payer-analytics

Healthcare data analytics project analysing hospital encounter data to evaluate clinical utilisation, length of stay, readmissions, payer exposure, and mortality trends.

Managed Care Contracting Analytics report analyzing payer reimbursement performance using DAX time intelligence, Reimbursement Index, and Variance from Benchmark to support managed care contract negotiation strategy

Weekly formulary monitoring pipeline with change detection, severity classification, and access trajectory analysis

Pre-launch payer coverage scorecard with RAG status and PA denial rate early warning system