Available to hire
I’m a physician turned digital strategist with over 14 years of experience driving healthcare transformation and innovation. My journey has taken me from clinical roles to consulting, where I leverage my healthcare background to optimize processes and implement AI-led automation solutions. I aim to improve patient outcomes and operational efficiencies by translating complex clinical and business challenges into actionable strategies. My passion lies in shaping the future of healthcare through technology and collaboration with key stakeholders.
Skills
Experience Level
Expert
Expert
Expert
Expert
Expert
Expert
Intermediate
Language
English
Advanced
Telugu
Fluent
Hindi
Advanced
Work Experience
Founding Product Manager at NPPD Care (Health & Wellness Startup)
June 1, 2023 - PresentLed product strategy for a first-of-its-kind holistic wellness platform covering 11 wellness domains (Physical, Mental, Emotional, Financial, etc.), driving adoption across B2C and B2B segments. Spearheaded 360-degree wellness program, improving customer retention by 30% through hyper-personalized AI-driven wellness plans. Defined MVP and GTM strategy, leading to a successful beta launch with 1000+ active users in 6 months. Built and scaled partnerships with healthcare providers and corporates, resulting in 25% MoM revenue growth. Designed a data-driven customer engagement model that boosted conversion rates by 40%.
Lead Pega Business Consultant at Maantic Global
June 1, 2023 - PresentDriving digital transformation for healthcare enterprises, focusing on AI-powered automation for claims processing and payer solutions. Optimized claims adjudication workflows, reducing processing time by 35% and increasing auto-adjudication rates by 20%. Implemented AI-driven claims analytics, leading to 15% reduction in fraud detection time. Partnered with stakeholders to design and launch a real-time claims analytics dashboard, improving operational efficiency by 25%.
Principal Business Analyst (Product Owner) at Pega Systems
June 30, 2023 - September 10, 2025Product lead for Smart Claims Engine, used by major US healthcare payers (Elevance Health, Cigna, Healthfirst). Defined and delivered next-gen AI-powered auto-adjudication features, increasing efficiency by 40%. Led cross-functional teams in building a scalable architecture that processed 500M+ claims annually. Developed and executed a claims fraud detection AI model, reducing fraudulent claims payouts by 30%. Designed end-to-end digital workflows, reducing manual intervention by 50% and improving payer ROI.
Senior Pega Business Analyst at Pega Systems
March 31, 2021 - September 10, 2025Key contributor to healthcare payer platform innovation. Led the design and implementation of duplicate claims detection and NCCI edits, reducing erroneous payments by 20%. Developed an AI-driven readmission risk model, decreasing hospital readmissions by 15%. Defined interoperability roadmap for FHIR & X12 transactions, enhancing data exchange capabilities.
Principal Business Analyst (Healthcare Industry Applications) at Pega Systems Worldwide India Pvt. Ltd.
April 1, 2021 - June 1, 2023Directed Smart Claims Engine design and delivery impacting 5M+ claims annually, improving auto-adjudication throughput by 30%. Collaborated with solution architecture teams aligning payer strategy with scalable digital capabilities. Created data-driven scorecards improving operational accuracy by 25%. Advised payer executives on market alignment and regulatory readiness through workshops.
Senior Business Analyst at Pega Systems Worldwide India Pvt. Ltd.
June 1, 2016 - March 1, 2021Implemented guided event resolution frameworks reducing manual intervention in claims adjudication by 40%. Standardized 25+ reusable healthcare data models with PFHC, driving enterprise data integrity. Served as proxy product owner managing 10+ epics, sprint planning, and release demos. Influenced product roadmap decisions via competitive benchmarking and market research.
Medical Reviewer / Senior Claims Examiner at Global Benefits Group India Pvt. Ltd.
December 1, 2013 - June 1, 2016Reviewed high-value claims (>$100K), driving 28% error reduction through audit-led process redesign. Developed analytics frameworks identifying leakage patterns and recovery opportunities.
Senior Medical Officer at SAT MED Claim Services
July 1, 2012 - December 1, 2013Streamlined claims audit operations improving compliance by 99.8% and reducing turnaround times. Created audit dashboards and pre-authorization matrices for fraud detection and cost containment.
Lead Quality Analyst at United Healthcare India Pvt. Ltd. (UHG)
May 1, 2010 - June 1, 2012Directed quality audits eliminating fraudulent providers through data-driven insights. Enhanced vendor compliance metrics by 40%, improving customer satisfaction.
Medical Officer & Pre-Authorization Head at Heritage Health TPA Pvt. Ltd.
July 1, 2009 - April 1, 2010Oversaw pre-authorization for 3,000+ monthly claims achieving 98% audit accuracy and TAT compliance. Introduced automation frameworks reducing approval turnaround from 3 days to 1 day.
Education
Medicine at Dr. NTRUHS
December 1, 2002 - December 10, 2008Postgraduate Program in Product Management (PGPM) at Institute of Product Leadership
January 11, 2030 - September 10, 2025APGDM (Healthcare Management) at Osmania University
January 11, 2030 - September 10, 2025IPGD (Life Insurance) at IIRMB
January 11, 2030 - September 10, 2025BHMS (Bachelor of Homeopathic Medicine & Surgery) at Dr. NTR University
January 11, 2030 - September 10, 2025BHMS at Bachelor of Homoeopathic Medicine & Surgery
January 11, 2030 - January 21, 2026MBA at ISBM
January 11, 2030 - January 21, 2026APGDHHM at Osmania University
January 11, 2030 - January 21, 2026IPGD (LI) at IIRM (CII London-Affiliated)
January 11, 2030 - January 21, 2026PGPM at Institute of Product Leadership
January 11, 2030 - January 21, 2026Qualifications
BHMS
December 11, 2021PGDHHM
December 10, 2019CSM
December 11, 2021PSM
December 11, 2021PSPO
December 11, 2021PMI-CDP
December 11, 2021IIBA-POA
December 11, 2021PMP
January 11, 2030 - September 10, 2025CSPO
January 11, 2030 - September 10, 2025PSM
January 11, 2030 - September 10, 2025CSM
January 11, 2030 - September 10, 2025PSPO
January 11, 2030 - September 10, 2025SAFe PO/PM
January 11, 2030 - September 10, 2025IIBA-CPOA
January 11, 2030 - September 10, 2025Pega CSA
January 11, 2030 - September 10, 2025CPBA
January 11, 2030 - September 10, 2025CSSA
January 11, 2030 - September 10, 2025CPDC
January 11, 2030 - September 10, 2025CPDS
January 11, 2030 - September 10, 2025SAFe PO/PM
January 11, 2030 - January 21, 2026PSPO
January 11, 2030 - January 21, 2026CSM
January 11, 2030 - January 21, 2026CSPO
January 11, 2030 - January 21, 2026PSM
January 11, 2030 - January 21, 2026PMI-CDP
January 11, 2030 - January 21, 2026IIBA-POA
January 11, 2030 - January 21, 2026CSA
January 11, 2030 - January 21, 2026CSSA
January 11, 2030 - January 21, 2026CPBA
January 11, 2030 - January 21, 2026MHA
January 11, 2030 - January 21, 2026PAHM
January 11, 2030 - January 21, 2026IPGD (LI)
January 11, 2030 - January 21, 2026Licentiate & Associate (III)
January 11, 2030 - January 21, 2026Industry Experience
Healthcare, Software & Internet, Professional Services, Life Sciences
Skills
Experience Level
Expert
Expert
Expert
Expert
Expert
Expert
Intermediate
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