Shailesh Kumar

CTO

Karnataka, India12 yrs 8 mos experience
Most Likely To SwitchHighly Stable

Key Highlights

  • Expert in healthcare claim adjudication solutions.
  • Proven track record in developing cost-saving healthcare technologies.
  • Strong foundation in electronics and communications engineering.
Stackforce AI infers this person is a Healthcare Technology Specialist with expertise in payment integrity and cost-saving solutions.

Contact

Skills

Core Skills

JavaPythonPredictive AnalyticsBudgeting And PlanningVlsi

Other Skills

AlgorithmsC++VerilogMatlabLinuxSQLCost-saving recommendationsReal-time insightsSimulationsPerlP Spice

About

Engineering Lead at Coverself Inc, an innovative claims adjudication platform focused on building a robust payment integrity solution for insurers.

Experience

12 yrs 8 mos
Total Experience
3 yrs 2 mos
Average Tenure
4 yrs 8 mos
Current Experience

Coverself

Lead Member of Technical Staff

Sep 2021Present · 4 yrs 8 mos · Bengaluru, Karnataka, India · On-site

  • Specialize in designing and developing proprietary systems. With expertise in US healthcare claim adjudication and claim data mapping.
JavaPythonAlgorithmsC++VerilogMatlab+2

Healthlucid

Staff Engineer

Dec 2015Sep 2020 · 4 yrs 9 mos

  • At HealthLucid, our mission is to empower people who are paying for healthcare or enabling access to healthcare, to make high-quality informed decisions to reduce costs.
  • For employees, our platform provides a very personalized solution that includes:
  • ■ A plan selection process that identifies and recommends the most cost effective healthcare plan and appropriate HSA/HRA/FSA allocation based on historical family utilization that includes: doctors/specialists, medications, planned and preventative procedures, as well as planned reimbursements. At each step, it recommends multiple strategies to reduce costs on doctor/specialist visits, medications, labs, radiology and procedures.
  • ■ Actionable cost-saving recommendations with clear insights into spend
  • We empower employers with tools and capabilities that include:
  • ■ Personalized cost-saving recommendations with proactive next-steps
  • ■ Predictive analytics for effective, cost-cutting budgeting and planning
  • ■ Real-time insights into spend with rich, actionable reports
  • Our solution is distributed through consultants and agencies, enabling them to:
  • ■ Gain access to an employer’s full suite of healthcare services
  • ■ Leverage this distinct competitive suite of services to “wow” their clients and their employees
  • ■ Get rich insights into their book of business
  • ■ Earn additional revenue and improve retention
  • The future of healthcare will be defined by personalization at every level.
  • It is our vision to power that personalization.

Apache design solutions

R&D Engineer

Dec 2012Oct 2015 · 2 yrs 10 mos · Noida, Uttar Pradesh, India

  • I was part of STA group of Redhawk. I worked for development of core timing engine of Redhawk.

Oracle

Senior consultant

Jul 2012Dec 2012 · 5 mos · Benagaluru

  • I worked as senior consultant for Oracle Financial Services Ltd, OFSS provides banking softwares to leading banks across the globe. For a brief period of time I worked on server deployment, OAM, OIM.

Education

Indian Institute of Technology, Roorkee

Dual Degree (B.Tech+Masters) — Electronics and Communications Engineering Technology

Jan 2007Jan 2012

T.N.B. College Bhagalpur

12th — Mathematics

Jan 2004Jan 2006

High School Chitra

10th

Jan 2001Jan 2004

Stackforce found 100+ more professionals with Java & Python

Explore similar profiles based on matching skills and experience