Joel Perdomo

Experience

1. Sr Business Analyst - Quality Control Manager

   Msp Recovery

   May 2021 — Present · Miami, FL, US

   Hired to lead data analysis and quality control initiatives across medical and Rx claims for major U.S. health plans. Oversee full-cycle reimbursement analysis, data integrity, mapping, and duplicate detection in a high-volume data environment. Report to SVP of Operations and manage a team of analysts.Key Contributions:• Analyzed claims data for 60+ health plans across 13M members, identifying data irregularities and enabling targeted recovery opportunities. Improved operational focus and financial outcomes by eliminating data noise and prioritizing actionable insights.• Lead enterprise-wide data quality initiatives that ensure compliance with MSP Recovery Law, reduce audit risk, and maintain high-integrity claims data across medical and Rx lines.• Prevent inaccurate reporting and costly decision-making by validating claims data against benchmark standards, catching payment deviations before production release.• Maintain and refine business rules and exception documentation, reducing inconsistencies and streamlining processing across complex data pipelines.• Develop business rules and perform detailed analysis for EDI X12 837 and 835 implementations, supporting accurate adjudication and efficient system integration.• Collaborate with client onboarding and internal teams to define data inputs and manage expectations, ensuring smoother go-lives and stakeholder alignment.