Sanjana H J

Detail-oriented Analyst with 2 years of experience in US healthcare operations (Medicare & Medicaid) and exposure to risk-related assessment and reporting work. Skilled in risk identification and assessment — reviewing data and processes against defined policy standards, identifying risk drivers and discrepancies, and supporting consistency and completeness of assessment outputs. Experienced in maintaining structured data inventories, building governance-style reporting (Excel, Power BI, PowerPoint), and engaging cross-functional stakeholders to drive alignment.

Strong analytical and problem-solving skills, advanced Excel and PowerPoint proficiency, regular use of AI tools (ChatGPT, Claude) for analysis and productivity, and clear written/verbal communication across organizational levels.

Associate — Healthcare Operations (Medicare & Medicaid)

(2022-01 - 2024-01)

• Gathered and analyzed business requirements from stakeholders for healthcare claims and reimbursement processes, ensuring 100% delivery accuracy.
• Reviewed and validated Medicare and Medicaid claims data against defined policy standards, identifying discrepancies and ensuring consistent, accurate application of rules across cases.
• Queried and validated large datasets to support accuracy checks, reporting needs, and quality assurance reviews of process outputs.
• Worked with WGS (WellPoint Group Systems) for processing and validating Medicare and Medicaid claims data.
• Built and maintained Excel-based trackers, dashboards, and reports (pivot tables, formulas) to monitor process metrics, flag discrepancies for timely follow-up, and support governance-style reporting.
• Collaborated with cross-functional stakeholders to clarify requirements, facilitate discussions, and communicate findings clearly and on schedule, consistently meeting quality and turnaround expectations.

Master of Computer Applications - Computer Applications - Visvesvaraya Technological University, PG Center, Mysuru (2022-01 - 2023-12)

Bachelor of Computer Applications - Computer Applications - Science College, Hassan (2019-01 - 2021-12)

Pre-University - PCMB - Sujala PU College, Hassan (2016-01 - 2018-12)

SSLC - Morarji Desai Residential School, Hassan (2016-01 - 2016-12)