Healthcare Operations & Data Professional with 3.6 years of experience in US health plan documentation, Medicare enrollment workflows, and compliance-driven processes. Specialized in EOC, SOB, and SBC documentation under CMS and federal regulatory guidelines. Strong background in SLA-based delivery, quality control, cost-share coding updates, and cross-functional collaboration. Skilled in process improvement, documentation accuracy, and regulatory compliance. Seeking remote data, documentation, or healthcare operations projects where precision and structured execution are critical.

NAGESH R

Healthcare Operations & Data Professional with 3.6 years of experience in US health plan documentation, Medicare enrollment workflows, and compliance-driven processes. Specialized in EOC, SOB, and SBC documentation under CMS and federal regulatory guidelines. Strong background in SLA-based delivery, quality control, cost-share coding updates, and cross-functional collaboration. Skilled in process improvement, documentation accuracy, and regulatory compliance. Seeking remote data, documentation, or healthcare operations projects where precision and structured execution are critical.

Available to hire

Healthcare Operations & Data Professional with 3.6 years of experience in US health plan documentation, Medicare enrollment workflows, and compliance-driven processes.

Specialized in EOC, SOB, and SBC documentation under CMS and federal regulatory guidelines. Strong background in SLA-based delivery, quality control, cost-share coding updates, and cross-functional collaboration.

Skilled in process improvement, documentation accuracy, and regulatory compliance. Seeking remote data, documentation, or healthcare operations projects where precision and structured execution are critical.

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Experience Level

Intermediate

Language

English
Advanced
Tamil
Fluent

Work Experience

Associate Benefits Analyst at CAREONE GLOBAL SOLUTIONS
February 9, 2023 - April 16, 2025
Prepared and updated EOC, SOB, and SBC documents for multiple US health plans under regulatory guidelines. Followed federal and state compliance requirements while handling benefits documentation. Worked closely with quality teams to address documentation errors and rework cases. Performed cost-share coding updates based on plan benefits and policy changes. Managed assigned workloads within defined SLA and turnaround time expectations. Supported team activities such as documentation updates and knowledge sharing during process changes.
Process Associate at CROWN SOLUTIONS INDIA PVT LTD
July 1, 2022 - January 1, 2023
Supported Medicare member enrollment processes following CMS guidelines. Validated member and plan-related information to ensure completeness and accuracy. Handled correction feedback and process updates as part of daily operations. Worked within productivity and compliance expectations for enrollment workflows.
Process Associate at ACCENTURE
September 1, 2020 - July 1, 2021
Processed healthcare-related transactions while adhering to SLA timelines. Followed standard operating procedures and quality guidelines for assigned tasks. Coordinated with team members to complete end-to-end process requirements. Maintained consistency in daily output while managing quality reviews.

Education

Bachelor of Computer Applications at Adhiparasakthi College of Arts & Science
January 1, 2015 - January 1, 2018

Qualifications

Effective Team Communication
January 11, 2030 - February 27, 2026
Trust Building Through Effective Communication
January 11, 2023 - February 27, 2026
Excel 365: Getting Started
January 11, 2030 - February 27, 2026

Industry Experience

Healthcare