An R package, plumber API, database, and Shiny App for Actuarial Loss Development and Reserving Workflows.
Python toolkit for Medicaid claims data analysis — preprocessing, cleaning, risk adjustment (Elixhauser, CDPS-Rx), quality measures (PQI, BETOS, low-value care), and patient-level analytic file construction for MAX and TAF CMS data. Built on Dask for scalable processing of large-scale healthcare claims datasets.
Using Power BI to analyze outpatient claims data to find out the high utilizers and the economic impact
Detection of abnormal delivery patterns and potential obstetric claim anomalies using JKN administrative claims data.
HL7 FHIR R4 → OMOP CDM → Snowflake → dbt → Dagster. RCM: classifies 257K denied claims by root cause — systematic vs. documentation failures. RWE: T2D+CKD metformin utilization cohort. 12 dbt models, 83 tests, CI green.
Excel healthcare spend & utilization dashboard (Power Query + Power Pivot) using synthetic claims data (2019–2024).
Claims experience record for a Group Health Insurance policy for 3 underwriting years was used to extract the amounts related to each claim and summarized with regards to the Inception Date of the policy.
SQL-based analytic warehouse that converts administrative health insurance claims into patient episodes, referral patterns, and utilization indicators.
Impact Analysis of the Policy for Access of Administrative Data in France : A Beforefter Study. Vincent LOOTEN and Marie SIMON Digital Personalized Health and Medicine L.B. Pape-Haugaard et al. (Eds.) © 2020 European Federation for Medical Informatics (EFMI) and IOS Press. This article is published online with Open Access by IOS Press and distri…
End-to-end value-based care analytics system: SQL provider scoring model, Python ROI simulation for patient steering, KPI tracking, and Tableau dashboard specs built on 50K synthetic claims across 80 providers.
Medicare Advantage payer analytics on CMS DE-SynPUF: Snowflake + dbt medallion warehouse, HEDIS-style 30-day readmission measure, chronic condition cohort analytics (CHF/COPD/CKD/IHD/diabetes), deployed Streamlit dashboard. Public synthetic data only.
CMS Price Transparency Rule compliance delivered via HealthSparq integration. Personalized cost estimates powered by real-time claims data across web and mobile.
SQL-first healthcare claims analytics project that maps ICD/CPT/NPI to provider cost variation and generates client-ready utilization insights.
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