Nisha Viswanatha Kurup

•Healthcare Domain Consultant with 11+ years of consulting and industry experience. •IT experience in Business Analysis, System Analysis, systems design, Mainframe development and QA. •Expertize in Requirements Gathering and Analysis, Requirement Specification, Business Process Analysis and Use Case Documentation – for Agile projects •Excellent writing skills in creating Business Requirement documents (BRDs), System Requirement specifications (SRS), System Design Specifications (SDS), Functional Specifications and defining project plans. •Well versed in Requirements/Change Management, Impact Analysis and Gap Analysis •Accomplished experience through whole SDLC from requirement analysis till deployment. •Participate in winning proposals (RFPs) for organization by providing Healthcare solutions and acting as Healthcare SME. •PAHM Certified-Professional, Academy for Healthcare Management (AHM 250) Healthcare Domain Skills  Membership.  Provider.  Claims adjudication.  Benefits/Benefits Migration, CPL.  Claims Payment, EOB/EOP.  NASCO, QBlue, ITS and FACETS Claims flow and adjudication.  EDI Transactions - 834, 837 I/P, 270/271, 276/277 and 835.  Healthcare Reforms – 5010 and ICD10 initiatives.  Medical Management System (MMS) - Care Radius.