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Mounika Kanumuri

@mounikakanumuri

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Results-driven Business Analyst optimizing healthcare workflows and systems.

United States

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What I'm looking for

I am looking for a role that fosters collaboration, innovation, and continuous improvement in healthcare systems.

I am a results-driven Business Analyst with over 5 years of experience in optimizing healthcare workflows, leading system integrations, and implementing data-driven improvements to enhance operational efficiency and patient care outcomes. My expertise lies in business process analysis, gathering requirements, and managing stakeholders to streamline healthcare claims processing and EHR integration.

Throughout my career, I have successfully led initiatives that reduced processing times and improved accuracy in claims management. My strong analytical skills, combined with proficiency in SQL, Python, and Tableau, allow me to analyze large datasets effectively, identify inefficiencies, and implement insights that enhance decision-making. I am adept at utilizing Agile methodologies and managing project timelines to ensure successful system implementations and continuous post-implementation support.

I pride myself on being a strong communicator and collaborator, engaging cross-functional teams to drive consensus and project success. My commitment to improving healthcare operations is reflected in my ability to bridge the gap between business and technical teams, ensuring that solutions align with organizational goals and regulatory standards.

Experience

Work history, roles, and key accomplishments

Current

Business Analyst

Current

UnitedHealth Group

Aug 2024 - Present (10 months)

Led the enhancement of a Healthcare Claims Processing System (HCPS) by streamlining claims intake, validation, adjudication, and payment workflows, reducing processing time by 20% and improving claims accuracy. Conducted 25+ stakeholder interviews and performed data analysis using SQL and Python to assess claims processing metrics, identifying process inefficiencies and reducing claims rejections

Healthcare Claims SQL Python Agile Methodologies Jira Confluence Power BI HIPAA CMS

Business Analyst

NextGen Healthcare

Aug 2020 - May 2023 (2 years 9 months)

Implemented and optimized hospital operational workflows by integrating data-driven insights, patient management systems, and best practices to enhance efficiency and reduce administrative bottlenecks. Facilitated cross-functional workshops to gather and document Functional and Business Requirements, reducing requirement gathering time by 25%. Applied advanced data analytic techniques using SQL an

Data Analysis SQL Python Jira Confluence EHR Integration HIPAA HITECH

Business Analyst

Deloitte

Apr 2018 - Jul 2020 (2 years 3 months)

Conducted comprehensive business analysis to support the expansion of the healthcare provider network, ensuring alignment with organizational goals and regulatory requirements. Facilitated 30+ stakeholder interviews and developed detailed process models using Visio and BPMN to map out provider onboarding, credentialing, and claims processing workflows, streamlining administrative procedures and re

Healthcare Provider Network Expansion Business Analysis Visio SQL Power BI Risk Assessment Regulatory Compliance HIPAA CMS

Education

Degrees, certifications, and relevant coursework

The University of Texas, Dallas

Master of Science, Management Sciences

Pursued advanced studies in Management Sciences, focusing on analytical and quantitative methods for business decision-making. Gained expertise in optimizing organizational processes and strategic planning.

NTR University- Shadan Medical College

MBBS (Bachelors in Medicine and Bachelors in Surgery), Medicine and Surgery

Completed a comprehensive medical degree, covering foundational and advanced topics in medicine and surgery. Developed strong clinical skills and a deep understanding of human anatomy, physiology, and pathology.