Daksh Goenka
Product at nirvanaHealth | RxAdvance
- Role
- Product Manager at nirvanaHealth | RxAdvance
- Location
- Boston, MA, US
- LinkedIn followers
- 500 followers
Experience
Product Manager
Jan 2018 — Present · Southborough, MA, US
Medical Claim Processing• Led a team of 8 engineers to deliver a SaaS solution that helped manage various aspects of Claims Processing.• Formulated product roadmap from conception to launch, driving the product growth, and leading design discussions.• Increased efficiency, maximized productivity, and reduce costs for organizations by 30% by streamlining and improving operational procedures, thereby redeploying ~35 FTEs to other critical business functions.• Implemented key performance indicators (KPIs) to measure user interactions with the system over time.• Improved potential lead-to-sales ratio by 80%+ by simplifying member application process through self-service portals.• Built dashboards for leadership to help and understand trending data using Tableau and querying multiple databases.Healthcare Payer Business Expertise:• Eligibility and Benefits: Benefits and Services Definitions, Cost Share and Accumulators Management.• Provider Management: Contracts (Capitation, Bonus, Episode of Care, Inpatient, Outpatient, Professional).• Claim Pricing: Inpatient, Outpatient, Professional, Rehab, ESRD, Home Health, Psych, SNF.• Utilization Management: Prior Authorization, Medical Necessity Requirements, Case Management.• Integration Services: Eligibility (270, 271), Prior Authorization (278), Enrolment (834, OEC, TRR).• Claims and Payment (820, 835, 837, MMR, MPWR).• Interoperability, Value-based Healthcare, HEDIS Measures.
Education
University of Mumbai
Bachelor’s Degree, Mechanical Engineering
Northeastern University
Master’s Degree, Operations Research
Skills
- Operations Research
- Data Analysis
- Six Sigma
- Photography
- Optimization
- C++
- Mechanical Engineering
- Autocad
- Project Planning
- Project Management
- Solidworks
- Management
- Engineering
- Cad
- Cplex
- Process Improvement
- Strategic Planning
- Sql
- Research
- Matlab
- Teamwork
- Team Management
- Continuous Improvement
- Ampl
- Microsoft Excel
- Microsoft Office
- Data Science
- Lean Manufacturing
- Supply Chain Management
- Process Management
- Java
- Logistics
- Leadership
- R
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