Humiint

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Hello, I'm Bhaskar C.

I am a healthcare executive with a strong focus on achieving results. I draw upon a broad range of skills to empower teams​,​ develop individuals​,​ and transform organizations. I believe in thinking differently and challenging the status quo. To achieve this​,​ I establish credible relationships​,​ understand the values and beliefs of the organization​,​ and motivate teams to drive results. I have experience managing large organizations of 150+ people with budgets of up to $80 million. My decisions are guided by my core beliefs - faith​,​ courage​,​ respect​,​ and loyalty. These beliefs define me both professionally and personally and have helped me build my career​,​ family​,​ and network. As a leader​,​ I set out the vision for IT​,​ supported by effective strategic and tactical plans that define the best practice use of IT in support of care for our members and operational excellence. My major accomplishments are: Saved over $800K in 2022 and $2.5M the year after by introducing a new vendor with the proper skillset​,​ intelligent contracting​,​ and introducing automation. Saved over $13M by identifying claims processing errors related to COB​,​ SNF claims​,​ retro termination of members​,​ procedures not approved by Medicare​,​ etc. Implemented TriZetto's Facets core claim systems accountable for product selection to technical implementation including automation of strategic business processes. Excellence in Innovation award winner 2019. Helped the organization increase Medicare membership and expand statewide Medicaid business by providing scalable technology for flexible product design and digital member interaction​,​ and by providing technology to close and track care gaps​,​ and provider performance for HEDIS and CMS star ratings. Developed a Project Management Office from scratch that created consistency​,​ increased predictability​,​ and throughput for all strategic projects​,​ increasing efficiency and reducing costs by 17% - 22%. Helped mediate major audit findings through the implementation of a Solution Delivery Lifecycle and IT Governance. Navigated cultural barriers​,​ and built consensus throughout the executive team for outsourcing contracts​,​ reducing project development costs by 33%.

Details

  • LocationUnited States
  • Years of Relevant Experience20+ years
  • Seniority LevelExecutive
  • Highest Level of EducationMasters

Current / Most Recent Job Title

Owner​/​managing Director Chief Technology Officer Associate Vice President

Current / Most Recent Employment

Self employed Blue Cross Blue Shield of Kansas City Geisinger Health System

Industry

  • Hospitals and Health Care

Specific Jurisdictions That I'm Qualified In or Can Cover

    Language(s)

    • Bengali, India
    • English, United States
    • Hindi, India

    Professional Membership / Certification

    PMP ITIL

    Skills

    Data Governance, Data Quality, and Data Literacy Enterprise Data Foundation Provider Data Migration and Consolidation Master Data Management Healthcare Technology Leadership Data Asset Rationalization Change Management I T Strategy Enterprise Architecture Outsourcing People Development Data Modeling Business Solution Advisor Transformation Business Development P&L Administration PMO & Governance Al​/​ML Enthusiast Provider Life Cycle Management Product Management Resource & Demand Management ` Data Analytics and Reporting Data Warehouse Conversion and Migration Vendor​/​Contract Management Cloud Migration Core Administration implementation (Facets)

    Areas of Professional Interest

    Health Plan

    Other Past Relevant / Notable Employer(s)

    Blue Cross Blue Shield of Kansas City Geisinger Health System Fiserv Progressive Mutual Insurance Co Nationwide Mutual Insurance Co Mutual of Omaha

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