# pavithra kanchi

pavithra kanchi is a remote worker on Himalayas, Senior Operations Analyst at Optum, based in United States.

Source: https://himalayas.app/@pavithrakanchi

```text
Senior Operations Analyst at Optum who automated reimbursement and denial KPI reporting, reducing manual reporting effort by 25%.
```

| Detail | Value |
| --- | --- |
| Availability | Looking for a job |
| Location | United States |
| Authorized to work in | United States |
| Salary expectations | 140k+ INR |
| Job categories | Operations Analyst, Business Analyst, Health Data Analyst |
| Skills | Revenue Cycle Analytics, Claims Analytics, Out Of Network, Reimbursement Analysis, Denial Management, ADR Workflows, Payer Reimbursement, Claims Adjudication, Revenue Cycle Operations, Payment Variance Analysis, SQL, T SQL, Tableau, Power BI, DAX |

## About

```text
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.
```

## Experience

### Senior Operations Analyst (current)

[Optum](https://himalayas.app/companies/optum). Jan 2026 - Present

```text
Analyzed out of network claims and reimbursement trends using SQL and Tableau, delivering exception reports that supported revenue cycle leadership decisions. Built Power BI dashboards with DAX measures tracking denial rates, reimbursement variance, and payer performance.
```

Skills: SQL, Tableau, Power-BI, DAX, Power-Query, Excel, Root-Cause-Analysis, BRD-FSD, UAT, Jira

### Business Analyst

Mphasis. May 2022 - Nov 2023

```text
Delivered claims and reimbursement analytics for a healthcare payer client, mapping source-to-target fields and validating reporting datasets in SQL. Built Tableau dashboards tracking denial trends, payment variance, and reimbursement cycle metrics.
```

Skills: SQL, Tableau, BRD-FSD, User-Stories, Stakeholder-Workshops, UAT, Jira, Process-Mapping

### Healthcare Data Analyst

[Centene](https://himalayas.app/companies/centene-corporation). Jul 2019 - Apr 2022

```text
Developed SQL queries against claims, member, and provider data to support Medicaid and Medicare reimbursement and utilization reporting. Validated and reconciled claims extracts in SQL Server, producing data quality exception reports for payer operations and compliance stakeholders.
```

Skills: SQL, SQL-Server, Tableau, Data-Validation, Root-Cause-Analysis, HIPAA

## Education

### Tufts University

Master's, Computer Science. Grade: 3.9 / 4.0

```text
Pursuing a Master's in Computer Science at Tufts University with a GPA of 3.9/4.0.
```

## Tech stack

- Snowflake
- Tableau
- NumPy
- Pandas
- dbt
- Jira
- Python
- Confluence
- Airflow
- SQL
- Power BI
- Power Query

To contact pavithra, message them from this profile with a Himalayas employer account: [Hire on Himalayas](https://himalayas.app/hire).

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