Healthcare Services ManagementAdministration of Healthcare Operations and PoliciesStrategic Planning & Governance – Established multiple business verticals. Part-time General PractiionerHospital Websites Designing & DevelopmentDigital Health Records, Patient Appointment SystemsPreventive HealthcareHealthcare Recruitment ServicesMultispeciality PolyclinicsClient Account Management – Traveled to medical insurance client site (overseas) in 2013 to Riyadh, KSA, to develop their QA system for identifying internal fraud. Reduced over-payments, identified redundancies & errors, monitor negligence & under-performance of in-house doctors.Traveled to client site as Strategic Advisor to Doha, Qatar, in 2017, for a start-up medical insurance company pilot project – headed strategic operations, identified areas of process improvement, established good practices in ops & workflows. Suggested changes, assessed risks with timely mitigation, identified errors / bugs / delays through analytical audits & MIS, measured delivery, advised CAP.Client Strategic Alliances – Served as Executive Director and commissioned an 80-bedded multispeciality hospital. Interviewed and hired administrators, RMOs, doctors and surgeons as full-time consultants. Ensured technology-focused approach & developed talent retention plans. Targeted average 48-hr inpatient stay & top-quality care through patient-centric trainings. Improved discharge TAT by 50% in a month by identifying redundancies & lag. Built organizational goals and strategic objectives. Initiated Medical Tourism & corporate tie-ups.Achievements - Built revenue models & strategies, managed P & L efficiently

Strategic leadership to transition medical insurance operations from third party operators to complete in-house solutions (Enrolment, pre-authorizations, claims, hospital empanelment).• Made SOPs, process flows and policy documents.• Bridged strategic alliances with partners in India for seamless software functionality and offshore operations.• Contributed effectively to website content, business risk management, MIS, and audits.

• Worked in Quality Assurance and Compliance Department.• Provided support to Fraud and Abuse Department.• Identified gaps and internal fraud and errors with random audit of claims and pre-authorization processes.• Documentation and analysis of quality of input data – identify over-payments, redundancies, errors, negligence, and other critical quality metrics. Improved workflows in Quality Control

• Headed UW support operations with a team of doctors.• Managed implementation, quality, and MIS of a pilot project in Life Insurance Medical Underwriting(Individual). Transitioned and led the pilot project from US office to India.• Onboarded, trained, and directed a team of 20+ staff. Managed delivery with 99% average yearly accuracy.• Mitigated issues, performed random auditing of medical summaries, developed MIS independently.• Contributed to process excellence, made SOPs for ISO compliance.Achievements - Awarded ‘Leader Implementing Most Ideas’ & ‘Leader of the Year’. Led Wellness Committee andhealthcare initiatives and attended emergency patients.

• Summarised medical records for insurance peer reviews and pre-authorization for workers compensation claims. Promoted as a manager - delivery, quality, and performance of a team of trained doctors.Achievement – Consistent in highest productivity and accuracy in the team.

• Built strong foundation in medical practice in diverse patient care areas.• Assisted in general surgeries and medical procedures.