Sonali Nalwade
Hyderabad
Summary
Result-oriented finance professional with over four years of experience in healthcare claims, appeals, and auditing at Carelon Global Solutions, and currently working in advisory at PwC. Proven expertise in financial analysis, stakeholder coordination, and compliance with regulatory frameworks, like Medicare/Medicaid. MBA in Finance with solid knowledge of project financials, budgeting, reporting, and audit support.
Overview
5
5
years of professional experience
Work History
Advisory Services Analyst – Advisory
PWC
Hyderabad
05.2025 - Current
- Support cross-functional client engagements in delivering operational and financial advisory services.
- Assist in budgeting, risk reviews, and financial reporting for enterprise clients.
- Collaborate with consulting teams to conduct financial analysis, ensuring compliance with client and PwC standards.
- Engage in planning, tracking, and execution activities related to project deliverables and timelines.
Process Analyst
Carelon Global Solutions LLP
Hyderabad
12.2020 - 05.2025
- Managed grievance and appeals inquiries, providing accurate responses in line with Medicare and Medicaid regulations.
- Conducted audits of medical claims using ICD, CPT, HCPCS codes, and EOBs to ensure accurate billing and prevent denials.
- Collaborated with internal departments and risk teams to resolve overpayments and claims disputes.
- Validated system/manual review processes, and ensured prompt claims settlement.
- Guided Medicare beneficiaries through eligibility clarifications, and escalated issue resolution.
- Played a key role in maintaining workflow accuracy and turnaround time standards.
Education
MBA - Accounting And Finance
R.G. Kedia College
Hyderabad11-2023
Bachelor of Computer Applications - Computers
Indian Institute of Management And Commerce
Hyderabad01-2020
Skills
- Engagement and project financial support
- Budgeting and forecasting
- Financial analysis and reporting
- Healthcare claims and auditing
- Risk management routing
- Compliance and quality review
- MS Excel, Word, and PowerPoint
- SAP (Systems, Applications, and Products in Data Processing)
- Medicare/Medicaid policy understanding
- Strong communication and time management
Declaration
I hereby declare that the information provided above is true to the best of my knowledge and belief
Sonali Nalwade
Timeline
Advisory Services Analyst – Advisory
PWC
05.2025 - Current
Process Analyst
Carelon Global Solutions LLP
12.2020 - 05.2025
MBA - Accounting And Finance
R.G. Kedia College
Bachelor of Computer Applications - Computers
Indian Institute of Management And Commerce
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