K

Kandarp Patel - CPC, CIC Trained, SSYBC, PMEC, SFPC

Operations Associate

Ahmedabad, Gujarat, India8 yrs 5 mos experience
Highly Stable

Key Highlights

  • Proven leader in healthcare product management.
  • Expert in risk adjustment and HEDIS compliance.
  • Skilled in managing complex healthcare projects.
Stackforce AI infers this person is a Healthcare Product Manager with expertise in risk adjustment and compliance.

Contact

Skills

Core Skills

Healthcare Product ManagementRisk AdjustmentQuality Reporting

Other Skills

Risk Adjustment CodingHEDIS AbstractionHealthcare Product DevelopmentRegulatory ComplianceUAT ValidationCross-functional CoordinationNatural Language Processing (NLP)JiraHealth Information ManagementClaims ManagementMedical CodingAgile Project ManagementMedicaidMedicareAha roadmap

About

I am an Experienced Certified Professional Coder (CPC) and Six Sigma Yellow Belt Certified professional with a proven track record across U.S. Healthcare Product Management, Risk Adjustment, Quality Reporting, and Client Success Operations. Over the years, I have demonstrated deep expertise in: Risk Adjustment Coding Prospective HEDIS Abstraction & HEDIS MRRV Audits Healthcare NLP Data Processing Risk Adjustment Data Validation & Claims Matching Healthcare Product Development & Software Lifecycle Ownership Product & Project Management (Regulatory + Technical) Risk Adjustment & HEDIS Platform Development and Optimization 🔹 What I Do I currently lead end-to-end product strategy and regulatory compliance across multiple healthcare technology platforms, including: ✅ Risk Adjustment Systems (CMS-HCC / HHS-HCC Models) ✅ HEDIS Retrospective & Prospective Abstraction Platforms ✅ In-Home Health Assessment Enablement Solutions ✅ Enterprise Healthcare Data Management & Integration Workflows I ensure that our platforms stay fully aligned with evolving CMS, NCQA, and payer-driven requirements — including: ICD & CPT annual updates Risk model mapping refreshes (HCC / HHS) NCQA HEDIS measure updates as per annual technical specifications My team drives full-cycle UAT validations, ensuring accuracy, compliance, and seamless production releases in collaboration with Business Analysts, Developers, and QA. 🔹 Beyond Product: Driving Client Success & Strategic Projects Alongside product leadership, I head the Office of Client Success, supporting Client Executives and Project Managers with structured governance. I am also entrusted with leading complex special projects that require rapid execution, multi-stakeholder coordination, and hands-on problem solving. Always open to connecting with fellow healthcare innovators, product leaders, and payer-tech transformation enthusiasts. Let’s build what’s next.

Experience

8 yrs 5 mos
Total Experience
8 yrs 5 mos
Average Tenure
8 yrs 5 mos
Current Experience

Advantmed

5 roles

Manager

Promoted

Oct 2025 – Present · 7 mos

  • Experienced leader managing end-to-end product lifecycle and regulatory compliance across multiple U.S. healthcare platforms, including:
  • Risk Adjustment Coding Systems (i.e - HCC / HHS Models)
  • Retrospective & Prospective HEDIS Abstraction Platforms
  • In-Home Health Assessment Solutions
  • Enterprise Healthcare Data Management Platform
  • I oversee a team, doing cross-functional coordination between Product, Business Analysts, Developers, and QA, ensuring timely delivery of enhancements, platform optimizations, and regulatory-driven updates mandated by governing bodies such as CMS and NCQA.
  • This includes:
  • ICD & CPT Code Set Refreshes
  • Risk Model Mapping Updates (CMS-HCC, HHS-HCC)
  • NCQA HEDIS Measure Revisions per Annual Technical Specifications
  • My team leads full-cycle UAT validation to ensure compliance, accuracy, and operational reliability prior to production rollout.
  • In parallel, I manage the Office of Client Success, supporting Client Executives and Project Managers.
  • Additionally, I am entrusted with leading complex Special Projects, often involving high-priority operational transformations, multi-stakeholder alignment, and accelerated execution timelines.
Risk Adjustment CodingHEDIS AbstractionHealthcare Product DevelopmentRegulatory ComplianceUAT ValidationCross-functional Coordination+2

Assistant Manager

May 2025 – Sep 2025 · 4 mos

Product Support Team Lead

Promoted

Oct 2022 – May 2025 · 2 yrs 7 mos

  • Supporting Risk Adjustment Coding, HEDIS and Health Assessment product.
Natural Language Processing (NLP)JiraHealth Information ManagementClaims ManagementMedical CodingAgile Project Management+2

Product Coordinator

Promoted

Jul 2021 – Sep 2022 · 1 yr 2 mos

JiraHealth Information ManagementClaims ManagementMedicaidMedicareAha roadmap+2

Medical Coder

Oct 2017 – Jul 2021 · 3 yrs 9 mos

Health Information ManagementClaims ManagementMedicaidMedicare

Education

American Academy of Professional Coders

CIC - Certified Inpatient Coding Training — Inpatient Coding and Billing

Jan 2020 – Jan 2021

American Academy of Professional Coders

Certified Medical Coder (CPC) — Clinical Coding

Jan 2019 – Jan 2019

Oxford Home Study College

Certification Course

Jan 2020 – Jan 2020

Hemchandracharya North Gujarat University

Bachelor's degree — Chemistry

Jan 2015 – Jan 2017

Indira Gandhi National Open University

Postgraduate Degree — Food safety and quality management

Dec 2023 – Present

Indira Gandhi National Open University

Certificate in spanish language and culture — Spanish Language and Literature

Jul 2022 – Present

Indira Gandhi National Open University

Master's degree — Food Safety And Quality Management

Jul 2024 – Dec 2025

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