<p>Developed predictive models for resource allocation using SQL and Python, optimizing staff scheduling and reducing wait times by 18%.</p><p> Implemented automated testing frameworks for data pipelines, ensuring high-quality output and minimizing production errors.</p><p> Collaborated with engineering teams to migrate legacy on-premise models to GCP, enhancing scalability and compute efficiency.</p><p> Managed Policy Requests (PRs) and Rule Maintenance Requests (RMRs) supporting healthcare policy configuration and implementation for Medicare, Medicaid, and Commercial Health Plan clients, including Humana, Emblem Health, and Anthem.</p><p> Performed comprehensive audit reviews across multiple review levels to ensure compliance with client-specific business requirements and payer standards.</p><p> Conducted policy validation, rule verification, and quality assurance testing for healthcare policy releases across Medicare, Medicaid, and Commercial lines of business.</p><p> Collaborated with Policy Configuration, Business Operations, and Release Management teams to support successful implementation of policy updates for Humana, Emblem, and Anthem accounts.</p><p> Developed SQL queries and Power BI dashboards to monitor KPIs, operational metrics, and project/release performance.</p><p> Reviewed policy configurations and change requests to ensure accuracy, completeness, and adherence to release schedules across multiple health plan clients.</p><p> Supported release management activities including pre-release validation, post-release verification, and production readiness testing.</p><p> Prepared weekly status reports and communicated project and release progress to stakeholders and leadership.</p><p> Maintained audit documentation, testing evidence, release records, and compliance artifacts for Medicare, Medicaid, and Commercial Health Plan engagements.</p>
