Venkata Kalyan Barla
Product Owner
Hyderabad,TG
Summary
Dynamic Product Owner with over 14 years of experience in the US Healthcare IT sector, specializing in the delivery of successful EHR/EMR, LIMS, RCM, claims, and prior authorization workflows. Expertise in Agile methodologies enables effective management of product roadmaps, MVPs, backlog prioritization, and seamless product launches. Proficient in healthcare informatics and interoperability standards such as HL7 and FHIR, with a comprehensive understanding of value-based care models and regulatory compliance frameworks including HIPAA, HITECH and CMS. Recognized for fostering stakeholder collaboration, articulating a compelling product vision, and demonstrating strong cross-functional leadership capabilities.
Overview
14
14
years of professional experience
6
6
Certifications
Work History
Product Owner / Sr. Business Analyst
Ascendion
06.2023 - Current
- Led PBM, claims, and adjudication workflow enhancements, improving prescription processing accuracy, and member experience.
- Defined prior authorization features, product roadmaps, MVPs, and acceptance criteria aligned with CMS and payer requirements.
- Owned backlog management and prioritized features across Pharmacy, Radiology, and LIMS modules.
- Collaborated with stakeholders on value-based care and HL7/FHIR interoperability initiatives.
- Delivered multiple go-lives, 3 weeks ahead of schedule, within budget.
Assistant Delivery Manager / Product Coordinator
Access Health Care
01.2019 - 05.2023
- Oversaw end-to-end RCM processes (claims, billing, denial management) integrated with clinical and PBM systems.
- Partnered with payer and specialty teams to streamline member workflows and prior authorization requests.
- Created wireframes, sprint schedules, and release plans aligning with product vision.
- Conducted post-go-live reviews and integrated client feedback into product enhancements.
- Improved turnaround time for production support by 15% with lean delivery principles.
Junior Project Lead / Sr. Business Analyst
Elico Health Care Services
06.2013 - 11.2018
- Delivered claims adjudication and prior authorization workflows using UML & Visio.
- Coordinated UAT and release readiness for payer-provider RCM integrations.
- Ensured compliance with HIPAA, CMS, and coding standards across all releases.
- Reduced requirement-to-deployment cycle by 20% through Agile adoption.
Medical Coding, Compliance & RCM Analyst
Various US Healthcare BPOs
05.2011 - 06.2013
- Hands-on experience with ICD-10, CPT, HCPCS coding and CMS compliance.
- Supported Revenue Cycle Management (RCM) including charge capture, claim submission, payment posting, and denial management.
- Partnered with adjudication and billing teams to ensure accurate claims payment & documentation.
- Improved reimbursement accuracy via coding audits and compliance reviews.
Education
Master of Science - Microbiology
Andhra University
01.2006
Skills
Healthcare Expertise: PBM Systems, Prescription Adjudication, Revenue Cycle Management (RCM), Claims & Billing, Prior Authorization, Specialty & Member Workflows, Value-Based Care
Product Ownership: Product Roadmaps, Backlog Grooming, Wireframes, User Stories, Acceptance Criteria, MVP Development & Launches
Methodologies: Agile Scrum, SAFe, Waterfall, Hybrid Delivery Models
Technical & Compliance: HL7, FHIR, HIPAA, CMS Regulations, LIMS Integration, EHR/EMR/HIS, PACS, Healthcare Informatics & Interoperability
Leadership & Tools: Stakeholder Engagement, Cross-Functional Team Leadership, Jira, Confluence, Smartsheet, MS Project, Power BI
Agile project management
Experience with agile methodologies
Story planning
User story development
Certification
CBAP – Certified Business Analysis Professional
Awards
Star of the Month – Collabera Digital (2023), GEM Award – Access Health Care (2020), Extra Mile Award – Access Health Care (2019)
Healthcare Systems & Tools
- EHR/EMR: McKesson Practice Partner (M
- CARE 21), EPIC, Athena, Cerner
- Tools: Jira, Confluence, Smartsheet, MS Project, Visio, Power BI
- Standards: HL7, FHIR, ICD-10, CPT
Timeline
Product Owner / Sr. Business Analyst
Ascendion
06.2023 - Current
Assistant Delivery Manager / Product Coordinator
Access Health Care
01.2019 - 05.2023
Junior Project Lead / Sr. Business Analyst
Elico Health Care Services
06.2013 - 11.2018
Medical Coding, Compliance & RCM Analyst
Various US Healthcare BPOs
05.2011 - 06.2013
Master of Science - Microbiology
Andhra University