Pramod Y.
Senior Operations Manager - Healthcare Insurance
Open to offersNew to PlatformAbout
Pramod Y. is a seasoned Assistant Manager in Operations Management with over 12 years of extensive experience in the U.S. healthcare and dental insurance sectors. His expertise lies in claims management, revenue cycle management (RCM), and compliance governance, with a proven track record of resolving complex client issues and driving operational excellence. Pramod has successfully led large multi-site teams, up to 150 FTEs, in managing patient scheduling, insurance verification, and denial resolution. At Gallagher, he led an 80+ FTE team to ensure strict compliance and productivity in medical insurance renewals across 13 U.S. hubs. Previously at Accenture, he directed a 36-member team focusing on provider assistance for a U.S. health insurance client, implementing strategic initiatives to bolster service delivery. His academic background includes an MBA in Marketing Management from IBMR-IBS Bangalore. Pramod's ability to mentor future leaders and enhance compliance makes him a pivotal player in aligning India operations with U.S. growth objectives.
Experience
Dental Regional Operation Manager
Hire Reactor/ MT Wyoming · 2026 — PresentOversaw multi-site dental operations and U.S. Revenue Cycle Management, ensuring ownership of KPIs, compliance with SLAs, and optimization of processes in patient scheduling, insurance verification, claims, AR management, and denial resolution.Assistant Manager - Operations Management
Gallagher · 2025 — 2026Managed a team of over 80 FTE delivering back-office support for medical insurance renewals across 13 U.S. hubs. Ensured the preparation, validation, and compliance of renewal documentation while coordinating with internal teams for accuracy and regulatory adherence.SERVICE DELIVERY OPS ANALYST
Accenture · 2014 — 2025Directed a 36-member team providing assistance services for a U.S. health insurance client, focusing on claims queries and issue resolution. Maintained responsibility for production, quality, SLA adherence, and timely service delivery while conducting root cause analysis for complex claims issues.Sr. Customer Support Executive
MycroTag · 2013 — 2014Guided customers through the sales order process, while documenting and reporting on daily, monthly, and overall sales activities. Provided training and monitoring of team members' sales quality and communication with clients.
Skills & Expertise
Education
- MBA - Marketing ManagementIBMR-IBS Bangalore
- B.SC (PMCs)Vijaya College, Bangalore
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