Rajasekar Harikrishnan

• Good sound Knowledge in Health Care Domain and US
healthcare system (Payer & Provider).
• Worked on Eligibility, Various denials, Refunds,
Credentialing, Provider enrollments.
• Able to understand and implement Processing ICD-9
ICD-10.
• Involved in Claims Work flow Integration development.
• HIPPA rules followup
• Complete Member Enrollment cycle, complete Claims Life cycle, Medical
Plans like HMO, PPO, POS, EPO, CHIP, Medicaid, Medicare
services. (Healthcare Enrollment system,
claims adjudication system, EHR, EMR, Healthcare Data Migration, Health Data mapping, Health data Crosswalk files).
• Intense knowledge of Agile (Scrum) framework including
Scrum ceremonies like Backlog grooming, Sprint planning meeting, Daily Scrum, Sprint demo, Review meeting, and Sprint
retrospective meeting. Efficiently involved in requirement elaboration .Efficient in solving all the impediments
dealing with internal and external
stakeholders.
Performed multiple feasibility studies, Risk analysis, Cost-
benefit analysis, Root cause analysis,
SWOT analysis, and impact analysis to find the needs of a
project and execution of business
decisions and possess an in depth understanding of GAP
analysis and defined the AS-IS and TO-BE
business processes to help the organization with designing the new system.
• Expertise in documentation like BRD (Business
Requirement document), FRS (Functional
requirement specification) SRS (System requirement specifications) Unit test plan (QC & UAT), test
scripts, test cases and also supporting UAT (User
acceptance testing) to build an error free software application.
• Skilled in eliciting requirements from business owners and
stakeholders through a variety of elicitation techniques such as Brainstorming, JAD sessions,
Requirement workshops.

• Good sound Knowledge in Health Care Domain and US
healthcare system (Payer & Provider).
• Worked on Eligibility, Various denials, Refunds,
Credentialing, Provider enrollments.
• Able to understand and implement Processing ICD-9
ICD-10.
• Involved in Claims Work flow Integration development.
• HIPPA rules follow up
• Complete Member Enrollment cycle, complete Claims Life cycle, Medical
Plans like HMO, PPO, POS, EPO, CHIP, Medicaid, Medicare
services. (Healthcare Enrollment system,
claims adjudication system, EHR, EMR, Healthcare Data Migration, Health Data mapping, Health data Crosswalk files).
• Intense knowledge of Agile (Scrum) framework including
Scrum ceremonies like Backlog grooming, Sprint planning meeting, Daily Scrum, Sprint demo, Review meeting, and Sprint
retrospective meeting. Efficiently involved in requirement elaboration .Efficient in solving all the impediments
dealing with internal and external
stakeholders.
Performed multiple feasibility studies, Risk analysis, Cost-
benefit analysis, Root cause analysis,
SWOT analysis, and impact analysis to find the needs of a
proiect and execution of business
decisions and possess an in depth understanding of GAP
analysis and defined the AS-IS and TO-BE
business processes to help the organization with designing the new system.
• Expertise in documentation like BRD (Business
Requirement document), FRS (Functional
requirement specification) SRS (System requirement specifications) Unit test plan (QC & UAT), test
scripts, test cases and also supporting UAT (User
acceptance testing) to build an error free software application.
• Skilled in eliciting requirements from business owners and
stakeholders through a variety of elicitation techniques such as Brainstorming, JAD sessions,
Requirement workshops.

Msc in Information Technology