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Prathyusha Gadde

@prathyushagadde

Lead AI/ML Engineer at Optum Health Care Technologies who built a healthcare entity-resolution pipeline with over 92% precision.

India
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At Optum Health Care Technologies, I led the design and deployment of a healthcare entity-resolution and classification pipeline that processed more than 32,000 records with over 92% precision. I also developed multi-agent workflows and semantic search to support payer mapping.

I built the pipeline’s MLOps and delivery setup on AWS, using Docker and FastAPI for services and automating CI/CD with Pytest.

At Infosys Limited, I architected data science and machine learning pipelines for banking and financial clients. I developed fraud detection, transaction anomaly detection, and credit risk models, and integrated generative AI for financial summaries and risk reporting.

At Sutherland Healthcare Solutions Pvt Ltd, I developed predictive analytics models and automated ETL pipelines for healthcare claims and operational audits. My work included claims severity prediction and revenue cycle optimization, reducing manual review turnaround times by 40%.

Experience

Work history, roles, and key accomplishments

Optum Health Care Technologies logoOT
Current

Lead AI/ML Engineer

Jun 2026 - Present (5 months)

Independently led the architectural design and deployment of an enterprise Hybrid AI/ML and Agentic AI pipeline for large-scale healthcare entity resolution and classification. Engineered autonomous multi-agent workflows, dense vector semantic search, and gradient-boosted ranking algorithms to process 32,000+ complex healthcare records with >92% precision.

IL

Consultant – Senior Data Scientist

May 2024 - Jun 2026 (2 years 1 month)

Architected distributed data science, big data, and machine learning pipelines for tier-1 financial and banking enterprise clients using PySpark, Databricks, and AWS SageMaker. Engineered high-accuracy fraud detection, transaction anomaly detection, and customer credit risk scoring models using XGBoost, CatBoost, and Scikit-learn.

Sutherland Healthcare Solutions Pvt Ltd logoSL

Data Scientist / Software Engineer

Apr 2016 - Apr 2024 (8 years)

Designed and deployed end-to-end predictive analytics models and automated ETL data processing pipelines for US Healthcare claims processing and operational audit automation. Developed statistical risk scoring, claims severity prediction, and revenue cycle optimization models, achieving a 40% reduction in manual review turnaround times.

Education

Degrees, certifications, and relevant coursework

Jawaharlal Nehru Technological University logoJU

Jawaharlal Nehru Technological University

Bachelor of Technology, Computer Science & Engineering

Bachelor of Technology in Computer Science and Engineering from Jawaharlal Nehru Technological University.

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