Palem Naresh
Concept Development Analyst, Payment Integrity
- Role
- Concept Development Analyst at Zelis
- Location
- Hyderabad, TG, IN
- LinkedIn followers
- 500 followers
About Palem Naresh
I have 9+ years of experience into multiple Job roles within healthcare RCM industry…
Experience
Concept Development Analyst
Jun 2025 — Present · Hyderabad, IN
Ideation & Innovation: Generating new audit concepts or rules based on emerging trends, regulatory changes, or anomalies in claims data.Data Exploration: Collaborating with analysts to mine claims data for patterns that suggest overpayments, fraud, or billing errors.Rule Development: Translating ideas into actionable rules or algorithms that can be tested and deployed in pre- or post-payment review systems.Continuous Improvement: Monitoring the performance of implemented concepts and iterating based on outcomes and feedback.
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