Anuj Sood

An AI/ML, Data, and Analytics business leader with around 2 decades of industry experience. Have worn multiple hats as an ML strategy advisor, consultant, P&L owner, portfolio manager, delivery manager, data scientist, analytics SME, project manager, and product owner. My expertise lies in leading teams to conceptualize, design and deliver advanced digital solutions across various industry verticals.

I am passionate about solving complex business problems and have a proven track record of leveraging diverse data science techniques to design and develop innovative solutions. I have experience leading analytics engagements with healthcare clients such as Payers, Providers, PBMs, Clearinghouses, and Distributors. I have a deep understanding of the current trends in the industry, including value-based care, health equity, value and access, and regulatory reporting.

In Healthcare domain, I have key expertise in these functions -
• Revenue cycle management: Medicare risk adjustment targeting, Subrogation prediction, Claim denial prediction, Utilization review, Outcome-based pricing
• Medical management: Population health management, Patient engagement, Target identification for health & wellness programs, Opioid abuse prediction and avoidance
• Quality management: High-performing provider network management: Value-based contracts and provider practice pattern monitoring, HEDIS and STARS improvement analytics
• Sales and Marketing analytics: Prospect identification and product mapping, Cross-sell/ up-sell opportunity identification
• Member service / operational analytics: FCR (First Contact Resolution) improvement, Repeat call avoidance, CSAT improvement, Self-serve channel adoption, Proactive service need prediction, Member behavior and journey analysis, NPS improvement, chatbots, and conversational assistants

I have also worked in life sciences domain, including promotion response modeling, sales force sizing and optimization, customer and geography clustering and segmentation, ROI analysis, brand sales reporting, and market potential estimation.

I am skilled in business development/ pre-sales, account management, portfolio management, and P&L management.

Passionate about data-driven growth and improving both top line and bottom line for organizations.

A collaborative, scalable, and adaptive leader with a track record of building and managing high-performing teams.