Accomplished Salesforce Business Analyst with a proven track record at Commonwealth Financial Network, enhancing data accuracy by 25% through expert data mapping and integration. Skilled in SQL and relational databases, I excel in process improvement, demonstrating strong analytical capabilities and a commitment to regulatory compliance.
Overview
15
15
years of professional experience
1
1
Certification
Work History
Salesforce Business Analyst
Commonwealth Financial Network
03.2024 - 11.2024
Collaborated with stakeholders to identify and clarify data needs related to insurance, medical claims, and eligibility, ensuring alignment with regulatory requirements for Medicaid and Medicare, resulting in a 15% reduction in data processing errors
Mapped claims, pharmacy, and supplemental clinical data into a normalized model, optimizing claims reporting and improving data accuracy by 20%
Conducted root cause analysis on data discrepancies, enhancing data quality and contributing to a 10% improvement in reporting efficiency
Supported clinical quality initiatives by improving patient rosters and ensuring compliance with HEDIS requirements, resulting in a 12% improvement in quality metrics
Provided subject-matter expertise on Population Health data to support the implementation of health plan operations and value-based care initiatives
Salesforce Business Analyst
Sketchers
Frisco, TX
03.2023 - 02.2024
Led the integration of claims data into Salesforce, enhancing business insights and operational efficiency, which resulted in a 20% increase in overall data retrieval efficiency
Worked with cross-functional teams to clarify business processes and map insurance and eligibility data, streamlining data integration and reducing error rates by 18%
Implemented system optimizations based on root cause analysis of data issues, improving data quality by 22% and supporting claims processing enhancements
Supported value-based care KPIs and healthcare operations by mapping clinical data to business requirements, improving provider and revenue tracking by 15%
Salesforce Business Analyst
JB Hunt
Irving, TX
03.2019 - 11.2021
Mapped insurance claims and eligibility data to a normalized model within Salesforce, improving the integration of claims processing data with health plan operations, leading to a 17% increase in operational efficiency
Conducted discovery sessions with stakeholders to clarify current and future data needs, streamlining the implementation of clinical quality initiatives and reducing implementation time by 15%
Collaborated with technical resources to perform root cause analysis of data quality issues and provided remediation strategies, enhancing claims data accuracy by 18%
Designed and supported reporting and analytics initiatives for Medicaid, Medicare, and commercial populations, improving reporting speed and data visibility by 20%
Salesforce Business Analyst
AbbVie
Irvine, CA
08.2017 - 02.2019
Managed data integration and mapping for claims and clinical data, improving data accuracy by 25% and supporting compliance with regulatory requirements
Led the validation and testing of claims and eligibility data mapping to ensure alignment with industry standards, contributing to a 20% improvement in data consistency
Provided ongoing support for clinical quality initiatives and HEDIS, optimizing reporting processes and improving key performance indicators by 10%
Assisted with the design of data models to support Population Health and Insurance use cases, resulting in a 15% increase in efficiency in care management and reporting
Salesforce Business Analyst
Riverbed Technologies
San Francisco, CA
09.2015 - 07.2017
Conducted data mapping for medical and pharmacy claims to support value-based care KPIs, resulting in a 17% improvement in clinical quality outcomes
Collaborated with stakeholders to ensure the integration of claims and eligibility data into business systems, improving operational workflows by 20%
Performed data analysis and gap identification for care management and risk management initiatives, enhancing the organization's ability to meet health plan regulations
Managed reporting processes and provided data insights to support clinical quality, value-based care, and interoperability initiatives, improving reporting efficiency by 12%
Business Analyst
Argus Info Systems
, India
04.2010 - 06.2012
Led the discovery and analysis of insurance claims, eligibility data, and care management systems, identifying gaps and improving data quality by 15%
Assisted in the mapping of claims and billing data to standardized models, supporting improved integration with healthcare management systems and reducing data issues by 18%
Supported the design and implementation of data models to improve operational workflows for healthcare organizations, resulting in a 10% increase in processing efficiency
Worked on streamlining reporting processes for clinical and operational data, contributing to improved decision-making and faster response times
Education
Bachelor of Engineering - Electronics and Communications
Anna University
Chennai, India
01.2008
Skills
Data Mapping & Integration
Population Health & Insurance Data Domains
Healthcare Systems
SQL & Relational Databases
Salesforce CRM & Data Model Design
Root Cause Analysis & Data Quality Remediation
Regulatory Compliance
Financial Analysis & ROI
Process Improvement & Optimization
Reporting & Analytics
Certification
Salesforce Certified Administrator.
Salesforce Certified Platform Developer I.
Salesforce Certified Platform Developer 2.
Salesforce Certified Sales Cloud Consultant.
Salesforce Certified Service Cloud Consultant.
Languages
English
Full Professional
Tamil
Native/ Bilingual
Telugu
Native/ Bilingual
Hindi
Limited
Timeline
Salesforce Business Analyst
Commonwealth Financial Network
03.2024 - 11.2024
Salesforce Business Analyst
Sketchers
03.2023 - 02.2024
Salesforce Business Analyst
JB Hunt
03.2019 - 11.2021
Salesforce Business Analyst
AbbVie
08.2017 - 02.2019
Salesforce Business Analyst
Riverbed Technologies
09.2015 - 07.2017
Business Analyst
Argus Info Systems
04.2010 - 06.2012
Bachelor of Engineering - Electronics and Communications
Anna University
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