Sangeetha Vasishta

Associate Consultant

New York City, New York, United States13 yrs 11 mos experience

Most Likely To SwitchHighly Stable

Key Highlights

Expert in automating healthcare data pipelines.
Strong background in clinical nutrition and analytics.
Proven track record in value-based care reporting.

Stackforce AI infers this person is a Healthcare Analytics Engineer with expertise in data engineering and clinical nutrition.

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Skills

Core Skills

Healthcare AnalyticsData EngineeringData ScienceData ReportingClinical NutritionHealthcare ManagementPatient Care

Other Skills

Python (Programming Language)Analytical SupportSnowflakeSASExcelPower BITeradata SQLRDBTPythonData AnalysisSAS (Programming Language)Extract, Transform, Load (ETL)SQLMedical Billing

About

I am a Senior Healthcare Analytics Engineer with a 10-year track record at Horizon Blue Cross Blue Shield of New Jersey. I specialize in the "heavy lifting" of healthcare data—taking messy legacy processes and rebuilding them into automated, Snowflake-based pipelines that deliver 100% accuracy. What sets me apart: I bridge the gap between technical engineering and business logic. I don't just write code; I understand the financial impact of Value-Based Programs (VBP), Total Cost of Care (TCOC), and Risk Adjustment. The Clinical Edge: My background as a Registered Dietitian gives me a "real-world" lens. I don't just see diagnosis codes; I understand the chronic disease burden behind them. This allows me to build more accurate features and models that reflect actual clinical realities. Technical Stack: Modern Tools: Snowflake, dbt, Python, R, SQL. Domain Expertise: MLR, HEDIS, Utilization Trends, and ETL Automation. I’m passionate about data integrity and making health insurance more efficient. If you need someone who understands the "why" behind the numbers and the "how" behind the code, let’s connect.

Experience

13 yrs 11 mos

Total Experience

5 yrs 7 mos

Average Tenure

10 yrs 2 mos

Current Experience

Horizon bcbs nj

3 roles

Informatics Analyst II

Oct 2022 – Aug 2024 · 1 yr 10 mos · Newark, NJ · Hybrid

Analytics - Data Science Team:
● Performed time series analysis in R on healthcare claims data to identify seasonal patterns
and trends, supporting forecasting, utilization monitoring, and data-driven
decision-making.
● Created and maintained data dictionaries; implemented DBT testing and column-level data
quality rules.
● Conducted exploratory data analysis (EDA) using Python on lab and clinical datasets to
support feature store development using LOINC codes.
● Standardized features for lab data, enabling consistent analytics across initiatives.

Python (Programming Language)Teradata SQLData ScienceHealthcare Analytics

Informatics Analyst II

Promoted

Mar 2020 – Oct 2022 · 2 yrs 7 mos · Newark, NJ · Hybrid

Analytics - Performance Team:
● Produced monthly CMS Total Cost of Care reports including PMPM, utilization, LOS, and
severity-adjusted metrics.
● Maintained Value-Based Care reporting tracking cost, utilization, and quality performance
for shared savings and incentive programs.
● Reduced ad hoc requests by 5% via parameterized SAS Stored Procedures, Excel
self-service reporting, and automated DI jobs.
● Delivered custom analysis on demand to support business initiatives.

Data AnalysisSAS (Programming Language)Healthcare AnalyticsData Reporting

Informatics Analyst I

Mar 2016 – Mar 2020 · 4 yrs · Newark, NJ · Hybrid

Analytics - Performance Team:
● Enhanced Episodes of Care analytics by modernizing ETL workflows for cost, utilization,
and quality measurement.
● Extracted, transformed, and analyzed claims data in SAS and SQL to support financial and
quality reporting.
● Delivered ad hoc analyses enabling timely business decisions.

Data AnalysisExtract, Transform, Load (ETL)Data EngineeringHealthcare Analytics

Horizon blue cross blue shield of new jersey

Clinical Analyst IV

Mar 2016 – Present · 10 yrs 2 mos · Newark, NJ · Hybrid

CPMPA (Medical Economics)
●Led and automated the Market Compare workflow: extracted data from Snowflake,
processed in SAS, updated Excel reports via VBA macros, delivering monthly summary,
portfolio, and provider insights.
● Built interactive Power BI dashboards to monitor trends, performance metrics, and
provider-level insights in real time.
● Designed baseline datasets for drug utilization, visit frequency, total members, cost, and
cost-per-visit, supporting cohort analysis, longitudinal trend monitoring, and identification
of key cost drivers.
● Conducted comprehensive data validation in Snowflake, ensuring accurate and reliable
datasets across providers, demographics, financial and calculated fields, and referential
integrity.
● Performed comparative analysis of value-based vs. non–value-based provider populations,
creating Excel models including demographics, utilization, cost (risk-adjusted and
non-adjusted), PMPM, disease burden, HEDIS outcomes, and ROI.
● Reduced manual reporting errors by 10% using dynamic system-date macros and optimized
SAS code; established a peer review process that cut report re-runs due to user errors by
8%.
● Communicated insights to clinical leaders and senior management to guide quality
improvement and network strategy.

Python (Programming Language)Analytical SupportHealthcare AnalyticsData Engineering

Central njrd llc

Registered Dietitian

Sep 2011 – Mar 2016 · 4 yrs 6 mos · East Windsor, NJ · On-site

Managed all aspects of an independent private practice, serving as both the lead Registered Dietitian and the primary business administrator.
Directed end-to-end financial operations, including medical billing, insurance credentialing, and revenue cycle management with a high claim-approval rate.
Spearheaded multi-channel marketing strategies, social media, and local networking to build brand awareness and drive patient acquisition.
Executed daily clinical operations, overseeing everything from HIPAA-compliant patient scheduling to the implementation of Electronic Health Record (EHR) systems.
Balanced clinical care with strategic business growth, ensuring high-quality patient outcomes while maintaining full responsibility for the practice’s profitability and overhead.

Medical BillingDieteticsClinical NutritionHealthcare Management

Princeton hospital

Registered Dietitian

Jun 2007 – Mar 2011 · 3 yrs 9 mos · Princeton, NJ · On-site

Delivered comprehensive Medical Nutrition Therapy (MNT) across diverse hospital settings, including ICU, outpatient clinics, and specialty surgical units.
Collaborated with multidisciplinary healthcare teams to provide high-level nutritional support and intervention for patients with complex medical needs.
Managed a high-volume patient caseload, ensuring evidence-based nutrition care was integrated into the broader clinical treatment plan.
Educated patients and their families on therapeutic diets and lifestyle changes, translating clinical requirements into practical, sustainable health goals.
Applied versatile clinical expertise to adapt nutritional strategies for various acute and chronic conditions, ensuring quality care in every setting.

Medical Nutrition TherapyClinical NutritionPatient Care