Design, develop, and maintain dashboards, reports, and analytical solutions using Power BI and SQL.
Analyze large healthcare claims datasets to identify trends, anomalies, savings opportunities, and compliance risks.
Support Payment Integrity initiatives through data analysis, reporting, and measurement of program effectiveness.
Collaborate with business stakeholders, compliance teams, clinical teams, and technology teams to gather and translate requirements into analytics solutions.
Provide recommendations on end-to-end analytics workbench architecture for regulatory, compliance, and operational reporting.
Develop data models, KPIs, scorecards, and executive dashboards that support strategic decision-making.
Ensure data quality, accuracy, governance, and consistency across reporting solutions.
Leverage AI-enabled analytics concepts and technologies to improve insights generation, automation, and reporting effectiveness.
Support root cause analysis, trend analysis, forecasting, and performance measurement initiatives.
Document business logic, metrics definitions, and reporting frameworks.