vijila

• Extracted data from a large Oracle database and used various SAS queries extensively in order to identify potential instances of abuse, waste and fraud and took steps to optimize adherence to CCHI standards
• Created and updated multiple dashboards to provide insights on achieved verses agreed upon targets in order to support operational functions such as pre-authorization, Claims management, Reconciliation, Policy analysis, pricelist analysis and savings etc.
• Collaborated with internal teams, including finance, claims and quality assurance to develop and implement data-driven solutions to improve operational efficiency and effectiveness
• Developed and maintained data governance policies and procedures to ensure the security and integrity of data

Extracted data from a large Oracle database and used various SAS queries extensively in order to identify potential instances of abuse, waste and fraud and took steps to optimize adherence to CCHI standards
Created and updated multiple dashboards to provide insights on achieved verses agreed upon targets in order to support operational functions such as pre-authorization, Claims management, Reconciliation, Policy analysis, pricelist analysis and savings etc.
Collaborated with internal teams, including finance, claims and quality assurance to develop and implement data-driven solutions to improve operational efficiency and effectiveness
Developed and maintained data governance policies and procedures to ensure the security and integrity of data

Provided front line health care services to students in multilevel private
Served the needs of all students and made appropriate referrals to different health care professionals as needed
Developed specific written policies for nursing services at the school under the supervision of the administration

Provided quality education for Registered Nursing programs
Provided clinical coverage in both acute and long-term care facilities
Collaborated with nursing faculty in developing and evaluating course curriculum, learning support, and assessments

Provided patient care, performed assessments, and interventions at ICU unit for trauma and post-surgical patients
Monitored vital signs, adequacy of ventilation, levels of consciousness and pain and notified physicians of clinical changes as well as prepared and implemented patient care plans
Administered medications as determined by the patient’s condition