Niraj Kumar Ghosh

Product Manager

Bengaluru, Karnataka, India15 yrs 5 mos experience
Most Likely To SwitchHighly Stable

Key Highlights

  • Transformed IKS Health into a product-first powerhouse.
  • Delivered $10.5M+ annual margin impact for clients.
  • Launched AI-driven solutions improving patient satisfaction.
Stackforce AI infers this person is a Healthcare Product Management expert with a strong focus on AI and revenue cycle optimization.

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Skills

Core Skills

Product ManagementAi/ml Model DevelopmentUser Experience DesignRevenue Cycle Management

Other Skills

0→1 Product Innovation & Portfolio ScalingAI-Powered Workflow AutomationAgile DevelopmentAgile Project ManagementAnalytical SkillsArtificial Intelligence (AI)Business AnalysisBusiness StrategyCommunicationCompetitive AnalysisConsumer ProductsCross-Functional Leadership in Complex EnvironmentsCross-Functional Team Building & MentoringCross-functional Team LeadershipCustomer Experience

About

🚀 I build autonomous, machine-led platforms that think, learn, and scale. From tangled operations to intelligent, AI-driven orchestration—my work transforms clinical and financial chaos into seamless, high-performance workflows. Whether it's Generative AI, Agent AI, or ML-powered insight engines, I turn bold ideas into scalable platforms with measurable business impact. From patient access solutions to AI-driven denial prediction and prevention, my work consistently delivers measurable business outcomes — improved patient satisfaction, reduced denials, and accelerated revenue cycles. 🧠 Core Strengths & Superpowers • 🤖 Gen AI & Agent AI | Designing next-gen product capabilities • 🧮 ML Model Engineering | Propensity to pay, denial prediction, appeals scoring • 💸 RCM Orchestration & Revenue Optimization | Driving cash acceleration • 🔁 Intelligent Workflow Automation | Reducing waste, improving precision • ☁️ Enterprise SaaS | Cloud-native, API-first product architecture • 🌍 Global Team Leadership | Cross-border agile squads, high-output delivery • 📈 Product-led Growth | Strategy, monetization, and client value delivery • 📝 Ambient AI in Clinical Documentation | Reducing clinician burden • 🤝 Cross-functional Stakeholder Alignment | Sales, Ops, Compliance, Tech 🏆 Signature Wins • 🧭 Led IKS’s shift to a product-first powerhouse, powering a 43% IPO listing premium through platform-led valuation and innovation • ⚙️ Built and scaled Optimix™ into the #1-ranked AI-Driven RCM platform (Black Book 2025), with 30+ enterprise clients onboard • 💰 Delivered $10.5M+ in annual margin impact for enterprise customers by reducing denials and supercharging first-pass resolution rates • ✍️ Embedded Gen AI + Ambient AI into documentation workflows, increasing provider satisfaction and throughput without compromising accuracy • 🧠 Launched 6+ enterprise-grade ML models within CLAIM, enabling autonomous denial prevention, predictive task routing, and AI-powered appeals • 💰 Launched patient self-scheduling & digital check-in that reduced call center volume by 35% and cut front-desk time by 2.5 mins per visit 🌟 My Value Proposition I bring founder-like ownership to every product I lead. I live at the sweet spot of AI innovation, domain depth, and execution discipline. Whether launching 0→1 AI models or scaling intelligent platforms, I deliver outcomes that move the revenue needle and wow the enterprise boardroom. Let’s connect if you're building where AI meets workflow transformation—and where ideas are meant to scale. 🌐🤝

Experience

Iks health

Associate Vice President: Product and Program Management

Nov 2022Present · 3 yrs 4 mos

  • 🚀 Strategic & Product Leadership
  • Spearheaded the transformation of IKS Health from an operations-led to a product-first organization, directly contributing to its IPO with a 43% listing premium, fueled by product-led valuation
  • Scaled Optimix™ powered by CLAIM into IKS’s most adopted and highest-value platform, with 30+ enterprise clients and recognition as #1 AI-Driven RCM platform in Black Book 2025 rankings
  • 🧠 AI Innovation & Execution
  • Led the design and deployment of 5+ enterprise-grade AI/ML models, including:
  • o Payment Propensity
  • o Denial Prediction and Prevention
  • o Ideal Time to Touch (ITTT)
  • o Appeal Prioritization
  • Architected autonomous, closed-loop RCM workflows that self-learn and adapt based on payer behavior, denial patterns, and operational data streams
  • 📈 Client Outcomes & Value Creation
  • Delivered $10.5M+ in annual operating margin impact for clients by reducing denial rates, improving first-pass resolution, and streamlining payer workflows
  • Leveraged AI and HITL models to reduce cost to collect by 30%–32%, unlock cash acceleration, and improve claims yield and payment velocity
  • 🎯 Vision & Ecosystem Influence
  • Defined the roadmap for integrating Agentic AI to enable autonomous revenue cycle orchestration and AI-driven decision intelligence
  • Mentored future PM leaders, enforced delivery rituals, and standardized product management practices across vertical teams
  • Partnered with executive leadership, clinical and compliance stakeholders, and technology teams to align product evolution with strategic objectives and enterprise scalability
Problem SolvingCompetitive AnalysisKnowledge Graph-Based Natural Language ProcessingConsumer ProductsProject ManagementPlatform Design+15

Cvs health

Product Owner

Apr 2020Oct 2022 · 2 yrs 6 mos

Emids

Product Management Specialist

Aug 2017Oct 2022 · 5 yrs 2 mos · Bengaluru, Karnataka, India

  • Partnering with executive leadership to define, launch and drive strategic and operational initiatives; envisioning and implementing an AI-Powered Enterprise Virtual Assistant for 100,000 users which reduced customer support calls by 30%
  • Implemented in-house app analytics framework to minimize conversion funnel drop-offs and fix leakages in User Onboarding Journeys by 15%
  • Recognizing product gaps in Consumer, Retail, Healthcare, Payment and Wellness Web and Mobile Apps , Population Health Management, Member Engagement Platform (MEP), Health Assessment, Incentive Management capabilities and Internet of Things (IoT) offerings; building new features, creating APIs and performing A/B testing leading to a yearly revenue increase of $13.2M through increased engagement and conversion for SaaS based B2B and B2C products
  • Revamped Consumer App user experience, inline with the strategic OKRs, improved User Activation metrics by 10%
  • Conducting Product Discovery calls and coordinating with Engineering, UI/UX, Sales, Finance, Marketing, Legal and other team members for product documentation, system design & integration, coding and maintenance based on market requirement
Software Development MethodologiesInfluencing Without AuthorityCompetitive AnalysisMicrosoft ExcelConsumer ProductsUser Experience (UX)+17

Unitedhealth group

Product Management - PO/PM

Dec 2015Aug 2017 · 1 yr 8 mos

  • Redesigned legacy Claims manager analytics, Wellness Portal, Retail Consumer Apps & Payment Web and Mobile Apps and Claims edit system with the Azure Cloud application, which saved $2M annually for the company; optimized the processes by providing robust editing capabilities to both provider and payer clients, resulting in a 15% reduction in claims turnaround time
  • Enhanced team’s efficiency by 20% in 6 months by adopting the agile environment and enriched the environment of independent scrum teams and doubled the team’s velocity in 12 months while working on revenue cycle management
  • Supported large scale data migration for B2B analytics product to Cloud. Estimated Annual Savings - $2.5M
  • Drove a team of 20 members (Product, Engineering Team) to create a proactive communication model for data validation, eligibility checks, provider credentialing, clinical editing, and duplicate checks in the claims processing lifecycle which resulted in a saving of $300K per million operational costs in claims processing
Software Development MethodologiesInfluencing Without AuthorityCompetitive AnalysisMicrosoft ExcelConsumer ProductsPlatform Design+15

Axiom health intellect systems, inc.

Product management and Business Analysis

Aug 2013Nov 2015 · 2 yrs 3 mos · Bangalore

  • Steered product vision, strategy and execution across the product portfolio; increased both product and design teams from 0 to 1, directly sourcing, recruiting and mentoring team members to build high performance teams
  • Developed product GTM plan. Defined core + extended product value proposition, partnership process and developed cost estimates. Executed and scaled partner network from scratch to 50 partners leading a team of 15
  • Launched a new SaaS based B2B and B2C AI/ML enabled analytics product for E-Commerce, Banking, Fintech and Travels domain achieving 115% of revenue target; built data visualization dashboards(40+) using Tableau
  • Built Artificial Intelligence/Machine Learning (AI/ML) use-cases and prototypes and led the planning and implementation of a BI tool using predictive analysis for risk analytics which reduced readmissions by 25%
Software Development MethodologiesCompetitive AnalysisMicrosoft ExcelPlatform DesignData ScienceAnalytical Skills+11

Dell

Product Owner

Feb 2013Aug 2013 · 6 mos

  • Presented multiple POCs/MVP, conducted product demos, and led sprint demos to collect user feedback, accelerate adoption, and generate leadership buy-in, which resulted in quality improvement of the Cerner Modules Application (Powerchart, PharmNet, Charting, Core, Scheduling, FirstNet, BedRock) and a 15% increase in user engagement
  • Elicited requirements for a product with revenue implications of US$7 billion for the client. Projected savings of $20 million each year for the client with the implementation of new product
  • Received appreciation from client for successful ‘GO-LIVE’ of application in 200+ clinics
Microsoft ExcelAnalytical SkillsProblem SolvingUser StoriesCommunication

Dxc technology

Product Owner

Aug 2010Jan 2013 · 2 yrs 5 mos · Bangalore

  • Enhanced EPIC EMR usage for appointments at in-network hospitals from 45% to 90%
  • Automated Kaiser Permanente Health Connect (KPHC)’s manual procedures, saving $100 million while delivering high-quality, affordable care and coverage
  • Recognized 50+ unique product requirements to improve the overall quality of ADT, Ambulatory, Prelude, Cadence, ASAP, Professional Billing, Hospital Billing, Anesthesia, OPTIME, Willow Inpatient (Inpatient Pharmacy), and Willow Outpatient (Outpatient Pharmacy) modules of EPIC—US Healthcare EHR and HL7 conversion standards
Microsoft ExcelAnalytical SkillsProblem SolvingCommunication

Education

Indian Institute of Management, Lucknow

Executive Program Business Management

Indian School of Business

Executive Management Program — Product Management

Aug 2022Present

Accredian

PGP in Product Management

Aug 2022Present

RV College Of Engineering

Bachelor of Engineering (B.E.)

Jan 2006Jan 2010

Chinmaya Vidyalaya, Bokaro

10+2 — Mathematics and Computer Science

Apr 2003Mar 2005

Saint Joseph's School, Bhagalpur

10 — Mathematics and Computer Science

Apr 2002Mar 2003

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