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@mohitgaba
Healthcare operations analyst optimizing clinical workflows and claims processes.
I am a detail-oriented healthcare operations analyst with 2.5+ years of experience in U.S. healthcare operations, specializing in claims adjudication, prior authorizations, and process optimization across multiple EHR platforms. I combine clinical knowledge from a Doctor of Pharmacy background with analytical tools—SQL, Power BI basics, and Excel automation—to improve operational efficiency, reduce escalations, and support data-driven decision-making.
I have led initiatives in account onboarding, access provisioning, and quality tracking, and I regularly present workflow updates and revenue-impact analyses to stakeholders. Recognized for leadership and collaboration, I implemented automation that streamlined team workflows, earned Employee of the Month, and contributed to step-therapy and prior authorization improvements that prioritized patient-centric formulary decisions.
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Work history, roles, and key accomplishments
AMPS Healthcare Pvt. Ltd.
Jan 2022 - Present (3 years 10 months)
Manage claims adjudication and prior authorization workflows across multiple EHR platforms, improving processing speed and accuracy while delivering project reports and stakeholder updates that reduce client escalations.
Degrees, certifications, and relevant coursework
Doctor of Pharmacy, Pharmacy
2016 - 2022
Completed Doctor of Pharmacy program with coursework and training in pharmaceutical sciences and clinical practice from 2016 to 2022.
Higher Secondary Certificate, BiPC (Biology, Physics, Chemistry)
2014 - 2016
Completed BiPC stream studies (biology, physics, chemistry) during higher secondary education from 2014 to 2016.
Secondary School Certificate, Secondary Education
Completed Secondary School Certificate (SSC) education, finishing in 2014.
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