Kummara Babu
I’m a healthcare data analyst with 5+ years of experience turning complex claims and member datasets into clear, actionable dashboards and KPIs.
About
I’m a healthcare data analyst with 5+ years of experience turning complex claims and member datasets into clear, actionable dashboards and KPIs. I’ve worked closely with project leads and operational teams to define meaningful metrics, investigate trends (like denial and authorization-related rejections), and translate analytics into decisions that improve payer operations.
I’m also highly focused on data accuracy and compliant handling of sensitive healthcare information. Across roles in the US and India, I’ve built reporting solutions using Power BI, Tableau, SQL, and DAX, designed robust data transformations and validation processes, and communicated results effectively to non-technical stakeholders—helping reduce manual effort and improve data quality.
- 5 years' experience
- Joined October 2026
Industry experience
- Healthcare
More experts in Texas City, United States
Work experience
Built interactive Power BI dashboards with DAX measures to track claims volume, denial trends, and member eligibility KPIs for payer operations. Designed Power Query transformations and SQL datasets to consolidate member, provider, and claims sources into a single reporting view for non-technical stakeholders. Analyzed denial trends across provider groups, identified an authorization-related rejection spike, and created exception summaries that supported workflow revisions. Standardized KPI definitions and automated refresh inputs, reducing manual reporting effort by 25% across recurring managed care reports. Validated HIPAA-aware reporting outputs and reconciled eligibility data feeds to ensure accuracy before dashboard releases to operational teams.
Developed Tableau dashboards with calculated fields and parameters to track pharmacy claims reporting and value-based care metrics. Evaluated conflicting metric definitions across clinical quality measure reports, recommended a reconciled standard, and documented decisions to align reporting. Analyzed population health datasets using SQL and Excel to uncover utilization patterns supporting clinical quality measure tracking. Reconciled pharmacy claims feeds and improved data accuracy by 20% through validation scripts and exception reporting on recurring PBM data loads. Monitored healthcare KPI dashboards and documented RCA summaries for data quality issues raised by payer-provider connectivity teams.
Delivered Tableau dashboards for a financial services client by translating requirements into KPI views that consolidated six data sources into one reporting layer. Gathered visualization requirements from stakeholders, resolved conflicting metric priorities, and documented agreed definitions to guide dashboard design. Built SQL validation scripts and source-to-target mapping documentation to confirm reporting accuracy prior to client delivery. Coordinated UAT across 45 test scenarios for a retail client reporting release, documenting defects and confirming fixes before sign-off.
Education
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