Yogesh Sooriamoorthy

IQVIA is a leading global provider of advanced analytics, technology solutions, and clinical research services to the life sciences industry, dedicated to creating intelligent connections that deliver unique innovations, and actionable insights. It has revenues of approximately US$15bn, operates in more than 100 countries, and approximately. 86,000 professionals. IQVIA thrives on accelerating innovation for a healthier world.

Responsibilities:

• Managed the Revenue Cycle Management (RCM), Connected Healthcare Platform, and Health Data Flight (HDF) products portfolio for the EMEA Health Systems Solutions (Payer, Provider, and Government), healthcare, and life sciences market.
• The Connected Healthcare Platform (CHP) is an optimised integration platform designed to unify healthcare applications, workflows, and into a scalable, interoperable ecosystem. By leveraging a centralized FHIR-inspired data repository, harmonized integration pipelines, and AI/ML-ready infrastructure, CHP enables seamless cross-product collaboration, reduces resource footprints, and supports customer growth. Unlike traditional systems, CHP eliminates redundancy and delivers exponential value through its modular design, empowering healthcare providers, researchers, and medical controllers to achieve connected intelligence.
• Health Data Flight (HDF) is designed with key solution constructs that integrate health and non-health data from diverse sources, with data transformation and curation pre-built into the pipelines. It ensures real-time accessibility and comprehensive analytics at scale, featuring customisable flows that empower healthcare providers to make informed decisions, enhance patient care, and streamline operations with unparalleled precision and efficiency.
• Led product management, engineering, and delivery of these offerings.
• Managed P&L, ROI, and CoE for Product Portfolio.
• Managed a large team in a CoE, comprising developers, business analysts, product managers, programme managers, solution architects, account managers, specialists, and leads in support and implementation across EMEA countries.
• Served as Site Operations and CoE Lead, working closely with Site and BU leadership to maintain smooth operations in adherence to IQVIA's values, rules, processes, and local regulations.
• Created a new revenue stream by leading Data Engineering, and AI & ML initiatives.
• Optimised Product Engineering portfolio by implementing Lean Agile methodology.
• Established and implemented a Test Centre of Excellence (CoE), using RPA tools and Selenium to automate testing processes.
• Ideated datasets for clinical solutions data ingestion into the Connected Healthcare Platform (CHP) by leveraging EMR, patient administration systems, patient portals, revenue cycle data, telehealth data, and medical device data to optimise the patient journey, experience, and enhance clinical productivity.

Contributions:

• Established an offshore organisation for design, build, testing, and delivery functions.
• Maximised capitalisation of R&D investments at approximately 85% of total spending.
• Implemented the use of the Product Plan tool to establish a thorough roadmap, effectively anticipating and managing multiple releases, along with their respective deliverables.
• Re-architected the Enterprise RCM solution by converting monolithic components into microservices, optimising code for efficiency, and incorporating advanced analytics for improved decision-making.
• Migrated the RCM solution to a cloud-native platform like Kubernetes, containerising the app, and deploying it on the cloud for better flexibility and resource management.
• Automated the entire RCM process workflows, from eligibility checks to claim submission, using a no-code/low-code platform to enhance RCM operations productivity and efficiency.
• Established RCM Data Engineering and Intelligence as a dedicated revenue stream, serving the Business Intelligence and analytical requirements for multiple clients in the EMEA region.
• Secured an $800K contract by implementing a Data Lake and BI solution with Tableau and Power BI for five large-scale providers in the EMEA region, providing actionable revenue insights.
• Ideated and implemented data visualisation capabilities by developing 12 Business Intelligence dashboards with Power BI and Tableau, used to monitor revenue and claim metrics for the providers.
• Automated healthcare claim data integration with 50 APIs, enabling seamless transfers between post offices in GCC countries, such as DHPO in Dubai, Nphies in KSA, and Hakeem in Jordan.
• Implemented an independent contracting module to manage the Healthcare Policy administration, and define KPIs to track value measures for NHS UK.
• Conceived, designed, and developed a comprehensive claims management SaaS product (Claims 360) for providers, aimed at mid-sized hospitals, clinics, and healthcare facilities in the USA and EMEA.
• Played a key role in establishing the framework for SAFe Agile implementation in the RCM Product Portfolio.
• Met critical delivery for performance, scalability, and multi-practice features according to an aggressive schedule determined prior to the development team's involvement.
• Achieved a double-digit increase in bottom-line EBITDA by transitioning Engineering positions to the CoE.
• Successfully motivated the team to meet aggressive schedules by creating and implementing a clear plan for all members.
• Fostered team collaboration and innovation by creating an AI/ML Community of Practice within the Data Engineering portfolio, promoting the development of POCs, and experiments to enhance value and automate processes using the RCM Data Intelligence Platform.
• Implemented the Deal Pipeline Engine (DPE) dashboard to enhance the Executive team's ability to concentrate on and track the closing of high-value deals within PPG's £300mn order backlog.
• Achieved cost savings of approximately £100K per year by retiring the outdated Data Stage ETL tool and transitioning to the Alteryx and SSIS tech stack.
• Ideated and implemented an AI/ML-based fraud detection process to identify potential anomalies in billing, such as signs of kickbacks, upcoding, downcoding, or other fraudulent activities. Algorithms are utilised to spot and flag hidden patterns deviating from vast amounts of data digested from EHRs, insurance claims, and yearly budgets.
• Successfully completed the IQVIA Emerging Leader Programme with distinction, earning a coveted spot among the programme's top five achievers. Recognised as one of just two nominees chosen from EMEA BU—a business unit comprising about 400 Directors, and over 25,000 employees.
• Built business cases enabling providers to onboard into a consortium of a blockchain network for CIAM, and expanded it to include revenue cycle management, risk analytics.
• Ideated and automated 250 core business process test scenarios using Selenium, saving approximately 500 man-hours annually. Currently automating the entire regression pack and customer workflows to identify cross-sell, and up-sell opportunities.
• Partnered with stakeholders including insurance policymakers, the Department of Health, and payers to establish guidelines and standards for QHIS in Qatar, as well as MOH in Jordan.
• Played an integral role in the creation and implementation of a Contract Management module that enables providers and insurers to effectively manage insurance policies by incorporating rule-based systems for swift updates following published regulatory or policy changes.
• Successfully implemented the Connected Healthcare Platform (CHP) to facilitate improvements in patient outcomes.
• Leveraged data for Population Health Management, Genomics mapping, and Precision Medicine, while optimising Supply Chain for efficient capacity planning and reduced costs.
• Led the transformation of care delivery models from volume to value-based systems, contributing to the development of capabilities and processes, driving innovation in population health management.
• Implemented strategies to enhance data exchange, and promote health equity in population health initiatives.
• Applied advanced data analysis methodologies to execute and optimise value-based healthcare initiatives for population health management.

Innova Solutions, formerly an American Cyber Systems (ACS) group company is a leading global information technology, consulting, and business solutions organization that has been a trusted partner to mid-market and enterprise clients around the world in their digital transformation journey for over 20 years. It has revenues of over US $900 million annually, 600 global customers, operating in 20+ global locations, and 16000 professionals.

Client: Change Healthcare (now Optum Insights)

Responsibilities

• Set up Product Management Capabilities at Innova, leading and managing the entire Product Management Group in Chennai.
• Innova and Change Healthcare (CHC) utilize the Build-Operate-Transfer (BOT) model, providing an efficient and low-risk approach to launching new operations in any location. Our plug-and-play program seamlessly integrates a new development center with your existing operations, eliminating the need for expensive upfront costs.
• Change Healthcare (CHC) is a catalyst for your value-based healthcare system. We are a healthcare technology company that offers software, analytics, network solutions, and technology-enabled services to help create a stronger, more collaborative healthcare system. We help deliver measurable value not only at the point of care, but also before, after, and in between care episodes. It has revenues in excess of US $2.5 billion annually, 1 in 3 patient records touched by CHC clinical connectivity solutions, US $1.7 trillion billed annually using our revenue cycle and pm solutions, 68 million diagnostic imaging studies managed, 92% of top U.S. health plans use Change Healthcare and 175 million covered lives, spanning 92% of top 25 U.S. health plans.
• Managed Data Engineering Products Portfolio including EDW, ECDW, Revenue Convergence Product Portfolio, EDW Application Stack, and Organization-wide Business Analytics/Intelligence Reporting using Incorta, Tableau for BI Analytics , TIBCO Spotfire and TIBCO Enterprise Integration services.
• Developed and maintained Enterprise Data Warehouse (EDW), a vital system for business intelligence and data analytics, comprising multiple data sources.
• Led the development of strategic portfolios by converting client and market requirements into prioritized product portfolio demands for various releases.
• Drove financial performance through managing budgets that yielded approximately $15mn in annual revenues and $XXX mn in TCV.
• Led a dynamic group comprising of 20+ professionals in roles such as Product Specialists, Business Analysts, and Product Managers. Also provided indirect supervision to a large-scale Engineering team consisting of over 120 developers and testers.
• Accountable for developing and delivering a comprehensive portfolio of data engineering products.
• Acquired in-depth knowledge of the competitive healthcare landscape, sector drivers, and emerging trends that impact product development direction.
• Collaborated closely with a diverse and dispersed team including developers, analysts, managers, architects, and executives from locations like US, India, Taiwan, and Manila to enhance team collaboration within an Agile framework.
• Led efforts to engage stakeholders, internally and externally, fostering a synchronized approach in delivering our products and communicating with customers.
• Aided sales and marketing teams in organizing client demonstrations and preparing necessary materials for tender negotiations
• Drove revenue growth by securing new logos and fostering additional sales within current client base.
• Drove regular advancements in Artificial Intelligence & Machine Learning through innovative ideas, financial support for POCs, and strategic implementation planning to maximize customer and/or CHC value.
• Ensured Lean process in running Data Engineering Portfolio.

Contributions

• Spearheaded the creation of an offshore Build and Deliver organization, effectively lowering expenses through value capture process.
• Maximized capitalizable R&D investments up to 85% of overall expenditures.
• Implemented improvements by cleaning up EDW data sources and updating the Data Dictionary.
• Elevated EDW's enterprise-wide data availability to 90% and expanded the ECDW database from 700GB to 1.5TB in just one year.
• Developed 12 Business Intelligence dashboards using TIBCO Spotfire and Tableau, aiding in the tracking of various metrics for Providers and Payers.
• Pioneered the creation of an AI/ML Community of Practice (CoP) in the Data Engineering portfolio, driving innovation by encouraging collaboration on POCs/Experiments aimed at automating processes and generating valuable insights from data stored in both EDW and ECDW portfolios.
• Developed the Deal Visibility Engine (DVE) dashboard for monitoring and tracking CHC deals.
• Achieved an annual cost reduction of $1Mn by decommissioning the legacy tech framework used for Data Extraction and Ingress/Egress, resulting in significant savings on licensing and technical debt.
• Enabled Change Health Care to create Market Place APIs for Payers and Providers through the development of a roadmap to transition to Big Data Framework using Apache Stack, and successfully onboarding 20 out of 50 products.
• Automated pulling data from EDW/ECDW using TIBCO Enterprise Integration for various business and customer teams through close to 200 APIs.
• Enabled significant cost-cutting measures amounting to about $900K annually through the transition from the legacy Data Stage ETL tool to modern technologies such as Apache Spark and Hadoop.
• Efficiently transitioned from legacy CRM Pivotal to Salesforce lightning version, resulting in an estimated $500K reduction in annual licensing expenses and technical debt.
• Led the supervision and mentorship of product development and design team members.
• Utilized well-honed judgement to optimize both user design and product research efforts.
• Accelerated client query turnaround time by proactively communicating issues and updates.
• Effectively prioritized tasks and allocated resources to ensure timely delivery of essential, high-priority features.
• Established clear objectives, guidelines, and operational norms to drive team efficiency and maximize product effectiveness.
• Provided support to maximize sales team's performance and achieve objectives.
• Successfully achieved revenue goals by leveraging finely crafted positioning strategies, compelling messaging techniques, visually appealing sales collateral, and informative training materials.
• Provided oversight and collaborated effectively through exceptional documentation, organization, analysis, and communication skills.
• Developed and executed strategic product promotion plans to enhance brand recognition.
• Proposed and executed product modifications resulting in increased customer attraction and sales growth.
• Transformed business objectives and user requirements into focused product specifications and application scenarios.
• Collaborated with product development team to enhance product specifications.

DXC Healthcare and Life Sciences delivers software, solutions, and services to over 50 countries worldwide across 6 continents. It has revenues of over $2.5 billion annually, 3000 customers, and over 4,000 professionals.

• Led product strategy, developed road map, understood client and market requirements, and converted them into product requirements.
• Managed financial performance and return on investment for development activities.
• Gained understanding of competitive landscape, drivers in healthcare sector, and evolving trends to inform product development direction.
• Partnered with cross-functional teams in multiple countries including the UK, India, Australia and New Zealand to drive effective collaboration under an Agile framework.
• Managed global customer workshops, user group meetings, and all customer communications to ensure the delivery of contractual requirements and a clear understanding of future direction.
• Led efforts in stakeholder engagement to ensure a cohesive approach in delivering our product and communicating with customers.
• Engaged in conducting Early Visibility Sessions with Clients to ensure alignment of expectations for feature development, while also gathering essential feedback for incorporation into the Change Control process.
• Acquired knowledge and skills in Patient Clinical Safety as a result of training facilitated by the National Patient Safety Agency (NPSA), UK.
• Experienced in working with a range of interoperability standards including HL7 v2.3, CDA, MIM, and FHIR Restful APIs. Proficient in utilizing healthcare knowledge providers such as MIMS for ANZ, NZULM, AMT for Australia, PBS for Australia and ICPC.
• Achieved revenue targets by leveraging my expertise in developing effective positioning strategies, compelling messaging, engaging sales collateral, and comprehensive training materials.
• Boosted product results by establishing goals, policies, and work standards to enhance team performance.