Pravesh Nikhare is a Senior Configuration/Product Manager with over 15 years of Healthcare IT experience. He has successfully managed products across healthcare functional areas, demonstrating expertise in feasibility analysis, strategic initiatives, process optimization, pricing models, and business process management (BPM). Pravesh is highly skilled in application design and data analytics and works collaboratively with engineering teams and stakeholders across geographies.
Currently, at Delta Dental of California, he serves as a Senior Configuration Systems Analyst/Product Manager. His key achievements include implementing advanced benefit structure builds and business rules for dental claims processing, driving a 25% productivity boost in group enrollment processes within six months, and spearheading the design and delivery of new policy changes. Pravesh has also led technical projects, utilizing best practices in coding, testing, and review for over a decade.
Previously, Pravesh held leadership roles at BCBS MN and Cognizant Technology Solutions, where he drove ACA mandate compliance, and automated processes, and facilitated application integration with XML and SOAP APIs. His work resulted in improved efficiency, reduced compliance ticket influx by 30%, and seamless Medicare application management.
Pravesh's robust educational background includes a Master's in Business Management from VGSOM (2005-2007) and a Bachelor's in Engineering, Computer Science, from NSIT (2000-2004). He holds certifications such as PAHM Academy for Healthcare Management, PEGA Business Architect 7.2, and ANSI Health Level-7.
His technical proficiency spans SQL, data analytics, VBA scripts, Power BI, Salesforce CRM, Tableau, JIRA, and Agile methodologies. With extensive experience in the healthcare, pharmacy benefits, and insurance sectors, Pravesh continues to innovate and optimize processes, ensuring operational excellence and stakeholder satisfaction.