Kumar Praveen Email and Phone Number

PROFESSIONAL SUMMARYPraveen is a Product Manager at TriZetto, a Cognizant Company. He has nearly 15 years of experience in IT industry with core competency in Product consultancy, Product management for US Healthcare payer sector. Worked extensively with Healthcare clients on different assignments such as Member Enrollment, Provider Enrollment, Claims Processing, PBM maintenance and PBM Fraud waste and Abuse. Mr. Praveen brings in Prior Product Management experience building SaaS Product for healthcare payers in the areas of population management; Value based healthcare, NCQA and CMS STAR programs. He has extensive experience in health plan strategy, Go-to Market, Digital Transformation, and operations in the areas of Enrollment, Benefits, Claims, Pharmacy, Clinical and, Medicare, Medicare and regulatory compliance. Praveen is the main point of contact and partner with senior business unit clients to own their analytical agenda, proactively bringing data-driven insights to support business priorities. Praveen has extensively worked on product development in the area of Fraud, waste and Abuse in Pharmacy domain. Also worked on product development for CMS Star rating for Medicare Part C & D program and conceptualized a Medication Therapy Management • Praveen has also worked on Individualized fetal growth modeling and derivation of brand new fetal weight estimation formula based on USG scan parameters. Also the estimation of fetal weight on future date along with screen positive or negative for few fetal abnormalities based on fetal parameters ( HC, FL, BPD and AC) are detected. This is first ever-Indian attempt of fetal modeling and estimation of fetal weight, performed at Indian population. The accuracy of the formula tested on next set of population and found better than similar formulas available