sureshkumar jadhav
@sureshkumarjadhav
Business analyst specializing in US healthcare, data-driven process improvement.
IndiaWhat I'm looking for
I am a results-driven Business Analyst with 6+ years of experience in US healthcare and insurance operations, focused on translating complex operational data into actionable insights.
I have led end-to-end requirements gathering (BRD/FRD), gap analysis, and process mapping for claims adjudication and RCM, driving improvements such as a ~15% increase in claims accuracy and a 10% improvement in first-pass resolution.
I build advanced Excel solutions (VLOOKUP, INDEX-MATCH, Pivot Tables, VBA) and dynamic Power BI dashboards to monitor KPIs, support decision-making, and ensure HIPAA-compliant reporting.
I collaborate across onshore and offshore teams, execute UAT, author SOPs and training materials, and mentor junior analysts to uphold quality and operational excellence.
Experience
Work history, roles, and key accomplishments
Business Analyst - Sr. Consultant
Deloitte India
Mar 2022 - Sep 2024 (2 years 6 months)
Led end-to-end requirements gathering and process improvements for US health and life insurance claims operations, improving claims accuracy by ~15% and delivering dashboards and SOPs for operational governance.
Business Analyst - Sr. Knowledge Specialist
Mphasis
Jan 2020 - Jul 2021 (1 year 6 months)
Documented requirements and process maps for US claims adjudication, implemented COVID-19 claims workflow improvements and helped increase first-pass claim resolution by 10%.
Claims Analyst (Associate)
Concentrix Daksha
Sep 2018 - Jan 2020 (1 year 4 months)
Processed and adjudicated Medicare, Medicaid, and commercial claims with >98% accuracy using OSCAR and INSINQ, maintaining trackers for productivity and quality.
Operations Analyst
TBSS / Conneqt Business Solutions
Sep 2017 - Jul 2018 (10 months)
Supported insurance policy operations for Bajaj Allianz, handling premium calculation, policy issuance, and customer account management while contributing to onboarding process improvements.
Education
Degrees, certifications, and relevant coursework
Savitribai Phule Pune University
Master of Business Administration, Information Technology
Master of Business Administration in Information Technology completed in May 2014.
Hitech Institute of Technology
Bachelor of Engineering, Electronics & Telecommunication
Bachelor of Engineering in Electronics and Telecommunication completed in May 2011.
Shivaji High School, Pune
Higher Secondary Certificate, Science
Higher Secondary Certificate in Science completed in March 2005.
Tech stack
Software and tools used professionally
Availability
Location
IndiaAuthorized to work in
Job categories
Skills
Interested in hiring sureshkumar?
You can contact sureshkumar and 90k+ other talented remote workers on Himalayas.
Message sureshkumarFind your dream job
Sign up now and join over 100,000 remote workers who receive personalized job alerts, curated job matches, and more for free!
