Vinod Kumar Joshi
Team Manager @Carelon Global Solutions India
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WORK HISTORY
Team Manager @Carelon Global Solutions India
Gurugram, IN
EDUCATION
Kirori Mal College, University of Delhi
B.Sc (Hons), Chemistry
ABOUT VINOD KUMAR JOSHI
Results-driven US Healthcare & Benefits Operations Leader with 13+ years of experience across Carelon Global Solutions and Wipro Limited (Alight Solutions). Currently serving as Manager – Claims Implementation at Carelon Global Solutions, managing end-to-end US Healthcare claims operations and benefit configuration. Expertise in FSA, HSA, DCFSA, COBRA, HIPAA, ACA, ERISA, and complete Claims Lifecycle management. Strong command of EDI Transactions (837, 835, 834, 270/271), Eligibility, Accumulators, and Data Validation. Specialized in Host & Home Plan Coordination, COB, professional & institutional claims adjudication, and pricing logic. Led requirements gathering, system configuration, UAT, go-live, and post-production support for multiple implementations. Implemented RPA (UiPath) & Python automation initiatives, delivering 30%+ efficiency improvement and reduced manual errors. Proven leader in SLA/KPI governance, audit compliance, appeals management, and cross-functional stakeholder engagement.
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