Kandarp Patel - CPC, CIC Trained, SSYBC, PMEC, SFPC — Operations Associate
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.
Stackforce AI infers this person is a Healthcare Product Manager with expertise in risk adjustment and compliance.
Location: Ahmedabad, Gujarat, India
Experience: 8 yrs 5 mos
Skills
- Healthcare Product Management
- Risk Adjustment
- Quality Reporting
Career Highlights
- Proven leader in healthcare product management.
- Expert in risk adjustment and HEDIS compliance.
- Skilled in managing complex healthcare projects.
Work Experience
Advantmed
Manager (7 mos)
Assistant Manager (4 mos)
Product Support Team Lead (2 yrs 7 mos)
Product Coordinator (1 yr 2 mos)
Medical Coder (3 yrs 9 mos)
Education
CIC - Certified Inpatient Coding Training at American Academy of Professional Coders
Certified Medical Coder (CPC) at American Academy of Professional Coders
Certification Course at Oxford Home Study College
Bachelor's degree at Hemchandracharya North Gujarat University
Postgraduate Degree at Indira Gandhi National Open University
Certificate in spanish language and culture at Indira Gandhi National Open University
Master's degree at Indira Gandhi National Open University