Harish Krishnamurthy
About Harish Krishnamurthy
Harish Krishnamurthy is a Senior TriZetto’s Facets® Solution Architect at EmblemHealth, where he has worked since 2018. He has extensive experience in the healthcare industry, particularly in TriZetto’s Facets® and EDI business processes.
Work at EmblemHealth
Harish Krishnamurthy has been serving as the Senior TriZetto’s Facets® Solution Architect at EmblemHealth since 2018. In this role, he applies his extensive knowledge of TriZetto’s Facets® and EDI business processes to enhance the efficiency and effectiveness of healthcare solutions. His responsibilities include overseeing the implementation and optimization of Facets® systems, ensuring compliance with industry standards, and contributing to various healthcare projects.
Education and Expertise
Harish Krishnamurthy holds a Master of Engineering in Electronics and Communication from the University Visvesvaraya College of Engineering, Bangalore University, which he completed from 1995 to 1997. He also earned a Bachelor of Engineering in Electronics from MSRIT, Bangalore University, between 1990 and 1994. His educational background is complemented by significant expertise in HIPAA EDI and AS2/EDIINT standards, as well as a deep understanding of healthcare business processes.
Background
Harish Krishnamurthy began his career as a Software Engineer at C-DOT Centre for Development of Telematics from 1996 to 1998. He has held various roles in the healthcare and technology sectors, including positions at Cognizant Technology Solutions, UnitedHealth Group, and WellPoint. His diverse experience spans project management, business analysis, and solution architecture, contributing to his comprehensive understanding of the healthcare landscape.
Achievements
During his tenure at WellPoint, Harish played a significant role in improving the first pass rate for the Medicare Advantage Private Fee For Service (MAPFFS) product, elevating it from the lower 20s to the upper 80s. He has also led initiatives to enhance provider data load processes into Facets® hosted systems, showcasing his capability in project delivery and root cause analysis within health insurance applications.
Professional Experience
Harish Krishnamurthy has accumulated a wealth of experience across various organizations. He worked at Health Net Federal Services as part of the Veterans Choice Claims Management team from 2016 to 2018. Prior to that, he held roles at Kimberly-Clark, Molina Healthcare, and Blue Shield of California. His career spans over two decades, with a focus on healthcare applications, project management, and technical advisory roles.