---
title: "Madan Kandukuru - Assistant Manager in India | Tal"
description: "Meet Madan Kandukuru, Clinical AI | Physician (MBBS, Critical Care) building LLM systems for Claims Adjudication, Prior Authorization & FWA Detection | Prompt Engineering · Medical Necessity Automation based in India. AI stack includes antigravity, claude, and gemini."
image: "https://tal.club/meet/madan-mohan/share-image"
---

# Madan Kandukuru on Tal

## Headline

Clinical AI \| Physician \(MBBS, Critical Care\) building LLM systems for Claims Adjudication, Prior Authorization & FWA Detection \| Prompt Engineering · Medical Necessity Automation

## About

Physician\-turned\-Clinical\-AI builder\. I design and ship LLM systems that adjudicate health claims — combining 6\+ years of bedside medicine with hands\-on prompt engineering, model evaluation, and AI workflow design\. At Vidal Health, I lead the AI side of claims adjudication and payment integrity: · • Built our fraud, waste & abuse \(FWA\) detection tool from scratch — now core to payment integrity operations · • Automated prior authorization for physiotherapy end\-to\-end, removing manual review from the loop · • Drove our AI cost\-containment workflow to 99% accuracy through iterative prompt engineering and human\-in\-the\-loop evaluation · • Engineered LMRP medical necessity mapping prompts to >95% accuracy against policy criteria · • Uncovered an additional 2% in claims savings via diagnosis\-, provider\-, and service\-level cost analytics What makes my work different is clinical ground truth\. Six years across critical care, cardiac emergencies, ICU ventilator and hemodynamic management, and general practice mean I know what a real chart looks like, what a diagnosis code should map to, and exactly where automation quietly fails\. I write the medical logic an LLM can be trusted with — and the evaluation criteria to prove it\. MBBS \+ Fellowship in Critical Care Medicine \(Sri Venkateswara Medical College, Tirupati\)\. I'm interested in senior roles at the intersection of medicine and AI — clinical AI development, LLM evaluation and safety, utilization management automation, payment integrity, and clinical informatics\. If you're building AI that touches patient care or claims, let's talk\.

## Location

India

## AI stack

antigravity

claude

gemini

openai

claudecode

## Work experience

Assistant Manager at Vidal Health, Mar 2025 \- Present · 1 yr 8 mos, Bengaluru, • Built our fraud, waste & abuse \(FWA\) detection tool from scratch — now core to payment integrity operations • Automated prior authorization for physiotherapy end\-to\-end, removing manual review from the loop • Drove our AI cost\-containment workflow to 99% accuracy through iterative prompt engineering and human\-in\-the\-loop evaluation • Engineered LMRP medical necessity mapping prompts to >95% accuracy against policy criteria • Uncovered an additional 2% in claims savings via diagnosis\-, provider\-, and service\-level cost analytics

Medical Doctor at Maven Medical Center, Nov 2021 \- Jul 2023 · 1 yr 9 mos, Hyderabad, Telangana, India

Medical Officer at Krishnapatnam Port Company Ltd\., Feb 2017 \- Mar 2018 · 1 yr 2 mos

## Education

MBBS \- Bachelor of Medicine and Bachelor of Surgery, Medicine, sri venkateswara medical college

[View the original profile](https://tal.club/meet/madan-mohan)

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