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Abhinav Majeti

@abhinavmajeti

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Senior AI Product Manager leading AI-driven products with measurable impact across healthcare RCM and automation.

India

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What I'm looking for

I’m looking for a team where I can lead AI product roadmaps from data to delivery—measuring outcomes with A/B tests and evaluation metrics—while working closely with engineering and stakeholders to improve healthcare RCM and automation efficiency.

I’m an AI Product Manager with 14+ years leading the AI product lifecycle—roadmap development, model evaluation, and data-driven iteration—across complex portfolios. I specialize in using model evaluation metrics and A/B testing, plus responsibleAI principles, to optimize product performance and customer outcomes.

In 2026, I founded IQAppeals and now lead product strategy end-to-end, including an AI Overturn Probability Scoring system that improved denial overturn accuracy across 47,000+ appeals and increased success rates by 55%. I also built a Documentation Intelligence Engine, a payer-specific AI Appeal Letter Generator (under 60 seconds), and a Payer Intelligence Database covering 14 payers to improve filing and adjudication decisioning.

Previously at R1 RCM Global, I scaled LLM-based document extraction (55% accuracy lift) and defined roadmaps for multiple RCM modules, translating business requirements into prioritized user stories for offshore delivery. I also started in RPA operations as a BOT Operator/Analyst—delivering monitoring protocols, UAT, and process documentation—and later advanced into Business Analyst and product ownership, partnering with US SMEs and cross-functional teams to align delivery with SLAs and operational efficiency.

Experience

Work history, roles, and key accomplishments

Current

Founder & Product Manager

Current

IQAppeals.com

Jan 2026 - Present (10 months)

Founded and led an AI product stream for appeals, including denial overturn probability scoring, policy library integration, and payer-specific appeal letter generation. Improved appeal outcomes and reduced provider documentation effort through automated intelligence and streamlined workflows.

AI Product Management A B Testing Responsible AI Denial Overturn Prediction Document Intelligence Healthcare RCM

Current

Product Manager

Current

R1 RCM Global Private Limited

Jan 2024 - Present (2 years 10 months)

Delivered an LLM-based document extraction product using OCR and managed roadmaps for multiple RCM modules. Coordinated with US stakeholders and built scalable API integration workflows to automate data handoffs between EHR and adjudication platforms.

Product Roadmapping User Stories Stakeholder Management Agile Delivery API Integration

Business Analyst

R1 RCM Global Private Limited

Jan 2019 - Dec 2024 (5 years 11 months)

Owned BRD and use-case creation for 10+ projects and supported RPA enhancement cycles to improve efficiency and reduce exception rates across claims and authorization workflows. Designed and executed UAT scenarios and served as a liaison between US SMEs and India developers while producing documentation and training materials for onboarding.

Use Case Document UAT Documentation Training Materials Process Improvement

Sr. Analyst / BOT Operator

R1 RCM Global Private Limited

Jan 2016 - Dec 2019 (3 years 11 months)

Led BRD writing and UAT execution for new bot deployments and authored process documentation to standardize bot operations and reduce operational errors. Managed RPA monitoring protocols, used SQL and Tableau for bot performance analysis, and contributed to Confluence-based knowledge sharing and centralized repositories.

UAT Process documentation Knowledge Base Monitoring SQL Tableau Confluence

Appeals Analyst

Optum (UnitedHealth Group)

Oct 2012 - Nov 2016 (4 years 1 month)

Managed provider appeals adjudication and resolution using CMS, ERISA, and state guidelines, improving success rates. Strategized claims processing, handled compliance with federal regulations, and supported appeals reprocessing and escalation pathways based on payer denial logic and clinical review criteria.

US Healthcare RCM Denial Management CMS ERISA Federal Compliance Clinical Review Claims Processing