Bhanuprakash M N

• Analyzed healthcare data using SQL and Excel to identify trends and improve decision-making.

• Configured and maintained healthcare plans in the Facets system.

• Translated business requirements into system configurations and data solutions.

• Performed data validation and ensured the accuracy of claims and member data.

• Created reports and dashboards for business and operational teams.

• Collaborated with cross-functional teams to resolve data and system issues.

• Improved process efficiency by identifying gaps and recommending solutions.

• Supported production issues, testing, and system enhancements.

• Configured healthcare plans using facets
Bangalore
•Worked on healthcare benefit configuration
• Performed data validation and ensured data accuracy
• Performed peer review to ensure accuracy and compliance with business requirements
• Conducted peer review of configuration and data outputs to ensure quality, accuracy and adherence to standards

• Processed and adjudicated healthcare claims as per business rules and policy guidelines.

• Reviewed and validated claims data for accuracy, completeness, and compliance.

• Worked with the member rework team to maintain accuracy with claim processing.