Pratheeksha Alwapuram

I’m a Healthcare Data Analyst with 3+ years of experience delivering claims, clinical, and population health analytics across payer and life-sciences environments. I focus on turning complex healthcare data into actionable insights for regulatory, operational, and strategic decision-making.

At CVS Health, I analyzed large-scale pharmacy and medical claims to design cohort logic and utilization metrics that supported enterprise chronic-care optimization. I built SQL analytics models on Snowflake to integrate claims, eligibility, and provider datasets, reducing reconciliation discrepancies by 31% and accelerating monthly reporting cycles. I also developed Power BI dashboards to track utilization, cost leakage, and quality measures, improving executive decision turnaround time by 24%, while leading CMS-aligned quality and risk adjustment analysis across 18 provider groups.

Previously at Pfizer, I worked on oncology analytics by developing automated Python and SQL pipelines that integrated EHR extracts with payer files, cutting manual reconciliation effort by 28%. I performed population health and risk adjustment analysis across 14 regions and built Tableau dashboards for HEDIS measures and utilization trends, reducing ad hoc analysis turnaround time by 22%.

I’m especially driven by end-to-end ownership—requirements to validation to release—backed by strong HIPAA-compliant data governance, audit readiness, lineage tracking, and data quality validation. I enjoy collaborating with data engineering teams to improve ETL reliability and deliver compliant, trustworthy insights that move real outcomes.