Praveen Jayakumar

About Praveen Jayakumar

Transforming healthcare requires more than metrics—it demands systems thinking, cultural change, and servant leadership grounded in data and purpose. My career as a board-certified internist and physician executive has been built around mastering and integrating the full continuum of care—from academic medical centers to national risk-bearing entities—so that clinical, financial, and human outcomes align at scale.Today, as Chief Medical Officer for Veracity Benefits, I apply this experience to architect the entire benefits ecosystem for self-funded employers. Representing lives, I lead the strategy that integrates PBM, TPA, and stop-loss with proactive care models like onsite clinics and predictive analytics. We are proving that by shifting from reactive spending to proactive investment, we can deliver a significant ROI, lower costs, and measurably improve employee health and well being.With a foundation in internal medicine, population health, and Lean Six Sigma, I’ve led high-stakes initiatives across hospital systems, health plans, and frontline care delivery innovation. Whether stabilizing a critical Medicare Advantage market, architecting national quality improvement systems, or guiding strategy for lives across multiple states, my leadership consistently delivers results:• 11% RAF improvement and 18% STARs growth at Arkos Health• 28% hospital admission and 23% ED reduction at Iora Health• 54% decrease in high-dose opioid use at Culinary Health Fund• 70% LOS reduction and complete elimination of VAP in Saudi ArabiaWhat sets me apart is a unique end-to-end perspective across payer, provider, and patient experience, paired with a repeatable, data-driven methodology that travels well. I’ve earned the trust of physicians, providers and frontline staff because I lead from behind, helping teams connect strategy to action, metrics to meaning, and performance to purpose.As a Certified Physician Executive (CPE) and Fellow of the American Association for Physician Leadership (FAAPL), I remain committed to mentoring rising leaders, promoting psychologically safe cultures, and building durable systems of improvement. My leadership has been described as calm, strategic, and participative—qualities that enable change in complex environments where outcomes and morale are too often in tension.Healthcare will continue to evolve. My purpose is to guide organizations through that evolution with vision, rigor, and heart—always keeping patients, teams, and long-term value at the center.Reach me at: p••••••••@gmail.com

Experience

1. Chief Medical Officer

   Oneveracity

   Apr 2025 — Present

   Veracity Benefits LLC is a health strategy partner for self-funded employers representing member lives across the country. Veracity integrates executive medical leadership to transform reactive healthcare spending into a proactive care model. We architect and manage the entire benefits ecosystem—from PBM, TPA, and stop-loss vendor integration to building onsite primary care clinics and proactive care management—to lower total cost of care and deliver a measurable employer ROI with a focus on delivering the Quintuple Aim to employer groups.The CMO shapes enterprise-wide health management strategy and providing executive clinical oversight for all operations, including pharmacy (PBM), TPA, and stop-loss vendor partners while providing clinical oversight over Veracity Care Services (Care Management/Utilization Management) and Veracity Onsite (advanced primary care) divisions to drive innovation in healthcare delivery. Notable achievements include- Won a competitive, multiyear contract by designing a proactive care strategy projected to reduce medical costs by 15% through prevention-focused interventions- Architected a new population health framework for 150K+ lives, deploying predictive analytics to identify high-risk members and shift utilization from reactive ER/urgent care to preventive/pro-active primary care- Designed the Veracity Onsite clinical model to reverse chronic disease spend (e.g, diabetes, MSK) and reduce specialty referrals by a target of 25% through patient engagement and activation, same-day access and integrated preventive care- Engineered a population care strategy integrating PBM, TPA, and stop-loss data, creating a unified strategy to proactively manage high-cost claimants and mitigate catastrophic claim risk.

Education

• Mahatma Gandhi University

  M.D, Medicine

  1993 — 1999

• University of Wisconsin Hospital & Clinics

  Hospital Administration Fellowship, Health/Health Care Administration/Management

  2002 — 2003

• University of Wisconsin-Madison

  M.S., Population Health Sciences

  2000 — 2002

Skills

• Quality Patient Care
• Leadership
• Lean Sigma
• Patient Safety
• Medical Education
• Hospitals
• Healthcare Information Technology (Hit)
• Program Management
• Emr
• Ehr
• Medicare
• Health Policy
• Change Management
• Healthcare Management
• Process Improvement
• Public Health
• Performance Improvement
• Working with Physicians
• Strategic Planning
• Healthcare
• Primary Care
• Healthcare Industry
• Healthcare Information Technology
• Electronic Medical Record (Emr)
• Quality Management
• Business Process Improvement
• Physicians
• Internal Medicine
• Healthcare Consulting
• Quality Improvement
• Medicine