Dr. Prafful Kalla
Jaipur
Summary
Resourceful Professional with over a decade of experience in enhancing business operations and financial strategy to streamline project delivery. Committed to driving process improvements in healthcare with a keen analytical mindset. Exceptional at identifying solutions and fostering a culture of excellence. Skilled for developing and motivating teams to surpass objectives and provide outstanding patient care.
Overview
13
13
years of professional experience
Work History
Senior Project Consultant, Technology Consulting
Ernst & Young LLP
10.2023 - Current
- Spearheaded coordination efforts with DoIT&C and key stakeholders to design a Integrated Health Management System (IHMS) Request for proposal (RFP) for the state of Rajasthan, impacting over 19441 health facilities
- Facilitated in-depth interactions with stakeholders to map out the existing health application landscape.
- Authored a Request for Proposal (RFP) outlining the requirements for the development, design, deployment, and management of the IHMS application ecosystem, setting the stage for transformative healthcare technology advancements.
Senior Consultant, AB PMJAY
National Health Authority
05.2022 - 10.2023
- Established policies for provider empanelment across States/UTs, aligning with national standards.
- Led empanelment training and documentation, aiding scheme execution with on-site visits.
- Tracked and reported on MERL plan KPIs, collaborating on project monitoring and evaluation.
- Managed National Health Benefit Packages, analyzing data and incorporating expert feedback.
- Oversaw empanelment under AB-PMJAY, focusing on accredited providers and underserved areas.
- Refined HEM 2.0 with stakeholder input, crafting essential documentation for system integration.
- Supported cancer data analysis for ICMR linkage, enhancing National Cancer Registry quality.
- Aided in integrating empanelled hospitals with HFR - ABDM, connecting to India's digital health network.
Regional Manager
ICICI Lombard GIC Ltd
06.2018 - 04.2022
- Oversaw a team managing 500+ providers in Pune and Bengaluru, focusing on empanelment and wellness initiatives.
- Crafted policy guidelines for empanelment, utilizing data analysis to ensure high-quality provider inclusion.
- Negotiated with top healthcare providers for favorable terms, enhancing network strength for policyholders.
- Conducted quarterly reviews of providers, assessing performance, care quality, and customer feedback.
- Led process improvements, integrating provider HMIS with insurance IT systems to streamline data flow.
- Directed network operations, recruiting and empowering staff to meet and exceed organizational goals.
Public Health Educator
Jodhpur School of Public Health
05.2018 - 06.2018
- Directed NCD screening camps in Jodhpur, enhancing public health databases and intervention strategies.
- Analyzed screening data to shape public health policies and optimize resource distribution for NCD management.
- Led mHealth program analysis to detect at-risk individuals for diabetes, advocating early intervention.
Academic Faculty and Dental Care Specialist
Jodhpur National University
12.2014 - 05.2016
- Provided expert clinical care in Periodontics, Implants, and Endodontics, achieving superior patient outcomes.
- Educated dental students in advanced periodontal and implant techniques, nurturing professional growth.
- Organized oral health education through community department camps, elevating public awareness in Jodhpur.
External Monitor and Field Coordinator
World Health Organization (W.H.O.)
12.2012 - 11.2014
- Orchestrated the National Routine Immunization program across both rural and urban sectors of the Jodhpur Division, Rajasthan, targeting specific hot spots to maximize vaccination coverage and public health impact.
- Acted as a key coordinator and external monitor for the National Polio Surveillance Project (NPSP) and the Measles Mumps Rubella (MMR) program in Jodhpur Division, ensuring adherence to national health standards and successful program execution within the designated period.
Dental Clinician
Vyas Dental Hospital
09.2011 - 11.2012
- Delivered high-quality patient care by conducting thorough assessments, developing treatment plans, and providing ongoing therapeutic support
- Educated patients on dental health care along with taking daily rounds
- Observing daily operations, reporting daily findings and treating the dental patients in support with senior clinician.
Education
Master of Public Health - Healthcare Administration
Tata Institute of Social Sciences
Mumbai, India05.2018
Bachelor of Dental Surgery - Medical Sciences - Allopathy
Rajasthan University of Health Sciences
Jaipur09.2011
Skills
- Strategic Program Oversight
- Healthcare Economics and Policy Development
- Digital Healthcare Innovation
- Healthcare Procurement and Contracting
- Healthcare Pricing Strategy
- Provider Network Management
- Data-Driven Claims Analysis
Timeline
Senior Project Consultant, Technology Consulting
Ernst & Young LLP
10.2023 - Current
Senior Consultant, AB PMJAY
National Health Authority
05.2022 - 10.2023
Regional Manager
ICICI Lombard GIC Ltd
06.2018 - 04.2022
Public Health Educator
Jodhpur School of Public Health
05.2018 - 06.2018
Academic Faculty and Dental Care Specialist
Jodhpur National University
12.2014 - 05.2016
External Monitor and Field Coordinator
World Health Organization (W.H.O.)
12.2012 - 11.2014
Dental Clinician
Vyas Dental Hospital
09.2011 - 11.2012
Master of Public Health - Healthcare Administration
Tata Institute of Social Sciences
Bachelor of Dental Surgery - Medical Sciences - Allopathy
Rajasthan University of Health Sciences
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