Gaja Lakshmi

15+ years of experience in Healthcare Domain as Product Owner, Scrum Master, Business Analyst, Benefits Relationship Manager, Project Lead, Mainframe Developer, Mainframe Tester.

• Experience in Agile – Scrum Methodology and managing Scrum Teams as the Scrum Master and playing Product Owner

15+ years in Business Analysis with Domain expertise in Healthcare. Managed multiple US Healthcare clients namely IQVIA/Highmark Health, CVS Health & Aetna in Member Enrollment/Claims Adjudication/Pharmacy Benefit Management/IQVIA Registry Platform. Performing the role of Product Owner/Senior Business Analyst for IQVIA Registry Platform IRP. Performing role of Lead Business Analyst in Claims Adjudication system used by BCBSA plan partners (IBC/NDK/WYM/MIN) Subject Matter Expert (SME) in AS400 based application (RxClaim), Claim Adjudication, Med D and Non-Med D Plan, COB Claim), Multi Ingredient Compound Claim (MIC), Maintenance/OTC/ROA Drug, Preferred formulary Drug, Claim Pricing. Serving as a layer between Business and Development team to gather the Requirements and transform and slice into user stories that would be understandable by Development and Testing Team. Using JIRA for Epic/user story writing/tracking and Confluence for documentation on the functionalities implemented. Elicit & Translate Business requirement to User Stories/BRD/FRD/SRS

Completed MBA in Human Resource Management