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CURRICULUM VITAE
Rahul A Patil
E-mail: rahul.patilsas@gmail.com
Phone: +91 81060 33411
Summary:
Having 5 years of onshore and offshore Experience in Financial MI
reporting and Healthcare Insurance domain in Analytics department
Using variant tools like SAS, SAP BO, Excel, etc.
• Good understanding on Finance MI data flow and management with MI reporting to
higher managements and stakeholders.
• Work with Other MI Departments including Change Management, Risk & Compliance to
drive various MI Automation Projects.
• Working Closely with Customers and stakeholders to understand the criticality and
customer requirements as Client Relationship Manager in current role.
• Creating BRD for variant modules, mapping and developing rules as filter for flagging
claims.
• Worked in MRM and Fraud Analytics team with UHG as client in Genpact.
• Working on Preparing MI packs / performance packs / product profitability statements.
• Handel Healthcare Insurance data for detecting Fraudulent claims via variant approaches
and analysis of data with effective processing claims, has developed variant modules
which saves around $20000 per week was awarded for same.
• As Worked in Analytics department good in analyzing current, retro data and
FORECASTING on variant approaches.
• Recently onsite was awarded by Finance Director of British Gas as “Best Finance MI
Developer 2013” for handling government reporting (ofgem) and analyzing decision
taking data to maintain refund values to customer by organizations.
• Having exceptional hands on data analysis and presentation to stakeholders.
• Experience on Analysis of data via SAS Base and Advance, SAS BI tools, SQL, Excel
and SAP BO.
• Developing the SAS macros for reusable applications used in generating data sets and
different reports as per the requirement.
• Validating and Cleaning of Data using Data Step and Base SAS procedures.
• Extensive Knowledge in preparation of Reports, Tables, Listings and Graphs using
various Procedures like Frequency, Summary, Report, Tabulate, Gplot, Gchart, SQL.
• Good Knowledge in using Basic and Advanced SQL commands like Pass-Through
Facility to import and export the external files.
• The reports were generated and the reports include the following tables as Baseline
history and status, follow-up visit, efficacy analysis, Agent wise summary, financial
status, in and out of growth of business.
• Handel the team of 12 members with daily, weekly and monthly Utilization reporting
of the development and progress status.
• Excellent Communication, Analytical and Problem Solving skills with good organization
skills.
• Thorough knowledge and experience of Microsoft Office tools like MS Word, MS Power
Point and MS Excel
• Hardworking and result oriented as an individual and in the team.
• Has Awarded as Best Key Player within one year in Analytics team by the Client
(UHG).
Educational Credentials:
‘Bachelor of Pharmacy’: June 07 [59.09%]
Amravati University
‘ Master of Pharmacy’: June 10 [74.19%]
Vels University
Technical Expertise:
SAS BI Tools SAS/EG, SAS/CDI Studio, SAS Scheduler management
console.
SAS Base Tools SAS/BASE, SAS/MACROS, SAS/ACCESS, SAS/ASSIST,
SAS/GRAPH,CDISC
SAP BO Creating reports and universe
Excel Excel reporting and automation of reports via VBA coding
Languages SQL
Databases Oracle PL/SQL, MS ACCESS,DB2
Operating Systems Windows family/UNIX
Experiences:
Project Details:-
Project 1:
Genpact UK Pvt Ltd, Leicester
July 2013 to till
Description: Genpact manages business process for companies around the world,
combining its process expertise, information technology and analytical capabilities with
Operational insight derived from experience in diverse industries to provide a wide range of
services using its global delivery platform.
Title : BGMI
Client : British Gas, UK.
Environment : SAS 9.3, SASEG 5.1, BO and excel
Role : Senior Consultant SAS and SAP BO
About client: British Gas is leading energy and services Provider in heart of Great Britain
under Centrica providing a comprehensive line of Electricity, Gas and service management
solutions. BG delivers residential as well as organizational customers energy and services
with manufacturing of energy units.
Responsibilities:
Management Information (MI) reporting is the process detecting of business progress
with the financial growth and lacks with corresponding to customer adherence and
predictive analytics of market.
• Develop an understanding on Data Hierarchies, data flow and account mappings.
• Accurate production of Globally Standard Set of Reports as per agreed Time lines and
PLA guidelines.
• Extracting the daily in and out data with financial eye analytics.
• Working in close with government bodies of UK (OFGEM) to maintain transparency of
business via reporting Daily/weekly/monthly basis.
• Modification of billing system and data reporting into SAP utilities.
• Developing a moderate approach and automation by BO reporting.
• SAS flows provides large data handling of wider way study of data and its analytics
also providing inputs to executives to make decision on business.
• Handling customers hamper via inappropriate bill generation and reduce customer
migration via accuracy and transparency data reporting.
• Improving the accuracy of data presentation to management.
• Handling HR financial data analytics and reporting.
• Prepare MI packs / performance packs / product profitability statements
• Preparation of Adhoc activities & reports (multidimensional) for various analyses.
• Influence and escalate key customer issues in an effective way to ensure timely
resolution
Project 2:
Genpact India Pvt Ltd, Gurgaon
Sep 2011 to Jan 2013
Title : AFRS
Client : OPTUM INSIGHT, USA.
Environment : SAS 9.1.3, SASEG,UNIX
Role : Senior SAS Programmer
About client: Optum Insight is a Health care information and Research Organization
under UHG providing a comprehensive line of clinical and cost management solutions.
Ingenix serves multiple health care market segments on a business-to- business basis,
including pharmaceutical companies, health insurance, Health care providers, large
employers and governments.
Assignmetn1:
Responsibilities:
Anti Fraudulent Claims Recovery System (AFRS) is the process detecting of fraudulent
claims filed by the physicians. Detection is primarily based on the clinical criterion using CPT
codes and ICD codes.
• Involved in gathering specifications from the client and designing of the process.
• Working in close association with the Clinical coding team and statistics team.
• Technical support as an application developer supporting primarily SAS and UNIX
shell script applications.
• Development of SAS code to extract the data from oracle, DB2 etc. and create
datasets, format the data, create reports and presenting the necessary information
in varied file formats.
• Develop, test, implement and document the SAS code for various clinical procedures
like Haemorrhoidectomy, Platelet Rich Plasma, Acupuncture, etc. and for drugs like
Leucentis.
• Modification of older programs with hard-corded data values with Macro programs to
enhance the flexibility, reusability.
• Analysis, programming and creation of reports on existing strategies using SAS and
SQL. Design, implementation, tracking performance trend on new strategies in a test
vs. control environment.
• Development of new rules to capture fraudulent claims filed by the physians on a
clinical basis using the Procedural codes and Diagnosis codes.
• Currently working code modifications on ICD9 to ICD10 changes.
• Ad-hoc data analysis using SAS to identify statistical abnormalities and problem
identification.
• Involved in data manipulation and data preparation from many disparate sources for
further analysis.
Assignmetn2:
Title : SEAAL
Client : OPTUM INSIGHT, USA.
Environment : SAS 9.3, UNIX, Shell scripting and SAS EG
Role : Senior SAS Programmer
SEAAL (SAS Environment Advanced and Analytical Lab) is the process of migration of whole
AFRS process to new server with using advanced shell scripting, Unix/Linux and SAS skills.
Test on new testing server and then introduce in production new server.
Responsibilities-
• Creating the directory structures across the new server (testing server) with the
UNIX commands.
• Migrate the all sas codes programming of AFRS process from previous server to new
updated server (testing server) at respective locations via UNIX environment
• Modify all the sas codes of AFRS process and directory paths for input and output as
per the new server (testing server) requirements by shell scripting and UNIX coding
with sas codes.
• Analyzing the process on new server (testing server) with sequential and parallel
testing.
• Cross validation with the previous server for outputs, volume of outputs and timeline
of process.
• UAT(User acceptance test) for other teams to review and access to data new
server(testing server).
• Finalized the designing on new server (testing server) and then migrate to new
production server.
Assignmetn3(Pilot Project designing):
Client : GSK
Project : Clinni-Interpret and Load.
Environment : SAS/Base, SAS/MACRO, SAS/Sql, SAS/Access,
SAS/Stat, SAS CDI and SAS DD.
Description:
The Clinical trials were conducted on phase I-IV. This is a product-focused
pharmaceutical company dedicated to the discovery and development of innovative
therapeutic agents, with a particular emphasis on anticancer drugs.
Responsibilities:
• Worked on the CDISC as per SDTMIG guidelines
• Worked on document repositories as per the client updates with IMLCS and MLCS
• Collocated and categorized the data from IMLCS to SDD.
• Extracted data by SAS/Access created the data sets and analyzed data.
• Extensively used proc report, proc tabulate and Proc Univariate and proc means.
• Involved in documentation of design, code and reports for handling over the project.
• Created Data Tables using Proc Tabulate.
• Generated Reports using Proc Report.( Name of the report ?), [Add the reports
Name]
• Generated reports by SAS/EG by using stored Process.
Domain Experience:
EMIL PHARMACEUTICALS PVT LTD: - From 08/2007 to 07/2008
• Company Details: - Emil’s is developing, manufacturing and marketing of allopathic
formulations in various dosage forms viz., Tablets, Capsules, Oral liquids, Dry
powders, Creams, Ointments & Gels. Headquartered in Mumbai.
• EMIL also manufactures ayurvedic / herbal & veterinary formulations.
• Rolls & Responsibilities:
 Handling the different tablets products manufacturing
 Documentation for tablet department
 Running the batch jobs for variant
 Handling the staff for job process
 Maintain the shift jobs for workers
 Handling the DM plant working & documentation
 Providing the training for new workers & handling the Audit team
 Also handled the liquid department
Project Work:
Formulation & In-vitro evaluation of self emulsifying drug delivery system of an
Atorvastatin drug
Contents: - Enhancement of solubility of drug, Tackle the stability of formulation,
Propagate the oil ratios, discuss the bioavailability and release
studies.
Seminars/Presentations:
• International Paper Presentation for Nan biotechnology 2007 Chikhali (Buldhana) ,
‘An device for detection of cancer at its preliminary stage via an cylindrical
multiunit array of nanoparticles’(DNA)
• Seminar on Adrenocorcoticoid.
• Review article on Intravenous Fluid Therapy
Personal Details:
Name : Rahul Patil
Father Name : Arvind Patil
Date of Birth : 29th
July 1984
Permanent Address : Flat 501, Sai Silicon Homes, CyberValley, Kondapur
Hyderabad.
Extracurricular activity : Participated at State Level Basket Ball Team
(Under 18), University Level Volley Ball,
Amravati, 2003-07.
Date: Thanks and Regards.
Place: Rahul.A.Patil

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Rahul Patil's CV: Healthcare Analytics Expert

  • 1. CURRICULUM VITAE Rahul A Patil E-mail: rahul.patilsas@gmail.com Phone: +91 81060 33411 Summary: Having 5 years of onshore and offshore Experience in Financial MI reporting and Healthcare Insurance domain in Analytics department Using variant tools like SAS, SAP BO, Excel, etc. • Good understanding on Finance MI data flow and management with MI reporting to higher managements and stakeholders. • Work with Other MI Departments including Change Management, Risk & Compliance to drive various MI Automation Projects. • Working Closely with Customers and stakeholders to understand the criticality and customer requirements as Client Relationship Manager in current role. • Creating BRD for variant modules, mapping and developing rules as filter for flagging claims. • Worked in MRM and Fraud Analytics team with UHG as client in Genpact. • Working on Preparing MI packs / performance packs / product profitability statements. • Handel Healthcare Insurance data for detecting Fraudulent claims via variant approaches and analysis of data with effective processing claims, has developed variant modules which saves around $20000 per week was awarded for same. • As Worked in Analytics department good in analyzing current, retro data and FORECASTING on variant approaches. • Recently onsite was awarded by Finance Director of British Gas as “Best Finance MI Developer 2013” for handling government reporting (ofgem) and analyzing decision taking data to maintain refund values to customer by organizations. • Having exceptional hands on data analysis and presentation to stakeholders. • Experience on Analysis of data via SAS Base and Advance, SAS BI tools, SQL, Excel and SAP BO. • Developing the SAS macros for reusable applications used in generating data sets and different reports as per the requirement. • Validating and Cleaning of Data using Data Step and Base SAS procedures. • Extensive Knowledge in preparation of Reports, Tables, Listings and Graphs using various Procedures like Frequency, Summary, Report, Tabulate, Gplot, Gchart, SQL. • Good Knowledge in using Basic and Advanced SQL commands like Pass-Through Facility to import and export the external files. • The reports were generated and the reports include the following tables as Baseline history and status, follow-up visit, efficacy analysis, Agent wise summary, financial status, in and out of growth of business.
  • 2. • Handel the team of 12 members with daily, weekly and monthly Utilization reporting of the development and progress status. • Excellent Communication, Analytical and Problem Solving skills with good organization skills. • Thorough knowledge and experience of Microsoft Office tools like MS Word, MS Power Point and MS Excel • Hardworking and result oriented as an individual and in the team. • Has Awarded as Best Key Player within one year in Analytics team by the Client (UHG). Educational Credentials: ‘Bachelor of Pharmacy’: June 07 [59.09%] Amravati University ‘ Master of Pharmacy’: June 10 [74.19%] Vels University Technical Expertise: SAS BI Tools SAS/EG, SAS/CDI Studio, SAS Scheduler management console. SAS Base Tools SAS/BASE, SAS/MACROS, SAS/ACCESS, SAS/ASSIST, SAS/GRAPH,CDISC SAP BO Creating reports and universe Excel Excel reporting and automation of reports via VBA coding Languages SQL Databases Oracle PL/SQL, MS ACCESS,DB2 Operating Systems Windows family/UNIX Experiences: Project Details:- Project 1: Genpact UK Pvt Ltd, Leicester July 2013 to till Description: Genpact manages business process for companies around the world, combining its process expertise, information technology and analytical capabilities with Operational insight derived from experience in diverse industries to provide a wide range of services using its global delivery platform. Title : BGMI Client : British Gas, UK. Environment : SAS 9.3, SASEG 5.1, BO and excel Role : Senior Consultant SAS and SAP BO
  • 3. About client: British Gas is leading energy and services Provider in heart of Great Britain under Centrica providing a comprehensive line of Electricity, Gas and service management solutions. BG delivers residential as well as organizational customers energy and services with manufacturing of energy units. Responsibilities: Management Information (MI) reporting is the process detecting of business progress with the financial growth and lacks with corresponding to customer adherence and predictive analytics of market. • Develop an understanding on Data Hierarchies, data flow and account mappings. • Accurate production of Globally Standard Set of Reports as per agreed Time lines and PLA guidelines. • Extracting the daily in and out data with financial eye analytics. • Working in close with government bodies of UK (OFGEM) to maintain transparency of business via reporting Daily/weekly/monthly basis. • Modification of billing system and data reporting into SAP utilities. • Developing a moderate approach and automation by BO reporting. • SAS flows provides large data handling of wider way study of data and its analytics also providing inputs to executives to make decision on business. • Handling customers hamper via inappropriate bill generation and reduce customer migration via accuracy and transparency data reporting. • Improving the accuracy of data presentation to management. • Handling HR financial data analytics and reporting. • Prepare MI packs / performance packs / product profitability statements • Preparation of Adhoc activities & reports (multidimensional) for various analyses. • Influence and escalate key customer issues in an effective way to ensure timely resolution Project 2: Genpact India Pvt Ltd, Gurgaon Sep 2011 to Jan 2013 Title : AFRS Client : OPTUM INSIGHT, USA. Environment : SAS 9.1.3, SASEG,UNIX Role : Senior SAS Programmer About client: Optum Insight is a Health care information and Research Organization under UHG providing a comprehensive line of clinical and cost management solutions. Ingenix serves multiple health care market segments on a business-to- business basis, including pharmaceutical companies, health insurance, Health care providers, large employers and governments.
  • 4. Assignmetn1: Responsibilities: Anti Fraudulent Claims Recovery System (AFRS) is the process detecting of fraudulent claims filed by the physicians. Detection is primarily based on the clinical criterion using CPT codes and ICD codes. • Involved in gathering specifications from the client and designing of the process. • Working in close association with the Clinical coding team and statistics team. • Technical support as an application developer supporting primarily SAS and UNIX shell script applications. • Development of SAS code to extract the data from oracle, DB2 etc. and create datasets, format the data, create reports and presenting the necessary information in varied file formats. • Develop, test, implement and document the SAS code for various clinical procedures like Haemorrhoidectomy, Platelet Rich Plasma, Acupuncture, etc. and for drugs like Leucentis. • Modification of older programs with hard-corded data values with Macro programs to enhance the flexibility, reusability. • Analysis, programming and creation of reports on existing strategies using SAS and SQL. Design, implementation, tracking performance trend on new strategies in a test vs. control environment. • Development of new rules to capture fraudulent claims filed by the physians on a clinical basis using the Procedural codes and Diagnosis codes. • Currently working code modifications on ICD9 to ICD10 changes. • Ad-hoc data analysis using SAS to identify statistical abnormalities and problem identification. • Involved in data manipulation and data preparation from many disparate sources for further analysis. Assignmetn2: Title : SEAAL Client : OPTUM INSIGHT, USA. Environment : SAS 9.3, UNIX, Shell scripting and SAS EG Role : Senior SAS Programmer SEAAL (SAS Environment Advanced and Analytical Lab) is the process of migration of whole AFRS process to new server with using advanced shell scripting, Unix/Linux and SAS skills. Test on new testing server and then introduce in production new server. Responsibilities- • Creating the directory structures across the new server (testing server) with the UNIX commands. • Migrate the all sas codes programming of AFRS process from previous server to new updated server (testing server) at respective locations via UNIX environment
  • 5. • Modify all the sas codes of AFRS process and directory paths for input and output as per the new server (testing server) requirements by shell scripting and UNIX coding with sas codes. • Analyzing the process on new server (testing server) with sequential and parallel testing. • Cross validation with the previous server for outputs, volume of outputs and timeline of process. • UAT(User acceptance test) for other teams to review and access to data new server(testing server). • Finalized the designing on new server (testing server) and then migrate to new production server. Assignmetn3(Pilot Project designing): Client : GSK Project : Clinni-Interpret and Load. Environment : SAS/Base, SAS/MACRO, SAS/Sql, SAS/Access, SAS/Stat, SAS CDI and SAS DD. Description: The Clinical trials were conducted on phase I-IV. This is a product-focused pharmaceutical company dedicated to the discovery and development of innovative therapeutic agents, with a particular emphasis on anticancer drugs. Responsibilities: • Worked on the CDISC as per SDTMIG guidelines • Worked on document repositories as per the client updates with IMLCS and MLCS • Collocated and categorized the data from IMLCS to SDD. • Extracted data by SAS/Access created the data sets and analyzed data. • Extensively used proc report, proc tabulate and Proc Univariate and proc means. • Involved in documentation of design, code and reports for handling over the project. • Created Data Tables using Proc Tabulate. • Generated Reports using Proc Report.( Name of the report ?), [Add the reports Name] • Generated reports by SAS/EG by using stored Process. Domain Experience: EMIL PHARMACEUTICALS PVT LTD: - From 08/2007 to 07/2008 • Company Details: - Emil’s is developing, manufacturing and marketing of allopathic formulations in various dosage forms viz., Tablets, Capsules, Oral liquids, Dry powders, Creams, Ointments & Gels. Headquartered in Mumbai.
  • 6. • EMIL also manufactures ayurvedic / herbal & veterinary formulations. • Rolls & Responsibilities:  Handling the different tablets products manufacturing  Documentation for tablet department  Running the batch jobs for variant  Handling the staff for job process  Maintain the shift jobs for workers  Handling the DM plant working & documentation  Providing the training for new workers & handling the Audit team  Also handled the liquid department Project Work: Formulation & In-vitro evaluation of self emulsifying drug delivery system of an Atorvastatin drug Contents: - Enhancement of solubility of drug, Tackle the stability of formulation, Propagate the oil ratios, discuss the bioavailability and release studies. Seminars/Presentations: • International Paper Presentation for Nan biotechnology 2007 Chikhali (Buldhana) , ‘An device for detection of cancer at its preliminary stage via an cylindrical multiunit array of nanoparticles’(DNA) • Seminar on Adrenocorcoticoid. • Review article on Intravenous Fluid Therapy Personal Details: Name : Rahul Patil Father Name : Arvind Patil Date of Birth : 29th July 1984 Permanent Address : Flat 501, Sai Silicon Homes, CyberValley, Kondapur Hyderabad. Extracurricular activity : Participated at State Level Basket Ball Team (Under 18), University Level Volley Ball, Amravati, 2003-07.
  • 7. Date: Thanks and Regards. Place: Rahul.A.Patil