Karan Galani
Architect of Healthcare Compliance-Centric Solutions | Driving Enterprise Product Strategy
- Role
- Uhc Community & State Solution Architecture Analyst at Optum
- Location
- Jersey City, NJ, US
- LinkedIn followers
- 500 followers
About Karan Galani
10+ years at Optum/UnitedHealth Group, a Fortune 5 leader in healthcare innovation. Delivered technology solutions that generated $25M+ in recovered value through process and system efficiencies. Specialized in Medicaid (C&S regulatory) with broad domain expertise across claims, eligibility, provider, fulfillment, and clinical. Partnered with business and IT leaders to reduce claim reprocessing costs by $10M annually, increase provider and eligibility accuracy by 25%, and strengthen compliance readiness, mitigating $5M+ in potential regulatory penalties. Recognized for bridging business needs and technical execution to deliver scalable, compliant, and high-impact healthcare solutions
Experience
Uhc Community & State Solution Architecture Analyst
Dec 2023 — Present · Basking Ridge, NJ, US
Lead enterprise architecture strategy for CSP FACETS across clinical, claims, eligibility, and provider domains, defining target‑state designs and governance to align business, compliance, and technology. Design AI/ML‑enabled compliance analytics and data‑driven controls that reduced revenue leakage and strengthened regulatory readiness. Enable cross‑functional alignment and improved delivery predictability through clear guardrails and architecture-led decision frameworks.
Education
New York Institute of Technology
Master of Business Administration - MBA, Business Administration and Management, General
2013 — 2015
Goldey-Beacom College
Master of Business Administration - MBA, Health/Health Care Administration/Management
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