Adya Mishra
( Concepts Information Technology )
Certified Product Owner and experienced Healthcare IT professional with over 16 years of expertise in leading enterprise-level system implementations across Medicaid, claims adjudication, and capitation domains. She has successfully managed end-to-end integrations for platforms such as FACETS, PEGA, MMIS, and Salesforce, driving digital transformation and operational efficiency for major payers including CareFirst, UnitedHealth Group, and BCBS, and notable institutions sch as TD Bank and IMF . Deep understanding of EDI X12 transactions (837, 834, 820), HIPAA compliance, and payer-provider interoperability is complemented by hands-on experience in data governance, UX design, Agile methodologies, and REST API documentation. Excels at collaborating across cross-functional teams to deliver scalable, compliant, and user-centered healthcare solutions.