Niranjan Raju

1. Consulting - Health Information Exchange(HIE), Digital hospital, Digital Insurance Platform,
2. Healthcare System Selection (HIE, EMR, HIS, RCM, Insurance, etc.)
3. Implementation of Healthcare products (EMR, RCM, Insurance, etc.)
4. Standards - Interoperability / Integration specialist (HL7 2.x, CDA, FHIR, IHE )
5. Provider, Payer, Pharmacy, Bio Medical Device workflows and processes
6. Standards - Medical Coding and Terminologies
7. Standards - Digital Health Privacy and Security Standards specialist
8. Product Management - EMR and Payer solutions
9. Projects Manager
10. Vendor Management

1. Working as Healthcare Subject Matter Expert in Onboarding facilities and Data migrating facilities to UAE HIE platform
2. Working as Solution Architect for proposals in Middle East to design Health Insurance Exchange (HIE), Digital Health Insurance Platform, Electronic prescription and Drug Management, along with other modules and functionality’s
3. Worked as Healthcare Subject Matter Expert for HIE implementation in UAE managing modules related to InterSystems Clinician Portal, Consent Management, Master Patient Index, Ensemble Interface engine and Standards (HL7 2.X, CDA, IHE and FHIR)
4. Worked as Business Architect/ e-Standards Expert for Ministry of Health, KSA Health Information
Exchange (HIE) and Digital Insurance Platform.
5. Worked as Subject Matter Expert/ e-Standards Expert for MOH Health Information Exchange (HIE), UAE and Systems selection consultant in selecting HIE, EMR and Health Insurance solutions.
6. Worked as Systems selection consultant for Dhaman, Kuwait for selection of Clinical and Non-Clinical information systems (Electronic Medical Record, Payer Solutions, ERP system, Payment portal etc.)
7. Worked as Integration Analyst/Data Migration Analyst for Dubai Health Authority Hospital Implementation project (Epic EMR)
8. Worked as Subject Matter Expert/Interface Analyst at Cleveland Clinic Abu Dhabi (CCAD) for implementation of Medical Coding, Clinical, Pharmacy and Revenue Cycle applications.
9. Worked as Systems selection consultant / Solution Architect for Meeras project in Dubai which involved Hospital Information System (HIS/EMR) Selection.
10. Worked as Systems selection consultant / Solution Architect for Zayed Military Hospital in Abu Dhabi which involved Electronic Medical Record (EMR) Selection.
11. Worked as Business Analyst at Cleveland Clinic Foundation (CCF), OH, USA for Clinical and Revenue Cycle applications.
12. Worked as Roadmap and Estimation specialist for ICD10 assessment project at BCBS, Minnesota, USA.
13. Worked as Business Consultant for BCBS, Minnesota, USA towards ICD10 assessment.

Projects manager responsible for operations and implementation of 3M Medical Coding products such as Code finder, HDM, CAC, Grouper etc.

Clinical and Revenue Cycle applications which are one of the top rated hospitals across the world.
Worked as Roadmap and Estimation specialist for ICD10 assessment project

HL7
HIS Implementation
Project Management

for Hospital Information System product


My Profile includes:
Features Identification and requirements analysis for Electronic Health Records
Features Identification and requirements analysis for Pharmacy Management
Features Identification and requirements analysis Billing and Revenue Management
Features Identification and requirements analysis for Scheduling
Requirements Definition for BI Solution
Pres Sales Support in terms of demos and RFPs response
Sales Support in terms of process definition and prospect identification

for Soarian MedSuite HIS Product


My Profile includes:
Functional design of the Soarian MedSuite Hospital Information Systems (HIS) in the area of Clinical Management, EMR, Revenue management, Claims management, RADT, Pharmacy management and stock management
Requirements analysis by interacting

Health Insurance Claims Management Product using SAP

My Profile included:

Designing, contracting and managing of Health insurance policies across countries

Subject Matter Expertise for Claims Management Product

Medi Assist is a leading third party Administrator for Health Insurance for Many insurance and corporate companies

My Profile Included:

Domain and functional design of the Third Party Administrator software application which included Health insurance claims management, contract management and policy enrollment.
Disease/Ailment auto claim validation tool design in consultation with different hospitals and doctors
Negotiations and Discussions with Hospitals on diagnosis costing for all our customers.
Training to hospital staff on the health insurance documentation and data collection
Grading of hospitals for health insurance cost management
Core team member for ISO implementation.

Heath Systems Development Project-

Installation, Commissioning, Training and Maintenance of Dialysis machines, Infusion Pumps and Water purifications equipment’s like Reverse Osmosis, Demineralization etc.
Validation and product training of Bio Medical and life science equipments in hospitals and pharmaceutical organizations.