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Kritika
Data Analyst
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Competencies
Demonstrated experience with SQL (Joins, CTEs, Window Functions, Stored Procedures, Query Optimization).
Demonstrated experience with Python (Pandas, NumPy, Scikit-learn, Matplotlib).
Demonstrated experience with R.
Demonstrated experience with SAS.
Demonstrated experience with Excel (Power Query, Power Pivot, VBA).
Education
Summary
Data Analyst open to new opportunities
Experience
Healthcare Data Analyst
Analyzed 5M+ claims, clinical, and member datasets using advanced SQL, identifying utilization trends and cost drivers.. Conducted EDI 837/835 claims analysis to identify denial patterns and coding inaccuracies.. Built Power BI and Tableau dashboards tracking HEDIS, HCC risk scores, and revenue cycle KPIs for executive stakeholders.. Performed HCC risk adjustment analysis evaluating RAF score trends and diagnosis accuracy.. Designed and optimized SQL-based ETL pipelines using AWS Redshift and Azure Data Factory.. Gathered and documented business requirements (BRDs/FRDs) from clinical, finance, and actuarial teams, translating them into analytics solutions and reporting specifications.. Conducted cohort analysis and predictive modeling using Python to identify high-risk patients.. Implemented data validation frameworks ensuring PHI security, data lineage, and HIPAA compliance.
Healthcare Data & Reporting Analyst
Extracted and validated multi-source EHR and claims datasets using SQL and Python.. Conducted exploratory data analysis identifying readmission drivers and utilization trends, supporting population health initiatives and care quality outcomes.. Developed automated Power BI and Tableau dashboards tracking clinical KPIs and revenue cycle metrics.. Supported HEDIS reporting by validating numerator and denominator logic, ensuring CMS compliance and accuracy of quality measure submissions.. Designed SQL and Python-based ETL pipelines to streamline data ingestion and transformation.. Partnered with clinicians and IT teams to define KPIs, document requirements, and implement data-driven reporting solutions across care delivery workflows.
Healthcare Business & Data Analyst
Analyzed large-scale EHR and claims datasets, implementing validation rules and automation.. Developed predictive models using Python and R for patient risk stratification and cost forecasting.. Built SQL-based data marts supporting revenue cycle analytics and utilization tracking.. Designed Power BI and Tableau dashboards tracking HEDIS, readmissions, and financial KPIs.. Documented business and functional requirements and performed trend, variance, and cost analysis to support strategic decision-making and resource allocation.. Ensured HIPAA-compliant data handling, governance documentation, and audit readiness across healthcare data systems.
Report Analyst (Healthcare)
Queried and transformed high-volume healthcare datasets from Oracle, MySQL, and Redshift environments to support clinical and claims analytics initiatives.. Automated recurring operational and financial reports using Python (Pandas) and Power BI.. Performed trend and variance analysis on patient care, utilization, and reimbursement datasets to identify anomalies and cost leakage patterns.. Enhanced AWS-based healthcare data pipelines (RDS, Data Pipeline), improving data accessibility and refresh reliability for reporting teams.. Collaborated with cross-functional stakeholders to gather reporting requirements and translate healthcare metrics into executive-level insights.