At Centene, I own SQL and Power BI reporting on adjudicated medical claims and denials, including a recurring claims trend dashboard used by payer operations leadership.
I built DAX measures and Power Query transformations to standardize reimbursement and denial KPIs. After identifying a spike in authorization-related rejections, I created an exception summary that prompted a revision to the prior authorization review workflow.
At Optum, I developed Tableau dashboards for pharmacy claims and revenue cycle reporting. I also reconciled conflicting reporting definitions and analyzed reimbursement variance to support health plan operations.
At Mphasis, I led Tableau and SQL reporting delivery for a financial services client and consolidated six data sources into one reporting view. I also built a Power BI healthcare claims dashboard and used Python and SQL for member segmentation analysis.
