Krishnan Raman

About Krishnan Raman

Customer centric* Total Healthcare IT experience of 17 years* On-site client facing experience of 4 years* Healthcare Payer industry & interfacing systems* Worked on delivery of multiple digital transformation projects* Facets product application knowledge* Hands on, on AWS services like S3, EC2, Lambda, Dynamo db, Bedrock, SQS, SNS, RDS, cloudwatch, cloudformation.* Scope Identification, Requirements Analysis, Estimation, Delivery Management* Thorough understanding of Health Insurance Business processes especially deep understanding of the claim processes.* Interacted and worked with key stakeholders like internal BPS leaders/directors, IT delivery directors, customer BPS leaders and CIO to improve on auto adjudication, payment accuracy and other metrics.* Result oriented delivery leader with a passion to develop high-performing cross-functional teams to drive delivery and meet business outcomes in a global delivery model.* Interfaced with internal BPS leaders including CTO to identify avenues for RPA automation to deliver cost savings in BPAAS model.* Delivered quickest resolution of production incidents to aid in stabilization of system in BPAAS model.* SME and go-to person for any issue in the claim production batch* Architected and delivered solutions to process and submit new enrolments and changes into FACETS via XMS and FET.* Co-ordinated with Servicecloud, Big Data, Vlocity portals, Cognos reporting, data quality and risk management teams to design and ensure smooth flow of data in the customer IT landscape.* Managed implementation of Salesforce health cloud to store and manage provider data.* Resource management including resource planning to meet demands of the pipeline projects and participation in internal and lateral hiring as needed. Skillset: Sybase, SQL Server(T-SQL), Oracle PL/SQL, Python, Gen AI, AWS, Azure, Core Java, Dot Net, Informatica, DataStage, ColdFusion, EcMap, EDIProducts: Trizetto FACETS, Trizetto HIPAA Gateway, Trizetto Clinical CareAdvance, CareRadius

Experience

1. Product Consultant

   Cognizant

   Aug 2016 — Present · Chennai, IN

   Worked on multiple digital transformation and modernization projects on waterfall and agile methodologies. Key projects include digital transformation project in BPAAS model and implementation of Salesforce health cloud for US health insurance customers.Worked on Gen AI for use cases including:* Similarity search based on knowledge base based on PDF * Conversion of PDF provider enrollment forms into CSV files * Chatbots for inquiry of health claim and provider data * Reading EDI files to extract third party price information LLMs - GPT, Llama and others via AWS BedrockFrameworks - Langchain, Streamlit, Llama index

Education

• SSN COLLEGE OF ENGINEERING

  ELECTRONICS AND COMMUNICATION ENGINEERING

• Symbiosis

  MBA