Sharmistha Ganguly
@sharmisthaganguly
I improve healthcare claims workflows through data validation, payment integrity, and exception analysis.
United StatesWhat I'm looking for
I'm supporting Peraton's modernization of the CMS Fraud Prevention System, documenting investigative and triage workflows for claims-related review.
Previously at ClarisHealth, I analyzed government claims-data integrations, validated data with SQL and DOMO, and investigated quality discrepancies across pipelines and dashboards.
I've also supported healthcare payment-integrity products, rules engines, provider-engagement features, and fraud-prevention reporting. My work centers on translating rules into traceable requirements, expected results, and testable acceptance criteria.
Across healthcare, financial services, and technology-enabled operations, I bring 22+ years of experience checking accuracy, resolving exceptions, maintaining detailed records, and partnering with QA on regression coverage.
Experience
Work history, roles, and key accomplishments
Business Analyst Advisor
Peraton
May 2025 - Present (1 year 4 months)
Supported modernization of the CMS Fraud Prevention System, including investigative portal and reporting capabilities. Documented workflow requirements and acceptance criteria, and maintained traceable records.
Senior Business Systems Analyst
ClarisHealth
Nov 2024 - Feb 2025 (3 months)
Analyzed requirements for integrating government claims data into a healthcare platform. Used SQL and DOMO to validate data, investigate edge cases, and identify discrepancies.
Enterprise Business Analyst
SiloSmashers, Inc.
Mar 2024 - Aug 2024 (5 months)
Documented business rules and operational workflows for a government contract-management implementation. Maintained traceability between requirements and testing, and coordinated user acceptance testing.
Business Analyst
SP Plus Corporation
Sep 2022 - Feb 2024 (1 year 5 months)
Documented booking, billing, and exception workflows for a nationwide parking operations platform. Supported functional and integration testing, tracked discrepancies, and verified fixes.
Product Manager / Business Analyst
ClarisHealth
Feb 2020 - Aug 2022 (2 years 6 months)
Supported a healthcare payment-integrity module and provider-engagement features. Documented rules-engine, data-pipeline, and workflow requirements, and created reporting dashboards.
Education
Degrees, certifications, and relevant coursework
College of Engineering Technology
Master of Computer Application, Computer Application
Master of Computer Application degree from the College of Engineering Technology, Bhubaneswar, India.
Sambalpur University
Bachelor of Science, Chemistry
Bachelor of Science with Honors in Chemistry from Sambalpur University, Rourkela, India.
Scrum Alliance
Certified Scrum Product Owner (CSPO), Scrum
Certified Scrum Product Owner (CSPO) certification.
Scrum Alliance
Certified Scrum Master (CSM), Scrum
Certified Scrum Master (CSM) certification.
Scaled Agile
SAFe POPM, Agile
SAFe POPM certification.
Pendo
AI for Product Management, Product Management
AI for Product Management certification from Pendo.
Tech stack
Software and tools used professionally
Availability
Location
United StatesAuthorized to work in
Salary expectations
Social media
Skills
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