Summary
Overview
Work History
Education
Skills
Certification
Awards
Healthcare Systems & Tools
Timeline
Generic

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

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

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Venkata Kalyan BarlaProduct Owner