Product Leader| Healthcare Interoperability & Prior Authorization | FHIR: Da Vinci CRD, DTR, PAS | SMART on FHIR | X12 | HL7 | REST APIs | Payer & Provider Platforms | GTM | RFP | Conformance

Hybrid



Hyderabad Area, India

bangalore

BANGALORE

BANGALORE

Bangalore
Chennai Area, India






Msc, Computer science
Bharathidasan University

BSC, COMPUTER SCIENCE
Madurai kamaraj University
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Download Tal BossProduct Leader| Healthcare Interoperability & Prior Authorization | FHIR: Da Vinci CRD, DTR, PAS | SMART on FHIR | X12 | HL7 | REST APIs | Payer & Provider Platforms | GTM | RFP | Conformance
Healthcare product leader with over 21 years in EDI, claims transaction engineering, clinical interface delivery, and standards-based product management for U.S. health plans and health systems. Translate complex federal regulations into scalable, revenue generating platform solutions. Led the development and launch of a CMS-0057-F and CMS-9115-F compliant interoperability platform, now deployed at more than 15 enterprise health plans. Recognized subject matter expert in FHIR R4, Da Vinci Implementation Guides (CRD, DTR, PAS), and X12/HL7 integration, with commercial responsibility for GTM strategy, RFP execution, solution demonstrations, and client advisory. Applies transaction level depth to platform ownership, scoping compliance gaps, validating data mappings, and challenging engineering estimates from direct experience.
Greater Bengaluru Area
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Product Manager at ZeOmega, Aug 2023 - Present · 3 yrs 2 mos, Hybrid, In my role at ZeOmega, I led the strategy and execution for FHIR APIs and HL7 integrations, ensuring compliance and enhancing client onboarding experiences. I authored comprehensive integration guides and collaborated with sales teams to expand our pipeline for interoperability opportunities. My efforts resulted in a significant reduction in onboarding time and established a robust framework for API governance.
Associate Product Manager at ZeOmega, Jul 2020 - Jul 2023 · 3 yrs 1 mo, CMS interoperability, FHIR implementation and Design
Senior Product Analyst - Integration at ZeOmega, Mar 2019 - Jun 2020 · 1 yr 4 mos, • Working collaboratively with key project team members in defining product requirements, designing a functional solution for the product. • Identifying and resolving project issues, as well as ensuring the solutions formulated meet requirements. • Participates in meetings with clients to gather and document requirements and explore potential solutions. • Assist product managers to build product road-map and detailed product plans to deliver on business goals • Work closely with product managers and other stakeholders to understand market requirements • Perform UAT's to verify acceptance criteria as per product definition
Senior Interface Analyst - EMR at Lumeris, Nov 2014 - Jun 2016 · 1 yr 8 mos, Hyderabad Area, India, Implement HL7 lab interfaces’ connectivity, using Mirth Engine tool to integrate internal and third-party vendor applications or labs
Independent Consultant at Multiple, Aug 2013 - Oct 2014 · 1 yr 3 mos, bangalore, • Worked as a part Part-time Consultant with few start-up companies (FinCore Tech and Techpalm Solutions) • Implemented Test Framework on the project and with the working of Application Experts • Assists to Create Test Scripts, Test Execution and Defect Tracking using Manual Test Tools for testing the Web applications and Mobile Applications • Agile Testing Life cycle and defining the repeatable testing process
Test Manager- Health care Solutions at Infotech Global India Ltd, Jun 2012 - May 2013 · 1 yr, BANGALORE, Led a high-performing software testing team of 10 through all phases of application development. Ensured that information systems, products, and services met or exceeded quality standards and end user requirements.
QA Lead at Infotech Global India Ltd, May 2009 - May 2012 · 3 yrs 1 mo, BANGALORE, Designed and led test strategy and test plan for the projects. Conducted requirements review, design review, test strategy development, and test case review
Senior Testing Engineer - HealthCare Solutions at Infotech Global India Ltd, May 2006 - Apr 2009 · 3 yrs, Bangalore, Took part in mapping, gap analysis, testing, and deployment of health care EDI transactions, such as 837P/837I/837D, 270/271/997/999, and non-ANSI formats, like NSF, EZCAP, and image and paper formats (HCFA1500, UB04/UB92).
Senior Testing Engineer at Health Plan Systems, Nov 2003 - Apr 2006 · 2 yrs 6 mos, Chennai Area, India, Led team of 5 and Coordinated resource allocations, created work assignments for team, maintained time lines and ensured compliance with quality standards. Worked as a Good Team member and motivated the team towards the organization goals and reaching the milestones during the testing process
Msc, Computer science, Bharathidasan University
BSC, COMPUTER SCIENCE, Madurai kamaraj University