Abilash Rk

WORK HISTORY

EDUCATION

SKILLS

ABOUT ABILASH RK

At the forefront of implementing cutting-edge healthcare information systems, my role at ZeOmega encompasses driving product strategy, execution, and client engagement. Our team’s dedication to advancing population health management, interoperability, and seamless system integrations has positioned us as leaders in the healthcare technology industry.With a strong foundation in the Healthcare domain spanning both payer and provider ecosystems and extensive experience in CMS Interoperability solution design and implementation (including CMS-0057 & CMS-9115-F, PAS, CRD, PDex, Patient Access API, Provider Directory API and Payer-to-Payer Data Exchange), I focus on enabling compliant, scalable, and future-ready integrations between payer platforms and provider systems.My background includes hands-on expertise with 3rd party integrations and standard interfaces such as FHIR, EDI ANSI X12, and HL7, as well as deep involvement in product management, solution design, and implementation across multiple healthcare modules. Collaborating closely with cross-functional teams, I’m committed to delivering solutions that are not only technologically advanced but also aligned with CMS mandates and market needs.• CMS Interoperability solutions and implementation, including Prior Authorization (PAS), Coverage Requirements Discovery (CRD), Data Exchange (PDex), Patient Access API, Provider access API and Payer to Payer exchange.• EHR and Population Health Management implementation experience.• Product strategy and roadmap definition for owned modules.• Authoring and reviewing Functional Design Documents based on product and client requirements.• Conducting system studies, coordinating requirement mapping, and overseeing product configuration.• Analyzing information system needs and determining product setup requirements at the instance level.• Supporting product analysts in roadmap planning and user story validation.• Coordinating with sales and implementation teams to ensure readiness for client demos and go-lives.• Active involvement in Release Management and planning feature scope for upcoming releases.• Strong knowledge of SQL, SSRS, and analytical reporting requirements.• Deep experience across modules such as PHM, HEDIS, PQRS, Utilization Management, Care Management, and Performance Management.• Proven track record in customer-site implementations, requirement gathering, and product analysis.