Sohan Reddy Baddam
University of Cincinnati
- Role
- Data Analyst at Anthem Blue Cross and Blue Shield
- Location
- Cincinnati, OH, US
- LinkedIn followers
- 500 followers
About Sohan Reddy Baddam
Data Analyst with over 3 years of hands-on experience in transforming raw data into…
Experience
Data Analyst
Anthem Blue Cross and Blue Shield
May 2024 — Present · Cincinnati, OH, US
Automated end-to-end claims data pipelines using Python, SQL, and SSIS, integrating provider logs, prior authorization records, and denial exceptions, reducing manual processing and strengthening audit readiness by 40%. • Performed EDA on claims denials and provider compliance anomalies to identify seasonal peaks, geographic trends, and systemic errors; insights guided stakeholders in setting quality gates and policy-driven approval workflows. • Developed predictive anomaly detection models in Scikit-learn using logistic regression and random forest to identify fraudulent claims, reducing false positives, and cutting audit review time by nearly 30% for compliance teams. • Designed interactive Power BI dashboards for real-time tracking of provider claim errors, denial categories, and compliance risks, enabling leadership and compliance officers to make evidence-driven decisions during CMS and HIPAA audit sessions. • Collaborated with cross-functional teams (product owners, QA, compliance officers) in Agile sprints using Jira to refine user stories, prioritize analytics use cases, and deliver incremental insights aligned with regulatory deadlines. • Optimized large-scale claims and eligibility data processing with Apache Spark, handling 70M+ records efficiently, reducing data latency fourfold, and ensuring high-volume readiness for compliance committee reviews and reporting. • Executed rigorous validation and reconciliation tests across ETL workflows in Azure Data Factory and Synapse, ensuring data completeness, SLA adherence, and reliability of downstream AI-based compliance monitoring solutions. • Conducted A/B testing on provider outreach and claim submission workflows to evaluate intervention effectiveness, helping leadership adopt the most efficient strategies for reducing denials and improving provider compliance.
Education
University of Cincinnati
Master of Science - MS
2023 — 2024
Bharath University
Bachelor of Technology - BTech
2019 — 2023
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