Healthcare Business Analyst & Underwriter

Performance Guarantees | Claims Operations | Underwriting & Risk Management

Business strategy and operational analysis for healthcare claims operations and network management. 13+ years delivering data-driven insights that improve operational efficiency, manage performance guarantees, and support strategic decision-making across health insurance networks.

Get In Touch View Experience

About

Professional Overview

Healthcare Business Analyst & Underwriter

As a Business Analyst Consultant at Highmark Health (HNAS), I develop comprehensive performance guarantee tracking systems, manage SLA/KPI frameworks, and deliver operational analytics across CFA and HNAS client portfolios. I partner with stakeholders to translate operational challenges into actionable insights.

With prior experience as an Underwriter, I bring deep expertise in risk assessment, compliance analysis, and underwriting support. My background combines claims operations knowledge, strategic business analysis, and proven ability to optimize workflows and improve operational performance for health insurance networks.

13+
Years Experience
100+
Metrics Tracked
5+
Networks Managed

Core Competencies

Performance Guarantee & SLA Management

  • PG Framework Development
  • Claims Timeliness Tracking
  • Metrics & KPI Management
  • Penalty & Performance Analysis
  • Network SLA Oversight

Underwriting & Risk Analysis

  • Risk Assessment
  • Underwriting Analysis
  • Compliance Reviews
  • Pricing Strategy Support
  • Account Analysis

Operations & Business Analysis

  • Claims Operations Management
  • Operational Analytics
  • Data-Driven Reporting
  • Process Optimization
  • Stakeholder Communication

Professional Experience

Career Trajectory

Business Analyst Consultant May 2024 – Present
Highmark Health (HNAS) – North Chicago, IL
  • Operational Metrics & KPI Tracking
  • Strategic Analytics & Reporting
Underwriter April 2023 – May 2024
Highmark Health (HNAS) – North Chicago, IL
Conducted comprehensive risk assessments, compliance reviews, and underwriting analysis to support account teams and inform operational decision-making.
  • Performed detailed risk assessments and compliance reviews for health insurance accounts
  • Partnered with account teams on pricing strategies and operational alignment
  • Created underwriting dashboards and reports to streamline decision-making and reduce turnaround time
Proposal Analyst May 2021 – January 2023
Flume Health – Remote
Spearheaded proposal development and pre-sales support, delivering strategic content and risk analysis for major client acquisitions.
  • Led proposal development using Ringmaster Technology, securing a major self-funded client (1,000+ lives)
  • Addressed complex risk and pharmacy spend concerns with data-driven analysis
  • Standardized proposal review and reporting processes, enhancing team productivity
Independent Consultant October 2013 – October 2015
Phamax – Bangalore, India
Created scientific newsletters and medical content for pharmaceutical clients. Managed editorial and client coordination workflows independently.
  • Created scientific newsletters and medical content for pharmaceutical clients
  • Managed editorial and client coordination workflows independently
Senior Business Analyst (Healthcare KPO) May 2010 – January 2012
Mphasis – Bangalore, India
Developed solution offerings and proposal content for business development initiatives in Life Sciences.
  • Built proposal content for major healthcare and pharma clients
  • Facilitated knowledge management and designed client-ready marketing materials
Business Analyst January 2008 – May 2010
Cognizant Technology Solutions – Bangalore, India
Led RFP responses and managed global client projects in clinical documentation and healthcare content.
  • Led successful RFP response securing document migration project from global biopharma client
  • Managed offshore teams, client communications, and project milestones
Research Analyst January 2006 – June 2007
SmartAnalyst India Pvt. Ltd. – Haryana, India
Delivered market research and competitive intelligence reports for pharmaceutical clients. Evaluated licensing opportunities and conducted pipeline assessments.
  • Delivered market research and competitive intelligence reports for pharma clients
  • Evaluated licensing opportunities and conducted pipeline assessments
Assistant Manager (Content Development) May 2005 – December 2005
Indegene Lifesystems – Bangalore, India
Developed e-learning modules and performed medical writing. Built disease monographs and supported marketing teams with scientific content and visual aids.
  • Developed e-learning modules and performed medical writing
  • Built disease monographs for marketing and sales support

Professional Expertise

Core Skills & Competencies

Business Analysis

Performance Guarantee Management SLA/KPI Tracking Operational Analytics Process Optimization Stakeholder Analysis

Underwriting & Risk

Risk Assessment Underwriting Analysis Compliance Review Pricing Support Account Analysis

Analytics & Reporting

MS Excel PowerPoint Javelina Metabase Data Analysis

Healthcare Domain

Claims Operations Network Management Healthcare Economics Compliance & Regulations Underwriting

Get In Touch

Connect With Me

I'm always interested in discussing healthcare analytics challenges, performance optimization opportunities, and strategic initiatives. Reach out to explore how I can support your organization.

📞 551-666-7550 ✉️ rupikayerrapally@gmail.com 🔗 LinkedIn

Based in Gurnee, Illinois