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Assistant Vice President, Enrollment & Billing Operations @Healthfirst
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WORK HISTORY
Assistant Vice President, Enrollment & Billing Operations @Healthfirst
Lake Mary, FL, US
EDUCATION
Cochin University of Science and Technology
Bachelor of Technology (B.Tech.), Mechanical Engineering
SKILLS
ABOUT RAJEEV ANTO
Responsible for all aspects of E&B Operations including strategy, planning, operational execution, issue resolution and performance monitoring. Proven leader with 20 years of experience combining Information Technology solutions and Program Management expertise to deliver improvements. Strong technical background combined with a knack to develop staff to rise to the challenges has allowed the team to accomplish outcomes faster than traditionally possible. Work-experience in Scaled Agile Framework (SAFe methodology) to deliver value to business, consistently. Multi-year experience working as Agile business Product Owner on large Business Transformation programs involving emerging technologies like IBM BPM, Pega and NoSQL databases. Hands on experience identifying, designing and delivering business process improvements. 12 years of experience in the Enrollment and Billing domain for a large healthcare payer Organization with 20+ million members. In depth knowledge of plan-sponsor based health insurance coverage models, government sponsored plans such as Medicare, Medicaid. Successfully directed staff on large programs like the implementation of the Affordable Care Act changes at Aetna (Health Insurance exchanges, Medical Loss Ratio - MLR management), Aetna Consumer Business Platform 1.0, Healthfirst HFIC Enrollment Platform. Excellent knowledge of Health Plan administration platforms, Pega, IBM BPM technology implementations in large enterprises. Experience in managing partnerships with globally dispersed project teams and vendors, consistently delivering successful business outcomes
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