Swati Rawat
@swatirawat2
Healthcare Business Analyst blending PharmD, MBA, and analytics to optimize claims operations with data-driven KPIs.
What I'm looking for
I’m a results-driven Healthcare Business Analyst with a PharmD and an MBA in Hospital & Healthcare Management, combining clinical understanding with strong analytical and stakeholder management skills. I focus on turning complex, high-volume operational data into clear insights and measurable improvements.
In my current role, I analyze 50–80+ daily complex claim queries using CRM data tools and structured inclusion/exclusion logic, spotting recurring patterns that improve turnaround time (TAT) and resolution outcomes. I also build KPI monitoring frameworks for TAT, case volume, and resolution metrics, and share data-driven reports with senior management for evidence-based decisions across pan-India teams.
Previously as a Management Trainee, I executed structured data analysis on 50+ hospital billing cases in Excel, identifying cost variances and discrepancies and delivering process optimization recommendations. I proposed tariff standardisation and automation strategies that improved claim processing efficiency and accuracy, earning a Pre-Placement Offer (PPO) based on measurable impact.
Before pivoting fully into analytics, I worked in clinical roles as a Clinical Pharmacologist and Clinical Intern/UG Research Analyst, conducting medication reviews and pharmacovigilance KPI tracking while documenting outcomes and safety data. I leverage this background to communicate with clinical and operational stakeholders effectively, and to support requirements gathering, documentation, and evidence-based decision-making.
Experience
Work history, roles, and key accomplishments
Business Analyst & Team Lead
Care Health Insurance
Jan 2026 - Present (6 months)
Analyysed complex daily claim queries using structured inclusion/exclusion logic and CRM data tools to identify trends and drive process improvements in TAT and resolution rates. Built KPI monitoring frameworks and led cross-functional stakeholder engagement to translate insights into actionable recommendations.
Management Trainee – BA
Chil
Apr 2025 - Jun 2025 (2 months)
Performed structured data analysis on hospital billing cases using Excel to identify cost variances and produce a process optimisation report with actionable recommendations. Proposed tariff standardisation and automation strategies to improve claim processing efficiency and accuracy.
Clinical Pharmacologist
Max Super Speciality Hospital
Dec 2023 - May 2024 (5 months)
Conducted systematic medication reviews for complex patient cohorts using structured analytical frameworks to support evidence-based decision-making. Collaborated with multidisciplinary teams to monitor pharmacovigilance KPIs and adverse event trends and documented safety and treatment outcomes using structured templates.
Clinical Intern & UG Research Analyst
Shri Mahant Indiresh Hospital
Aug 2022 - Jul 2023 (11 months)
Designed and executed a cross-sectional research study using SPSS, including data collection, demographic segmentation, and subgroup analysis. Built and maintained datasets in Excel, developed WHO-guideline-based survey instruments, and synthesised findings into evidence-based conclusions presented to clinical supervisors.
Education
Degrees, certifications, and relevant coursework
Symbiosis International University
Master of Business Administration, Hospital & Healthcare Management
2024 - 2026
Master of Business Administration in Hospital & Healthcare Management with a Pharmaceutical Management focus at Symbiosis International University, Pune (2024–2026).
Shri Guru Ram Rai University
Doctor of Pharmacy (PharmD), Clinical Pharmacy
2017 - 2023
Doctor of Pharmacy (PharmD) in Clinical Pharmacy at Shri Guru Ram Rai University, Dehradun (2017–2023).
Tech stack
Software and tools used professionally
Availability
Location
Authorized to work in
Job categories
Skills
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