Summary
Overview
Work History
Education
Skills
Certification
Timeline
Languages
Domain Expertise
Honor Awards
Work Availability
Honor Awards
Work Preference
Websites
Generic
Dipesh Patel

Dipesh Patel

Assistant Manager - Data Operations
Pune,MH

Summary

Results-driven professional with over 10 years of experience in healthcare data exchange, specializing in provider, payer, and life sciences data analytics solutions. Demonstrated ability to optimize operational efficiency, drive customer satisfaction, and lead cross-functional teams. Proven skills in managing schedules, resources, and large-scale data operations. Highly skilled in implementing process improvements and strategic initiatives to enhance performance. Seeking to leverage expertise in organizational leadership and data operations Manager role.

Overview

11
11

Years of professional experience

10
10

Years of US healthcare domain expertise

3
3

Certifications

4
4
Languages

Work History

Assistant Manager

MRO Corporation
04.2023 - Current
  • Lead a team of 30+ data analysts, integration engineers, and senior data-ops leads in delivering healthcare data interoperability solutions for CareFirst BlueCross BlueShield (US Payer).
  • Successfully onboard 350+ new clients annually onto the CDXP platform, managing an $8M+ IT portfolio.
  • Operationalized large-scale Big Data pipelines, processing petabytes of healthcare data efficiently.
  • Enabled access to 10M+ patient medical records from major EHR systems, supporting HEDIS supplemental data, risk adjustment, and care-gap analysis.
  • Responsible to ensure validated data streams from ingestion to transmission, supporting HEDIS reporting and other quality programs with 100% compliance.
  • Deep expertise in clinical data elements, including Demographics, Diagnoses, Procedures, Medications, Allergies, Vital Signs, Lab & Imaging Results, Orders, Social History, Patient Notes (Unstructured Data), and Care Plans.
  • Collaborated with product platform (Exchange Nexus) team to build integrated solutions, driving growth and impact across solution areas, while formulating and leading the development of new data-and-analytics offerings for Healthcare Payers.
  • Collaborate cross-functionally with Pre-Sales, Program Directors, Project Managers, Client Account Managers, and the Leadership Board, providing risk identification and mitigation strategies.
  • Mentored and upskilled teams, conducted performance evaluations, and fostered a high-impact engineering culture.



Operations Lead

MRO Corporation
04.2021 - 03.2023
  • Managed daily operations, ensuring the on-time delivery of high-quality healthcare data to clients while maintaining 95%+ service level adherence.
  • Reduced operational costs by 20% through process automation and workflow optimization, driving efficiency across data operations.
  • Led efforts to achieve NCQA Data Aggregator Validation (DAV) certification, ensuring compliance with NCQA’s rigorous process, system, and data standards for secure and accurate healthcare data exchange.
  • Conducted regular performance assessments, providing constructive feedback and identifying areas for growth and development among team members.
  • Recruited and trained 18 new employees in 2022.

Senior Software Engineer

FIGmd
04.2019 - 03.2021
  • Automated workflows to streamline data ingestion from multiple EMR vendors across diverse healthcare practices.
  • Spearheaded EHR vendor onboarding automation, optimizing data extraction from diverse EHR application databases.
  • Established and maintained end-to-end communication with vendor technical teams across different geographic locations to resolve integration issues.
  • Collaborated with the PQC (Process, Quality & Compliance) team to define and implement Standard Operating Procedures (SOPs) and best practices, ensuring standardized processes for data validation, cleansing, and reporting to enhance efficiency and accuracy.

Software Engineer

FIGmd
04.2016 - 03.2019
  • Led ETL processes to extract, transform, and load (ETL) patient clinical data from various 65+ different EMR/PM systems into the Clinical Data Repository.
  • Explored EHR database schemas to develop efficient extraction strategies for structured and unstructured healthcare data.
  • Built data mapping frameworks for targeted clinical data elements to support quality and performance reporting.
  • Collaborated with clinicians, data engineers, and business analysts to enhance data usability for reporting and analytics.

Associate Software Engineer

FIGmd
06.2014 - 03.2016
  • Developed and optimized SQL queries and scripts for efficient data extraction, transformation, and reporting.
  • Conducted data mapping, validation, and cleansing to maintain high-quality clinical data submissions.
  • Computed and validated 1,460+ cardiology-related clinical data elements based on PINNACLE Registry data dictionary specifications.
  • Investigated data anomalies and inconsistencies, working closely with stakeholders to resolve issues.

Education

Bachelor of Engineering - Computer Science

Shivaji University
Kolhapur, India
05.2011 - 05.2014

Skills

SQL, BigQuery, Python

Certification

Generative AI for Healthcare - Google Cloud

Timeline

Generative AI for Healthcare - Google Cloud

04-2025

Using AI to Improve Ops for Your Data Organization

03-2025

Assistant Manager

MRO Corporation
04.2023 - Current

Operations Lead

MRO Corporation
04.2021 - 03.2023

Professional, Academy for Health Care Management (PAHM)

06-2020

Senior Software Engineer

FIGmd
04.2019 - 03.2021

Software Engineer

FIGmd
04.2016 - 03.2019

Associate Software Engineer

FIGmd
06.2014 - 03.2016

Bachelor of Engineering - Computer Science

Shivaji University
05.2011 - 05.2014

Languages

English
Gujarati
Hindi
Marathi

Domain Expertise

  • 10+ years working with US healthcare domain clients and payer systems.
  • SME in Medical & Pharmacy Claims, EMR, EHR, HIE integrations.
  • Extensive knowledge of HEDIS, risk adjustment, care-gap, and quality measure analytics.

Honor Awards

The Achievers Club - Outstanding Performer Award, 09/2024, The recognition for contribution and dedicate efforts for being an outstanding performer.

Work Availability

monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Honor Awards

The Achievers Club - Outstanding Performer Award, 09/2024, The recognition for contribution and dedicate efforts for being an outstanding performer.

Work Preference

Work Type

Full TimePart TimeContract Work

Work Location

RemoteHybrid

Important To Me

Company CultureCareer advancement
Dipesh PatelAssistant Manager - Data Operations