At Optum, I analyze out of network claims and reimbursement trends, delivering exception reports that support revenue cycle leadership decisions. I also built Power BI dashboards to track denial rates, reimbursement variance, and payer performance.
At Mphasis, I delivered claims and reimbursement analytics for a healthcare payer client, including Tableau dashboards and SQL validation reports. Earlier, at Centene, I consolidated six recurring claims data feeds into a Tableau reporting view and produced an exception summary that prompted a change to the prior authorization review workflow.
