Open to opportunities

Jhansi Rani Uppu

@jhansiraniuppu

Message

Highly skilled healthcare professional with expertise in pharmacovigilance.

United States

Message

What I'm looking for

I am looking for a role that allows me to leverage my pharmacovigilance expertise while contributing to patient safety and regulatory compliance in a dynamic healthcare environment.

I am a highly skilled and detail-oriented healthcare professional with over 7.5 years of experience in Pharmacovigilance, Medical Review, and Healthcare Appeals within the US healthcare system. My expertise lies in analyzing adverse event reports, evaluating medical necessity for appeals, and ensuring compliance with regulatory requirements such as FDA, ICH, and HIPAA. I am committed to patient safety and regulatory excellence, and I have a strong background in case processing, safety reporting, and medical coding.

In my current role as a Senior Associate, I review and audit appeals for cancer-related claims, ensuring compliance with payer guidelines and resolving appeals in a timely manner. My previous experience includes managing safety cases in pharmacovigilance, where I was responsible for data entry, quality assessment, and medical review. I have successfully implemented process improvements by analyzing denial trends and collaborating with revenue cycle teams to maximize reimbursement.

Experience

Work history, roles, and key accomplishments

Current

Senior Associate

Current

CHCS-Wellcove

Jan 2024 - Present (1 year 5 months)

Reviewed and audited cancer LOB appeals from AFLAC Insurance, ensuring compliance with payer guidelines and timely resolution of claims. Conducted root-cause analysis of claim denials, developing successful appeal strategies and implementing process improvements with the revenue cycle team. Managed high-volume, complex healthcare claim appeals to maximize reimbursement while maintaining compliance

HIPAA Revenue Cycle Management Root Cause Analysis

Pharmacovigilance Scientist

ProPharma

Jun 2023 - Dec 2023 (6 months)

Managed safety cases, including intake, data entry, quality assessment, and medical review, ensuring compliance with global regulatory requirements. Coded medical history, events, and drugs using MedDRA and WHO-DD, supporting clinical regulatory responses to health authorities. Processed ICSRs and performed quality checks on processed cases using ARISg database.

MedDRA WHO DD Coding Regulatory Compliance Quality Assurance

Pharmacovigilance Scientist

Indian Pharmacopeia Commission

Sep 2019 - May 2022 (2 years 8 months)

Audited prescriptions and monitored for medication errors and adverse drug reactions, serving as a key liaison between IPC and medical colleges. Processed and submitted SUSAR, SAE, and ICSRs to regulatory authorities, adhering to ICH-GCP and GVP guidelines. Performed causality assessments using WHO and Naranjo scales, coding ADRs with MedDRA and WHO-DRL, and submitting data to NCC-PvPI via WHO-UMC

ICH GCP SUSAR SAE Processing MedDRA WHO DRL Coding Vigiflow Regulatory Reporting

Clinical Pharmacist

Continental Hospitals

Nov 2017 - Jul 2019 (1 year 8 months)

Audited prescriptions, monitored, and reported medication errors and adverse drug reactions, providing comprehensive patient counseling. Managed the antibiotic stewardship program and calculated precise drug doses for various patient populations, including pregnant, pediatric, oncology, and kidney failure patients. Regularly updated healthcare professionals on new drug information and guidelines.

Adverse Drug Reaction Monitoring

Education

Degrees, certifications, and relevant coursework

Vikas College of Pharmaceuticals

Pharma D, Pharmacy

Pursued a Doctor of Pharmacy (Pharm.D.) degree, gaining in-depth knowledge in pharmaceutical sciences, clinical pharmacy, and patient counseling. Focused on drug therapy management, pharmacovigilance, and rational drug use.

Alphores Junior College

Intermediate

Completed pre-university education, focusing on foundational subjects to prepare for higher academic pursuits. Developed critical thinking and problem-solving skills.

Trinity Model Secondary School

SSC

Achieved Secondary School Certificate, establishing a strong academic foundation across various subjects. Cultivated essential learning habits and general knowledge.