# Mamta Patel

Mamta Patel is a remote worker on Himalayas, Business Systems Analyst at Memorial Hermann Health System, based in United States.

Source: https://himalayas.app/@mamtapatel

```text
Business Systems Analyst at Memorial Hermann Health System who used Power BI to identify a denial pattern and help reduce claim rejections by 30%.
```

| Detail | Value |
| --- | --- |
| Availability | Open to opportunities |
| Location | United States |
| Authorized to work in | United States |
| Salary expectations | 90k+ USD |
| Job categories | Business Systems Analyst, Business Analyst |
| Skills | Excel, SQL, AWS, Project Management, Data Analysis, CRM, Stakeholder Management, Microsoft Office, Azure, Business Requirements Documentation, Requirements Elicitation, Business Process Analysis, Gap Analysis, User Stories, Acceptance Criteria, User Acceptance Testing, Requirements Traceability Matrix, Data Mapping, X12, FHIR, HL7, 5010 Compliance, Medicaid, MMIS |
| LinkedIn | https://linkedin.com/in/mamta-p-04b54023b |

## About

```text
At Memorial Hermann Health System, I support revenue cycle improvements by documenting requirements and workflows across business, operations, IT, and integration teams. I built Power BI dashboards tracking claim cycle time and denial trends across approximately 15,000 monthly claims; the analysis helped the team identify a denial pattern and reduce the rejection rate by 30%.

My work also includes EDI and FHIR integrations, source-to-target data mapping, and SQL data validation. I support testing of EMR workflow and integration changes, including UAT and regression testing.

At IBX- Highmark Blue Cross Blue Shield (BCBSPA), I supported migration programs for a claims adjudication platform, documenting business requirements and working with stakeholders on EDI X12 transactions. I also developed data mapping documents and integration plans, and supported reporting and testing.

For the State of Indiana (Indiana Department of Health), I supported Medicaid and MMIS projects, including EDI testing, workflow analysis, and requirements documentation. At Community Health Plan of Washington (CHPW), I worked on a provider and subscriber portal, supporting claims, eligibility, integrations, and UAT.
```

## Experience

### Business Systems Analyst (current)

[Memorial Hermann Health System](https://himalayas.app/companies/memorial-hermann-health-system). Feb 2025 - Present

```text
Gathered and documented business requirements for revenue cycle improvements, supported data migration and validation, and built Power BI dashboards that reduced claim rejection rate by 30%.
```

Skills: Azure-DevOps, Jira, Confluence, Microsoft-Visio, SQL-Server, Power-BI, Tableau, EDI, FHIR, HIPAA, BPMN, UML, Data-Mapping, UAT

### Business Systems Analyst

[Highmark Blue Cross Blue Shield](https://himalayas.app/companies/highmark). Sep 2022 - Nov 2024

```text
Supported migration programs to a new claims adjudication platform, gathered requirements, performed gap analysis, and created data mapping documents for EDI transactions.
```

Skills: Azure-DevOps, Power-BI, SQL, X12, HIPAA, Agile, Scrum, Data-Mapping, UAT, Requirements-Elicitation

### Business Systems Analyst

[State of Indiana](https://himalayas.app/companies/indianaofficeoftechnology). Oct 2020 - Jul 2022

```text
Managed projects to maintain and support the MMIS system and EDI Gateway, created BRDs and FRDs, and performed gap analysis for Medicaid managed care projects.
```

Skills: Jira, Microsoft-Visio, Tableau, SQL-Server, EDI, HIPAA, Agile, UAT, Data-Mapping, Requirements-Elicitation

### Business Systems Analyst

[Community Health Plan of Washington](https://himalayas.app/companies/community-health-plan-of-washington). May 2019 - Jul 2020

```text
Worked on the Provider/Subscriber portal, documented EDI transactions, and supported FACETS claims adjudication process.
```

Skills: Figma, SQL, X12, HIPAA, Agile, UAT, Data-Mapping, Requirements-Elicitation

## Education

### Sardar Patel University

Bachelor of Science, Biochemistry

```text
Bachelor of Science in Biochemistry from Sardar Patel University, India.
```

### Sardar Patel University

Master of Science, Medical Technology

```text
Master of Science in Medical Technology from Sardar Patel University, India.
```

## Tech stack

- Tableau
- Microsoft SQL Server
- Oracle
- Lucidchart
- Figma
- Azure DevOps
- Jira
- HTML5
- JSON
- XML
- AWS Elastic Load Balancing ...
- Confluence
- Microsoft Excel
- SQL
- Power BI
- BPMN
- Epic

To contact Mamta, message them from this profile with a Himalayas employer account: [Hire on Himalayas](https://himalayas.app/hire).

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