Abhijit Adak
Lead Business System Analyst @Blue Cross & Blue Shield of Rhode Island
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WORK HISTORY
Lead Business System Analyst @Blue Cross & Blue Shield of Rhode Island
Providence, RI, US
EDUCATION
Jadavpur University
Master of Computer Applications - MCA, Computer Science
Visva Bharati, Shantiniketan
Masters of Science (MS), Physics
SKILLS
ABOUT ABHIJIT ADAK
Professional Summary• 27+ Years of experience as application design, development and management in Healthcare, telecommunication and transportation domains• 17+ Years of experience as delivery and technical lead on Healthcare application enhancements • 12+ years of experience as Delivery Management on critical healthcare application involving EDI, HIPAA, ETL, BOXI\\WEBI, SOA, Sybase, ORACLE, SQL Server, ESB services and DevOps tool • Various roles including: o Senior Technical Lead - Onsite o Client Delivery Manager – Onsite o Delivery Manager - Business support Services - Offshore o Delivery Manager - Production Support - Offshore o Technical SME Mission Critical Projects– Onsite Experienced healthcare IT professional dedicated to providing high quality services and positive results focusing toward client delivery. Well versed in application integration and enhancement in both healthcare payer and provider domain. Proven ability to leverage technology to achieve organizational objectives on time on budget. Innovative problem solver whose areas of expertise include New Account on-boarding, Analytical data interfaces, Revenue Cycle operations, software integration, regulatory compliance, interoperability, standardization and optimization.Application Experience• New Account on-boarding for Payer• Provider data maintenance and reporting • Member Accumulator Benefit repository• Analytical data Interfaces • Member Portal data integration• Railway Information Systems• Health Savings Accounts• Wellness reward program• Medicare Claims Encounter Data – CMS• Banking\\Telecom data migration • Student Loan application• Palm Handheld device App for PhysiciansHighlights• Risk Assessment and Workflow Analysis expertise managing large team of varying skills• Strong background in provider data management and claims processing in Payer domain• Experience implementing member portal and claims data repository for healthcare payer • Delivery lead for new account on-boarding, Vendor engagement process for healthcare
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