Jinal Patel Email & Phone Number

New York, Ny, Us

Michigan, United States

Led the end-to-end design, development, and implementation of a customized CRMsystemfor healthplanmanagement, optimizing patient-provider interactions and improving engagement by 10%. This includedgatheringbusiness requirements, configuring CRM workflows, and integrating patient data to enhance user experienceandoperational efficiency.  Collaborated with healthcare teams to analyze and improve patient data workflows, ensuring seamlessintegrationbetween clinical, behavioral, and pharmacy data… Show more Led the end-to-end design, development, and implementation of a customized CRMsystemfor healthplanmanagement, optimizing patient-provider interactions and improving engagement by 10%. This includedgatheringbusiness requirements, configuring CRM workflows, and integrating patient data to enhance user experienceandoperational efficiency.  Collaborated with healthcare teams to analyze and improve patient data workflows, ensuring seamlessintegrationbetween clinical, behavioral, and pharmacy data systems.  Developed comprehensive business requirement documents (BRDs) and functional specs to support healthplanservices, ensuring regulatory compliance with healthcare standards.  Utilized advanced SQL queries to extract, analyze, and validate healthcare claims data, improvingdataaccuracyandincreasing health plan reporting efficiency by 15%.  Led the development and implementation of a comprehensive data governance strategy for clinical andpatientdata,ensuring compliance with HIPAA and healthcare regulations, and reducing data-related risks by 18%.  Led User Acceptance Testing (UAT) for the deployment of an advanced fraud detection system, collaboratingwithcross-functional teams to ensure accuracy in identifying fraudulent claims, which resulted in a 15%improvementinfraud detection efficiency.  Managed cross-functional projects, collaborating with clinical and technical teams to streamlinedatacollectionprocesses and enhance decision-making capabilities Show less

India

Analyzed insurance claims and customer data using SQL and Python, optimizing claimsettlement processes,whichreduced claim processing time by 20%.  Designed data dashboards for various departments to track policy sales, claim patterns, and customer retention,leading to a 25% improvement in data-driven decision-making.  Worked closely with underwriting teams to develop predictive models using machine learning, improvingriskassessment and premium pricing accuracy by 20%.  Led the documentation… Show more Analyzed insurance claims and customer data using SQL and Python, optimizing claimsettlement processes,whichreduced claim processing time by 20%.  Designed data dashboards for various departments to track policy sales, claim patterns, and customer retention,leading to a 25% improvement in data-driven decision-making.  Worked closely with underwriting teams to develop predictive models using machine learning, improvingriskassessment and premium pricing accuracy by 20%.  Led the documentation of business processes related to new policy launches and claims processing, ensuringcompliance with industry regulations and improving operational transparency.  Spearheaded a data integration project that consolidated policyholder information across rural andurbanmarkets,streamlining data access for faster claim verification.  Collaborated with marketing and sales teams to analyze customer data and trends, helping to identifykeysegmentsfor targeted insurance products. Show less

India

 Optimized raw network data for machine learning applications by cleaning and structuring datasets, andemployedfeature extraction and selection methods such as Principal Component Analysis (PCA), resultingina20%improvement in model accuracy.  Fine-tuned machine learning algorithms, including Random Forest and Gradient Boosting, toreducefalsepositives by 15% and improve threat detection accuracy by 25%

Master Of Science - Ms, Business Analytics, 4

Bachelor Of Engineering - Be, Information Technology, 3.5