Nirmal K.

About Nirmal K.

Dedicated and results-oriented Technical Manager with over 18 years of experience in the Medicare enrollment, billing, and claims space. Proven track record of successfully leading and managing cross-functional teams to deliver innovative, efficient solutions that elevate the member experience. Deep expertise in leveraging Azure Cloud technology, project management, and healthcare operations to drive organizational success.

Experience

1. Software Development Manager

   Advantasure

   Nov 2021 — Present · Southfield, MI, US

   Key Achievements & Responsibilities:1. Process Optimization & EfficiencyElevated annual enrollment process efficiency by 30% by spearheading a cross-functional initiative to implement a seamless, high-velocity rollover process during the Annual Enrollment Period (AEP). This optimization directly contributed to a significant enhancement in member satisfaction and experience.2. Digital Transformation & Delivery ExcellenceAs a key leader in the organization\'s digital transformation, I strategically guided the end-to-end upgrade of mission-critical Medicare enrollment and claims processing systems. This initiative involved instituting Agile methodologies and CI/CD pipelines to create a modern, efficient operating model, which successfully streamlined payment cycles, reduced processing bottlenecks, and fundamentally improved the experience for members and providers.3. Cloud Migration & Secure ScalabilityArchitected and executed a critical migration of core applications from on-premise infrastructure to Microsoft Azure Cloud, ensuring robust compliance with HIPAA and HITRUST standards. This strategic shift enhanced system reliability, facilitated seamless data transactions, and delivered scalable solutions capable of supporting Health plan member growth.4: Strategic & Technical ExpertiseLeveraged deep expertise in Medicare Advantage (MA) operations and EDI/BizTalk (834, 835, 837, 270x) to successfully lead Annual Enrollment Period (AEP) planning and execution, ensuring error-free data transactions and compliance. Additionally, collaborated with leadership to execute strategic initiatives that consistently achieved key organizational goals and enhanced business outcomes.5: Project Management & Quality AssuranceMaximized resource efficiency and delivery quality by managing multiple complex projects while rigorously applying Agile methodologies and CI/CD practices, resulting in on-time, high-quality software releases.

Education

• Sri Venkateswara University

  Engineering, Mechanical

  2000 — 2004

Skills

• Ssrs
• Software Development Life Cycle (Sdlc)
• Extract, Transform, Load (Etl)
• Data Modeling
• Sql
• Databases
• Etl
• Testing
• Performance Tuning
• Microsoft Sql Server
• Oracle
• Requirements Analysis
• .net
• Business Intelligence
• Software Documentation
• Sdlc
• Sql Server Integration Services (Ssis)
• Database Design
• Integration
• Sql Server Reporting Services (Ssrs)
• Ssis
• Er/Studio
• T-Sql
• Scrum
• Agile Methodologies
• Data Warehousing
• Transact-Sql (T-Sql)