Bhagyaram SM

BHAGYARAM SUBRAMANI |HEALTHCARE | MACHINE LEARNING/DATA SCIENTIST | DELIVERY ARCHITECT | PROJECT MANAGEMENT | US Healthcare domain SME (12+ years) Claims, 837 processing, Provider & Member Analytics & Innovation (2+ years) Trend analysis and predictions using Machine Learning & deep learning. Gap analysis, re-engineering and automation initiatives at product level. Delivery/Project Manager (5+ years) Matrix management; Accountable for projects from initiation to closure (Requirements/Dev/Test/QA/Ops/UAT/Deployment/Maintenance) Profile Summary @ Exela technologies - Analytics Manager/Data Scientist ~ Repricing amount predictor Accuracy – 92.4% accuracy | Avg. monthly revenue – $24k across 2 vendors Ensemble of SVR & Quadratic regression model ~ Claim type identification (HCFA/UB/Dental) Accuracy - 99.2% |Reduced operational workflow. 12% increase in overall TAT. LSTM for segmentation & CNN for classification ~ OOPS - Developed an OOP (Out-of-pocket) predictor fully by self through XGB. Received organization level appreciation & awarded by the CTO. Product running against 5 insurance providers. ~ OCR conversion of entire claims form – kicked off - WIP ~ Enhancing adjudication rate in Aetna & UHG – rate increased by more than 4% - became a $4m project. Paved way for a future $8m venture in claim adjudication. ~ Architected & streamlined product processing workflow – INNO framework – increased product flexibility & reduced TAT ~ All visualizations done in Tableau Delivery Manager – Projects & product – Ramp & Maintenance ~ Reporting to the Delivery Head; E2E resource management for a team of 26. ~ Review customer orders, plan and coordinate delivery activities end-to-end. Onboarded 6 new customers in a year. ~ Presented updates, insights, challenges, and risks to Senior Leadership governance boards. ~ Solution architect – discuss with the customer & BA’s to finalize design approach ~ Developed highly empathetic client relationships and earned a reputation for exceeding service standard goals ~ Conducting training sessions on soft skills & US Healthcare concepts @Cognizant - Project Manager & Claims SME ~ Claims SME – domain level clarifications, requirement explanation to the team during the project phase ~ Develop and maintain project and resource plans (MPP) from inception till warranty, estimate using CP/FP, maintain quality and focus, successfully manage end to end solution delivery process. ~ Create RFPs for various proposals and present the same to the client. ~ Exposure to project revenue & costing (both internal and client cost amendment) ~ Handling ALL the process related activities and audits (internal/external). ~ Project status reporting, offshore and onsite meetings. Academics PGD in Artificial Intelligence & Machine learning – Great Lakes, Chennai & Texas Univ, Austin Capstone projects • World cup score & winning team predictor tied with Cricinfo team • Image captioning & Text summarization Portfolio - https://eportfolio.greatlearning.in/bhagyaram-sm PGD in Data Science – Govt approved via NSDC at IMS Proschool - Completed with “A” grade PGD in Applied Statistics – IGNOU Distance Education – Jan ’20 completion – Ongoing IBM DB2-730 & AHM 250 certified Career Timeline Exela Tech – 2016 to present Analytics & Innovation head Delivery Manager – Technology EDI & Claims workflow Cognizant – 2011 to 2016 Project Lead/Manager – Development & Maintenance Aetna Claims & Member Cognizant – 2006 to 2011 Developer & lead – Re-engineering UHG Provider & Claims Competencies Project Management – SDLC Waterfall & Agile models Math - Basic & Advanced statistics Analytics – Python, SQL, ML algorithms, Deep Learning (TF & Keras), Image & text processing (CNN, RNN, NLP), Exposure to Spark – RDD & Hadoop – HDFS, Tableau, R (basic), MS Excel analytics Mainframe – COBOL, CICS, DB2, JCL, Endeavor, File-Aid, VSS Recognition @ Exela - Received best manager award consecutively – Q3 & Q4 2017 Organization level award from CTO for OOPS (OOP calculator) @ Cognizant - Received Associate of the Month & Quarter (multiple times) @ GL – Hackathon winner @ Kaggle - Fanatic participant Education & Personal info Date of Birth – 6th Nov 1984 Graduation – Engineer from PSG Tech, Coimbatore – 8.3/10 Schooling – AMM MHSS, Chennai – 96.4% Contact - &-