Deepa Kardekar Email & Phone Number

Chapel Hill, NC, US

Dublin, Ohio, United States

• Claims Management Innovation: Designed and implemented advanced solutions for claim management systems, optimizing Medicaid and Medicare data accuracy and reducing discrepancies by 25%.
• Modernizing Data Infrastructure: Led the seamless migration of legacy mainframe data and reporting feeds to Hadoop, resulting in a 30% improvement in data processing speed and system reliability.
• Documentation Excellence: Authored comprehensive Business Requirement Documents (BRD) and Functional Requirement Documents (FRD) to facilitate clarity, ensure alignment across teams, and streamline the project lifecycle.
• Advanced Data Analytics: Conducted complex SQL queries for data mapping, analytics, and ad-hoc reporting, enhancing the efficiency and accuracy of enterprise data warehouses.
• Cross-Functional Collaboration: Partnered with regulatory reporting teams to design and execute automated solutions for compliance requirements, including CCAR (FR-Y 9, FR-Y 14Q, PPNR) reporting.
• Healthcare Compliance Expertise: Validated HIPAA EDI transactions (837, 835, 834, 270/271, 276/277) to ensure full compliance with regulatory standards, strengthening data integrity across systems.

San Francisco Bay Area

• Requirements Documentation: Developed detailed (BRD) and (FRD) through collaboration with business units, program owners, and technology managers to identify and address operational challenges effectively.
• Claims Management Expertise: Oversaw claims processes for Medicaid and Medicare services, ensuring adherence to CMS regulations, HL7 standards, HIPAA, and Health Assessment Systems.
• Regulatory Compliance & Oversight: Ensured data systems complied with GCP, FDA regulations, and company SOPs while managing validation for GMP, GLP, and GCP systems.
• Advanced Data Analysis: Conducted data analysis to support risk assessments, fraud detection, and decision-making, leveraging complex SQL queries and NoSQL schema design for MariaDB and MongoDB.
• Regulatory Reporting: Managed CCAR and OCC reporting, ensuring accuracy in regulatory submissions and resolving data discrepancies to meet Federal Reserve and OCC standards.
• Hadoop Data Management: Documented technical specifications, data flows, and models within Hadoop environments, building scalable distributed solutions while maintaining regulatory compliance.

Houston, Texas, United States

Project Management: Defined requirements, managed budgets, and supported organizational restructuring.Healthcare Compliance: Documented HIPAA 4010/5010 requirements and tested ICD-9/ICD-10 claims with CPT4 codes.Use Cases & Reporting: Developed Use Case Models and created mutual fund performance reports for stakeholders.Data Warehousing: Managed data.

Franklin, Tennessee, United States

• Ensured compliance with regulatory standards like GCP and HIPAA through audits and assessments of clinical trial protocols and data.
• Supported the Pharmacy Benefit Management (PBM) Team by responding to urgent benefit-related inquiries and identifying issues.
• Assisted in clinical trial budgeting, monitoring expenses, and identifying cost-saving opportunities while ensuring quality.
• Developed training materials and conducted training sessions for laboratory staff on the LIMS system to ensure effective utilization.
• Assisted in reviewing and resolving conflicts or inconsistencies in Business Requirement Documents (BRD) and Functional Requirement Documents (FRD).
• Captured and documented knowledge gained during Joint Application Development (JAD) sessions for future reference.