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Mani Goswami

@manigoswami

Pricing Configuration Analyst at Carelon Global Solutions validating provider pricing and investigating discrepancies with SQL.

India

Message

At Carelon Global Solutions, I manage provider pricing configurations across healthcare markets in Wisconsin, Missouri, Kentucky, Ohio, and Indiana. I review provider rate sheets and contract amendment requests to determine required pricing updates.

I use SQL to investigate pricing discrepancies and validate provider data, and conduct quality audits and root cause analysis. I also prepare Excel reports and support annual rate updates and provider contract maintenance projects.

Experience

Work history, roles, and key accomplishments

Current

Pricing Configuration Analyst

Current

Carelon Global Solutions

Aug 2023 - Present (3 years 3 months)

Managed provider pricing configurations for healthcare markets across multiple states. Conducted quality audits, data analysis, and collaborated with stakeholders to ensure accurate implementation of pricing updates.