AMEET VERNEKAR
Digital BPS Operations & Solutioning Leader With Deep Experience Transforming Healthcare Operations Across Payer, Provider, And Life Sciences.
Pune
Summary
Digital BPS and AI-led solutioning leader with 20+ years of strong consulting, pre-sales & Delivery management background in transforming healthcare operations across payer, provider, and life sciences. I partner with clients to shape value-led solutions using AI/ML, GenAI, and intelligent automation, translating complex business challenges into scalable, compliant, and outcome-driven healthcare BPS transformations.
Overview
23
23
years of professional experience
5
5
Certifications
3
3
Languages
Work History
Principal Director – BlueVerse
LTIMindtree
Pune
01.2024 - Current
- Conceptualize and develop a Healthcare Specific BlueVerse where all roads led to the Power of Ai being fully leveraged to optimize and transform the people heavy BPS processes
- Formulate and implement a BPS growth plan on the 3S’s (Strategy, Solutions and Sales)
- Provide thought leadership on domain specific capability development for business operations to deliver on the solutions and outcomes committed to the clients.
- Lead all Healthcare related presales support including but not limited to Bid Mgmt., Solution creation, Deal pricing, RFP / RFQ response writing
- Role Deliverables:
Assistant General Manager - Healthcare
Tata Consultancy Services, Pune, India
01.2022 - 01.2024
- Lead a team of Domain consultants to build industry leading transformative solutions for the top tier accounts (100 MUSD +) at TCS Healthcare
- Build a Delivery organization to deliver on the solutions and outcomes committed to the clients. Did this by participating in recruiting, training & mentoring the Healthcare talent
- Shared the delivery responsibility for newly onboarded business to maintain continuity on the solution tenets to meet the outcome’s expected by the client.
- Work with the digital practice to conceptualize, develop and incubate new solutions created based on what the healthcare payers are looking for
- Individually responsible for deal qualification, win rate, Analyst interactions and resultant rankings, lead client presentations during Orals, Visits to effectively put forward a compelling value based solution
- Key Deliverables:
- Significant Highlights and Value Offered:
- Built a presales and solutioning capability from grounds up for TCS Intelligent Healthcare Operations
- Won the 1st Clinical project for TCS focused around improving on gaps in care
Principal Consultant – Healthcare
Infosys BPM
Pune
01.2018 - 01.2021
- Lead a team of 10 solution design consultants focused on all Healthcare related presales support including but not limited to Bid Mgmt., Solution creation, Deal pricing, RFP / RFQ response writing
- Lead Analyst interactions to drive the rankings of the business unit
- Work with Business to identify potential offerings to existing clients to keep up with their expectation on automation and operational excellence
- Publish white papers on areas of Industry interest.
- Key Deliverables:
- Significant Highlights and Value Offered:
- Essayed a leadership role in winning projects of ~$1 billion TCV in the Healthcare BPS area
- Led the team that setup the 1st onshore Healthcare process at Aguadilla, PR, USA
- Multiple consulting projects completed, delivering additional business of ~$15 Million
- Part of the deal team which was able to win the 1st BPaaS project in the Healthcare domain at Infosys.
- Created the necessary content to assist with 1st ever marketing efforts for the business unit.
- Significant improvement in Analyst rankings since taking charge of the healthcare presales team.
Deputy General Manager
Cognizant Technology Services, Pune, India
01.2014 - 01.2017
- Supervise everyday working of the membership and claims towers, conduct extensive onsite process assessments for all BPaaS accounts
- Monitor the Enrollment, Billing and Claims towers and prepare schedule of all work within required timeframe and coordinate with resource managers and supervisors to evaluate all approvals; also ensure quality of all processes and recommend improvements to same.
- Recommend amends for all company operational manual and ensure compliance to all departments and government regulations.
- Design all departmental targets and evaluate all staff performance at various meetings and develop and implement an efficient staff training programs as per requirement.
- Administer everyday operations for organization and provide support to all operations projects and supervise working of all multifunctional project teams and manage all financial and administrative activities.
- Analyze all projects for future programs and recommend improvements to all business policies and procedures and prepare all budget reports and coordinate with corporate accounting service centre for same.
- Key Deliverables:
- Significant Highlights and Value Offered:
- Appointed as a part of the operations integration team during the Trizetto acquisition process.
- Possess an end to end knowledge of managing a BPaaS project where the client utilises both the Trizetto platform and ALL services needed to manage the Health plan
- As part of the Special projects group supported onshore leadership with the Greenfield “BPaaS” strategy implementation.
- Ensured that the necessary Process assessment and transition activities required to build competence towards the impending BPaaS role transitions to offshore are planned and executed per plan.
- Capitalised on the past claims and membership experience gained while with my previous employers.
Sr. AVP : Insurance
EXL Services, Pune, India
01.2014 - 01.2014
Deputy General Manager : Projects- US Healthcare
Cognizant Technology Services, Pune, India
01.2014 - 01.2014
Deputy Group Manager- Govt funded US Health Insurance
IBM Global Process Services, Pune, India
01.2009 - 01.2014
- Complied with IBM Global benchmarks by driving standardisation initiatives.
- Led a team of ~600 FTEs spread over Philippines, India and US while managing vendor relationships associated with the account.
- Represented assigned Enrollment, Billing, PDM, Claims, Denial mgmt, Claims followup, EHR data entry processes at all client interactions as part of the IBM Management team and take decisions required.
- Identified opportunities to improve efficiency by effectively implementing automation and analytics tools.
- Key Deliverables:
- Significant Highlights and Value Offered:
- Essayed a stellar role in handling projects of $15 Million approx, ensuring that all financial targets are achieved.
- Managed all cost drivers like C&B, indirect, infrastructure etc.
- Led the team that setup the 1st Claims process onshore at Daleville, IN
- Appointed as the main escalation contact for all client related issues. Identified farming opportunities within the client organisation by driving growth in the existing LOB’s.
- Successfully assisted the location head to take decisions impacting all the processes working out of the Pune site; as a member of the location Management team.
- Worked as a contributing member of the Insurance & CRM competency group for IBM MBPS (Managed Business Process Services vertical).
Operations Manager – Commercial Health Insurance
Wipro Ltd., Belapur, Navi Mumbai, India
01.2003 - 01.2008
- Ensured resources match workloads to provide cost effective, high quality service within agreed SLAs and timeliness by managing the operational activities and challenges of allocated insurance divisions.
- Interacted with the senior Management (Wipro as well as the Client) on a day to day basis with regards to manpower planning, improvement initiatives, invoicing and financial reporting etc.
- Shouldered the responsibility of single handedly undertaking capacity forecasting and planning thereof.
- Identified cross sell opportunities by developing the existing client business.
- Liaised with the finance function with regards to budgetary planning.
- Key Deliverables:
- Significant Highlights and Value Offered:
- Successfully lead nonlinear growth initiatives in the Insurance vertical.
- Instrumental in ramping the process from 20 in 2003 to the current 800+ employees.
- Gained extensive exposure in assisting BD for new clients by showcasing the technical capabilities by being a part of a pioneer insurance process in Wipro.
- Acquired the opportunity to learn the specifics of P&L mgmt. while effectively managing all the MIS and Finance related functions in the process.
- Efficiently managed Base lining of CPM’s with periodic improvements via Six Sigma implementations, automation etc.
- Skilfully transitioned multiple processes offshore for the client.
- All compliance related activities like contract adherence, federal mandate, ISA have been under my preview during my tenure with Wipro.
Education
Diploma - Hotel Management and Catering Technology
National Council of Hotel Management, Catering Technology and Applied Nutrition
Mumbai, India01.1998
Skills
Problem-solving
Innovation management
Strategies and goals
Operations management
Sales management
Team collaboration
Strategic planning
Creativity and innovation
Project management
Market analysis
Certification
Specialization in Management consulting from Emory University
PREVIOUS ENGAGEMENT
- Restaurant Manager (Brand: Funkie Orbits) Panoramic Ent. Pvt. Ltd., Mumbai Jul 2002 to Jan 2003
- Officiating Restaurant Manager (Brand: Just Around The Corner) Mars Restaurants Pvt. Ltd., Mumbai Aug 1999 to Jun 2002
Timeline
Principal Director – BlueVerse
LTIMindtree
01.2024 - Current
Assistant General Manager - Healthcare
Tata Consultancy Services, Pune, India
01.2022 - 01.2024
Principal Consultant – Healthcare
Infosys BPM
01.2018 - 01.2021
Deputy General Manager
Cognizant Technology Services, Pune, India
01.2014 - 01.2017
Sr. AVP : Insurance
EXL Services, Pune, India
01.2014 - 01.2014
Deputy General Manager : Projects- US Healthcare
Cognizant Technology Services, Pune, India
01.2014 - 01.2014
Deputy Group Manager- Govt funded US Health Insurance
IBM Global Process Services, Pune, India
01.2009 - 01.2014
Operations Manager – Commercial Health Insurance
Wipro Ltd., Belapur, Navi Mumbai, India
01.2003 - 01.2008
Diploma - Hotel Management and Catering Technology
National Council of Hotel Management, Catering Technology and Applied Nutrition