- NICE TO MEET YOU!

Ramanakar

  • IT professional with over 17+ years of experience in the industry
  • IT professional with over 17+ years of experience in the industry

Ramanakar Reddy Danda is an internationally recognized expert in Artificial Intelligence (AI) and Machine Learning (ML). He specializes in the Healthcare sector and contributes significantly to the field of Agricultural Machinery. Celebrated for his exceptional technical skills, creative problem-solving, and forward-thinking leadership, he has played a pivotal role in driving progress in these domains. His strategic vision empowers organizations to excel in the dynamic and ever-changing technological landscape.

His visionary approach ensures that organizations stay ahead in this rapidly evolving technological landscape. Ramanakar’s robust academic foundation combined with continued learning along with unyielding dedication laid the groundwork for his illustrious career. He holds a MCA in Computer Applications from reputable public universities in India, and is currently pursuing a Ph.D. in Computer Science Big Data Analytics at Colorado University. This extensive academic pursuit underscores his commitment to continuous learning and staying at the forefront of technological advancements. These qualities have not only driven his success at CNH but also throughout his career.

Ramanakar envisions leveraging his AI and ML expertise to drive technological advancements that enhance citizen safety, improve manufacturing processes, and address critical challenges in healthcare and environmental sustainability. His strategic focus on impactful technological innovations ensures that he remains a key figure in the continuous evolution of these fields.
PATENTS GRANTED
0 +
ARTICLES PUBLISHED
0 +
BOOK CHAPTERS
0 +
BOOKs
0 +

- EXPERIENCE

Everything about me!

06/2024 – Present

Vice President

- MatrixConsultants.ai

  • Developed web-based systems for insurance policy management, streamlining processes and enhancing operational efficiency.
  • Automated workflows to improve productivity and reduce manual intervention across insurance systems.
  • Delivered seamless system integrations for Pfizer's Global Operations, ensuring smooth data flow and optimized functionality.
  • Successfully created scalable solutions that enhanced insurance policy management and automated critical workflows.
  • Played a crucial role in improving Pfizer's global system operations through effective integration strategies.

06/2023 – Present

Integration Architect

- CNH Industrial, Racine, WI

  • CNH Industrial is a global leader in providing farming equipment for sustainable agriculture.
  • Ensured seamless data integration across IT systems, optimizing IT infrastructure to reduce technical debt. Spearheaded digital transformation, modernizing workflows for all business areas.
  • Optimized 968 flows and business processes, reducing licensing costs with IIB software upgrades.
  • Developed AI/ML solutions for insights and process alerts, advancing the digital transformation journey.
  • Delivered expertise in integration with systems like Salesforce, SAP, and Workday.

07/2014 – 06/2023

Integration Technical Lead

- Blue Cross Blue Shield of North Carolina,    Durham, NC

  • Led multiple integration projects for membership migration, pharmacy systems, and member portals.
  • Delivered award-winning solutions for claims migration, improving data accuracy and efficiency.
  • Redesigned member portals for 360-degree information accessibility, earning Spot Bonus Awards.
  • Migrated HIPAA standards, ICD codes, and on-premise infrastructure to AWS, ensuring compliance.
  • Implemented microservices architecture, boosting scalability and system reliability.

01/2013 – 07/2014

Senior Consultant

- Infosys, Dallas, TX

  • Delivered integration services for AstraZeneca's manufacturing of drugs across seven therapy areas.
  • Processed HIPAA and HL7 messages for healthcare integrations.
  • Designed REST APIs and developed message flows for pharmaceutical systems.

05/2010 – 01/2013

Application Developer

- IBM, Various Locations

  • Delivered integration services for AstraZeneca's manufacturing of drugs across seven therapy areas.
  • Processed HIPAA and HL7 messages for healthcare integrations.
  • Designed REST APIs and developed message flows for pharmaceutical systems.

08/2008 – 05/2010

Developer

- Computer Sciences Corporation (CSC), New   &nbspJersey, NJ

  • Worked on Pfizer’s Global Financial Shared Services (GFSS), integrating financial systems globally.
  • Designed solutions for campaign management and patient self-help groups for BCBS Rhode Island.
  • Developed SOAP/REST-based web services and HL7 message integrations.

06/2005 – 08/2008

Software Developer

- Bearing Point Consulting, New Jersey, NJ

  • Created web-based systems for insurance policy management and automated workflows.
  • Delivered seamless integrations across systems for Pfizer's Global Operations.

- EXPERIENCE

Everything about me!

06/2024 – Present

Vice President

- MatrixConsultants.ai

  • Working with Health Care Information Exchanges to develop use cases for implementing CMS HEDIS Star rating measures for
    Health Care Providers and Health Insurance companies.
  • The HEDIS ratings use cases are primarily focused on measuring the compliance of Providers and Health Insurance companies
    with the CMS Guidelines for 2025.
  • Working on implementing Generative AI, Predictive Analytics, and Machine learning techniques to provide measurable
    insights and dashboards on multiple use cases like Medical Adherence for Diabetes, Blood Pressure, and High Cholesterol and
    also reducing emergency visits.
  • Working towards implementing use cases to measure the follow-ups for patients with Chronic Conditions in Emergency rooms
    and effective management of the chronic conditions.
  • Built the models using Synthetic data in FHIR and Custom formats without actual PHI.
  • Providing easy-to-understand dashboardsto the Business and Technical teamsto send out necessary interventions as needed to prevent reoccurrence and aggravation of chronic conditions.
  • Models have been built on Local LLMs and custom code in Python, Machine Learning, and Predictive Analytics to enable lowcost use of Gen AI and easy adaptability across multiple HIE’s (Health Information Exchanges).
  • Evaluate model performances and fine-tuning using LLM Fine Tuning techniques.
  • Using Graph RAG and Lang Chain to enable real-time data feed to the Models for delivering instant alerts and interventions to Patients and Providers in Preventive care.
  • These use cases will deliver preventive care, drive down healthcare costs, and improve the CMS Ratings of the healthcare entities while also making a real difference in Care Quality and Care Effectiveness across all the states in the USA.

06/2023 – Present

Integration Architect

- CNH Industrial, Racine, WI

  • Oversee the implementation of the AI Tech Assistant across different regions (LATAM, APAC, EMEA), ensuring smooth
    integration with existing dealer systems and extensive repair manuals, while managing localization to meet regional needs.
  • Focus on refining the AI-powered chatbot to deliver accurate and rapid repair information, streamlining processes, reducing
    response times, and improving the overall user experience for dealers.
  • Continuously track and assess the performance of the AI solution, gathering feedback from dealers, analyzing usage
    patterns, and using this data to optimize the chatbot for better efficiency, accuracy, and overall satisfaction.
  • Subject matter expertise in delivering integration with Workday and external systems including Salesforce, SAP, and other
    custom and cloud-based solutions.
  • Expert in migrating flowsfrom WebSphere Message Broker V7 to IBM Integration Bus V10 including connective direct nodes.
  • I work with external vendors, making sure that the assigned work has been completed.
  • Create an AI chatbot using NODE-RED, Watson IoT Platform, dash DB, and Watson conversation in APP Connect Enterprise
    (ACE) to ask sensor questions like what the average temperature value you recorded
  • Work with developers to create a multi-model Loopback Application, Loopback remote hooks, Representational State
    Transfer (REST) API definition in API Connect API Designer, use the Loopback MySQL Connector
  • Create Webservice REST API in IBM Integration Bus v10 and push the deployed bar file to API Management Server v5 and
    publish to API Connect Development Portal v5
  • Define API, Product, and Plan in API Manager, create draft API and import an Open API definition, create an assembly that
    proxies the API to a back-end service, and test the API in API Manager
  • Create an application, publish the product and subscribe to a plan, stage a new version of the product, supersede the
    published product on the staging catalog, and review the result in the Developer Portal
  • Manage developer organization, create the catalog, configure Developer Portal, define user registry, activate the admin user
    for Developer Portal, and manage user roles and permission in the Developer Portal
  • Secure API using OAuth 2.0 provider, add catalog-specific properties to API, test a REST API, publish API to the API Connect
    Developer Portal, customize and deploy applications

07/2014 – 06/2023

Technical Lead Integration

- AmensysInc Client Blue Cross Blue Shields of North Carolina, Durham, NC

Experience Health:
Experience Health Integration (EH) is being established by Blue Cross Blue Shield of North Carolina (BCBSNC) in Partnership with Duke Health with the goal of providing a Health Maintenance Organization (HMO) for the Medicare Advantage Programs of CMS in the
state of North Carolina. Population Health Management (PHM) is a systematic approach aimed at improving the health outcomes of a specific population by monitoring and addressing the medical, social, and behavioral needs of individuals within that population.

Facets Migration (NCTIO).
BCBSNC is moving all their membership from Mainframes to Facets to serve the customers better. I was responsible for the design, and delivery of the 837 Professional, Institutional, and Dental Claims migration from the Legacy backend systems to Facets in Java Caps 5.1.3. Received a special award for Best Code Quality and led a smooth migration of all the lines of business (Small Groups, Large Groups, Medicare, Medicaid, Blue E Claims) migration to the Facets system.

Blue Connect (Micro Servicesin Member Portal)
We redesigned the member portal to provide total 360-degree member information using Micro Services architecture was responsible for Architecture, design, and Data Modelling for the member Portal of Blue Cross Blue Shield of North Carolina. The key goal of the project was to enable the member to get a 360-degree overview of his eligibility information, benefits information, Claim Status Information, Explanation of Benefits and Primary Care Provider Information. Appreciated with a Spot Bonus Award for Delivery Excellence.

Enterprise Services Team Architecture Rewrite
The Enterprise Services Team was tasked with rebuilding and rewriting the entire architecture of Blue Cross Blue Shield of North Carolina as the Organization. The key objective of this project was to modernize and ensure that the current system which was slow to respond to change

Pharmacy Accumulators
The Pharmacy Benefit Managers for various Pharmacies require the Membership/ Eligibility information for the various members of BCBSNC to validate their Insurance eligibility and process the pharmacy claims. I was responsible for designing and developing the Pharmacy Rx Accumulator which calculated the balance amounts to be paid by the members of BCBSNC to the pharmacy. This involved validating the enrollment, eligibility and benefits of the members and exchanging the information with the pharmacies for the final calculations of the accumulator amounts

Pharmacy Integration (CAFÉ)
Responsible for the design and development of the Implementation of Pharmacy Benefits across all non-X12 Transactions. In this project, we integrated various Pharmacy systems (Express Scripts, Prime, CVS, Avail Pharma, Catamaran, etc.) across North Carolina
with the Blue Cross Blue Shield of North Carolina Accumulators & Member Benefits system. The key goal of this project was to exchange the member information (PHI & Non-PHI) and the member accumulator benefits to all the Pharmacies.

BCBSNC Infrastructure Migration Project
BCBSNC is migrating all its current on-premise infrastructure to AWS. I was involved in defining the Architecture best practices for the migration of the infrastructure for the EDI Team during the migration. Executed various Proof of Concepts (Rest Services, DB connection, and MQ) to migrate business services to MuleSoft 3.0

HIPAA 4010 to 5010 Migration of All EDI Transactions
I was involved in the migration of the HIPAA 4010 version to the HIPAA 5010 Version for all the EDI Transactions as mandated by CMS.

ICD 9 to ICD 10 Conversion
I was involved in the implementation of ICD 10 – updated from ICD 9.

  • AI spearheading large-scale projects within the Analytics and AI department, driving innovation and delivering impactful results.
  • Involved in software architecture, detailed design, coding, testing, and creating technical specifications.
  • Involved in Infrastructure Evaluation & Planning for the Data Center Migration at Blue Cross Blue Shield of North Carolina
  • Involved in software architecture, detailed design, coding, testing, and creating technical specifications.
  • Responsible for designing and developing RESTful APIs for different projects as per consumer requirements.
  • Led the team on IBM Integration Bus (IIB) to App Connect Enterprise (ACE) migration projects.
  • Implemented the ACE Policies for all the various Databases (Postgres SQL, SQL Server, DB2, Oracle), Email SMTP Server, and Secure File Transfer.
  • Developed Message Flows to process Leads received from various sources using IBM Integration Bus (IIB) and MQ.
  • Worked on real-time and batch files and web service protocols, Stream Sets Data Collector, and Kafka.
  • Working as an SME for the ACE migration on the OpenShift AWS cluster from IIB 10.13 to ACE 12.0.0.7
  • Migrating from monolithic to a microservice architecture using Spring Boot.
  • Created and injected Spring services, Spring controllers, and DAOs to achieve dependency injection and to wire objects of business classes.
  • Implemented Prometheus health check in Spring Boot and Spring Framework services.
  • Work closely with architects for requirement analysis and designing engineering solutions for complex business problems.
  • Work with business analysts, business owners, QA, and applications support teams to understand the stokehold requirements,
  • Deployed Spring boot-based microservices Docker container using Amazone EC2 containerservices and AWS admin console.
  • Responsible for Code review, mentoring, and guiding the development team in implementing the Solution Architecture as required.

01/2013 – 07/2014

Senior Consultant

- Infosys, Dallas, TX

  • Developed Message definition (DFDL) for processing XML, Cobol copybook, and EDI format messages in message broker.
  • Created WTX maps and type trees to process HIPAA (270, 271, and 278) and HL7 transaction messages.
  • Responsible for verifying the HL7 Inbound messages STR, DRG, and TMS.
  • Updating ICD messages into the sedasys server (SMS) and sending customized ACK/NACK messages.
  • Uploading patient ADT information into Oracle Database.

05/2010 – 01/2013

Application Developer

- IBM, Various Locations

Kraft Foods Star Integration
Kraft is the world’s second-largest food and Beverage Company with 2010 net revenues of more than $34 billion, and more than 140,000 employees. The Kraft brand portfolio is one of the strongest in the space of any packaged goods company. The Kraft Foods Star Integration Project involved integrating the data across various countries in the US, Australia, Africa, and EU for Kraft Foods to ensure smooth supply and distribution of the food products. This involved the complete set of EDI X12 transactions in the logistics distribution across warehouses to Air, Sea, and Land shipments.

  • Developed EDIFACTS EDI 810, 850, 860, INVOICE, ORDERS, DESADV, and DELFOR Message Flows using ESQL Statements, XML, and JAVA.
  • Configured JDBC, File, FTPS, HTTP, SOAP, IDOC, RFC, and mail adapter.
  • Developed message flows for XML/XSLT, SOAP/HTTP XML to XMLNSC mappings and transformations.
  • Improving the Message processing performance by restructuring the Broker domain, number of EGs, and appropriate additional instance invocation and restructuring message-conversion and ESQL code change.
  • Developed both INBOUND and OUTBOUND interfaces between SAP and various legacy systems.

08/2008 – 05/2010

Developer

- Computer Sciences Corporation (CSC), New   &nbspJersey, NJ

There are 100+ EAI interfaces categorized into three functional areas and each interface is routed to different facilities. This implementation uses Java business logic to parse and manipulate data for GFSS Applications. EDDIE for [European Demographic Data Information Exchange] for Pfizer EDDIE was developed to extract relevant employee data and create an XML file for each 1000 records. Later all created files were read and processed by destination different downstream systems like Ariba, GCE, and Oracle. Blue Cross Blue Shield, Rhode Island Campaign Management System is a web-based application of CRM. This application is primarily used to manage campaigns to enroll patients in self-help groups and campaign for better health care practices. These patients are enrolled into these groups based on their diagnosis and encouraged to participate in various self-help discussions and activities and monitored for changes to lifestyle and health care indicators. This application has multiple modules:

1) ‘Groups’ identify a patient based on specific criteria and place them into a particular group.
2) ‘Churn’ analysesthe behavior of the patients who drop out and matches them with other groups that align more closely with their
interests.
3) ‘Campaign’ selectsthe group of patients and evaluatesthe performance of the patient in the self-help groups.
4) Some ofthe self-help groups are – Alzheimer’s, Cancer Survivors, Tobacco Cessation, Alcohol Cessation, Drug Cessation, Depression,
etc.

  • Developed the Presentation layer in MVC Architecture (Servlets -Bean -JSP Architecture) and the Evaluation Screens for Pfizer.
  • Configuring e*Gate components like e*Ways (Oracle, Batch, SAP ALE, SAP BAPI, and MQ) and JMS.
  • Implement numerous change requests in Monk and Java.
  • Worked on Webservices using JCAPS6 with Glassfish services.
  • Worked on HL7 V2.x message models.
  • Worked on J2EE and Spring Hibernate to troubleshoot technical issues.
  • Developed SOAP/REST-based web services as API using Spring and using on Jetty/Tomcat servers.
  • Developed interfaces using primitive E*Ways (MQ IN/OUT, SOAP IN/REPLY/REQUEST, SAP IN/REQUEST, File, Database
    Oracle).

06/2005 – 08/2008

Software Developer

- Bearing Point Consulting, New Jersey, NJ

Pfizer–Global Operations (GO)
Project GO (Global Operations) is an integration project to automate work order flow between different systems like assets, medical distribution details, etc. The main goal of this project isto automate all the processes involved in Global Operations for Pfizer like supply chain distribution and handling of medicines globally. This project involves real-time updates as well as batch updates through various interfaces in Seebyond eGate.

NHS, Health Care UK
The main objective of this project is to ensure that the patient clinical information registered at his local service provider can be shared across the UK with other service providers. When a patient moves out of his/her region, different service providers use different types of applications. The new National Clinical Record Systems is used to provide two levels of integration – one with the Local service provider and, second level integration with NHS.

  • Developed the transformation logic using the SeeBeyond Java Collaboration editor.
  • Configuring e*Gate components like e*Ways (File, Batch, HL7, Oracle and JMS).
  • Created the inbound and outbound customs etd’s.
  • Involved in Interface peer reviews and supported ETD testing, Collaboration functional Testing Systems, and Integration Testing

- Certifications

Certifications

AWS DevOps Engineer – Professional
TOGAF9
AI Healthcare Stanford University School of Medicine Certified
Python Certification
Mulesoft Integration Architect
Snowflake
Mulesoft developer
MuleSoft Integration Professional
IBM Integration Bus Certification
SCJP 1.8
App Connect Enterprise (ACE) V11

- Certifications

Certifications

AWS DevOps Engineer – Professional
TOGAF9
AI Healthcare Stanford University School of Medicine Certified
Python Certification
Mulesoft Integration Architect
Snowflake
Mulesoft developer
MuleSoft Integration Professional
IBM Integration Bus Certification
SCJP 1.8
App Connect Enterprise (ACE) V11

- Videos

Videos

- Keynotes

Keynotes

- blogs

Blogs

Revolutionizing Healthcare: The Role of Artificial Intelligence in Modern Medicine
Advancing Healthcare with Artificial Intelligence: Transforming Diagnosis and Treatment
Navigating the Healthcare Landscape: Challenges and Opportunities
Advancing Healthcare: Innovations, Challenges, and the Path to Global Wellness
The Untapped Potential of AI in Healthcare
Revolutionizing Healthcare with AI: The Future of Personalized Medicine
Revolutionizing Patient Care: The Future of Personalized Healthcare

-patents

Patents

Deep Learning-Powered Intelligent Video Analytics System for Real-Time Surveillance and Threat Detection in Public Spaces
AI-Driven Real-Time Content Recommendation System for Social Media Platforms Using Deep Learning Algorithms

- LET'S CONNECT

Get in touch

I’m currently avaliable to take on new projects, so feel free to send me a message about anything that you want to run past me. You can contact anytime at 24/7

Copyright 2024 @ Ramanakar Reddy Danda.
Made With ❤️ By InnoBrand Solutions