Gunja Jain

· Handling portfolio of Enterprise Data Analytics in healthcare provider space (Strategic Provider System – more than $250K engagement), Provider Business operation, Health economics, Consumer/Marketing Analytics, BSA/Product Capability, & Commercial Risk Adjustment IT solutioning (Healthcare Exchange)

· Potential to build in-house capability and run end to end

· Successfully have taken the 100% ownership from India, and became direct IT partners for business teams in various applications to mature Global Capability Center

· Built BSA – Techno US healthcare Functional capability in India

· Handling a portfolio of 700+ at present across different verticals of Elevance business

Portfolio handled in Legato & Outcomes

· Marketing Analytics - CRM Omnichannel Marketing

- Built Marketing Analytics Team on Cloud marketing data strategy, Campaign design and customer journey builder for enrolment and retention strategy

- Migration of Marketing data strategy from SQL server to AWS

· Data Distribution and Transformation – Enterprise Data Analytics

- Proactive Vendor Strategy – 2020 EDA Saving - $72,530 & 2021 - $1,404,083

- In-house Product Design, DaaS (Data as a Service), Faster Data Delivery by 10x

· Strategic Provider System/EPDS V2 – Enterprise Data Analytics

- One of the Elevance Blue chips initiative worth $250M

- Set up right team, drove accountability for transforming legacy provider ecosystem from multifaceted and cumbersome to more robust, modern, logically/functionally strong to improve data quality, productivity, and user experience.

- 100% accountability in all providers legacy applications from India

- Strong relationship across different Anthem partners, Vendors, and business

- Successful collaboration by running SWAT, WAR rooms between Claims IT, SPS and legacy platform

· Commercial Risk Adjustment, HIX – Enterprise Data Analytics

- 100% accountability from India, direct IT partner for business team for Affordable Care act claims submission as per CMS guideline

- Robust partnership to achieve/exceed goals with $550M total value generated in 2020-year submission

- RA opportunity leakage reduced to $3.5M, 99%+ CMS acceptance

- 80% reduction in production job failure

· BSA/DA Competency, SAS Ad-hoc reporting, and B&C – Enterprise Data Analytics

- Successfully build techno functional competency by different healthcare pillars to drive from front to take 100% accountability

· Act as a technical consultant around organization centralized data strategy, conceptualization & innovation in Novartis

· Build in-house data analytics capability along with vendor retrenchment

· Conducted Novartis Global level workshop on data strategy planning and strategy across all function of Novartis like Procurement, clinical, risk and compliance, etc.

· Developed Survey analytics solution

· Build capability on BI competency like Tableau, qlik Sense, alteryx and BI data strategy

· Built omni channel campaign solution

· Technical mentor for delivery project teams

• One of the early joiners with Optum analytics team to start Optum Health Consumer/ Marketing Analytics
• Set up Propensity enroll indexing which lift 23% in member enrollment
• Population health data build and automate model scoring which saved $63K
• Reduced the vendor cost survey reporting and developed in-house which saved $64K/quarter
• Automated the survey analytics which saved $32,864
• won the first Ignite DataViz Challenge – solution building around Nurse line cum customer survey analytics solution which had monetary impact of $116K
• Built in-house capability on omni channel Campaign solution
• Set up Data quality for Medicaid/Medicare business on provider payment, 835 transactions
• Handled team of 40 associates