Suresh Babu Amara

Background

About Suresh Babu Amara

A dynamic Product Director with over 20 years of expertise in US Healthcare, I help healthcare organizations seamlessly transition to value-based care by assessing reimbursement scenarios and building financial models that minimize risk and maximize sustainability. Through claims analysis, care redesign, and coordination strategies, I optimize workflows and enhance patient outcomes. I specialize in developing alternative payment models, ensuring organizations achieve both cost savings and quality improvements. By leveraging data-driven insights and strategic infrastructure solutions, I empower companies to build the capabilities needed for long-term success in a value-based healthcare environment. Driving applications and products from concept to market. I excel at setting vision, defining strategic roadmaps, and conducting competitive analysis. Throughout my career, I've spearheaded the development of several enterprise systems. Notably, I collaborated with data scientists to create and refine machine learning models that predict patient costs and utilization with exceptional accuracy. Recognized with prestigious certifications and awards like HITRUST, NCQA HEDIS (21 measures) and NASSCOM's Healthcare Innovation Challenge (#HIC3) award in June 2022 for our innovative solution predicting inpatient volume based on outpatient volume (IPV). Skills: Core: Product Manager, Product implementation, Usage of Generative AI techniques in accelerating Product development, Stakeholder Management, Patient Engagement, Client Relationship, Product Vision, Product Strategy, Product Roadmap, Market Research, Customer Research, Prioritization, Prototyping, User experience, Product Metrics, Data analysis, Customer Success, Brainstorming, Customer Journey, Stakeholder Management, Contextual Interviews. Healthcare: Payers, Providers, Home Health, Medicare Advantage, ACO Affordable Care Organizations, Dental, Vision, Specialty Clinics, PBM, Agent commission, Member management, provider management, Benefit management, MMIS, Medicaid management, Claims adjudication, Revenue cycle management, Clinic operations, AR, CXM Customer experience management. Certifications: P-AHM, Certified Scrum Master (CSM), Certified Product Owner (CSPO), Certified Agile Leader (CALT). Others: Pre-sales, Project Management, Marketing, Quality Assurance, Business Analyst, Selenium, Python, Building and fostering team from scratch, End To End Delivery, Figma, Miro, Python, M&A support, Advances SQL, PowerBI, Mainframe, Jira, Azure DevOps, Confluence, PRD/BRD).