Boniek Carvalho

Director - Project Management (Product Revenue Optimization -rcm) @IKS Health

Navi Mumbai, IN

Leading end-to-end product and project management for AI-driven healthcare and Revenue Cycle Management (RCM) platforms [related to Eligibility & Benefits verification, Appointment scheduler, Claim Denial Prediction and clinic/patients apps], aligning product roadmaps with clinical, operational, and financial healthcare priorities- Collaborate closely with cross-functional teams including data scientists, engineers, clinical experts, technical implementation, functional implementation, and compliance officers to translate healthcare domain requirements into scalable AI-powered products- Successfully managing projects of AI integration capabilities with RCM systems to optimize claims processing, denial management, patient billing, appointments, prior authorization and workflows- Coordinate product launches and change management efforts across internal teams and external partners to ensure smooth adoption of AI-enabled healthcare platforms- Project managed integration efforts between AI platforms and existing healthcare IT systems, including EHRs, practice management software, and payer claims systems, with HL7 compatibility and other healthcare APIs- Proactively communicate project status, milestones, and risks to executive leadership and key stakeholders through regular reports and presentations- Develop contingency plans incorporating manual interventions for AI workflows, balancing automation efficiencies with necessary human review & support to minimize errors- Strategize training programs and coordinate manual review teams (human in the loop) to manage AI exceptions, ensuring consistent compliance with clinical guidelines and regulatory standards.

University of Mumbai

Bachelor of Commerce (B.Com.), Accounting and Finance