Santhi Swarup Amaravathi

Overall, 16 years of IT experience as Sr. Technical Product Owner for Solution Central built on Pega Customer Service (CS) framework for Anthem, NCompass for NASCO clients. • Actively participated and involved in Product support and Rapid Development Production releases for Solution Central (Pega CS) rolled out in Midland, GA, Denver, CO and Las Vegas, NV • Lead the team and worked closely with stakeholders to bringdown the First Call Resolution (FCR), implementation of NPS surveys and Customer Satisfaction score boards. • Worked for Cotiviti client using Pega Cloud infinity for various healthcare initiatives and projects. • Worked on various SharePoint and Microsoft 365 projects, integrated with Avi Hub platforms to govern Microsoft 365 environments. • Migrated from Pega V7.3 to V7.6, V8.2 to V8.6 migration projects for various blue accounts - Anthem, Horizon Blue, Florida Blue project recently. ◦ Enhanced various new Pega App Studio UI/UX enhancements which will minimize the clicks for users. ◦ Enhanced with latest Pega Chat integrations as part of Pega migration projects with various other external interoperability legacy applications. • Participated in Guardrails warnings review with Pega LSAs and Technical team to monitor health of the applications. • Worked with Product support team as front liner to triage the issue by using Pega Live UI, Pega App Studios and Pega Designer Studio to identify the root cause of the issue. • Certified Scalable Product Owner and Product Manager V5.1 and • Pega Certified Architect and Certified Architect • Certified professional in US Healthcare EDI Transactions of Healthcare Management • Strong in Pharmacy Benefits Management (PBM), Prescription Drug programs, Pharmacy/ Rx claims processing, Formulary contracts, Rebates with drug manufacturers, National Council for Prescription Drug Programs (NCPDP), PBM EDI/ HIPAA/ X12 Transactions, Medicare, Medicare Supplemental & Subrogation, Predetermination of benefits and Claims Adjudication systems. • Good experience in Professional and Institutional claims Process and adjudicate Medicare Part-A, B, C & D Claims and Commercial Claims. • Strong experience in IT Sales automation and Sales domain modules for Healthcare –