Jai Sivanantham Email & Phone Number

Phoenix, Arizona, United States

Phoenix, Arizona Area

Phoenix, Arizona Area

Phoenix, Arizona Area

Phoenix, Arizona Area

- Develop and conduct quantitative and statistical analyses across multiple therapeutic areas, primarily with the Wolters Kluwer Health data assets.- Assist in the development and implementation of analytics assets and capabilities to create better customer satisfaction and revenue generating opportunities.- Provide solutions to complex business issues by identifying and providing superior analyses and reasoned solutions based on the integration of a variety of data sources (including Patient-Level Data, Dynamic Claims, SourceRx, etc.)

Phoenix, Arizona Area

• Provided consulting and project management support to clients regarding data collection, analysis and reporting of detailed health care data.• Collaborated with clinical, pharmacy, actuarial and programmers’ team to design the process life cycle from data intake, validation, develop clinical methodologies, report generation and statistical processes.• Performed Onsite Audits for Pennsylvania Medicaid Health plans, studied various claims processing systems, suggested improvement opportunities and documented the findings in the form of reports.• Served as a subject matter expert in predictive modeling, risk adjustment models.• Primary point of contact for data processes, identified issues and implemented correction procedures.• Developed dashboards metrics including utilization, services distribution, membership and financial summary by health plans using physical health encounters data. Helped the organization to generate additional revenue. • Performed needs assessments and defined systems and administrative requirements.• Presented rate development and data analytic methodologies and also the Federal Medicaid regulations to clients.• Mentored and trained junior analysts in SAS/SQL programming, data processes and healthcare methodologies• Utilized SAS and SQL for actuarial rate development, modeling, and assessment of healthcare data and effectiveness of healthcare programs. • Developed Macros and arrays in SAS to perform advanced data analysis.

• Performed financial and statistical data analysis on disposed accounts using VBA Macros, SQL, Access, Excel and Minitab. • Integrated various data sources, completed data reconciliation, interacted with stakeholders and implemented process improvement techniques resulting in cost savings of around $150,000.• Completed six sigma green belt training, assisted with six sigma initiatives including Gauge R&R - measurement system validation, auditing and score carding. • Designed statistical experiments and determined sample sizes for performing the experiments.

M.S, Industrial Engineering

B.E., Mechanical

High School