Praveen Kumar Alluri
Hyderabad
Summary
Dedicated professional in clinical data management and medical claims adjudication, skilled in effective communication and thorough evaluations. Expertise in resolving discrepancies and conducting quality assurance, driving improvements in data accuracy and reporting.
Overview
10
10
years of professional experience
Work History
Clinical Data Management Coordinator/Trainee
Health Genic Solutions
Manchester
11.2023 - 12.2025
- Accurately inputted data into Electronic Data Capture (EDC) systems and conducted quality checks.
- Reviewed data listings to identify discrepancies and resolved queries with clinical sites.
- Created and maintained study databases alongside essential documentation.
- Conducted quality control reviews of data and reports to ensure accuracy and integrity.
Medical Adjudicator
Good Health TPA Ltd
Hyderabad
02.2021 - 09.2022
- Conducted thorough evaluations of medical documents, including case papers and discharge summaries.
- Retrieved and analyzed data from HCS software portal to support decision-making.
- Provided analytical reports to healthcare providers for informed decisions.
- Processed health claims efficiently within department guidelines.
- Reviewed investigation reports, doctor notes, prescriptions, and case sheets for accuracy.
Duty Medical Officer
Om Gandhi Multi Specialty Hospital
Hyderabad
09.2019 - 01.2021
- Documented comprehensive medical histories as primary patient contact.
- Conducted clinical examinations and presented findings to physicians.
- Executed physician orders during hospital rounds and interpreted test results.
- Managed patient follow-ups, providing counseling on treatment plans and medication adherence.
Health Claims Associate Manager
Reliance General Insurance Ltd
Hyderabad
09.2016 - 08.2019
- Executed claims adjudication and liability checks for effective processing.
- Processed claims within cashless department, ensuring timely resolutions.
- Reviewed and validated preauthorization forms alongside case summaries and medical reports.
- Administered deductions for non-medical expenses based on policy guidelines.
- Sought additional documentation and conducted thorough investigations as needed.
- Rejected claims in accordance with specified IRDA policy clauses.
- Oversaw operations as Health Claims Associate Manager, enhancing team performance.
Intern
Apollo Hospitals
Hyderabad
09.2015 - 09.2016
- Completed one year internship in Clinical Pharmacy Services across multiple departments including Infectious Diseases, Gastroenterology, Endocrinology, Cardiology, Nephrology, and ICU.
- Provided two months of specialized Clinical Pharmacy Services in Psychiatry.
Education
MSc - Public Health
University of East London
UK09.2023
Pharm.D - Doctor of Pharmacy
Osmania University
Hyderabad01.2016
B. Pharmacy -
Ousmania University
Hyderabad01.2013
Skills
- English communication skills
- Medical documentation review
- Electronic data capture
- Analytical reporting
- Microsoft Office proficiency
- Data analysis
- Anatomy knowledge
- Medical terminology
- Pharmacology fundamentals
- Pharmacotherapeutics principles
- Clinical pharmacy practices
Personal Information
- Date of Birth: 08/04/91
- Gender: Male
- Nationality: INDIAN
- Marital Status: Married
Disclaimer
I hereby declare that the information given above is true to the best of my knowledge and belief.
Languages
- Hindi
- English
- Telugu
Timeline
Clinical Data Management Coordinator/Trainee
Health Genic Solutions
11.2023 - 12.2025
Medical Adjudicator
Good Health TPA Ltd
02.2021 - 09.2022
Duty Medical Officer
Om Gandhi Multi Specialty Hospital
09.2019 - 01.2021
Health Claims Associate Manager
Reliance General Insurance Ltd
09.2016 - 08.2019
Intern
Apollo Hospitals
09.2015 - 09.2016
MSc - Public Health
University of East London
Pharm.D - Doctor of Pharmacy
Osmania University
B. Pharmacy -
Ousmania University