Krishna Kumar
Senior Healthcare Consultant | Senior Manager | US Healthcare | RCM | MMIS | Drug Rebate | Claims | Provider Enrollment | Provider Management | Product Development | Healthcare Consulting | Data Migration
- Role
- Senior Healthcare Consultant Senior Manager at CitiusTech
- Location
- Chennai, TN, IN
- LinkedIn followers
- 500 followers
About Krishna Kumar
Having 17 + years experience in US Healthcare - Payer, Provider and PBM* Having strong experience in US Health Insurance Claim Adjudication process, Prior Authorization, Utilization Management and Overpayment Recovery Process.* Result-oriented professional with over 13+ years of experience in healthcare industry, specializing in Product Management & Consulting with skills in Business Analysis; acted as a SME in healthcare payers, providers, commercial healthcare, and Pharmacy Benefit Management (PBM) domains* Expertise in Business analysis, Process modeling, IT strategy and Business process Redesign. I have been involving in RFP, Requirement gathering, Gap analysis, Creating workflows and Process redesign for multiple global clients.* Played a key role as Product Owner both Offshore & Onshore with an intent to maximize business value on different development and support functions units; expertise in Scrum/ Agile methodology & Kanban use case/user story elaboration, product backlog maintenance, sprint prioritization & elaboration, process mapping, and impact analysis.* Strong functional experience in US healthcare domain (Payers & Provider) in Drug Rebate, Drug Rebate Portal, 340b Provider, Claims, Provider Enrollment, Provider Credentialing, Provider Management Plan Management & Prior Authorization module functional areas for healthcare payer side.* Having strong exposure on data migration experience in large scale (13 domains).* Having experience on MetaVance, QNXT & HRP System.* Good communication skills, interpersonal skills and problem solving ability.* Ready to explore, adapt to newer technologies.
Experience
Senior Healthcare Consultant Senior Manager
Dec 2024 — Present · Chennai, IN
Working on a large-scale Enterprise data migration project—moving mission-critical data from legacy sources to a modern target platform Snowflake.
Education
Vairam Group Matriculation Higher Secondary School
Mathematics
2002 — 2003
Alagappa University, Karaikudi
Bachelor's degree
2003 — 2006
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