subashini subramanian

Healthcare Data Associate

Connected Value Health Solution Pvt Ltd

Sep 2025 - Present

Led a 16-member team, overseeing task allocation, quality reviews, production and process tracking, and timely delivery aligned with operational SLAs. Managed 70,000+ insurance plan records across 778 payers monthly, performing data validation, cleansing, reconciliation and quality checks for the extracted data across Payer Master, Plan Master, and Acronym Master datasets, while authoring and maintaining process SOP documentation to ensure workflow standardization and consistency. Conducted Root Cause Analysis to identify process gaps and implement improvements, reducing team error rates by 15%. Executed PVerify payer-code mapping and data normalization to improve data accuracy and consistency. Conducted Insurance Eligibility & Benefits Verification (EBV) for 100+ healthcare cases through calls during a pilot initiative, achieving 100% match accuracy and capturing patient cost information from API responses. Developed an interactive Power BI healthcare data-quality dashboard to monitor 70,000+ insurance plan records, incorporating KPI tracking and reporting, data-quality monitoring, payer & plan-category analysis, geographic insights and interactive slicers using DAX and Power Query. Built a relational healthcare insurance database using MySQL with Payer Master, Plan Master and Acronym Master tables, applied DISTINCT for data deduplication and performed payer and plan-level analysis to identify discrepancies and generate actionable business insights. Designed AI-assisted EBV customer, admin and supervisor dashboards using Claude AI and Google AI Studio to monitor eligibility verification, call performance, case status, data quality and productivity, reducing dashboard development and workflow automation effort by 20%. Processed and quality-checked 10,000+ Prior Authorization (PA) forms using Sejda PDF Editor, performing document annotation, field-level validation, data review and quality assurance (QA) to ensure accurate and compliant processing. Executed functional, regression and field-level testing with manual defect tracking across healthcare portals and Prior Authorization workflows and collaborated cross-functionally to support AI/ML-enabled healthcare plan retrieval automation and quality checks to improve data accuracy and workflow efficiency.