Headline

Associate – US Healthcare Claims (Medicaid) | Data Validation | Process & Operations Analytics

About

I am currently working as an Associate at Wipro Limited, supporting a US healthcare insurance client (Molina Healthcare) in the claims and enrollment process. My role involves verifying member applications against CMS records, validating demographic and plan information, assessing Medicaid eligibility (full or partial coverage), handling RFIs for missing or inconsistent data, and performing state-specific member enrollment activities. I have a strong foundation in data validation, accuracy checks, and process compliance, along with academic and project experience in data analysis and dashboarding using Power BI and relational databases. I am seeking opportunities to grow into roles such as Data Analyst, Operations Analyst, or Healthcare Analyst, where analytical thinking and data-driven insights can support business decision-making.

Location

Mumbai

Work experience

Associate at Wipro, Oct 2025 - Present · 10 mos, Navi Mumbai, Maharashtra, India, Working on the Molina Healthcare account in US healthcare claims and enrollment operations. Verifying member applications with CMS records and validating demographic, plan, and election details. Assessing Medicaid eligibility, including full and partial coverage determination. Raising RFIs for missing or inconsistent information and ensuring compliance with process guidelines. Performing direct member enrollment for select states.

Back Office Executive at Knotify Services PVT LTD, Sep 2024 - Oct 2025 · 1 yr 2 mos, Navi Mumbai

Education

Bachelor of Science - BS, Computer Science, University of Mumbai