Pratik Parab

Business Analyst and Program Manager with 10+ years of end-to-end experience in US Healthcare — spanning Revenue Cycle Management, medical coding, healthcare IT delivery, client project management, and operational analytics. CPC-certified (AAPC) with specialty depth in Same-Day Surgery, General Surgery, Radiology, E&M, and Nuclear Medicine. Core BA career at CitiusTech Healthcare IT (4.5 years, Associate to Deputy Manager) delivering requirements, BRDs, SRS documents, HL7/FHIR specifications, and UAT coordination for US payer-provider clients.

Currently managing a ₹20 Crore CAPEX/OPEX program at Lighthouse Learning — overseeing health surveillance dashboards, diagnostic data analytics, vendor governance, and budget reporting across 1,900+ PreK and 41 K-12 school infirmaries. Demonstrated strength in stakeholder management, vendor oversight, process automation, financial workflow design, and cross-functional program delivery. MBA in Business Analytics, BITS Pilani (2024).

Experienced across Agile, Waterfall, and hybrid delivery models.

Program Manager at Lighthouse Learning Pvt. Ltd. (2025-01 – Present)

Business and Program Management role spanning health data analytics, child safety surveillance, CAPEX/OPEX budget ownership, and vendor governance across 1,900+ PreK franchise infirmaries and 41 K-12 schools, Maharashtra.

Total program fund managed: ₹20 Crore (CAPEX + OPEX combined).

• CAPEX & OPEX Budget Management: Owned and managed a combined ₹20 Crore program budget spanning capital infrastructure investments (CAPEX) and recurring operational expenditure (OPEX) across the school network — tracked 47 OPEX line items, prepared budget utilisation reports, monitored CAPEX project milestones against approved funds, and presented financial performance to senior leadership and Board.
• Health Data Analytics & Dashboard Development: Consolidated multi-source infirmary diagnostic data — drawn from a school management platform, digitised Google Forms / MS Forms intake, and Excel/Google Sheets data collection layers — into unified Power BI and Excel dashboards tracking student illness reports, injury incidents, and vaccination records across 1,900+ PreK and 41 K-12 campuses; delivered the organisation's first structured health surveillance reporting mechanism consumed at Board level.
• Data Pipeline & Multi-Source Integration: Designed and managed end-to-end data flow from three input systems (school management software, Google Forms, and Excel/Sheets) through consolidation and transformation into reporting-ready datasets — established data validation rules, standardised field definitions, and automated refresh workflows to ensure reporting accuracy across the network.
• KPI Design & Clinical Data Standardisation: Defined health surveillance KPIs and standardised infirmary data collection protocols — established consistent symptom categorisation, incident classification, referral tracking, and vaccination coverage metrics across geographically distributed campuses, enabling reliable trend identification and early intervention flagging at leadership level.
• Child Safety Surveillance: Designed child safety and surveillance dashboards consolidating incident logs, health referral patterns, and campus-level risk indicators — translated raw infirmary data into actionable safety insights supporting leadership decisions on campus health protocols and intervention prioritisation.
• Vendor Management & Procurement Governance: Led end-to-end vendor evaluation and procurement approval for safety and technology platforms — authored BOQ analysis, vendor assessment criteria, and cross-entity approval documentation across four business entities; managed vendor performance tracking and resolved procurement backlogs to keep CAPEX deployment timelines on track.
• Process Automation & Financial Workflow: Automated invoice approval and finance reporting workflows using Google Apps Script — reduced manual processing time by ~40%, eliminated ad-hoc email-based approvals, and introduced a structured monthly MIS review cycle integrating OPEX actuals against budget across all cost centres.
• Program Governance & Board Reporting: Translated Safety, Health, and Operations program data into monthly Board-level MIS dashboards and governance reports — first structured reporting mechanism for the function, enabling leadership visibility into budget utilisation, campus compliance status, and programme performance across the network.

Business Analyst – Healthcare Client Projects (Associate BA → Senior Associate → Assistant Manager → Deputy Manager) at CitiusTech Healthcare IT (2019-03 – 2023-12)

US payer-provider client engagements spanning RCM analytics, claims processing, HL7/FHIR integration, clinical NLP, SRS/BRD authoring, and multi-release UAT delivery.

• Requirements & Documentation: Led end-to-end requirements elicitation across clinical, coding, and billing stakeholders for US physician group and payer clients — authored BRDs, FRDs, and SRS documents covering payer-level denial categorisation, CPT-ICD-10 pairing validation, charge capture workflows, and AR aging stratification by specialty.
• Client & Stakeholder Management: Served as primary BA interface for multiple US healthcare clients — managed requirement change cycles, facilitated stakeholder workshops, communicated project status to senior leadership, and maintained alignment between business expectations and technical delivery across cross-functional teams.
• RCM Workflow Design: Mapped functional requirements to use cases and user stories for claims adjudication, denial management, and AR analytics modules — translated complex payer-provider workflow logic into structured, developer-ready specifications, bridging the gap between clinical operations and technical teams.
• HL7 / FHIR Integration: Sole BA responsible for HL7-to-FHIR R4 field mapping specifications during a payer claims data warehouse migration — documented transformation rules for ADT, ORU, and DFT message types across multiple legacy source systems; upfront requirements clarity eliminated integration rework in subsequent sprint cycles.
• UAT Coordination & QA: Coordinated UAT cycles for claims processing and RCM workflow implementations — introduced pre-UAT requirement walkthroughs, BRD-to-test-case traceability matrix, and structured defect triage protocol; measurably shortened UAT delivery timelines and eliminated duplicate defect logging across concurrent client releases.
• Clinical NLP & AI Annotation: Contributed domain expertise to a clinical NLP annotation project — annotated 2,000+ discharge summaries for ICD-10 and SNOMED CT entity extraction; annotation accuracy benchmarked at 96%+ inter-annotator agreement in model validation, supporting an AI-driven clinical coding assist tool.
• HIPAA & PHI Compliance: Managed PHI access controls and HIPAA-compliance protocols across all client project environments — zero compliance incidents across 4.5-year tenure spanning multiple US payer and provider engagements.

Business Analyst – RCM Process Consultant at Freelance (US Healthcare Billing Client) (2024-03 – 2024-12)

Independent consulting engagement — RCM process documentation, workflow design, and AR analytics support for a US-based healthcare billing operation.

• Process Documentation & Workflow Design: Converted undocumented denial management processes into structured SOPs, end-to-end process maps, and functional specifications covering claims submission, denial categorisation, and appeal tracking — reducing dependency on informal knowledge transfer and improving operational consistency.
• Financial Analytics & AR Tracking: Designed a payer-wise AR tracking framework with ageing bucket segmentation (30/60/90/120+ days) and formula-driven balance calculations — enabled structured weekly AR prioritisation reviews, replacing a fragmented ad-hoc tracking approach with a repeatable financial reporting workflow.

Senior Medical Coder & Operations Specialist at PD Hinduja Hospital & Medical Research Centre (2016-12 – 2019-04)

Internal hospital coding operations and charge posting

MBA in Business Analytics – BITS Pilani (2024)