Adhikaran Saini
Informatics Data Analyst @Community Health Group
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WORK HISTORY
Informatics Data Analyst @Community Health Group
Chula Vista, CA, US
Supporting company leadership by building reports (Excel & SSRS), dashboards (Tableau), and business intelligence solutions based on current business and compliance needs.• Perform thorough data validation and reconciliation of reports to ensure accuracy (T-SQL, SSMS, and Snowflake).• Analyzing healthcare costs, member demographics, call center information, referral patterns, provider network accessibility, and other company data as needed.• Provide analysis on enrollment, re-insurance, HEDIS, claims, authorization, and financial data as it pertains to Managed Care and construct necessary reports and datasets using SQL.• Provide technical assistance by working independently or with the Informatics Manager to assist users in the design and planning of projects; write, test, troubleshoot, and implement solutions using the standards established by the department; provide maintenance support; work with the Informatics Manager to develop necessary databases; attend ongoing meetings related to projects; working on multiple projects concurrently.• Provide information by writing documentation such as specifications, flowcharts, procedures, and training documentation; coordinate the development of solutions including reports and dashboards as required by the department, company, state, and federal agencies ( Department of Health Care Services (DHCS) and the Centers for Medicare & Medicaid Services (CMS)); provide instruction and training for users and staff regarding new reports and solutions; participates in the evaluation of new software systems; provide solutions to users for technical and procedural problems; provide regular status reports to supervisor.• Developed a machine learning model using Python by leveraging call log reports to identify potential grievances, and categorize calls prone to grievances (Inquiry, Determination, Transportation, IVR, etc), enhancing the organization\'s ability to address issues proactively
EDUCATION
Guru Nanak Dev Dental College & Research Institute, Patiala-Bathinda Road, Sunam
Dental Surgery
St Joseph's convent school pathankot
High School Diploma
University of Southern California
Pre-masters
University of Southern California
Master's degree , Healthcare Decision Analysis
ABOUT ADHIKARAN SAINI
Strong healthcare services professional with a Master\'s in Healthcare Decision Analysis from the University of Southern California. Experienced Informatics Data Analyst with a demonstrated history of working in the medical device industry. Skilled in tools such as SSRS, Snowflake, Tableau, Azure DevOps, Power BI, Report Builder, and T-SQL. Experience working closely with all departments necessary to ensure that the processes, programs, and services are accomplished in a timely and efficient manner by managed care\'s policies and procedures and in compliance with applicable state and federal regulations, including the Department of Health Care Services (DHCS) and the Centers for Medicare & Medicaid Services (CMS).
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