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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.
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Healthcare Data ScientistSmart Reimbursement Inc. Oct 2021 - Present -
Owner And Data ConsultantGanit Analytics Llc Sep 2018 - Oct 2021Greater San Diego AreaTelehealth 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.
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AnalystWillis Towers Watson Mar 2017 - Sep 2018Atlanta, GeorgiaAssist 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. -
AnalystMilliman 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. -
Benefits InternTowers Watson Jun 2015 - Aug 2015Involved 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
Bala Gupta Education Details
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The University Of Texas At DallasActuarial 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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Shashi Bala Gupta
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bala gupta
Aws Cognito Sme L 2X Aws Certified | Cloud Support Engineer Ii (Security) At Amazon Web Services (Aws)Andhra Pradesh, India
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