Dr. Praveen Ganapathiraju

Product 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.

Driving 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%.

Led 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%.