Accomplished Data Engineering Manager with a proven track record, enhancing operational efficiencies by automating claims processes and spearheading revenue cycle management. Expert in project management and engineering design, I significantly improved billing ,coding and AR systems. Skilled in AWS ,Distributed computing strategic planning, my leadership has consistently driven business growth and team development.
As a Revenue Cycle Management (RCM) Data Manager responsible for overseeing and managing the healthcare organization’s revenue cycle data to ensure efficient billing, coding, claims processing, and revenue generation.
Worked on Coding, Billing, Payment Posting and A/R recovery process to predict high value claims to be recovered ,prioritize cashflow using ranking algorithm to handle denial,timely limits and staff skills.
Automated claim status check process to reduce manual load on agent for claim processing and streamline workflows with advanced technologies,improving operational efficiencies and reducing costs.
As a pharmaceutical data engineer with marketing experience, I have a unique combination of skills and expertise to design and implement data solutions that drive business growth and improve customer engagement in the highly regulated and competitive pharmaceutical industry.
· Worked on Personalization and Recommendation projects for Automobile ,HealthCare &Banking domain using RTI /ML Optimization platform that brings data science and engineering together in building machine learning models solving recommendation problems for clients.
· Worked on AWS,Azure, Data Ingestion, Choice management API,CDP, Feature generation, Scoring, Email Campaigns.
· Worked in Grubhub an online food ordering company.
· In E-commerce domain involved in design and development of ETL jobs in Python and Pyspark, Also contributed in Banking & Mortgage projects working on application development.
· Worked on Big data, Dotnet Core, AWS , Docker and SQL technologies.
· Worked on Webflow the workflow tool which is used by both hardware engineers and software engineers to upload their work products to achieve the end software required to flash in the Engine Control Unit (ECU) in Automotive domain
· Worked on Intranet, desktop and Web based application
· Worked on Csharp, WPF, MVC.Net, Node.js, Oracle, SQL technologies.
· The development modules involved screens to enable representatives to service customer calls through customer service portal for American Express Payment card holders in Banking domain
· Worked on ASP.Net, MSSQL, Blaze Rule Engine, VisualStudio technologies.
SKILLS
Hadoop Ecosystem: Spark, Hive, Hadoop
Languages: Python(Pandas/Pyspark), SQL, CSharp
AWS: Redshift, EMR, EC2, S3, Docker,Glue,Airflow,Quicksight
Azure: Databricks,ADF, FunctionApp,LogicApp,Storage
Database: MSSQL, MongoDB,Hbase
Tools: Agile, JIRA, GIT, PyCharm,Jenkins,Deequ
CDP: Adobe Experience Platform
CERTIFICATIONS
Professional Scrum Master Level -1 Certified
Snow Pro Core Certification
Adobe Qualifies- Adobe Experience Platform