Business Consulting Projects

Implemented Healthcare strategy & innovation projects supporting several countries including India, Europe & USA

Provider Tiers & Narrow Network system-STAR Rating[US Payers]

▸ Managed a 40+ team of senior consultants to identify & create county wide rating mechanism for analysing & evaluating performance parameters of Hospitals & Doctors.

►This led to better payment mechanism & tracking of Medical services at community level.

Global Capability Consulting Centre

Strategic Advisory services for cost optimization by setting-up Global Captive Centre(7000+) for one of the Largest Health plans in Chennai ► Supporting multiple Global Initiatives from India & driving consulting engagements for largest Health Payer in India

CMS USA Policy for Claims

Surveyed over more than 100+ policy documents to create various pricing protocols that can be used by Payors (Healthcare Insurers) as a reference point for including services for successful rollout for Universal Health Coverage.

Insurance Claims processing evaluation

► Monitoring & Evaluation of claims processing for larger regional Healthcare systems in California, US along with Google team

Dashboard creation for real time claims adjudication process for brining TAT claims processing time from 14-15 days to real time.

Research policy framework for National Al Digital Healthcare Policy r

Analysis for Al framework & around Digital Healthcare systems in EU