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Shaikh Jamil

Shaikh Jamil

Healthcare Data Analyst

Navi Mumbai, Maharashtra, India 2+ yrs exp 85 ยท Excellent

About

Healthcare Data Analyst with 2+ years of hands-on experience in US healthcare Revenue Cycle Management (RCM) across accounts receivable, denial follow-up, eligibility verification and prior authorization. Turns claims data into predictive and Generative AI solutions: deployed a claim-denial classification model (Scikit-learn) into a live claims workflow and delivered XGBoost, FastAPI, RAG and MLOps (MLflow, ZenML, Docker) projects end to end. Strong in root-cause analysis, denial-pattern analytics, HIPAA-aware data handling and stakeholder communication. Seeking Data Analyst, Healthcare Analyst or Junior Data Scientist roles.

Skills & Expertise (39)

Python Intermediate
7.5/10
2
Years Exp
SQL Intermediate
7.5/10
2
Years Exp
Statistical Analysis Intermediate
7.5/10
2
Years Exp
Git Intermediate
7.0/10
2
Years Exp
Denial Management Intermediate
6.5/10
2
Years Exp
Docker Intermediate
5.5/10
2
Years Exp
MLflow Regression Classification Model evaluation & optimization LangChain Ollama Google Vertex AI Embeddings Prompt Engineering XGBoost FastAPI Streamlit Gradio RESTful APIs Pydantic Jupyter Notebook Pandas HIPAA Compliance KPI & Performance Analysis Predictive Modeling Feature Engineering Process Optimization stakeholder communication MySql Postgresql Supervised & Unsupervised Learning NumPy Exploratory Data Analysis (EDA Hypothesis Testing Root-cause analysis Matplotlib scikit-learn LightGBM

Work Experience

Process Associate โ€“ RCM

Eclat Health Solutions (India) Pvt. Ltd.

May 2025 - Feb 2026

Analyzed end-to-end RCM workflow and claims data using EDA to uncover delays and recurring denial patterns in high-volume claim queues. Engineered features from claim data and deployed a Scikit-learn classification model into the claims workflow to flag claim-denial likelihood, while maintaining HIPAA compliance. Enabled proactive intervention and better prioritization of work queues, improving claim accuracy, quality control and turnaround time across operations.

AR Associate

GeBBS Healthcare Solutions Pvt. Ltd.

Aug 2024 - Mar 2025

Analyzed denied-claims data using statistical analysis to pinpoint root causes, recurring coding errors and documentation gaps. Categorized denial patterns (CARC/RARC-based) and set up MLflow experiment tracking to log denial-pattern analyses for reproducible reporting. Improved process transparency and resolution prioritization, enabling iterative process improvements.

Accounts Receivable Associate

Infinx Services Pvt. Ltd.

Jul 2023 - Jul 2024

Evaluated eligibility and prior-authorization records using structured hypothesis testing, cross-referencing payer guidelines and coverage data. Streamlined authorization workflows through structured data reviews, improving clarity and speed of communication with insurers and healthcare providers.

Education

B.Sc. in Computer Science - SIES College of Arts, Science & Commerce, Sion (W), Mumbai

- 2025 ยท Afghanistan

Certifications

No certifications added yet

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Profile Score Breakdown

๐Ÿ“ท Photo 10/10
๐Ÿ“„ Resume 10/10
๐Ÿ’ผ Job Title 10/10
โœ๏ธ Bio 10/10
๐Ÿ› ๏ธ Skills 20/20
๐ŸŽ“ Education 10/10
โฑ๏ธ Experience 10/15
๐Ÿ’ฐ Rate 0/5
๐Ÿ† Certs 0/5
โœ… Verified 5/5
Total Score 85/100

Profile Overview

Member sinceOct 2026

Availability Details

Visa Status

Citizen

Relocation

Depends on Offer