PKpraveen kumar
@praveenkumar32
Seasoned operations leader in US healthcare and AI integration driving claims excellence and process automation.
IndiaWhat I'm looking for
I am a seasoned operations leader with 17+ years in US healthcare, insurance, and business operations, combining deep claims adjudication expertise with hands-on AI tool deployment. I have led large teams, managed enrollments and reconciliations, and consistently exceeded SLAs while maintaining compliance with CMS and HIPAA requirements.
My recent work spans service delivery and project/operations management across healthcare and construction sectors, where I implemented process improvements, incident management, and AI-driven optimizations using tools like GPT-4, Perplexity.ai, and Midjourney. I prioritize client satisfaction, team development, and measurable operational excellence.
Experience
Work history, roles, and key accomplishments
MEP Project Manager
Sunline Infratech
Oct 2024 - Present (1 year 2 months)
Manage full lifecycle plumbing MEP projects including PVC subsoil and DWC pipeline installation, testing, quality control, budget and timeline management while ensuring compliance with plumbing codes and site safety.
Operations Manager
SK Constructions
Mar 2024 - Sep 2024 (6 months)
Oversaw project planning, budgeting, resource coordination and cross-functional teams for large-scale construction projects, implementing risk management and cost-reduction measures to ensure timely delivery and client satisfaction.
Service Delivery Manager
SB Secure Data Centers India Pvt. Ltd.
May 2022 - Feb 2024 (1 year 9 months)
Managed service delivery and client engagement to meet SLAs, led recruitment and talent management, and developed incident management processes to reduce incidents and improve service quality.
Assistant Manager
Artech
Jan 2018 - Nov 2021 (3 years 10 months)
Led a 60-member enrollment and reconciliation team, maintaining 100% quality standards through capacity planning, error reviews, training, and compliance with CMS guidelines.
Team Lead
DST World Wide Services
Feb 2011 - Nov 2017 (6 years 9 months)
Managed claims operations for Long Term Care Group, leading a 35-member team to optimize claims examination, payments, correspondence, internal audits, and escalations to improve processing efficiency.
Education
Degrees, certifications, and relevant coursework
Unknown
Bachelor of Commerce, Commerce
Bachelor of Commerce degree listed without institution or dates.
Center for English Language Training (CELT)
Certificate, Communication / Personality Development
Certified in Personality Development and Communication Skills from CELT.
Unknown
Diploma, Hardware and Networking
Diploma in Hardware and Networking listed without institution or dates.
SCSiddhartha Degree College
BCom, Accountancy, Statistics, Economics, Marketing
1999 - 2002
Grade: 2nd
Activities and societies: Accountany, Statistics, Economics, Marketing
Tech stack
Software and tools used professionally
Availability
Location
IndiaAuthorized to work in
Salary expectations
Social media
Job categories
Skills
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