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Nandha Kumar

@nandhakumar6

PMO and portfolio leader at Medvance Healthcare, governing a $15M+ portfolio and AI automation that lifted throughput by 18–22%.

India

Message

At Medvance Healthcare, I lead the enterprise-wide PMO and govern a $15M+ revenue portfolio. I oversee operations with full P&L accountability, sustaining 99.2% SLA compliance and 98%+ accuracy.

I sponsor and govern an AI-powered automation roadmap, including LLM output validation, SME synchronisation, and QA framework design. The programme improved throughput by 18–22%.

Earlier, at Helio Next, I established governance for transformation initiatives and designed a denial-prevention programme that reduced denial rates by 28–35%. At R1 RCM, I led CDI programmes and applied Lean methods to cut cycle times by 15–20%.

Through The Coding Council, I built the Council CDI 360 platform and delivered enterprise training and certification preparation. I’ve also designed learning programmes for 500+ professionals and mentored 200+ team leads and managers.

Experience

Work history, roles, and key accomplishments

Current

Senior Manager — HIM, Coding Operations & CDI | PMO Lead

Current

Medvance Healthcare

Aug 2024 - Present (2 years 2 months)

Architect and lead the enterprise-wide PMO, overseeing portfolio governance, RAID management, and executive steering-committee reporting for a $15M+ revenue portfolio. Own end-to-end operations delivery across IP, OP, ED, HCC, CDI, and Denials with full P&L accountability.

PMO Portfolio Governance RAID Management Stage Gate Methodology Executive Reporting P&L management AI Automation LLM Output Evaluation QA Frameworks Risk Management PMI RMP Lean Six Sigma SOP standardization CAPA Capacity Planning Transition Management

Senior Manager — Head of Coding Department & Program Lead

Helio Next

Jan 2023 - Apr 2024 (1 year 3 months)

Established programme governance structures including milestones, resource allocation plans, and benefits realisation frameworks for a portfolio of transformation initiatives. Directed multi-specialty operations achieving 96-98% accuracy and 100% SLA adherence.

Programme Governance Resource Allocation Benefits Realisation Quality Governance Denial Prevention Root Cause Analysis CAPA Payer Policy UAT Governance QA validation Executive Business Review Training Effectiveness

Coding Manager — RCM, CDI & HIM | Internal Audit Officer

R1 RCM

Sep 2018 - Jan 2023 (4 years 4 months)

Managed multi-account, multi-specialty delivery teams and established performance governance standards adopted organisation-wide. Served as Internal Audit Officer conducting compliance reviews, HIPAA assessments, and regulatory alignment audits.

RCM CDI HIM Internal Audit HIPAA compliance Regulatory Audits Lean Methodology Process Improvement DRG Accuracy SOI and ROM Documentation Case Mix Index Team Leadership PMP

Group Coordinator — Business Transitions & PMO Support

Logix Health Solutions

Feb 2016 - Aug 2018 (2 years 6 months)

Coordinated complex new-business transitions and client onboarding, including cross-functional planning, transition risk management, and SLA compliance. Authored transition playbooks, SOPs, and governance documentation that became the organisation's standard onboarding framework.

Transition Management Client Onboarding Cross functional Planning Risk Management SLA Compliance SOP Development Governance Documentation