Our executive team brings deep expertise in payer operations, risk adjustment, clinical quality, and applied AI - with hands-on experience running programs across U.S. health plans, TPAs, and providers.
Seasoned healthcare executive with deep expertise in revenue integrity, risk adjustment, and payer operations. Leads Lumiknox's strategic direction and client partnerships across U.S. health plans and TPAs.
Drives operational excellence across Lumiknox's global delivery centers in Hyderabad and Manila. Specialist in HEDIS quality programs, workforce scaling, and client success management.
Gregory leads Lumiknox's technology architecture, AI-assisted coding platforms, and HIPAA-compliant infrastructure. He brings deep expertise in healthcare data systems, revenue cycle automation, and building secure delivery environments that meet the most rigorous US payer audit standards.
James oversees clinical coding quality, HCC risk adjustment strategy, and HEDIS abstraction standards across all Lumiknox service lines. His clinical background ensures every coding decision is grounded in defensible documentation and aligned with CMS audit expectations under V28 and RADV frameworks.
Sai Teja leads all delivery operations from Hyderabad, managing AAPC-credentialed coding teams, QA frameworks, and HIPAA-compliant workflow infrastructure. He ensures every engagement meets Lumiknox's 95%+ first-pass accuracy SLA and is delivered within agreed turnaround timelines.
Sheila leads Lumiknox's Philippines operations, overseeing coding teams, client onboarding workflows, and quality assurance processes. Her focus on operational precision ensures seamless delivery across time zones for US health plan and TPA clients.
Our advisory board includes a former CMS deputy administrator, two retired plan CFOs, the former chief medical officer of a national IPA, and a HEDIS audit principal from a Big Four firm. They meet quarterly with our executive team and are available to client leadership on standing matters of regulatory and operational risk.
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