sample frame, Hybrid Refresh, Admin Hybrid Refresh),4) Chart abstraction (Medical Record Review) Workflow,5) Clinical Data Acquisition Workflow (Non-Standard Supplemental Data collection),6) Audit (HEDIS® Roadmap documents, PSV, MRRV) Workflow,7) Regulatory Submission Workflow (CAHPS, IDSS, PLD)8) Supporting onsite Audit visits, offsite audit queries review and submission. -
Developer - FacetsCognizant Sep 2009 - May 2015Coimbatore, Tamil Nadu, IndiaDeveloper taking care of various FACETS related extracts.Acted as an FACETS batch processing SME.Worked in Customer facing FACETS Application Support team.Team lead for around 4 associates.
Vimal Prasath Education Details
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Electrical, Electronics And Communications Engineering
Frequently Asked Questions about Vimal Prasath
What company does Vimal Prasath work for?
Vimal Prasath works for Citiustech
What is Vimal Prasath's role at the current company?
Vimal Prasath's current role is Quality Reporting - HEDIS | Salesforce BA (Patient Connect - HUB) | FACETS.
What schools did Vimal Prasath attend?
Vimal Prasath attended Anna University.
Who are Vimal Prasath's colleagues?
Vimal Prasath's colleagues are Yogesh Prajapati, Surendra Choudhury, Devika N., Sanjay Upadhyay, Kavita Pandey, Kaushal Joshi, Amit Mhatre.
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