• Efficiency Revolution: Designed and implemented AI-driven automated workflows that saved an unprecedented 76,000+ manual hours, directly impacting the bottom line of global healthcare leaders.
• Clinical Innovation: Instrumental in integrating Generative and Conversational AI into Oracle’s healthcare suite, automating clinical documentation and patient interactions.
• Revenue Protection: Developed Agent-driven Prior Authorization and Denial-Appeal automation, projected to save Oracle customers ~$10M annually by reducing revenue leakage and reimbursement delays.
• Patient Access & NPS: Improved Provider Satisfaction and NPS scores from 8 to 46 within 12 months of launching new flows at Optum.
• Operational Savings: Implemented a National Gold Card program to reduce prior authorization volumes by 20%, saving $4M in 2025 in operational expenses.

Worked as enterprise Architect in providing strategy and implementation architectures for CMS and Labor Compliances / Mandates like No Surprse Act, Tele Health Place of Service, Fraud Waste and Abuse detection.

• Compliance Leadership: Spearheaded architectural solutions for Claims Adjudication, ensuring compliance with CMS mandates, the No Surprise Act, and COVID-19 claims processing.
• Payment Integrity: Developed efficient scalable systems for Foreign Employee Progress (FEP) claims, resolving processing delays and avoiding regulatory penalties.

• Retail Innovation: Architected a homegrown Restaurant Point of Sale (POS) system that eliminated third-party subscription fees and opened a new revenue model for franchises.
• AI-Driven Cost Savings: Leveraged Predictive AI for kitchen optimization and inventory ordering, reducing wastage by $3M and optimizing staffing costs by $1M.

Founding member of healthcare analytics firm that filled a critical gap in data-driven decision-making for Health Plans.

• Proprietary IP: Developed an AI-Driven Population Health Management Suite that aggregated fragmented patient data into actionable insights for Value-Based Care.
• Clinical Outcomes: Developed 16+ Risk Prediction models, identifying "at-risk" patient cohorts and saving lives through preventive care solutions.
  
  
• Custom Disease Risk Prediction Models for top 10 diseases 
• Utilization and Care Management, Member priortization 
• M&A Exit: Successfully led the company through a $36.5M acquisition by a public corporation (HMS/Cotiviti), validating the technical IP and business model.