Navneeth Raj

Built interactive Power BI dashboards using DAX and Power Query to track value-based care metrics and prior authorization trends. Analyzed prior authorization reporting gaps with SQL, identified a reconciliation issue related to member eligibility timing, and proposed a revised validation step adopted by the reporting team. Developed Tableau views and SQL datasets covering population health and pharmacy benefit management KPIs for non-technical business partners. Automated recurring reporting extracts with Azure Data Factory and Python, reducing manual dashboard preparation effort by 25%. Validated member and provider data against source systems with HIPAA-aware handling, documenting data quality exception reports and governance-ready standards.

Delivered Tableau dashboards for a financial services client, translating complex transaction datasets into accessible KPI views. Reviewed reporting requirements against existing dashboard logic, identified a metric definition conflict across teams, and documented corrected definitions for downstream alignment. Consolidated 6 data sources into a single Tableau reporting view using SQL and Alteryx to support recurring performance reporting. Gathered visualization requirements through stakeholder workshops, captured acceptance criteria in Jira and Confluence, and validated outputs before client release.

Developed Tableau dashboards and SQL queries for Medicaid and Medicare claims, member eligibility, and provider network metrics for payer operations reporting. Reconciled claims and eligibility extracts in SQL Server and Excel, producing data quality exception reports aligned to HIPAA-aware reporting practices. Analyzed claims denial trends across provider groups using SQL and Tableau, identified spikes tied to authorization-related rejections, and built exception summaries that prompted workflow improvements for prior authorization review. Improved consistency across 15 recurring payer reports by standardizing KPI definitions and validation checks. Monitored utilization and care management dashboards, documenting discrepancies and root-cause analysis summaries for operational review.