User:Raghu nathan

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Raghu is an accomplished I.T Program / Project /Portfolio Leader who has delivered very large programs in the Health Care space – Provider, Payer and PBM included both for Cognizant Technologies as well as for Computer Sciences Corporation, both, internationally known, Consulting giants.

Raghu has played a Leadership role in standing up a $350M Hospital in Detroit, MI, for a nationally known Health System which called for expertise not only in Large Program & Portfolio Management but functional knowledge in areas like Revenue Cycle Management, Business Intelligence and Departmental Clinical Systems in large Hospital settings.

Raghu has also played a Leadership role in standing up a Pharmacy Benefit Management (PBM) system from ground up which called for specialized knowledge in Pharmacy claims adjudication, Drug Utilization Review and other standards established by NCPDP and National Library of Sciences.

Currently, Raghu is playing a Lead Domain Architect role with one of the largest health care providers in our nation that has initiated a multi-year, multi-million $$$ claims modernization initiative. This also calls for specialized knowledge in claims adjudication and clinical integration.

Raghu has a Master’s Degree in Computer Science and Information Systems from School of Eng. Grand Valley State University, Grand Rapids, MI and is currently pursuing his specialization in Health Informatics with University of Texas - Health Science Center in Houston, TX.