Pavan J Email & Phone Number

United States

• Implemented Agile methodologies to adapt to changing business needs and stakeholder requirements, resulting in improved project outcomes and stakeholder satisfaction.
• Spearheaded Agile teams in the development and implementation of healthcare data analytics projects, ensuring alignment with organizational goals and timely delivery.
• Collaborated with revenue cycle teams and subject matter experts to validate data integrity, ensure compliance with coding standards, and improve billing accuracy and revenue capture.
• Orchestrated sprint planning sessions and managed product backlogs, prioritizing tasks based on business value and stakeholder needs.
• Utilized Agile project management tools, such as Jira or Trello, to track project progress, monitor team velocity, and communicate project status updates to key stakeholders.
• Good knowledge of Health Insurance Plans (Medicare Part A, B, C, and D), managed care concepts (Medicaid and Medicare), and experience in determining membership eligibility, and billing experience within life and.

Texas, United States

• Conducted thorough requirements gathering and analysis from an end-user perspective, ensuring alignment with feasibility and SDLC practices.
• Managed change requests to maintain project scope in accordance with established requirements.
• Led Joint Application Development (JAD) sessions involving subject matter experts, developers, and testers to discuss viability, obtain feedback, and secure approval.
• Developed and monitored burndown charts and other key performance indicators (KPIs) on a daily/weekly basis.
• Collaborated with UI/UX designers throughout the project to create and update mock-ups.
• Created a copy deck in Confluence serving as a source of truth for developers aligning with front-end data fields.

India

• Implemented data quality checks for Membership data, Provider data, Medical Claims, and Pharmacy Claims data using both Base SAS and Advanced SAS Techniques.
• Developed SAS macros for the automation of data quality processes and other requirements related to membership and claims data.
• Managed and updated Reference tables to meet business requirements.
• Executed data refreshes on Tableau server biweekly and monthly, ensuring accurate representation of changed data in views and dashboards.
• Utilized SAS programs to extract data from text files, Excel files, and databases like DB2, SQL Server, and Teradata, creating SAS datasets and modifying existing ones.
• Cleaned up membership demographics fields, including city names, county names, state, and zip codes.

India

• Oversaw and provided training for a team of Data Specialists in the processes of data scrubbing and loading into the internal system.
• Collaborated with the Project Management Office (PMO) on various projects, ensuring adherence to project deadlines.
• Identified high-risk products and updated inventory using Excel and Access.
• Generated specialized reports in Crystal Reports to summarize sales by region, incorporating SQL queries for data retrieval.
• Imported data into SAP for manufacturing specifications, Bill of Material (BOM), and pricing conditions.
• Regularly collaborated with the PMO on ongoing projects, maintaining open communication channels.