Healthcare Business Analyst with 11+ years of experience in payer and provider organizations. Expertise in claims administration (adjudication and adjustments), provider management, healthcare billing, provider appeals and grievances, and coverage validation. Proficient in eliciting, analyzing, and documenting requirements. Adept at strategic planning, data analysis, and collaborating effectively to deliver results. Proven ability to streamline processes, implement healthcare solutions, and drive operational efficiencies using Agile Scrum methodologies.