Summary
Overview
Work History
Education
Skills
Accomplishments
Languages
Timeline
Generic

Muthukrishnan Annamalai

Bangalore,Karnataka

Summary

Dynamic Product Leader with a proven track record of excelling in product strategy and stakeholder engagement. Expert in developing impactful product roadmaps and driving data-driven decisions, I thrive in Agile environments, ensuring successful execution and implementation of healthcare solutions that enhance customer experience and meet regulatory standards.

Overview

20
20
years of professional experience

Work History

Sr Product Manager

Carelon Global Solutions
Bangalore, India
09.2024 - Current
  • Accountable for the product vision, strategy, execution and implementation for Carelon Care Management platform.

Sr Product Manager

Impelsys
Bangalore, India
06.2024 - 09.2024
  • Responsible for the product strategy, execution, and implementation for AHA.

Sr Product Manager

Optum Technology
Salt Lake City, USA
10.2016 - 04.2024
  • Responsible for the RCM suites of products, Optum CAC, Optum Lynx, CDI 3D, Claims Manager, OTVM, EDI Suites of Products, and MGD.
  • Responsible for Optum Physician EMR Suite, streamlining clinical activities including patient scheduling, billing, and reporting.
  • Develop and own the product vision, strategy based on customer and our business partners, understanding needs, new trends, industry benchmarks and the ability to convey value.
  • Build roadmaps that build on customer empathy, market research.
  • Translating voice of the customer to a product artifact in the form of clearly constructed road map.
  • Own Product Backlog, Features, User Stories, Grooming the stories, and Accept the Story on completion.
  • Develop realistic KPIs as measure of success that are a transparent indication of Customer Experience, Customer Protection long term goals and standardized tech stack.
  • Drove the x12 remediation engine 'Optum Provider Validations product development and migrated IEDI and RWS internal customers.
  • Driving the X12 Filter engine product development and released initial version of product successfully.
  • Liaison between customer and technical team in clearly articulating the requirement.
  • Strong working experience of healthcare x12 data's validations and transformation.
  • Worked on 40+ x12 transactions, 837P/I/D, 270/271, 276/277, 277CA, 834, 835 …etc.Strong fundamentals on the use cases of OpenShift, Data Science, AI/ML, Azure Cloud platforms and API based consumption models.
  • Solid working experience with vendor-based solutions and managing vendor relationships.
  • Working in an Agile Product Model construct, creating a safe, authentic, and trusted environment to bring together experts from voice of the customer, disciplines including architecture, operations, and engineering to set vision and strategy for the product line.

Product Manager

Intermountain Healthcare
Salt Lake City, USA
09.2014 - 10.2016
  • Responsible for EHR products, Cerner, iSeries and other legacy systems within IHC.
  • Solution provider and Business acumen for the healthcare interface development with HL7 and X12 standard.
  • Own requirements phase and own various requirement artifacts such as FSD, BRD, Use Cases, User Stories, Acceptance Criteria, Business Workflows and Screen mockups/prototypes.
  • Primary Contact for the DEV, QA, and SSMO team for queries/doubts related to the product or business in the ongoing sprint.
  • Client interaction and communicate with Clients/stakeholders to develop and interpret business requirement. Lead a team of Business Analysts.
  • Interact with ancillary system vendor to understand the data flow, identify the interfaces and implement data pipeline.
  • Responsible for eGate to Ensemble interface migration, handled 50+ interfaces with healthcare dataʼs HL7V2, HL7V3, CDA, ADT, LAB, DFT and SIU.
  • Worked on Intersystem TrackCare and Intersystem Ensemble.
  • Responsible for developing EDI X12 837, 820, 270, 271, 276, and 277 interfaces using Edifecs integration engines with JavaScript language.
  • Worked Edifecs tool sets: SpecBuilder, MapBuilder, XEngine, XEngine Server, EAM, TM, and Ramp Manager.
  • Worked on Healthcare Informatics, Cerner, and EPIC.
  • Work with the Executive Staff and various teams to provide a clear vision and facilitate the execution of a results-driven Quality Management Process that is focused on: customer satisfaction, continuous improvement, employee development and business growth.
  • Works collaboratively and proactively with QA Team, Development SCRUM teams and others to design and develop effective automation solutions, troubleshoot issues and resolve bugs.
  • Own and create documentation that communicates the standards and procedures of a large QA Team.
  • Manage and oversight all QA/UAT environments, coordinate release schedule with release team.

Lead Business Consultant

Cognizant Technology
Connecticut, USA
01.2011 - 09.2014
  • As a business consultant, worked for different healthcare clients, mentored multiple product development and ensured the product capability met industry standard.
  • Responsible for preparing Product strategy for different clients based on the business requirements.
  • Worked on PPACA (OBAMA Care) implementation at Connecticut and Maryland State Exchanges.
  • Performed UAT testing for HIX enrollment and eligibility systems, intensive experience with Medicaid, CHIP, APTC, CSR and QHP programs.
  • Worked on EDI X12 834 enrollment interface development between state exchange and payers, interacts with different payers make sure that aligned with payerʼs specification.
  • Worked for Aetna Medicity, developed HL7V2 and V3 (ADT, SIU, DBT, LAB, RAD, TRANS, PDS, LRS and CAB) interfaces on different business perspective.
  • Worked for Walgreens Pharmacy, developed Rx refill system using Java programming language.
  • Worked for PICIS, developed integrated system for clinical and demographic system with HL7 ADT and LAB interface Development using intersystem ensemble.
  • Provided technical and business guidance for the team of 15, directed them to do their job accurately and successfully.
  • Peer reviewed the software programs developed by the team, provided reviews to rectify their coding error.
  • Works collaboratively and proactively with all team in the product development, develop effective automation solutions, troubleshoot issues and resolve bugs.

Sr. Business Analyst

iSOFT
Chennai, India
10.2007 - 12.2010
  • Worked on the largest civil healthcare product 'Lorenzoʼ for National Health Services of United Kingdom.
  • Worked with NHS Onshore counter partner to Understand the functional requirements in proposal.
  • Write and refined the business requirement document to convey the product value to the team.
  • Write down the very well-defined business use cases to support the requirement.
  • Drive the business requirement handover session with different stakeholders.
  • Help technical team with planning, prioritization, and estimations.
  • Assisted QA team on defining user acceptance scenarios and reviewed the coverage by traceability matrix.
  • Organized Witness- Testing for the NHS Product expert on their offshore visit.
  • Planned and Participated in GO-LIVE Test in United Kingdom, visited and assisted product go-live at different NHS location in UK.
  • Drive the Defect triage meeting and analyze the business impact with stakeholders.
  • Expertise in clinical workflow, inpatient, outpatient and emergency patient workflows.
  • Product experience in building interface for HL7 V2, HL7 V3, CDA and CCDA clinical dataʼs.
  • Strong business experience with different messages ADT, LAB, RAD, PDS, LRS, and CAB.
  • Well versed experienced in intersystem ensemble interface engine components.

Quality Assurance Engineer

Lason
Chennai, India
04.2005 - 09.2007
  • Worked on Selenium automation with TestNG for web application testing.
  • Continuous integration and delivery with Jenkins, version controlled using SVN.
  • Developed PHP Web Pages.
  • Preparation of test cases, test data as per functional requirement specification.
  • Performed Integration Testing, Functional Testing, Regression Testing, System Testing, Data Migration Testing and User acceptance testing.
  • Worked on EDI x12 messaging testing of 834, 835, 820, 270, and 271.
  • Involved in validating x12 message on interface engine Edifecs.

Education

Bachelor of Engineering - Electrical and Electronics

Anna University
Chennai, India

Skills

  • Product strategy
  • Product design
  • Stakeholder engagement
  • Healthcare regulations
  • Agile methodologies
  • Product lifecycle management
  • Product roadmaps
  • Design thinking
  • Data-driven decision making
  • Competitive analysis
  • Product backlog management
  • Go-to-market strategies
  • Market research
  • Provider and Payer
  • Healthcare interoperability
  • RCM
  • EHR
  • Affordable Care Act
  • EDI, HL7, ANSI X12, FHIR
  • CMS, HIPAA, HITECH
  • Care Management, Utilization Management
  • Cloud Platforms AWS, Azure, OpenShift

Accomplishments

RCM Product Platform

First Pass Payment Rate – 86% to 97.5% out of 60M Claims/Month

$3.70 for every claims that pays on first pass

$15 for each claim rework that is prevented

Unbilled Revenue – 1.1M/client/year

Affordable Care Act

Increasing access (7.7 % on Public insurance and 1.2% on private)

Expanded Medicaid enrollments

Reformed private insurance

Lorenzo EHR

One record per person across NHS UK

Languages

English
Professional
Tamil
Native/ Bilingual

Timeline

Sr Product Manager

Carelon Global Solutions
09.2024 - Current

Sr Product Manager

Impelsys
06.2024 - 09.2024

Sr Product Manager

Optum Technology
10.2016 - 04.2024

Product Manager

Intermountain Healthcare
09.2014 - 10.2016

Lead Business Consultant

Cognizant Technology
01.2011 - 09.2014

Sr. Business Analyst

iSOFT
10.2007 - 12.2010

Quality Assurance Engineer

Lason
04.2005 - 09.2007

Bachelor of Engineering - Electrical and Electronics

Anna University

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Muthukrishnan Annamalai