Kritika Datta
Noida
Summary
Advisory professional with hands-on experience in the healthcare domain, specializing in client-facing engagements, management reporting, and operational analytics. Strong expertise in preparing executive-level reports, driving insights, and supporting decision-making through structured analysis. Recognized for clear communication, problem-solving skills, and delivering value-driven consulting outcomes.
Overview
10
10
years of professional experience
2
2
Languages
Work History
Operations Associate Manager
HCLTech
04.2022 - 10.2025
- Partnered with global sales and business development leaders to support healthcare advisory engagements, including project scoping, solution alignment, and client presentations.
- Supported Healthcare and Health & Benefits (H&B) advisory engagements, assisting clients across employers, payers, and administrators in optimizing benefit operations.
- Analyzed benefits administration and healthcare processes to identify gaps, improve service delivery, and ensure SLA/TAT adherence.
- Delivered management reporting and operational insights to support decision-making around benefit performance, cost control, and efficiency.
- Ensured HIPAA-compliant handling of member and patient data, maintaining confidentiality and regulatory adherence.
- Ensured all quality parameters and SLAs were met in accordance with contractual requirements.
- Ensured strict compliance with HIPAA regulations, maintaining confidentiality of patient information.
- Coordinate with Partners and teams for the collection numbers.
- Following up with the project team to get the WIP numbers as per leadership requirement..
- Coordinate with client, and sales team for the invoice to be delivered with correct requirement to client.
- Manage the Master Data team for Customer Master, Material Master & Project Master record..
- Responsible for reporting of weekly & monthly O2C Dashboard..
Analyst
PwC India
04.2019 - 04.2022
- Supported clients in business process improvement, operational efficiency, and risk management.
- Analyzed financial, operational, and performance data to identify gaps and improvement opportunities.
- Assisted in management reporting, KPI analysis, and dashboard preparation.
- Conducted process documentation, gap analysis, and control testing.
- Prepared client presentations, reports, and executive summaries.
- Coordinated with cross-functional teams and stakeholders.
- Supported end-to-end advisory engagements by conducting data analysis, preparing working papers, and assisting in client deliverables
- Performed variance, trend, and root-cause analysis to support management decision-making
- Assisted in designing and improving internal controls and operational frameworks aligned with business objectives
- Contributed to risk assessment activities and identification of process inefficiencies across functions
- Supported project planning, status tracking, and milestone reporting to ensure timely delivery of engagements
- Conducted benchmarking and best-practice analysis to recommend process improvements
- Assisted senior consultants in developing insights and recommendations for client presentations
- Ensured accuracy, completeness, and compliance of reports and documentation as per PwC quality standards
Senior Associate
Optum Services
12.2018 - 03.2019
- Taking care of collections from the patient and preparing the SOA for the clients.
- Resolved discrepancies in invoice.
- Handled incoming calls for client's queries and resolved invoice discrepancies.
- Assisted in month-end closing and reporting.
- Prepared Daily productivity tracker and published it to business and management.
- Performed quality check for the claim processed.
Associate
IBM India
11.2015 - 02.2018
- Verified patient eligibility and coverage for insurance plans (Commercial, Medicare, Medicaid).
- Verified benefits including: Deductible, co-pay, co-insurance, Out-of-pocket maximums, Coverage limitations and exclusion.
- Verified prior authorization / referral requirements.
- Documented verification details accurately in EMR / billing systems.
- Supported reduction of claim denials and AR delays.
- Ensured compliance with HIPAA regulations.
- Taking care of the portfolio assigned and following up for the collection.
- Making track of the client call and notes.
- Calculating the payments and making the track of all short payments and connecting with client over call or mail.
- Taking care of all the urgent processing requests, Escalations and timely responding to all the emails without any escalations.
- Handling every month end activities effectively without any issues.
- Preparing the cash projection report on monthly basis.
Education
BSIT -
KurukshetraUniversity
Kurukshetra, IndiaHighSecondarySchool -
Pinewood
Saharanpur, IndiaTimeline
Operations Associate Manager
HCLTech
04.2022 - 10.2025
Analyst
PwC India
04.2019 - 04.2022
Senior Associate
Optum Services
12.2018 - 03.2019
Associate
IBM India
11.2015 - 02.2018
BSIT -
KurukshetraUniversity
HighSecondarySchool -
Pinewood