Data Analyst Project Coordinator

Priya Kulkarni

Address:

*** * ***** **** ** Cell Ph# 405-***-****

Chandler, AZ 85224 *****.*.********@****.***

Experience Summary:

Priya has more than 4 years of experience working as a Senior Analyst, Project Coordinator, and Marketing Coordinator in various industries ranging from Healthcare, Telecommunications and Information Technology. She is a highly trained data analyst with strong abilities to compile, validate and process data and has good problem solving skills in various environments. She also has experience in coordinating and maintaining client relationships. Priya can effectively prioritize, multitask and achieve objectives within time constraints. Well versed in Excel and Word.

Education:

●Masters in business and marketing management from Bombay University, India 2003.

●Bachelor in Commerce from Bombay University, India 2001.

●Diploma in Sales and Marketing Management, India 2002.

●Diploma in Software Management from Aptech Institute, India

Work Experience:

Cognizant Credentialing Analyst Phoenix, USA Oct 20 – Present

Working for Cognizant in their Health care delivery department as a contractor to Centene Corporation.

· Credentialing healthcare providers with Commercial, Medicare, and Medicaid, different health plans for different states.

. Credentialing for 50 states and for all practitioner types according to state and practitioner specific requirements.

· Maintain CAQH, NPEES, CMS, database. Analysis preclusion and exclusion lists and admitting privileges.

· Manages and monitors activities to ensure compliance with all procedures and regulations.

· Gather appropriate paperwork and process the application.

· Communicate with clients/ Credentialing contacts for missing required specific information via an email and follow up.

· Upload current medical licenses, board certification ABMS/AOA, professional-liability insurance coverage, DEA and CSR, CLIA certificates.

· Check NPDB and NPI

· Identity and flag adverse cases on the basis of criteria

·Generating monthly reports for tracking expiring licenses, certifications, and relevant documents as per company standard.

· Also worked as SME and Auditor as an additional responsibilities in Credentialing for 6 months.

Baysquare Technology Project Coordinator, India Jul 05 – Apr 06

●Managing Team and Projects, created project plans for team.

●Client Coordination: Interacting with the end users, getting requirements for completion of tasks

●Production Support/Implementation: Carried out day-to-day production support.

●Project Tracking: Maintained and tracked project.

●Training and Evaluation: Created plan for knowledge transfer.

SRL Ranbaxy Ltd Developer /Programmer, India Oct 04 – Apr 05

●Worked on the Patient Portal database, and handled PCP and insurance data

●Coding: Designed and programmed web applications using ASP.net.

●Testing: Code review and Testing of Modules in the Development environment.

Standard Chartered Bank Retention Coordinator, India Jun 03 – Jun 04

●Responsible for analysis of bad debt and worked with the loan officer to process data of the client.

●Achieved monthly targets and goals set by the company.

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