Healthcare data systems

Healthcare · Case Study · Led by Varun Vashisht (PMP · CBAP · PMI-PBA)

US Healthcare Coordination of Benefits Modernisation

Agile delivery lead. 150+ user-story backlog, automated SSIS ETL testing framework, and advanced SQL validation across complex COB data flows.

Outcome 50% less manual QA  ·  15% fewer data inconsistencies

The challenge

A US healthcare client's Coordination of Benefits (COB) system processed complex multi-payer claims but relied on manual QA processes that were slow, error-prone, and unable to scale. Data inconsistencies across COB flows were eroding downstream accuracy.

The approach

Served as Agile delivery lead, owning the full backlog in Azure DevOps, driving two-week sprint cycles, and personally designing the automated SSIS ETL testing framework that replaced manual validation.

  • Managed 150+ user stories from refinement through UAT sign-off.
  • Built automated ETL test suite using SSIS and T-SQL stored procedures, cutting manual QA effort by 50%.
  • Authored advanced SQL validation scripts that identified and resolved systemic data inconsistencies.

Outcomes

  • 50% Reduction in manual QA effort via SSIS automation
  • 15% Fewer data inconsistencies across COB flows
  • 150+ User stories delivered across Agile sprints

Stack & methods

  • Azure DevOps
  • SSIS ETL
  • SQL / T-SQL
  • HIPAA
  • Agile / Scrum

Role on this programme

Varun Vashisht owned this programme end-to-end as the Healthcare delivery lead. Covered scope definition, stakeholder alignment, vendor governance where applicable, backlog and RAID management, and executive reporting against the 50% less manual QA · 15% fewer data inconsistencies outcomes above. The work draws on the same 14+ years of enterprise programme delivery that underwrites his current Senior Program Manager engagement.

Relevant credentials: PMP (PMI), CBAP (IIBA), PMI-PBA, TCS Certified Generative AI Practitioner. Tech & method stack used here: Azure DevOps, SSIS ETL, SQL / T-SQL, HIPAA, Agile / Scrum.

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