Jagannathan Sundararajan
Chennai
Summary
Results-driven healthcare and insurance operations leader with 18+ years of experience spanning Revenue Cycle Management (RCM), medical underwriting, and clinical practice. Proven expertise in end-to-end RCM operations, payer relations, denial management, and business strategy execution. Strong background in optimizing revenue streams, reducing claim denials, and driving operational efficiency. Certified PMP and CPC professional with demonstrated success in stakeholder management, project implementation, and healthcare business analysis.
Multi-talented Senior Manager well-versed and highly effective at developing, executing and directing key improvements to enable business enhancements and growth. Visionary leader with solid success leading business operations toward growth.
Overview
18
18
years of professional experience
1
1
Certification
Work History
Senior Manager - Head of Insurance Operations
50 Bedded Hospital
Muscat
09.2013 - 01.2026
- Led end-to-end Revenue Cycle Management operations, ensuring seamless workflows from patient registration to final claim settlement.
- Oversaw insurance processes including patient demographics, billing, prior authorization, EMR documentation, and ICD coding compliance.
- Managed claims lifecycle: submission, adjudication follow-ups, payment posting, and denial management.
- Reduced claim rejection rates through root cause analysis, gap identification, and strategic resubmission processes.
- Ensured timely follow-ups on claims exceeding agreed TAT, improving cash flow and revenue realization.
- Led financial reconciliation with payers and ensured annual account closure through structured negotiations.
- Spearheaded empanelment of TPAS and insurance providers; negotiated tariffs and service level agreements.
- Conducted business layer analysis and implemented strategies to improve revenue growth and reduce cost per claim.
- Performed SWOT analysis and provided strategic insights to management for operational and financial improvements.
- Managed and mentored cross-functional teams to enhance productivity and service delivery.
Senior Associate - Medical Underwriter
RR Donnelley
Chennai
06.2010 - 05.2013
- Evaluated medical risks and performed underwriting for insurance proposals.
- Analyzed medical records and ensured compliance with underwriting guidelines.
- Collaborated with internal teams to streamline underwriting decisions and improve turnaround times.
Clinical Physiotherapist
Self Practice
05.2008 - 05.2010
- Provided patient assessment, diagnosis, and therapeutic interventions.
- Developed personalized treatment plans to improve patient recovery outcomes.
Education
Bachelor of Physiotherapy -
Tamil Nadu Dr. MGR Medical University
International Post Graduate Diploma - Life Insurance
IIRM
HyderabadSkills
- Client Relationship Management
- Provider Network Management
- Claims & Denial Analysis
- Financial Reconciliation
- Business Analysis & Strategic Thinking
- Communication (Verbal & Written)
- Negotiation & Conflict Resolution
- Team Leadership & Performance Management
Certification
- PMP (Project Management Professional), PMI
- CPC (Certified Professional Coder), AAPC
Key Project
Dhamani Project, 2024-2025, Led project from initiation to successful implementation., Coordinated with insurance regulators, vendors, internal IT teams, and senior management., Managed project timelines, testing phases, and stakeholder communication., Ensured smooth deployment and operational integration of the system.
Languages
English
Proficient
C2
Tamil
Proficient
C2
Hindi
Intermediate
B1
Malayalam
Upper Intermediate
B2
Timeline
Senior Manager - Head of Insurance Operations
50 Bedded Hospital
09.2013 - 01.2026
Senior Associate - Medical Underwriter
RR Donnelley
06.2010 - 05.2013
Clinical Physiotherapist
Self Practice
05.2008 - 05.2010
Bachelor of Physiotherapy -
Tamil Nadu Dr. MGR Medical University
International Post Graduate Diploma - Life Insurance
IIRM