Sai Ravi B.

Key Skills

Software

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Top Subject Matter

Healthcare

Enterprise Software / Data Engineering

Retail/Marketing/Business / Strategy / Consulting

Top Data Types

Image

Text

Document

Top Task Types

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Freelancer Overview

Owner / Principal Consultant in Contract Review, Compliance, and Legal Research. Brings 27+ years of professional experience across legal operations, contract review, compliance, and structured analysis. Core strengths include Internal, Proprietary Tooling, and Databricks. Education includes Master of Business Administration, UCLA Anderson School of Management and Bachelor of Engineering, National Institute of Technology (NIT). AI-training focus includes data types such as Text and labeling workflows including Evaluation and Rating.

Labeling Experience

AffEx Group LLC — Owner / Principal Consultant (Optum/UnitedHealth Value Connect) (Jul 2025 – Present)

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Lead product and data work on a value-based-care platform including Clinical Enrichments and Databricks data models, which involves defining and validating structured clinical attributes used in downstream analytics. Authored product specifications for MSSP/VBC analytics and clinical data pipelines, ensuring correct interpretation of clinical data elements as analytic inputs. Conducted hands-on evaluation of pipeline/model outputs to support accurate quality and enrichment labeling. • Defined specifications for clinical enrichments used as labeled features • Validated Databricks L1–L4 data models for analytics readiness • Authored pipeline requirements for MSSP/VBC analytics • Ensured evaluation/validation of clinical enrichment inputs and outputs

2025 - Present

Complete Health — Manager, Risk Adjustment & STAR/HEDIS Quality (Medical Economics) (Feb 2025 – Jul 2025)

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Led risk adjustment and Stars/HEDIS quality analytics for a Medicare Advantage + ACO population, relying on validated clinical and claims-derived label logic. Drove care-gap closure and medication-adherence lift across Part D Stars measures, which required consistent interpretation of quality measure inputs as structured labels. Managed analytics outputs intended for performance evaluation and model/measure alignment. • Managed validated inputs for risk adjustment and quality measures • Directed care-gap closure analytics tied to label logic • Improved medication-adherence metric outcomes in Part D Stars • Coordinated analytics efforts for a 30K member population

2025 - 2025

KPMG Advisory (via AffEx Group LLC) — Senior Integration Architect, California DHCS / CalAIM (Dec 2021 – Jun 2023)

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Led statewide integration work for California DHCS/CalAIM that involved evaluating and validating complex clinical and data pipeline content for health-data exchange. Coordinated requirements traceability and integration design to ensure downstream analytics and quality processes received correctly interpreted inputs. Oversaw vendor evaluation activities that effectively governed what data would be treated as valid labels or measurements within the analytics workflows. • Designed evaluation and validation criteria for integration artifacts • Ensured mappings aligned to Medicaid transformation needs for large populations • Directed vendor assessments tied to data exchange quality • Supported quality/accuracy expectations for clinical data pipelines

2021 - 2023

Dignity Health — Director, Data and Clinical Quality Analytics and Value Based Care (Apr 2021 – Dec 2021)

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Directed data and clinical quality analytics for Medicare Advantage, including risk adjustment labeling/measurement logic (HCC/RAF) and STAR/HEDIS/AMP quality metrics. Drove program adoption for a FHIR-based population-health platform that required validation of clinical data used to compute quality outcomes. Managed care-gap closure and utilization reduction activities that depended on consistent interpretation of clinical and quality labels. • Oversaw risk adjustment and quality measurement interpretation • Led validation of FHIR-based population-health analytics inputs • Managed performance on care-gap closure initiatives • Guided clinical quality adoption for 330K members

2021 - 2021

Kern Medical Center — IT Project Manager / Analytics Lead (Nov 2017 – Apr 2021)

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Led a Cerner HealtheIntent population-health implementation that produced structured quality program measures used for DHCS PRIME/WPC/QIP reporting. Managed analytics work tied to 100+ measures, requiring consistent validation of clinical data elements mapped to measure logic. Supported operational processes that ensured measure outputs reflected correct labeling of quality events and outcomes. • Oversaw deployment supporting measurement/label correctness • Coordinated validation for 100+ quality measures • Managed DHCS PRIME/WPC/QIP analytics programs for funding • Guided implementation toward reporting-ready analytics outputs

2017 - 2021

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Education

Work History