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I am a results-oriented Business Analyst with 7 years of experience in university administration and EDI healthcare. I specialize in business process analysis, data-driven decision-making, stakeholder engagement, and system implementation. I am adept at requirement gathering, process automation, SQL-based data analysis, and compliance auditing, with a strong background in higher education administration, financial aid systems, SIS, and EDI transactions within the healthcare domain. I focus on driving efficiencies, improving data quality, and ensuring regulatory compliance across FERPA, HIPAA, and accreditation standards.…I am a results-oriented Business Analyst with 7 years of experience in university administration and EDI healthcare. I specialize in business process analysis, data-driven decision-making, stakeholder engagement, and system implementation. I am adept at requirement gathering, process automation, SQL-based data analysis, and compliance auditing, with a strong background in higher education administration, financial aid systems, SIS, and EDI transactions within the healthcare domain. I focus on driving efficiencies, improving data quality, and ensuring regulatory compliance across FERPA, HIPAA, and accreditation standards.

ZANKRUTI BHATT

Data Analyst, Data Scientist, Project Manager, +2

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I am a results-oriented Business Analyst with 7 years of experience in university administration and EDI healthcare. I specialize in business process analysis, data-driven decision-making, stakeholder engagement, and system implementation. I am adept at requirement gathering, process automation, SQL-based data analysis, and compliance auditing, with a strong background in higher education administration, financial aid systems, SIS, and EDI transactions within the healthcare domain. I focus on driving efficiencies, improving data quality, and ensuring regulatory compliance across FERPA, HIPAA, and accreditation standards.…I am a results-oriented Business Analyst with 7 years of experience in university administration and EDI healthcare. I specialize in business process analysis, data-driven decision-making, stakeholder engagement, and system implementation. I am adept at requirement gathering, process automation, SQL-based data analysis, and compliance auditing, with a strong background in higher education administration, financial aid systems, SIS, and EDI transactions within the healthcare domain. I focus on driving efficiencies, improving data quality, and ensuring regulatory compliance across FERPA, HIPAA, and accreditation standards.

Available to hire

I am a results-oriented Business Analyst with 7 years of experience in university administration and EDI healthcare. I specialize in business process analysis, data-driven decision-making, stakeholder engagement, and system implementation.

I am adept at requirement gathering, process automation, SQL-based data analysis, and compliance auditing, with a strong background in higher education administration, financial aid systems, SIS, and EDI transactions within the healthcare domain. I focus on driving efficiencies, improving data quality, and ensuring regulatory compliance across FERPA, HIPAA, and accreditation standards.

Skills

Experience Level

Expert

Expert

Expert

Expert

Expert

Expert

Intermediate

Intermediate

Intermediate

Intermediate

Language

English

Fluent

Work Experience

Healthcare Business Analyst at CNA Insurance

November 1, 2023 - November 5, 2025

Led requirement-gathering sessions with claims and provider management teams to document business needs and define functional system requirements. Created detailed BRDs, FRDs, and process maps outlining claim adjudication workflows. Analyzed existing claim data structures to identify inconsistencies and recommended system logic improvements. Supported data migration and validation during integration with third-party benefit administrators. Partnered with IT to design and test rule-based enhancements for healthcare claim processing. Participated in UAT cycles, prepared test scripts, and validated outputs against requirements. Ensured HIPAA compliance and CMS reporting standards, and designed dashboards to monitor metrics like claim turnaround time and volume. Facilitated cross-functional workshops and provided post-implementation user training and support.

EDI Healthcare Business Analyst at HealthFirst TPA

October 1, 2023 - October 1, 2023

Gathered and documented business requirements for EDI transactions (837, 835, 270/271). Designed data transformation workflows to streamline data mapping and integration with payer adjudication systems. Performed SQL-based data validation to ensure accuracy in claims submissions, remittance processing, and eligibility verification. Coordinated with clearinghouses and vendors to establish real-time data exchange and reduce transaction failures. Managed system testing (UAT, SIT, regression) with a goal of 99% accuracy post-implementation. Conducted root-cause analysis of denials to improve first-pass approval rates by 25%. Created Visio-based process models and trained internal teams on new functionalities. Ensured HIPAA 5010 compliance and produced SQL dashboards to monitor adjudication efficiency and denial rates.

Business Analyst at Fairfield University

January 1, 2020 - January 1, 2020

Led requirements gathering with stakeholders from admissions, registrar, financial aid, housing, and student affairs to define system needs. Supported ERP selection and implementation to replace legacy systems and improve student service delivery. Analyzed business processes to streamline admissions, financial aid distribution, and course registration workflows. Developed data migration strategies for transferring student records and financial aid history. Created SQL-based reports and dashboards to monitor enrollment trends and aid distribution efficiency. Led UAT and system validation testing; worked with IT to optimize interfaces and improve data quality. Trained faculty and staff on the new ERP platform and ensured FERPA compliance and accreditation standards.

Business Analyst at Bentley University

December 1, 2018 - December 1, 2018

Gathered requirements from faculty, students, and administrative staff to identify LMS enhancements and reporting needs. Led the integration of LMS with SIS to ensure seamless course registration, grading, and record synchronization. Built SQL-based analytics dashboards to track student engagement, performance trends, and teaching effectiveness. Conducted gap analysis to identify automation and data standardization opportunities. Implemented SSO and RBAC for secure access, led UAT, and automated reporting for faculty and advisors. Provided training and post-implementation support while ensuring FERPA compliance and data governance.