Girish "Gp" Pathria Email and Phone Number
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Successful product, technology, and operations leadership experience, ranging from early-stage companies to F500 corporations. Skilled in all areas of technology-driven value creation, including product marketing, solution design, implementation, business development, and mergers and acquisitions. Deep understanding of Healthcare Payer and Provider markets, platforms, and ecosystems. Led innovation of configurable and scalable SaaS / mobile products with compelling product vision and strategies. Industry experience in Healthcare, IT, Insurance, Financial Services, & Benefits, Payments, and Incentives/Rewards. I get excited about opportunities to create value for customers and users by offering solutions to their business problems and accelerating business growthSIGNATURE CAPABILITIES / HIGHLIGHTS:• Profitability/ Revenue Growth: Low-cost, configurable, standard Plan/Benefit mgmt., enrollment, claims, & payment solutions for Commercial + Medicare. Improved outcomes for high-risk populations with predictive clinical & wellness solutions. • Scaling/ Building High Performance Teams for Talent Advantage: Coached top talent, and scaled the teams to meet market expansion needs without a proportionate increase in headcount.• Launching/ Growing AI-enabled, Products/Solutions: to serve payer & provider functions – Product, Sales, Underwriting, Claims, Fraud & abuse, Member/Patient/Consumer engagement, Medicare Stars; RCM, Population Health, Care Mgmt, Clinical & Wellness. Commercial/Medicare/Retiree solutions. Risk adjustment solutions to improve member risk score accuracy and provider effectiveness.• New Market Entry: Rapid entry into fast-growing Medicare & Commercial markets to win/implement new clients. Expansion into Physician practice, Hospitals, & Post-acute.EXPERTISE* Product Vision/Strategy/Roadmap* Solution Design / UX* Go-to-market Planning & Execution* Digital Marketing * Medicare & Commercial Payer and Provider Workflow Solutions - Plan/Benefit Design: Clinical & wellness, Healthy benefit programs - Price Transparency - Revenue Cycle Management - Fraud & Abuse - Population/Care/Utilization Mgmt. - Enrollment / Claims / Payments - CRM - Salesforce Sales Cloud, Health Cloud - Patient/Member/Consumer Engagement * Claims and Clinical Data & Analytics, AI / NLP - Risk Adjustment, Identification & Stratification - Clinical Decision Support - EHR, HL7 - Value-based – CAHPS, HEDIS, Quality measures* SaaS / Platform / Data Mgmt. / BI / Workflow Automation - Integration - ETL, API - Mobile, Cloud/AWS* Agile Operations
Highroads
View- Website:
- highroads.com
- Employees:
- 120
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Evp Product - Ai And Saas | Medicare, Medicaid, Employer Benefits And Claims PaymentHighroadsBoston, Ma, Us
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Evp Strategy (Previously Product & Marketing), Medicare & Commercial Plan/Benefits SolutionsHighroads Jul 2018 - PresentBurlington, Massachusetts, UsMultiple executive roles - Product Management/ Marketing/ Corporate Development / Market Expansion. Drove market growth & time/cost efficiencies for Medicare & Individual/Group Commercial payer customers by transforming Plan and Benefits & Payment workflows with a scalable enterprise SaaS solution. Expanded market share. Provided a compelling value story to attract buyers and enable increased sales. Set & communicated product vision/strategy & roadmap. Scaled delivery, sales & services via configuration and self-service of data and rules mgmt. capabilities.
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Svp Product, Mobile Revenue Cycle Workflow And Analytics Solutions For Acute/Post-Acute ProvidersIngenious Med Jan 2017 - Dec 2018Atlanta, Georgia, UsDrove double-digit growth & improved financial outcomes and physician productivity with a focused product and data monetization strategy. Delivered real-time workflow & analytics revenue cycle (RCM) mobile and web solutions. Expanded value prop of physician practice-based solution to hospitals & post-acute by integrating the platform with hospital workflows, EHRs, and billing. Directed product strategy/roadmap, prioritization, and analytics. Accelerated time to market to deliver innovative solutions integrated with content and data providers to diversify provider specialty mix. -
Vp Product/ Marketing, Medicare & Commercial Payer Claims, Enrollment, & Billing SolutionsUst 2015 - 2017Aliso Viejo, Ca, UsLed Medicare claims, enrollment, and billing automation and member/provider analytics SaaS solutions across payers to provide lower cost and optimized revenue. Automated payers’ workflows for operational efficiencies & scalability. Delivered ACA and CMS changes for VBID, Medicare enrollment (AEP), SNP/duals and capitation processing, Stars, HEDIS, broker commissions, campaigns, HIX integration, and value-based payments to grow the business. Achieved high payment accuracy and CMS application acceptance. Supported successful exit M&A. -
Vp, Product/ Marketing, Population Health / Predictive Analytics Solutions For EmployersCarewise Health (Shps) 2012 - 2014Launched a population health predictive analytics platform for employers 3 months ahead of schedule to drive revenue growth. Drove employee response rate increase by using Johnson and Johnson’s consumer behavior segmentation for wellness campaigns targeted to high-risk members and delivering insights over mobile and web platforms.
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Director, Medicare Risk Adjustment Solutions (Previously Dir Product Marketing And Chief Of Staff)Optum 2008 - 2011Eden Prairie , Mn, UsLed revenue growth of Medicare risk adjustment clinical and operational performance solutions for improved population health, cost utilization, and quality outcomes. Improved risk score accuracy and chronic condition mgmt. through concept-to-launch delivery of care gap and intervention solutions to improve provider outreach effectiveness. Additional role - Director of Product MarketingAdditional role - Chief of Staff, Risk Adjustment -
Product Manager, Clinical Decision SupportElsevier 2003 - 2007Amsterdam, North Holland, NlLaunched EHR-integrated evidence-based clinical decision support solutions to improve physician & nurse productivity. -
Product Manager, Wellsfargo.ComWells Fargo 2002 - 2003San Francisco, California, UsIncreased sale of online banking products 2x by reducing online shopping abandonment rates. Optimized WellsFargo.com content and navigation to increase targeted website traffic and establish consistent branding identity across WellsFargo internet properties. -
Strategy Consultant - Healthtech | Insurtech | FintechAquent | Renaissance Solutions 1996 - 2001Led multiple consulting engagements for Fortune 500 clients. - Financial Services (TransUnion, Citicorp): Digitized credit reporting workflows to reduce disclosure & dispute resolution turnaround time. Accelerated payment process for a $100M business to settle payments in 20% less time. - Manufacturing (John Deere, Caterpillar): Setup reverse auctions for suppliers to improve supplier quality and reduce spend - Healthcare (Baxter): HR workflow automation for greater employee satisfaction - Insurance (Allstate): Digitized payment workflows for P&C
Girish "Gp" Pathria Skills
Girish "Gp" Pathria Education Details
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Northwestern University - Kellogg School Of ManagementEntrepreneurial Finance -
Savitribai Phule Pune UniversityComputer Science
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University Of DelhiStatistics
Frequently Asked Questions about Girish "Gp" Pathria
What company does Girish "Gp" Pathria work for?
Girish "Gp" Pathria works for Highroads
What is Girish "Gp" Pathria's role at the current company?
Girish "Gp" Pathria's current role is EVP Product - AI and SaaS | Medicare, Medicaid, Employer Benefits and Claims Payment.
What is Girish "Gp" Pathria's email address?
Girish "Gp" Pathria's email address is gi****@****ail.com
What is Girish "Gp" Pathria's direct phone number?
Girish "Gp" Pathria's direct phone number is +197882*****
What schools did Girish "Gp" Pathria attend?
Girish "Gp" Pathria attended Northwestern University - Kellogg School Of Management, Savitribai Phule Pune University, University Of Delhi.
What are some of Girish "Gp" Pathria's interests?
Girish "Gp" Pathria has interest in Science And Technology, Health.
What skills is Girish "Gp" Pathria known for?
Girish "Gp" Pathria has skills like Product Management, Cross Functional Team Leadership, Strategy, Business Intelligence, Business Development, Management, Analytics, Consulting, Product Development, Healthcare Information Technology, Leadership, Change Management.
Who are Girish "Gp" Pathria's colleagues?
Girish "Gp" Pathria's colleagues are Cassie Bordes, Brandi D., Katherine Webb Msw, Cadc, Martin O'rorke, Pat Clarke, Christina Moran, Ashley Rhodes.
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