Harish Nadella

Analyzed healthcare business requirements and data workflows for PDM 2.0 initiatives, translating complex business needs into actionable workflows, user stories, and test scenarios. Partnered with cross-functional teams to apply data analysis, data modelling, and AI concepts to healthcare solutions.

Led business analysis for HealthEdge Member Portal implementations supporting enrollment, claims, payments, and secondary edits. Translated stakeholder needs into actionable functional requirements and coordinated alignment across business and technology teams.

Managed the end-to-end healthcare claims processing lifecycle from requirements through production, supporting Medicare and Medicaid claims and benefit processes. Analyzed complex healthcare datasets using SQL, Power BI, and Python, developing data models and identifying trends.

Delivered Revenue Cycle Management process improvements, EMR workflow optimization, and operational process documentation. Supported defect management and business process enhancement initiatives.

Performed quality reviews for healthcare claims processing and denial management and supported process optimization initiatives. Improved COB accuracy and reduced claim rework through structured quality analysis and process improvement.

Supported Revenue Cycle Management, payment recovery, compliance, and reporting as a healthcare claims SME. Collaborated with providers, payers, and operations teams to resolve complex reimbursement issues and performed data analysis using Tableau, Power BI, Excel, and SQL.

Supported Accounts Receivable, Subrogation, Workers' Compensation, and Denial Management as a healthcare claims SME. Identified reimbursement opportunities and supported recovery outcomes and payer compliance initiatives.

Grade: First Division

Completed an M.B.A. in Management with First Division.

Grade: 7/10

Completed a B.B.A. / B.M.S. in Management with a grade of 7/10.