Kirbhashankar Prabhakaran
Cumming,GA
Summary
Seasoned healthcare technology leader with over 20 years of experience, specializing in B2B SaaS service delivery, technical operations, and clinical integration within regulated healthcare environments. Proven track record of managing end-to-end technology service delivery, architecting secure onboarding processes, and leading high-performing technical teams (50+ resources, $15M+ portfolios). Deeply experienced in establishing structured service frameworks, SLA governance, incident management, and complex EMR integrations to ensure the reliability and security of mission-critical clinical workflows.
Overview
21
21
years of professional experience
Work History
Director of Engineering (Clinical Data Acquisition & Technical Operations)
Elevance Health
05.2018 - Current
- Technology Service Delivery: Direct end-to-end operational support and development for Elevance Health’s enterprise-scale HealthOS platform, managing a $15M+ portfolio and a 50+ member team of engineers and interoperability consultants.
- Implementation & Integration Oversight: Oversee complex technical onboarding and bidirectional data integration for 1,500+ EMR/EHR, HIE, and third-party data sources (including Epic, Oracle Cerner, and Athenahealth), reducing time-to-value for clinical data acquisition.
- Customer Technical Relationship Management: Serve as the senior technical escalation point and SME for the Carelon Growth commercialization team, providing executive-level guidance to customers on efficient, compliant clinical data onboarding.
- Incident Governance & Platform Reliability: Scaled and secured the HealthOS platform to ingest ~2B clinical documents annually, implementing structured monitoring and operational processes to ensure high availability for mission-critical use cases like Value-Based Care and Prior Authorization.
- Cross-Functional Leadership: Partner seamlessly across product, clinical, and platform engineering teams to translate complex technical requirements into scalable integration architectures (using AWS and Cloverleaf).
Director, Clinical Data Acquisition
The Advisory Board Company (Currently UHG–Optum)
10.2014 - 05.2018
- Service & Onboarding Operations: Led end-to-end technical extraction and integration of clinical and billing data from highly regulated hospital EMR systems into the Advisory Board Data Hub.
- Technical Stakeholder Engagement: Partnered directly with hospital IT leadership and clinical stakeholders to design custom Care Management workflows and resolve complex operational friction points.
- Platform Migration & Escalation Management: Served as the primary technical liaison and operational escalation point between internal delivery teams and third-party vendors (Mi7) during major platform integration and migration efforts.
- Pre-Sales & Commercial Collaboration: Acted as a technical SME supporting Sales and Marketing engagements, demonstrating integration capabilities and establishing service expectations for prospective healthcare clients.
- Process Improvement: Drove operational discipline by creating standardized Interface Design Documents and Data Mapping Guides, improving the repeatability and scalability of client onboarding.
Implementation Specialist
Ziontech Solutions – Client: McKesson Relay Health
02.2012 - 10.2014
Integration Specialist
Dell Services – Client: Providence - St. Joseph Health System
01.2007 - 02.2012
Software Engineer
Yalamanchili Consultancy Services – Client: Citibank India
09.2005 - 01.2007
Education
Bachelor of Engineering - Electrical & Electronics
Anna University
India01-2005
Skills
- AI / ML Platforms: Architected, implemented, migrated, and operationalized Elevance Health’s in-house AI-driven Clinical Data Acquisition platform (HealthOS), delivering an end-to-end, enterprise-scale pipeline
- Portfolio & People Leadership: Managed a $15M portfolio, including 50 engineering and services resources and multiple applications consuming clinical data from 1,500 sources across HL7, flat files, and binary document formats
- Enterprise Transformation Initiatives: Architected clinical data acquisition capabilities supporting key payer transformation programs, including STAR Ratings, Value-Based Care (VBC), Risk Adjustment, Prior Authorization, Post-Acute Prior Authorization, and CMS Mandates
- Integration Architecture: Designed and implemented the Cloverleaf Integration Engine at enterprise scale, establishing it as the clinical data gateway for the HealthOS platform
- EMR & Payer Platform Integrations: Led integrations with major EMR and payer platforms, including Epic Payer Platform, Cerner (CDEX), Allscripts (Veradigm), eClinicalWorks (Healow), Athenahealth, and others
- Interoperability Partnerships: Partnered with leading EMR/EHR and third-party product vendors to deliver bi-directional interoperability, including Epic/Oracle ADR, Epic CR, and Epic CAnD, enabling timely clinical data access across payer use cases
- Platform Scale & Efficiency: Scaled the HealthOS platform to ingest ~2B CCDA/HL7v2/binary documents and 25K flat files annually, while minimizing operational cost and enabling onboarding of new clinical data sources (EMR/EHR/HIE/third-party) within days
Technical Skills
Standards/Profiles: HL7 (v2), CDA (CCD, CCDA, C62, etc), FHIR R4/R5, EDI, IHE (XDR, XDS, PIX)
EMR/EHR Payer Platform/National Library: EPP, Cerner CDex, Veradigm, Healow, etc
Clinical Data Normalization: NPPES, UMLS, VSAC, HL7Act Codes, etc
EMR/EHR's: EPIC, Cerner, Athenahealth, Allscripts - Pro/Touchworks/Practice Fusion/Nextgen, eCW, MEDITECH, Mckesson Star, Greenway, etc
EMPI Systems/Integration Engine: Initiate, Passport, Elevance Health-MDM, Cloverleaf, Mirth
Databases: Snowflake, SQL Server, Oracle, PostgreSQL, Mongo Db.
API & HL7/EDI testing tools: Postman, SOAPUI, IE, HL7 Inspector, Altova XML Spy.
Cloud tech: AWS (EC2, Kubernetes, EKS, S3, SQS), Kafka
CRM & Reporting Tools: Salesforce, VersionOne, Jira, Tableau
Office Suite: MS Excel, MS PowerPoint, MS Word, MS Visio
Timeline
Director of Engineering (Clinical Data Acquisition & Technical Operations)
Elevance Health
05.2018 - Current
Director, Clinical Data Acquisition
The Advisory Board Company (Currently UHG–Optum)
10.2014 - 05.2018
Implementation Specialist
Ziontech Solutions – Client: McKesson Relay Health
02.2012 - 10.2014
Integration Specialist
Dell Services – Client: Providence - St. Joseph Health System
01.2007 - 02.2012
Software Engineer
Yalamanchili Consultancy Services – Client: Citibank India
09.2005 - 01.2007
Bachelor of Engineering - Electrical & Electronics
Anna University