2
Languages
8
years of professional experience
Healthcare Operations and Technology leader with 7+ years of experience leading enterprise initiatives across Medicare STARS, HEDIS, quality improvement, vendor management, analytics, and healthcare technology.
Work History
Manager, Business Analysis
1 Year 6 Months- Led enterprise quality initiatives for Medicare STARS and HEDIS programs to enhance compliance and performance.
- Drove collaboration among Product, Engineering, Clinical, Operations, and Vendor teams to align project goals and improve outcomes.
- Oversaw vendor governance and coordinated roadmap planning, enhancement prioritization, and executive reporting to ensure strategic alignment.
Senior Business Systems Analyst
3 Years 8 Months- Led healthcare technology initiatives that enhanced quality improvement and ensured compliance.
- Acted as a trusted liaison between business stakeholders and technology teams.
- Analyzed business requirements for healthcare workflows, translating stakeholder needs into clear system specifications.
- Collaborated with product, operations, and IT teams to refine process gaps and prioritize enhancements.
- Documented functional requirements, user stories, and acceptance criteria for Agile delivery teams.
Business Systems Analyst
9 Months- Facilitated migration of healthcare data and reporting solutions to Azure cloud platforms, enhancing enterprise modernization initiatives.
- Collaborated with stakeholders to define requirements, improve operational workflows, and increase reporting efficiency.
- Defined requirements with stakeholders, streamlining operational workflows and enhancing reporting efficiency.
- Executed data analysis, testing, and validation activities, ensuring successful implementation of enterprise initiatives.
Business/Data Analyst
2 Years- Analyzed healthcare claims, membership, provider, and EDI data to inform operational and regulatory initiatives.
- Analyzed healthcare claims, membership, provider, and EDI data supporting operational and regulatory initiatives.
- Collaborated with cross-functional stakeholders to identify operational improvements and assist in implementation efforts.
- Facilitated system enhancements through requirements gathering, testing, and production validation.
Education
Bachelor - General Studies
Skills
Medicare STARS & HEDIS
Program Management
Quality Improvement
Data Analytics
Process Improvement
Operational Leadership
Vendor Management
Stakeholder management
Change Management
Accomplishments
- Promoted into management based on leadership of enterprise quality and technology initiatives.
- Extensive experience supporting Medicare STARS and HEDIS programs.
- Led cross-functional initiatives spanning Product, Engineering, Clinical, Operations, and Vendor organizations.
Languages
Nepali
Native or Bilingual
Hindi
Full Professional
Timeline
Manager, Business Analysis
OPTUM | UNITEDHEALTH GROUP
05.2025 - CurrentRead More
Senior Business Systems Analyst
OPTUM | UNITEDHEALTH GROUP
08.2021 - 04.2025Read More
Business Systems Analyst
WELLMED
07.2020 - 04.2021Read More
Business/Data Analyst
GOLD COAST HEALTH PLAN
05.2018 - 05.2020Read More
University of Connecticut
Bachelor from General Studies
Read More