Mar 2025 – Aug 2025 · 5 mos · Remote

Apr 2024 – Mar 2025 · 11 mos · Remote

• Developed and delivered performance dashboards and monthly reporting packages to empower business leaders and client-facing teams with data-driven insights for operational and clinical improvement.
• Utilized advanced healthcare analytics to uncover quality gaps, identify high-cost utilizers, and monitor performance trends, driving value-based care initiatives and strategic decision-making.
• Led data validation and governance efforts, identifying discrepancies between Arcadia and partner platforms to ensure data integrity, consistency, and trust across enterprise reporting systems.
• Improved provider attribution and reporting accuracy by enhancing TIN-to-provider mapping logic, increasing the reliability of population health and performance insights.
• Conducted educational sessions on value-based care models, including Medicare Advantage, MSSP, and ACO REACH, to strengthen cross-functional understanding of contract structures, attribution methodologies, and financial risk-sharing.

Jan 2022 – Aug 2023 · 1 yr 7 mos · Austin, Texas, United States · Remote

• Support Healthcare Economics analytics for Texas market
• Provide financial support in the analysis of membership, medical expenses, revenue, and medical loss ratio to identify key drivers and determine projections with respect to budget.
• Develop and provide insights into provider performance metrics such as MLR, reassessment rate, acknowledgment rate, AWV rate to evaluate medical expenses in relation to patient outcomes
• Support initiatives by providing PMPM cost trends and estimate cost savings
• Coordinate Cost of care meetings and present financial and utilization trends to the plan leaders

Jun 2021 – Oct 2021 · 4 mos

• Provide and maintain analytical reports, performance metrics, and key statistical data using SQL, SSRS and Power BI that include: High-Cost member claims, provider YTD performance, MCR, PMPM and member utilization quality Metrics.
• Collect data using various internal data sources and develop excel based ad-hoc reports as requested related to Value Based Contracts, PIPs and analyze clinical data sets.
• Manage and assist senior management with payer contract negotiations by providing complete analysis to determine the financial impact on the organization.
• Monitor and review trends with senior executives to evaluate the current healthcare interventions and strategies while identifying areas for potential enhancement relative to available health care delivery models.
• Build SAI (scorable action items) for new project initiatives and existing programs that can provide in depth insight to the senior management about key metrics and projections.

Mar 2018 – Jun 2021 · 3 yrs 3 mos

Aug 2017 – Mar 2018 · 7 mos

• Perform qualitative and quantitative analyses that show graphically the results of QI projects and collaborates as needed to ensure reports meet business needs, NCQA or other regulatory requirements.
• Collect data using various internal data sources and develop appropriate reports as required to meet the business needs such as HEDIS, NCQA and other regulatory requirements.
• Develop HEDIS performance reports including any Adhoc report for the VBC, P4P and non VBC groups that need focused attention and work plans for process improvement around clinical interventions.
• Evaluate and provide recommendations on the supplemental data files submitted by the VBC groups to ensure the quality of healthcare services provided to Molina members
• Develop monthly provider analytical reports, dashboard metrics and report key statistical data using SQL for vendor partners
• Closely work on quality improvement pilot programs to analyze and report the results of healthcare services provided to Molina members.

Mar 2017 – Jun 2017 · 3 mos · Greater Houston

• Closely worked with the Director of Finance and followed all levels of management to review Revenue Cycle Data for process improvement and decision support.
• Worked with stakeholders from different functional units on billing, charge capture, coding and denial management.
• Assisted in reporting key statistical data regarding vendor partners, performance reports, and provide actionable work plans around revenue cycle improvements.
• Worked independently to develop tools and techniques to improve physician engagement by enhancing physician orientation and onboarding process
• Assisting COO and VP of operations to implement supply chain concepts to effectively track and manage medial inventory while optimizing process to reduce costs and avoiding excess inventory

Jun 2016 – Aug 2016 · 2 mos · 6565 Fannin St, Houston, TX 77030

• Worked directly with Clinical directors and mangers in rehab facility while independently handling projects needed for CMS regulatory/accreditation compliance
• Collaborated with third party vendors to collect patient data in developing a comprehensive survey report and action plan to reduce 30-day readmission rates post discharge from Rehabilitation facility.
• Successfully achieved reduced readmission rates from 24% to 19% within two months of analyzing and implementing the measures like collaborating with care navigators for a coordinated care aiming at high risk patients post discharge
• Attained Lean bronze training and implemented the principles of Process Improvement by developing standard work maps for rehab personnel to streamline work process from patient registration to post discharge follow up
• Worked closely with Physicians, Social workers to develop customized discharge checklist for patients to minimize redundancy and improve patient experience.
• Developed Value stream mapping and Checklist for evacuation drills and successfully conducted across the Skilled Nursing Facility (SNF) and Inpatient Rehabilitation Facility (IRF) at Houston Methodist
• Worked to develop a comprehensive patient friendly admission packet containing all the essential information required by the patient while complying with the CMS regulation
• Developed survey reports for the physicians and case managers who refer patients to the rehab unit.

Mar 2015 – Dec 2016 · 1 yr 9 mos · Texas Medical Center

• Perform a variety of administrative tasks including, data entry and analysis, creation and development of marketing course materials
• Assisting faculty member with a research project, engage in literature searches on Meaningful Use program, Global Medical Tourism for presentation and publication.
• Assist in the classroom instruction, exams and grading of student assignments
• Post materials in "MyCourses" and respond to student’s questions posed verbally and electronically
• Supervised and tutored undergraduate students
• Assisted faculty with developing and maintaining web site for continuing medical education for health care professionals.

Feb 2013 – Jul 2014 · 1 yr 5 mos · gunutur, India

• Supervised check-up, advice and diagnosis of the patient while monitoring clinic flow to improve efficiencies and productivity.
• Prescribed medications and referred patients to specialists
• Provided day-to-day management oversight for outpatient clinic, which may include inpatient and outpatient care
• Managed and directed the nursing and staff activities of patient care ensuring timely and accurate documentation in the patient record
• Participated in the prevention programs and health promotion programs.
• Counsel patients and family members as required

Jan 2012 – Jan 2013 · 1 yr · Greater Hyderabad Area