
Nilanjan Ghosh
TECHNICAL SKILLS: Applications: TriZetto Facets (4.7 to 5.8), Compass Health-care Domains:... | Virginia Beach, Virginia, United States
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Nilanjan Ghosh’s Emails ni****@el****.com
Nilanjan Ghosh’s Phone Numbers No phone number available.
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Nilanjan Ghosh’s Location Virginia Beach, Virginia, United States
Nilanjan Ghosh’s Expertise TECHNICAL SKILLS: Applications: TriZetto Facets (4.7 to 5.8), Compass Health-care Domains: Membership, Billing, Claims, Provider, Care Management, Utilization Management, Sales & underwriting, Plan/Product Configuration, Customer service, Workers Compensation Insurance, Pharmacy Benefit Management (PBM), Shared Accumulators, ITS Claim Processing Databases: Oracle, Sybase, Microsoft SQL Server, and MS Access Tools: SQL, PL/SQL, TOAD, MS Project, Toad for Oracle, Crystal Report, SSRS, Power BI, Microsoft Visio, Microsoft Word, Microsoft Excel, PowerPoint, Tableau, git Languages: C++, R Enterprise Planning & BI: Cognos, SAP, Business Object, R Studio Operating Systems: MS-Windows SUMMARY: 1. 14 Years + of extensive experience in the US healthcare industry (Payer) demonstrating strong Domain skills, having dedicated experience on Facets application in healthcare domain. 2. 12 years + of dedicated Client interaction experience. Consistently exceeded client expectation and was highly applauded for client interaction and management skills. 3. For more than 10 years + worked in a Subject Matter Expert (SME) role for Facets. 4. Have been working for Trizetto payer side on Facets as well as for Medicare solution 5. Specialties: Health Care Payer Domain 6. Payer Value Chain 7. SME on End-to-End-Healthcare Claim Life Cycle/ Membership and Provider and Networks Module. 8. Healthcare Payer domain Training 9. Facets Business Configuration, 10. Claims Adjudication, Adjustments, 11. Provider & Member Maintenance & Plan/ Product Building. 12. Medicare Management 13. Medicare Member Enrollment/Dis-enrollment 14. Work with other Scrum masters and program manager to manage any interdependencies. 15. Run daily Scrum meetings with a global team 16. Participate in release, pre-sprint, and sprint planning 17. Track and manage team risks and issues arising 18. Work with Scrum team to remove impediments 19. Track and report on progress of the Sprint 20. Facilitate the agile process 21. Work with other Scrum masters and program manager to manage any interdependencies 22. Drive the team efforts to continuously improve 23. Coach the scrum team on self-organization, cross-functionality and Scrum working practices 24. Support the product owner in maintaining an effective product backlog 25. 8 years’ + experience in managing delivery of software projects 26. 8 years’ + experience of working on agile projects using Scrum 27. Prefer experience as a Scrum Master/ Product Owner using JIRA
Nilanjan Ghosh’s Current Industry Elevance Health
Nilanjan
Ghosh’s Prior Industry
Comtel Technologies
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Unitedhealth
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Syntel
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Cognizant
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Elevance Health
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Work Experience

Elevance Health
Business Information Consultant
Sun Aug 01 2021 00:00:00 GMT+0000 (Coordinated Universal Time) — Present
Cognizant
Senior Associate - Project
Mon Sep 01 2014 00:00:00 GMT+0000 (Coordinated Universal Time) — Sun Aug 01 2021 00:00:00 GMT+0000 (Coordinated Universal Time)
Syntel
Project Lead Facets
Thu May 01 2014 00:00:00 GMT+0000 (Coordinated Universal Time) — Mon Sep 01 2014 00:00:00 GMT+0000 (Coordinated Universal Time)
Unitedhealth
Software Engineer
Thu Sep 01 2011 00:00:00 GMT+0000 (Coordinated Universal Time) — Thu May 01 2014 00:00:00 GMT+0000 (Coordinated Universal Time)
Comtel Technologies
Software Developer
Wed Jul 01 2009 00:00:00 GMT+0000 (Coordinated Universal Time) — Mon Aug 01 2011 00:00:00 GMT+0000 (Coordinated Universal Time)