CPChristian Kenneth Peñaflor
@christiankennethpenaflor
Data analyst focused on healthcare operations and process optimization.
PhilippinesWhat I'm looking for
I am a data analyst specializing in healthcare operations with hands-on experience in claims adjudication, SOP mapping, and agent module requirements gathering. At Accenture I analyzed workflows, tracked data modifications, and supported IT teams while adjudicating medical claims and verifying authorizations to ensure accurate benefit application.
I bring technical skills in Microsoft Power BI, SQL, and Excel, combined with strong analytical problem-solving and clear communication. I have delivered project design and implementation work for telecommunications site surveys and installations, and I focus on quality-driven, patient-focused outcomes while adapting to changing policies and fast-paced environments.
Experience
Work history, roles, and key accomplishments
ACLed SOP mapping, requirements gathering for agent modules, and tracked data modifications to improve health operations workflows and accuracy. Performed step-frequency analysis to optimize process execution and supported IT account operations.
ACAdjudicated customer claims per plan benefits and routing rules, verified authorizations, and escalated complex cases to appeals or audit teams to ensure accurate claims handling and compliance.
ACManaged member records, processed subscriber payments and invoices, verified claims data accuracy, and handled prior authorization requests to maintain enrollment and billing integrity.
Project Engineer
Advance Communications System Inc.
Sep 2020 - Mar 2021 (6 months)
Designed and implemented Globe WiFi cell tower and access site surveys, produced high/low-level design documentation, and supervised installation to deliver network deployment projects on schedule.
Education
Degrees, certifications, and relevant coursework
Universidad de Manila
Bachelor of Science, Computer Engineering
Completed a Bachelor of Science in Computer Engineering with coursework relevant to data analysis and IT workflows, conferred in 2020.
Tech stack
Software and tools used professionally
Availability
Location
PhilippinesAuthorized to work in
Salary expectations
Job categories
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