Raghu Vardhan Mutha

At UnitedHealth Group, I analyze Medicare, Medicaid, and commercial medical claims using Snowflake SQL and fee-schedule validation. My investigations into reimbursement discrepancies identified approximately $1.2M in potential annualized recovery and cost avoidance.

I reconcile EDI 837 claims with EDI 835 remittances to investigate denials and payment discrepancies. I also automate Python and Databricks quality checks, supporting approximately 98% reporting accuracy.

I work with stakeholders to turn reporting requirements into Power BI and Tableau dashboards, helping reduce ad hoc reporting requests by 40%. Previously, at Capgemini, I worked on medical claims ETL workflows, data validation, and reporting; I’m interested in Healthcare Data Analyst, Claims Data Analyst, Payment Integrity Analyst, or Healthcare BI Analyst opportunities.