aayush aggarwal
@aayushaggarwal
Senior Technical Manager with 12+ years in US Healthcare, driving Agentic AI, modernizing systems, and delivering scalable, audit‑ready solutions.
IndiaWhat I'm looking for
Aayush Aggarwal is a seasoned Senior Technical Manager with 12+ years of experience in US Healthcare, specializing in Payment Integrity, Claims, and Data Analytics. He has consistently delivered enterprise‑scale modernization by bridging software engineering, data platforms, and AI enablement.
At Optum, Aayush has spearheaded a $4.5M Agentic AI investment, transforming manual, SOP‑driven operations into scalable, agent‑assisted workflows. He has defined reference architectures, integration patterns, and compliance guardrails to ensure solutions are auditable, explainable, and production‑grade. His leadership has aligned technical delivery with measurable business outcomes—efficiency gains, faster audits, increased recoverable inventory, and improved claim decision consistency.
Previously, he scaled overpayment identification outcomes from $6.3M to $34.6M with ~90% recovery rates, leading a team of 50+ analysts to modernize workflows through analytics, automation, and Generative AI pilots. His initiatives reduced appeals, improved data reliability, and optimized analyst capacity for complex exceptions.
Aayush’s career spans roles in engineering, analytics, and leadership—modernizing legacy systems, building trusted data assets, and deploying cloud‑based, Python‑driven solutions. He has architected internal applications, streamlined provider outreach, and executed large‑scale data migrations, consistently driving operational excellence
Experience
Work history, roles, and key accomplishments
Driving enterprise adoption of Agentic AI, I lead technical enablement and business alignment to transform Payment Integrity workflows—delivering scalable automation, auditable architectures, and measurable ROI through efficiency gains, faster audits, and increased recoverable inventory
Scaled overpayment identification and recovery outcomes from $6.3M to $34.6M while sustaining ~88–92% recovery rates by improving data quality and standardizing analytics-led automation workflows. Led a 50+ person Analytics & Consulting team and piloted generative AI approaches (prompting, retrieval, orchestration) to improve analyst efficiency without compromising governance.
Built and led a team of 11 data analysts to identify overpayments using analytics execution and technical interventions. Established Unified Data Warehouse usage for Provider Outreach and implemented SQL workflows and automation pipelines to improve audit consistency and delivery predictability.
Created customized SQL logic and automated workflows to generate overpayment 'hits' for downstream review and recovery. Built Python utilities and integration/scraping scripts to extract, enrich, and connect data signals, improving analyst throughput while keeping outputs operationally usable and auditable.
Senior Software Engineer
Optum Global Solutions
Sep 2018 - May 2021 (2 years 8 months)
Orchestrated migration from mainframe/DB2 to Python, Kafka, MySQL and Azure, and led large-scale DB2-to-MySQL transfers using Pentaho and incremental Python/Kafka pipelines.
Modernized legacy mainframe and DB2 components into Python, Kafka, MySQL, and Azure-based services to improve maintainability and scalability. Led DB2-to-MySQL migration using Pentaho and designed incremental data pipelines with production support and defect resolution to minimize service impact.
Owned sprint planning and execution with business teams using Agile practices to improve requirement clarity and delivery cadence. Delivered backend modules in Python and MySQL with unit testing and collaborated with QA on integration/regression testing and defect resolution.
Developed and supported mainframe-based claims processing services, resolving production defects and abends with minimal service disruption. Managed database maintenance (purges, re-orgs), supported RCA with incident stakeholders, and ensured stable 24×7 batch job execution with dependencies and time constraints.
Worked as an entry-level engineer contributing to software development tasks and supporting project deliverables within team-assigned responsibilities.
Education
Degrees, certifications, and relevant coursework
Coursera
Professional Certificate, Machine Learning / Artificial Intelligence
2023 - 2024
Completed online professional certificates in Gen AI and Supervised Machine Learning covering regression and classification techniques.
Microsoft Learn
Professional Certification, Cloud and Data Science
2020 - 2023
Earned Microsoft certifications including Azure Fundamentals and Azure Data Scientist Associate focused on cloud and data science skills.
Udemy
Course Certificate, Data Analysis
2021 - 2021
Completed a Data Analyst course covering data analysis tools and techniques.
Noida Institute of Engineering and Technology
Bachelor of Technology, Electrical and Electronics
2009 - 2013
Completed a B.Tech in Electrical and Electronics with coursework and projects related to application migration, data transfer, and integration of legacy systems.
Noida Institute of Engineering and Technology
Bachelors in Technology, Electrical and Electronics
Grade: 8.0
Udacity
Nanodegree, Machine Learning
2019 - 2019
Completed the Machine Learning Introduction Nanodegree program covering foundational machine learning concepts and projects.
Availability
Location
IndiaAuthorized to work in
Salary expectations
Social media
Job categories
Interested in hiring aayush?
You can contact aayush and 90k+ other talented remote workers on Himalayas.
Message aayushFind your dream job
Sign up now and join over 100,000 remote workers who receive personalized job alerts, curated job matches, and more for free!
