Surbhi Arora
Director | US Healthcare
- Role
- Principal Business Analyst at Edifecs
- Location
- Bellevue, WA, US
- LinkedIn followers
- 500 followers
About Surbhi Arora
Subject Matter expert with over 10 years of experience in Healthcare Insurance domain primarily focused towards Healthcare information technology solutions and services for Payer Practice. As a SME, covered a range of responsibilities across various projects under the roles of Product owner, Project manager, Business Analyst and Functional Consultant.Currently managing compliant Encounter Data Processing System (EDPS) submissions to CMS and other State agencies for various MCOs. Have successfully lead, implemented and managed encounter submission processes from medium to large sized Health Plans.Niche Skills-• Well versed in State and CMS guidelines for encounter submission across all Medicaid, Medicare, Dual, Specialty and Commercial plans. Deep functional knowledge on agency specific requirements, elevating the acceptance rates, timelines, accuracy and completeness. • Proven specialization in bringing back the dollars through experience and business knowledge of the end to end encounter submission/remediation process.• Passionate about consulting and working together with the clients to address their key problem pitsSpecialties-US Healthcare Domain, EDPS, RAPS, Facets, HIE, EHR, Data Analysis, Requirements Gathering, Requirements Analysis, Public Healthcare Exchange, Agile Methodology.Proficient in identifying, documenting and analyzing Business Requirements Specifications (BRS), System Design Specifications (SDS) and Software Requirement Specification (SRS).
Experience
Principal Business Analyst
Apr 2020 — Present · Seattle, WA, US
Education
Amity Business School
MBA
Skills
- Requirements Gathering
- Sdlc
- Data Analysis
- Analysis
- Program Management
- User Acceptance Testing
- Requirements Analysis
- Competitive Analysis
- Business Requirements
- Product Management
- Vendor Management
- Healthcare
- Business Development
- Strategy
- Team Management
- Project Management
- Marketing
- Market Research
- Management Consulting
- Software Project Management
- Training
- Testing
- Crm
- Business Intelligence
- Healthcare Information Technology
- Consulting
- Agile Methodologies
- Management
- Analytics
- Business Strategy
- Pre-Sales
- Business Analysis
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