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Tendai User

@tendaiuser

Message

I analyze healthcare risk and performance data to guide pricing, coverage, and strategic decisions.

United States

Message

What I'm looking for

I'm looking to apply healthcare risk assessment, reporting, SQL, Tableau, and Excel modeling to support data-driven pricing, contract performance, and strategic business decisions.

At Blue Cross Blue Shield of Texas, I evaluate medical records and health applications to determine eligibility and risk for complex health insurance coverage plans.

I model premium rates, set contract terms, and translate data from SQL databases, APIs, and CRM systems into executive-level financial performance reports. I also build Tableau dashboards and custom Excel models to assess guarantees, market disruptions, and pricing comparisons.

I partner with agents, brokers, and cross-functional teams to explain underwriting decisions and coverage impacts. I document business and functional requirements, map processes in Visio and UML, and ensure work aligns with ACA and HIPAA requirements.

Experience

Work history, roles, and key accomplishments

Current

Associate Underwriter

Current

Blue Cross Blue Shield of Texas

Jan 2025 - Present (1 year 8 months)

Conducts deep-dive analysis of medical records and health applications to evaluate risk and determine eligibility for complex coverage plans. Supports financial sustainability by modeling premium rates and setting contract terms, ensuring compliance with ACA and HIPAA.