Analyst
Resume:
Tapan K. Hamal
*****.*****@*****.***
*** ****** **, *******, **, M5A 4M9
www.linkedin.com/in/tapan-hamal
A dynamic professional with an MBA and four years of work experience in the healthcare industry in the United States. Proficient knowledge in data analysis, stakeholder relations and business operations. Possesses excellent communication and technical skills to be a successful innovator in a service-oriented environment, while keeping the mission and vision of an organization intact.
Education
Master's Degree in Business Administration (MBA); Emphasis in Project Management
Aug 2014 – April 2017, University of Mary, Fargo
Bachelor’s Degree in Biochemistry and Biotechnology; Minor in Biology and Chemistry
Jan 2008 - May 2013, Minnesota State University Moorhead (MSUM), Moorhead, MN
Skills
-Microsoft Office Suite
-Microsoft Access
-SharePoint
-ONBASE
-SAS Programming
-Process Improvements
-Business trend awareness
-Team building
-Customer Service
-Budgeting
-Problem Solving
-Effective Communication
-Research and Analysis
-Strategic Planning and
Implementation
-Fluent in English and Nepali
Work Experience
Healthcare Data Analyst (HDA) - Noridian Healthcare Solutions, LLC. - Fargo, ND, United States
(Jan 2016 – June 2018)
● Provided analytics, including data collection, trends, and reports to ensure data integrity.
● Researched, gathered, and prepared quarterly summary reports for Medicare programs such as PMD Prior Authorization (PA) and DME Competitive Bidding Program.
● Implemented and maintained consistent processes to generate reports and ensure data quality.
● Identified trends and participated in problem-solving and research to drive fraud investigations, monitor patterns of abuse and potential vulnerabilities to the Medicare Trust Fund.
● Presented reports and training to stakeholders, including the Centers for Medicare and Medicaid Services (CMS), Office of Inspector General, law enforcement, and other Medicare Administrative Contractors.
Customer Service Specialist (CSS) - Noridian Healthcare Solutions, LLC. - Fargo, ND, United States
(Jan 2015 – Jan 2016)
● Communicated effectively with internal and external customers while providing clear and professional solutions to facilitate process improvements and changes in Medicare policies.
● Acquired and maintained a detailed working knowledge of Medicare/NHS regulations and policies, medical terminology, CPT and ICD-10 coding and Medicare bulletins.
Customer Service Representative (CSR) - Noridian Healthcare Solutions, LLC. - Fargo, ND, United States
(Sep 2013 – Dec 2014)
● Provided high quality customer service to DME suppliers and researched provider inquiries regarding Medicare policies.
Student Manager - Sodexo Foods, MSUM, Moorhead, MN, United States
(Feb 2008 – May 2013)
● Oversaw performance of employees of a large food production company to ensure the effective operation of cafeteria management.
Membership and Affiliations
President of Nepali Students Association (NSA), MSUM, Aug 2012 – May 2013
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