Bala Gupta

Bala Gupta Email and Phone Number

Healthcare Data Scientist @ Smart Reimbursement Inc.
Bala Gupta's Location
San Diego, California, United States, United States
Bala Gupta's Contact Details

Bala Gupta work email

Bala Gupta personal email

About Bala Gupta

Independent Data Consultant with expertise in Healthcare Data Analytics, including Telehealth.Proficiency includes analyzing claims, member enrollment, provider data, program results data to improve ROI, build risk stratification models, prepare interactive dashboards, conduct cost-effectiveness analysis, statistical, scenario, and sensitivity analysis.

Bala Gupta's Current Company Details
Smart Reimbursement Inc.

Smart Reimbursement Inc.

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Healthcare Data Scientist
Bala Gupta Work Experience Details
  • Smart Reimbursement Inc.
    Healthcare Data Scientist
    Smart Reimbursement Inc. Oct 2021 - Present
  • Ganit Analytics Llc
    Owner And Data Consultant
    Ganit Analytics Llc Sep 2018 - Oct 2021
    Greater San Diego Area
    Telehealth Analytics – Assisting startups and mid-size Telehealth companies in evaluating clinical improvements, analyzing Diagnoses, average wait times, call length, revenue volumes, patient month-over-month leakage, the performance of care extenders, provider referrals by preparing dashboards and reports. Telehealth ROI Analysis – Analyzing claims, enrollment, member behavior, and Telehealth program results data to increase patient engagement and improve service delivery. Building models and engagement tools to Risk stratify the population into the appropriate program to increase ROI.Plan Performance Analysis – Designed plan performance dashboard to deliver data-driven analytic insights that help clients compare the performance of health care plans to their past trends and expected budget.Cost-Effectiveness Analysis - Estimated the incremental cost and quality-adjusted life years of a cancer program that helps patients deal with the late effects of cancer.
  • Willis Towers Watson
    Analyst
    Willis Towers Watson Mar 2017 - Sep 2018
    Atlanta, Georgia
    Assist Self-Insured Employers in setting up Health Insurance plans. Estimate premiums and contributions by designing a pricing model for various plan options.Set-up IBNR reserves by analyzing historical claims and enrollment data.Forecast monthly budget allowing for seasonal projections and change in enrollment.
  • Milliman
    Analyst
    Milliman Apr 2016 - Mar 2017
    • Forecast population and service-level State Medicaid expenditures for the Fee-for-Service and Managed Care programs. • Set capitation rates for Medicaid plans by designing cost model for covered category of services. • Validate claims data submitted by the Managed care Organizations with the data provided by the State Medicaid agency and assess completion.• Perform re-pricing analysis to allow for reimbursement changes.• Determine added cost to the Managed care program upon benefit carve-ins or benefit carve outs.
  • Towers Watson
    Benefits Intern
    Towers Watson Jun 2015 - Aug 2015
    Involved in benefit calculations, actuarial valuations, preparing Government forms, funding position updates, accounting disclosures (IAS 19 and ASC 715), experience study for demographic assumptions, and assisting Actuaries in performing de-risking strategies for pension plans.

Bala Gupta Skills

Actuarial Science Pensions Employee Benefits Valuation Defined Benefit Actuaries Management Currency Risk Assessment Data Analysis Risk Management Insurance Analysis Finance

Bala Gupta Education Details

  • The University Of Texas At Dallas
    The University Of Texas At Dallas
    Actuarial Science

Frequently Asked Questions about Bala Gupta

What company does Bala Gupta work for?

Bala Gupta works for Smart Reimbursement Inc.

What is Bala Gupta's role at the current company?

Bala Gupta's current role is Healthcare Data Scientist.

What is Bala Gupta's email address?

Bala Gupta's email address is ma****@****ail.com

What schools did Bala Gupta attend?

Bala Gupta attended The University Of Texas At Dallas.

What skills is Bala Gupta known for?

Bala Gupta has skills like Actuarial Science, Pensions, Employee Benefits, Valuation, Defined Benefit, Actuaries, Management, Currency, Risk Assessment, Data Analysis, Risk Management, Insurance.

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