Business Analysis, Product management,SQL support,Agile Scrum and Kanban knowledge, Data Mining, Tableau Visualisation, Data WareHouse Business Data Analysis Good knowledge of Healthcare Domain ( Payer, Provider and Pharmacy) and financial applications like Payroll and Accounts Receivable Systems. Analytics on Fraud,Waste and Abuse of Health Insurance claims Data Analysis of Pharmacy Benefit Management(PBM) Expertise on Payment Integrity including FWA Data Mining, Subrogation, Claims Editing, Prospective and Retrospective Identification and Recovery Prior Application Development in Legacy Systems(Mainframe) with a sound knowledge and expertise of CICS OLTP system and DB2. Statistical Data Exploration and Modelling using R and Python and a bit of STATA ML modelling using R and Python Tableau Visualisation Data Mining using Knime Avid user of Neural networks and Deep learning algorithms Good idea on Google Analytics and Web Analytics Catching up on Social Media Analytics, A/B testing, MultiVariate Testing and Design of Experiments Specialties: -> Analytical mindset Good solution provider for complex and tough problems. Pragmatic Marketing Certified - Level 1 & Level 2 Expertise in Healthcare Claim System and Pharmacy Expertise in Healthcare Payment Integrity including FWA Data Mining, Subrogation, Claims Editing, Prospective and Retrospective Identification and Recovery Knowledge of EDI and HL7 standards Agile Methodologies - Scrum, Kanban, SAFe
Senior Business Consultant, Exusia, Inc.
Sep 2016 to Present
Business Data Analysis of Pharmacy Benefit Management(PBM) application using Ab Initio Rules Engine and IBM Netezza DWH