Manikanda Swamy
Commercialization Manager @Carelon
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WORK HISTORY
Commercialization Manager @Carelon
Bengaluru, IN
Transforming Claims Operations in a Connected Healthcare EcosystemIn today’s connected healthcare landscape, business process transformation isn’t just about improving efficiency—it’s about enhancing the experience for members, providers, and payers alike.With 18+ years of experience in U.S. healthcare operations, I specialize in optimizing claims management through process innovation, automation, and strategic workforce solutions. Having worked extensively across both payer and provider ecosystems, I bring a deep understanding of end-to-end claims operations, from adjudication and appeals to payment integrity and regulatory compliance.Leveraging industry best practices, technology-driven solutions, and a strong operational framework, I help healthcare organizations streamline workflows, reduce costs, and improve accuracy—ensuring faster, more seamless claims processing.As the healthcare industry evolves, I remain committed to driving efficiency and excellence in claims operations, empowering payers and providers to deliver better outcomes.
EDUCATION
Indian Institute of Management, Kozhikode
Executive Post Graduate Certificate in Strategic Management (EPGCSM), Strategy Management
National Institute of Technology Calicut
Bachelor of Technology (BTech), Production
SKILLS
ABOUT MANIKANDA SWAMY
With over 20 years of experience in U.S. healthcare operations, I specialize in claims…
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