Open to opportunities

Mita Dwivedi

@mitadwivedi

Message

I am an experienced data analyst with strong Excel, SQL, and healthcare claims processing expertise.

United States

Message

What I'm looking for

I seek a data-analyst role in healthcare claims where I can apply Excel, SQL and QA skills within a collaborative, process-driven team focused on accuracy and compliance.

I am a data analyst with extensive hands-on experience in healthcare claims processing, enrollment, and credentialing. I excel at Excel, SQL, and specialist systems such as FACETS, Softheon, UMV, Centene Apps, CVS Care and OMNI, and I apply strong analytical skills to ensure accurate submissions and reporting.

I have worked in Agile and Waterfall environments and used automated testing tools (Selenium, QTP, TestNG) to support quality and data integrity. I am committed to confidentiality, producing high-quality work, and creating process templates and reporting that improve claims throughput and compliance.

Experience

Work history, roles, and key accomplishments

Current

Credentialing Analyst

Current

Compunnel, Inc

Feb 2022 - Present (3 years 6 months)

Perform credentialing and claims submission for integrated care management, create and maintain data sheets and guidelines, reconcile Softheon and UMV statuses, and report submission progress to management.

Credentialing MS Excel Softheon UMV Claims Processing Data Entry Reporting Centene Apps

Credentialing Analyst

Reqroute Inc

Sep 2021 - Feb 2022 (5 months)

Performed credentialing and claims submission activities, maintained templates and health-plan rules, updated records in Softheon and UMV, and reported submission status to management using Excel.

Credentialing MS Excel Softheon UMV Data Validation Reporting

Enrollment Analyst

Reqroute Inc

Sep 2020 - Mar 2021 (6 months)

Managed enrollment and claim-processing workflows, created health-plan guideline templates, updated Softheon and reconciled statuses with UMV, and reported claim status using Excel.

MS Excel Softheon UMV Enrollment Process Claims Processing Data Entry Reporting Health Plan Guidelines

Data Analyst

Reqroute Inc

Sep 2019 - May 2020 (8 months)

Processed and submitted insurance claims per government and health-plan rules for an integrated care management application; maintained claim-status reporting and created templates and data sheets using Excel and Centene/Softheon tools.

MS Excel SQL Claims Processing Softheon Centene Apps UMV Omni Data Entry

Data Analyst

Aptech Education

Jul 2007 - May 2008 (10 months)

Ensured accuracy and relevancy of data entry into databases, processed supplier invoices and sales/survey data, performed data review and cleanup, and handled confidential information per security protocols.

Data Entry Database Management MS Excel Confidentiality Reporting Quality Assurance