- Lead AI-led assessments and diagnostics of Provider Lifecycle Management processes, technology, data, and operational performance.
- Provide deep domain expertise across Provider Network Management, Credentialing, Re-credentialing, Contracting, PSV, Enrollment, Onboarding, and Directory Management.
- Analyze existing PLM workflows to identify process bottlenecks, manual activities, data gaps, and operational inefficiencies.
- Use AI/ML, GenAI, process mining, and analytics to identify opportunities for automation and process improvement.
- Design optimized provider onboarding and lifecycle journeys to reduce turnaround time and manual intervention.
- Drive improvements in Provider Data Management (PDM), Provider MDM, data quality, SSOT, NPI, taxonomy, and provider directory accuracy.
- Work with technology and engineering teams to design AI-first PLM solutions and target architectures.
- Define use cases for GenAI/LLMs, NLP, OCR, document processing, contract parsing, credentialing automation, and roster automation.




- Develop API and integration strategies connecting PLM platforms with Facets, QNXT, EHRs, CAQH, NPDB, Salesforce Health Cloud, and other healthcare systems.
- Establish AI governance, human-in-the-loop (HITL), data validation, security, and compliance guardrails.
- Define and monitor PLM KPIs including Time-to-Network, Time-to-Credential, Straight-Through Processing, Directory Accuracy, Cost per Provider, and Provider CSAT.
- Benchmark processes against NCQA, URAC, CMS, No Surprises Act, and relevant healthcare industry standards.
- Develop business cases, ROI models, transformation roadmaps, process blueprints, and target operating models.
- Partner with business, technology, data science, and engineering stakeholders to deliver measurable transformation outcomes.
- Identify opportunities to reduce provider onboarding timelines from months to days, increase automation, reduce operational costs, and improve provider experience.

📌 Business Analyst- Healthcare PLM (Contract) (Hyderabad)
🏢 Saaki Argus And Averil Consulting
📍 Hyderabad