Mamata Aryal

Lead analyst for provider network financial reporting, translating business requirements into functional configurations and reports supporting network growth, credentialing, and access analytics. Design and implement Value-Based Payment and provider incentive models, ensuring system logic accurately reflects contractual and financial business rules.

Analyzed dental claims data to identify financial cost drivers, utilization trends, and system configuration opportunities. Built and validated anesthesia utilization models and designed Power BI dashboards for Dental Loss Ratio and financial KPIs.

Led system analysis and configuration of clinical and financial datasets, implementing patient matching logic to integrate claims and EHR data across multiple payer systems. Built dashboards and financial reports tracking ED utilization reduction and care management program performance.

Designed and validated enterprise persistent tables supporting financial and utilization analysis across multiple lines of business. Created Tableau executive dashboards for leadership to evaluate Care Management programs and healthcare financial KPIs.

Led feasibility analysis, budgeting, and data extraction design for large-scale healthcare research projects. Supported PCORnet and LHSNet system configurations and managed project planning using Agile/Scrum methodologies.

Developed health and wellness identification algorithms using predictive modeling against claims history and ICD diagnosis codes. Conducted enterprise data warehouse quality testing and delivered analytics in Agile/Sprint environments.

Data reporting analyst role at Hennepin County Medical Center.

Data analyst and interpreter role at Arch Language Network.

Business analyst role at Verisk Health.

Master of Science in Molecular Sciences and Nanotechnology from Louisiana Tech University.

Certified Base Programmer for SAS 9.