Dinesh Manalipotta - Profile

About Me 

I am a Functional Consulting and Product Management professional with 10 years of experience across Product Development, Reengineering, Master Data Management, Claims and Clinical Data Analytics, Consulting, Solutioning, Presales, Business Process Operations and Agile scrum development methodology. Keys skills are

Course	Specialization	Graduation Year	Board / University
Post Graduate Program in Management for Executives (PGPMEx)	Product Management	2017	Dual certification from Great Lakes University, Chennai and Illinois Institute of Technology, USA.
Bachelor of Arts (BA)	Economics	2007	Govt. Victoria College, University of Calicut, Kerala.

Certification	Description
AHM 250	Academy for healthcare Management, USA.
CBAP®	Certified Business Analysis Professional CBAP®)

Domain Skills

·        Experience in handling the healthcare projects in both Agile Scrum and Waterfall SDLC models.

·        Experience in healthcare IT Solutioning– RFP, RFI, Proto Typing and Demos

·        Worked on the Business Process Operations for US Healthcare

·        Experience across US Healthcare Industry Life Cycles including Claims, clinical, pharma, master data management and Revenue Cycle Management.

·        Work Experience on projects related to Clinical Data Analytics and Reporting for PQRS, NQF, ACO, CQAIMH, PCMH, and CMS (“EHR Meaningful Use”) and Claims Data Analytics and Reporting for HEDIS, NCQA, and APCD.

·        Master Data Management Specialist for MDM tools like TIBCO Clarity, Visionware MultiVue, IBM info sphere, Reltio Cloud MDM etc.

·        Expert level understanding of “Functional Data Sources” and domain knowledge in Master Data subject areas such as Organizations, Physicians, products, Patients, payers, Plans, customers, vendors, locations, etc.

·        Ability to Suggest strategies and high level business solution leveraging MDM, Data Quality, Data Governance and other data management principles, tools and technologies

·        Hands on experience on the Patient, Physician and Payer data hub development through HIPAA framework.

·        Strong work experience in the US healthcare industry standards like EDI X12N 837,835,270,271 and 834, HL7, HCFA, CMS-1500, UB04, EHR, EMR, and PMS.

·        Experience in US Healthcare coding system like ICD9CM/PCS, ICD10CM/PCS, CPT, SNOMED-CT, LOINC, NDC, Rxnorm, HCPCS, CDT, APC, DRG, POS, REVENUE, UBTOB and METADATA OID Concepts

·        Work experience with Data Modeling, Database and Data Dictionary Mapping and ETL process. Hands on experience in Data Profiling, Data Quality Checks, Cleansing and standardization.

·        Expert in Identifying and documenting current state and future state architecture, Write detailed functional design specifications and Business requirements.

·        Work Experience on projects related to Clinical Data Analytics and Reporting for PQRS, NQF, ACO, CQAIMH, PCMH, and CMS (“EHR Meaningful Use”) and Claims Data Analytics and Reporting for HEDIS, NCQA, and APCD.