Vaibhav Raj
Senior Analyst at R1 RCM | 4 Years Experienced Fraud Analyst | Expertise in Fraud Prevention | Risk Assessment | Data Analytics
- Role
- Senior Analyst at R1 RCM
- Location
- Gurugram, HR, IN
- LinkedIn followers
- 500 followers
About Vaibhav Raj
I am a Senior Analyst with 4 years of experience specializing in translating technical requirements into actionable strategies. With a strong focus on data-driven insights, I support strategic decisions and drive process improvements. I thrive in dynamic, collaborative environments and am passionate about enhancing operational efficiency while mitigating risks. Known for my adaptability, enthusiasm, and problem-solving skills, I am committed to delivering results that align with organizational goals and foster continuous growth.
Experience
Senior Analyst
Dec 2022 — Present · Gurugram, IN
Develop and implement policies, procedures, and training programs to enhance authorization verification processes and reduce fraud risks. Leverage specialized software systems and databases to accurately track and document authorization verification activities. Assess prior authorization requirements and ensure timely follow-up on submitted requests. Verify patient coverage with payers and validate eligibility criteria efficiently. Perform tasks on websites and applications in compliance with established Standard Operating Procedures SOPs). Proficient in data analysis and visualization tools, including Excel. Skilled in querying databases using languages such as SQL. Knowledgeable in fraud prevention systems, tools, and methodologies. Experienced in monitoring transaction systems and analyzing patterns to detect anomalies. Capable of working both independently and collaboratively within tight deadlines.
Education
Magadh University (मगध विश्वविद्यालय), Bodh Gaya
Bachelor of Science - BSc
2020 — 2023
Manipal University Jaipur
Master of Business Administration - MBA
2025
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