Basking Ridge, New Jersey, United States
PayApp Digitization:
Spearheading Payment Appendix Digitization, addressing 250K+ contracts and 388 template types across multiple business lines. Designed a multi-stage LLM pipeline leveraging Google Vertex AI and Gemini for automated extraction, validation, and reporting. Delivered an intuitive UI enabling human-in-the-loop review with source-grounded Q/A traceability, supporting affordability trend analysis and downstream integration.
ProDataCleanse:
• Led and overhauled provider roster onboarding processes team with patent pending product -ProDataCleanse- with advanced technologies such as AI/ML, XAI, NLP, and Neural Networks, resulting in a 10x improvement in user experience, speed, accuracy, and scalability. $5+M operational cost impact.
• Utilized explainability techniques with LIME to enhance model transparency and trust.Incorporated a model performance monitoring tool to periodically check for drift.
• Recently honored with the UHG Inventor Award for filing a patent application for ProDataCleanse, a flagship AI/ML-driven solution designed to revolutionize healthcare provider onboarding and maintenance processes at scale.
• Augmented multiple business process reusing the AI/ML capability as a REST could microservice using FastApi.
• Implemented lightweight NLP rule engine to detect the provider transactions from the freeform plain text.
• With automation first approach, improved system Flexibility, Accuracy, Consistency and User Experience for the users.
• Achieved downstream simplifications using FHIR format export over Kafka Stream.
Email-Router:
• Automated six mailboxes using ProDataCleanse's NLP rule engine, reducing the operations team's workload.
• This streamlines email management, ensures timely responses, and allows the team to focus on critical tasks by diverting inappropriate requests.
• Next phase: Implementing LLM Agents to create tickets, request additional information, and provide status updates.
