Reshika M
Business Analyst | Healthcare RCM & Financial Analytics | BRD/FRD • Process Mapping • KPI Dashboards • SQL & Python
- Role
- Business Analyst at CVS Health
- Location
- Middletown, DE, US
- LinkedIn followers
- 500 followers
About Reshika M
Turning complex business problems into clear, data-driven solutions.I’m a Business Analyst with 4+ years of experience in requirements gathering, process mapping, and data analytics across Agile environments. I work closely with stakeholders and technical teams to deliver scalable solutions and actionable insights.My experience includes healthcare, finance, and enterprise systems, using tools like SQL, Power BI, Tableau, and Excel to build dashboards, improve workflows, and support data-driven decisions. Keywords: Business Analyst | Agile | SQL | Power BI | Tableau | UAT | Process Improvement | KPI Reporting
Experience
Business Analyst
Jan 2025 — Present · US
Facilitated requirement workshops with hospital stakeholders to define needs for a new claims management platform, documenting BRD, FRD, and SRS to align business and technical teams.Mapped end-to-end revenue cycle workflows using swimlane diagrams and GAP analysis, helping identify bottlenecks and reduce handoffs between clinical and billing teams.Standardized medical necessity and claims rules based on CMS guidelines and payer contracts, improving consistency in claims validation and denial handling.Analyzed historical claims data using SQL and Python, identifying data inconsistencies and enabling automated ingestion into the new platform.Developed Power BI dashboards to track KPIs such as A/R days, clean claim rate, and denial turnaround time, improving visibility for revenue cycle leadership.Led UAT cycles across Agile sprints by creating test scenarios, managing defect triage, and coordinating stakeholder sign-offs in SharePoint.
Education
JB Institute of Engineering & Technology
Bachelor of Technology - BTech
2015 — 2019
Bournemouth University
Master of Science - MS
2020 — 2022
Find verified contacts for anyone on LinkedIn
Unifers gives sales teams verified emails and direct dials, enriched profiles, and outreach that lands in the inbox.
Free plan included · No credit card required
This profile is compiled from publicly available professional sources. Unifers is not affiliated with or endorsed by LinkedIn. Request removal of this profile.