PROFESSIONAL SUMMARY
Experienced Product Owner & Business Analyst with 8+ years in IT consulting, US Healthcare, BFSI, and Retail domains. Adept at requirement gathering, solution design, and process optimization, working closely with stakeholders, payors, providers, and patients. Expertise in claims processing, risk analysis, compliance, and Agile methodologies (Scrum, SAFe). Skilled in backlog management, user story creation, data analysis (Power BI, SQL), and API testing (Postman, SOAP UI). Proven ability to bridge business and technology, ensuring seamless execution of projects while driving efficiency and compliance.
PRODUCT OWNER | BUSINESS ANALYST
8+ Years of Experience in IT | US Healthcare Technology | BFSI | Retail | Agile Methodologies
Results-driven Product Owner and Business Analyst with 8+ years of experience in IT consulting, specializing in US Healthcare Technology, BFSI, and Retail domains. Adept at working in Agile methodologies (Scrum, Kanban, SAFe) with expertise in requirement gathering, solution design, and stakeholder management. Proven track record in delivering high-impact digital products, optimizing workflows, and enhancing customer experience through data-driven solutions.
PROFESSIONAL EXPERIENCE
PRODUCT OWNER | BUSINESS ANALYSTMultiple Clients | IT Consulting
(US Healthcare | BFSI | Retail Domains)
PRODUCT OWNER | BUSINESS ANALYST
American Express (Credit cards)– Risk Analysis & Account Review.
Acted as a Product Owner & Process Consultant, leading risk analysis, account review, and compliance initiatives.
Defined and prioritize user stories and epics for risk profiling, account recovery, and financial compliance.
Collaborated with cross-functional teams to implement policy-driven solutions for risk management.
Led Sprint Planning, Backlog Grooming, and UAT, ensuring seamless execution of risk assessment processes.
Provided data-driven insights using Power BI and SQL, improving customer account tracking and predictive risk analysis.
Ensured regulatory compliance and policy adherence, working closely with legal and risk management teams.
Conducted root cause analysis and implemented corrective actions for account discrepancies.
PROCESS CONSULTANT
Apria Healthcare – Durable Medical Equipment (DME) Provider, USA
Worked as a Process Consultant for Apria Healthcare, a leading DME provider, optimizing claims processing and reimbursement workflows.
Collaborated closely with payors, providers, and patients to streamline DME authorization, billing, and claims submission.
Designed and enhanced multiple process modules for claims validation, reconciliation, and submission.
Acted as a Claims Processor & Submitter, ensuring accuracy in HCPCS, DRG, and ICD codes while validating and reconciling claim data.
Ensured compliance with medical billing regulations and optimized workflows to reduce claim denials and improve reimbursement rates.
CORE COMPETENCIES
Lean Six sigma yellow belt