Hi, I’m
PAUL VINOD RAMESH
Product Manager
Summary
Product Manager with 17+ years of experience in US Healthcare and Revenue Cycle Management (RCM), specializing in AI-driven automation, RPA, and digital transformation. Proven track record of reducing operational costs, improving claims processing efficiency, and delivering scalable healthcare solutions. Expertise in product strategy, stakeholder management, and end-to-end delivery of automation platforms for insurance verification, claims submission, and AR management. Driven to deliver innovative IT solutions in a leading healthcare organization.
Overview
18
years of professional experience
1
Certification
Work History
eSolutions First
Product Manager (RPA/AI Agentic Delivery Project)
03.2024 - Current
Job overview
- Developed product roadmaps, prioritizing features based on business value and customer feedback
- Led RCM automation (claims, eligibility, AR), reducing processing time by 70%+
- Delivered AI-driven insurance verification workflows, reducing TAT by 60%
- Built scalable automation product improving revenue cycle efficiency by 30%+
- Defined product roadmap and prioritized features based on business value and customer impact
- Managed cross-functional teams (BA, Dev, QA) to deliver high-quality releases in Agile environment
Mastek
Senior Business System Analyst / Product Owner
10.2022 - 02.2024
Job overview
- Designed system prototypes, maintained Salesforce data integrity, and managed seamless data migrations
- Translated business needs into Salesforce specifications, optimizing processes and enhancing system functionalities
- Designed and implemented Salesforce solutions with developers and administrators
- Developed and conducted test plans and user acceptance testing
- Created user training materials and facilitated the adoption of new Salesforce features
- Produced actionable insights through Salesforce reports and dashboards
- Monitored Salesforce system performance, recommending enhancements to increase value
- Managed Salesforce projects using Agile (KANBAN), delivering on time and within budget
- Contributed to the successful delivery of Salesforce projects, exceeding stakeholder expectations
HCL
Senior Lead Business Analyst/Associate Business Manager
12.2021 - 10.2022
Job overview
- Managed Provider and Network Management for IKA Systems, ensuring seamless integrations and data flows
- Managed backlogs and applied Scaled Agile Framework for project efficiency
- Prioritized and refined user stories, maintaining compliance with Agile practices
- Conducted compliance checks and payment processing for client accounts
- Ensured software quality through rigorous pre-deployment quality assurance
- Led daily scrum sessions, managed defect tracking and resolutions to minimize the impact on operations
- Performed link testing to ensure functionality and reduce system downtime post-deployment
Dun & Bradstreet A CoAction
Product Owner
06.2021 - 12.2021
Job overview
- Translated business requirements into use cases and specifications, driving product development
- Guided product strategy and roadmap based on thorough market research and customer insights
- Defined user stories and acceptance criteria, focusing on customer pain points for Agile sprints
- Managed project implementation, including sprint planning and release management for on-time delivery
- Established project scope and timelines for key segments of the RCM product suite with stakeholders
- Collaborated with the UAT team to validate products against business requirements
- Successfully launched new features, improving user satisfaction and business value
Infinite Computer SolutionsBangalore
Senior Lead Business Analyst
06.2020 - 06.2021
Job overview
- Performed market research to drive product improvements and insights
- Focused on bridging technical and business teams to deliver customer-centric solutions
- Oversaw project execution with Scaled Agile Framework (SAFE), emphasizing customer needs
- Developed and documented user stories and acceptance criteria prioritizing business value
- Transitioned to Quality Assurance, ensuring software compliance and quality standards
- Managed testing processes, coordinated defect resolutions, and maintained developer collaboration
- Successfully delivered high-quality software releases, enhancing client satisfaction
Atos Syntel Pvt. Ltd.Pune
Project Lead (Consultant)
02.2018 - 04.2020
Job overview
- Enhanced financial operations and risk management through meticulous payment processing
- Managed Provider and Network Management for seamless healthcare data workflows
- Streamlined product backlogs, setting clear user stories and compliance criteria
- Led QA and scrum sessions, conducted thorough pre- and post-production testing, and managed timely software deployments
- Quickly resolved critical production issues, minimizing downtime
- Successfully delivered multiple product increments, enhancing operational efficiency and data management
Cognizant Technology SolutionsPune
Technical Lead (Associate)
12.2014 - 02.2018
Job overview
- Managed FACETS FHG in both non-production and production environments
- Maintained FACETS, BizTalk, and QNXT, enhancing software performance
- Ensured compliance with data security protocols such as FTP, SFTP, and PGP
- Aligned technical strategies with broader product roadmaps. Facilitated seamless system upgrades for clients, reducing downtime
InfoTech Global PVT LimitedBangalore
Business Analyst
10.2010 - 12.2014
Job overview
- Rapidly advanced from Claims Analyst to Business Analyst, enhancing deliverable accuracy and compliance with industry standards
- Led initiatives to identify operational inefficiencies and implemented solutions that improved process efficiency and compliance
Fortune Knowledge SolutionzBangalore
AR Associate
07.2008 - 10.2010
Job overview
- Managed Accounts Receivable operations, ensuring efficient invoicing and collections
- Reduced AR aging by 99, automated billing, increased collection rates, optimized revenue cycle, strengthened client relations, maintained compliance
Education
R.B.A.N.M's First Grade Evening College
Bachelor of Commerce (B. Com)
01.2008
Skills
- Product Strategy & Roadmapping
- Healthcare RCM (Claims, AR, Eligibility)
- AI Agentic & RPA Automation
- Agile
- Scrum
- SAFe
- Stakeholder Management
- Salesforce
- API Integrations
- Data Analysis
- SQL
- Power BI
- HIPAA Compliance
- RPA Automation
- Robocorp
- Project Management
- Lean Six Sigma
- EDI X12
- Healthcare Applications (FACETS, BizTalk, QNXT)
- IKA Systems (Advantasure)
- Advanced Power BI
Certification
- ITIL V3 2011 Certification
- Certified Scrum Product Owner
- Six Sigma Green Belt
- Six Sigma Foundation
- Advanced Power BI
- Certified Scrum Master
- Project Management Foundation
- ITIL Foundation V3
- Requirement Elicitation and Analysis
- Databricks Data Analyst
Accomplishments
- Automated claims submission, improving processing speed by 70%+
- Developed RCM automation product, boosting efficiency by 30%+
- Implemented AI-based insurance verification, reducing TAT by 60%
Profile Snapshot
Product Manager with 17+ years of experience in US Healthcare and Revenue Cycle Management (RCM), specializing in AI-driven automation, RPA, and digital transformation. Proven track record of reducing operational costs, improving claims processing efficiency, and delivering scalable healthcare solutions. Expertise in product strategy, stakeholder management, and end-to-end delivery of automation platforms for insurance verification, claims submission, and AR management. Driven to deliver innovative IT solutions in a leading healthcare organization.
Project Contributions
- Process Implementations for New Clients (BCBS of CA, HealthPartners, Ucare, MedPartners), Led end-to-end product delivery for new client implementations across RCM workflows (claims, eligibility, AR), ensuring on-time, high-quality releases, Performed gap analysis to align business requirements with product capabilities, improving revenue cycle efficiency and reducing operational gaps, Designed and optimized product features using UI/UX best practices to enhance user experience and streamline RCM processes, Collaborated with QA and stakeholders to ensure comprehensive test coverage, improving claim accuracy
- Mobile/Web Applications (HealthEC PHR, ADT & ORU Alerts, ADVantis PHR, Care Manager, ACO, Medication Alert Systems), Led cross-functional teams to deliver scalable healthcare and RCM-integrated applications using Agile/Scrum methodologies, Designed workflows, wireframes, and prototypes to improve usability and support efficient clinical and revenue cycle operations, Partnered with QA teams to define test strategies and ensure high-quality releases, minimizing defects impacting billing and patient data workflows
Core Strengths - Tech Stack And Tools
- Product Management
- Healthcare RCM (Claims, AR, Eligibility)
- RPA Automation (Robocorp)
- Agile / Scrum / SAFe
- Salesforce
- SQL & Data Analysis
- Power BI
- HIPAA Compliance
- API Integrations
- AI & RPA Automation Solutions
- Stakeholder & Client Management
Timeline
Product Manager (RPA/AI Agentic Delivery Project)
eSolutions First
03.2024 - Current
Senior Business System Analyst / Product Owner
Mastek
10.2022 - 02.2024
Senior Lead Business Analyst/Associate Business Manager
HCL
12.2021 - 10.2022
Product Owner
Dun & Bradstreet A CoAction
06.2021 - 12.2021
Senior Lead Business Analyst
Infinite Computer Solutions
06.2020 - 06.2021
Project Lead (Consultant)
Atos Syntel Pvt. Ltd.
02.2018 - 04.2020
Technical Lead (Associate)
Cognizant Technology Solutions
12.2014 - 02.2018
Business Analyst
InfoTech Global PVT Limited
10.2010 - 12.2014
AR Associate
Fortune Knowledge Solutionz
07.2008 - 10.2010
R.B.A.N.M's First Grade Evening College
Bachelor of Commerce (B. Com)