Satvik Jani
Manager @ PwC
About
I’m a Manager in PwC’s Healthcare Transformation practice, focused on leading large‑scale business and operating‑model transformations for payer and provider organizations.My work sits at the intersection of strategy, operating model design, governance, and execution, supported by a strong understanding of healthcare data and an increasing focus on AI‑enabled ways of working. I help leadership teams translate ambition into practical, scalable change — particularly as organizations explore AI and GenAI as levers for productivity, decision support, and operating‑model evolution.I’ve led onshore and global teams across complex healthcare engagements, working directly with mid‑to‑senior executives across clinical, quality, operational, and administrative domains. A consistent theme in my work is readiness and realism: ensuring that transformation and AI investments are grounded in fit‑for‑purpose data foundations, clear governance, and operating models that can actually scale.I’m particularly interested in helping healthcare organizations move beyond experimentation and “innovation theater” toward sustainable, enterprise‑level transformation.Domains of focus include:• Operating Model Transformation & Governance• Executive Decision Support & Change Enablement• AI‑Enabled Healthcare Business Transformation• Stars / Quality Readiness & Member Experience• Care Management & Clinical Operations Enablement• Claims & Administrative Operations TransformationI have a MBA from Indian Institute of Management (IIM) Raipur and IPADE Business School, Mexico City (Exchange Program).
United States
San Francisco Bay Area
Management Consulting
Healthcare Stars, Quality & Member Experience, AI Use Case Design & Readiness, Enterprise Change Management, Payer Ops and Data Transformation, Healthcare Transformation, Generative AI, Azure Databricks, Marketing Strategy, Strategic Planning, Sales Management, Business Strategy, Business Development, Operational Planning, Event Planning, Public Relations, Project Management, Supply Chain Management, Healthcare Consulting, Consulting, Product Development
Experience

Manager
- Help healthcare leaders redesign operating models, processes, and workflows to improve performance across quality, care management, and administrative operations - Work with executive teams to translate AI and GenAI ambitions into practical changes in how work gets done, decisions are made, and accountability is structured - Drive transformation initiatives across Stars & Quality readiness, care management, and claims operations, balancing regulatory performance with operational efficiency - Advise leaders on scaling change by aligning operating models, governance, and workforce capabilities to support sustained execution - Bring execution realism to transformation efforts by assessing readiness, sequencing change, and avoiding pilot‑only or technology‑led approaches - Lead cross‑functional teams delivering complex healthcare transformations with a focus on outcomes, adoption, and durability

Consultant (Healthcare Strategy)
Chennai Area, India
Consulting Experience: · Provided recommendations to the C-Suite of a US based HMO on improvement areas after conducting assessment, benchmarking, and functional gap identification of their existing claims operations · Assisted a leading Indian health insurance firm in their business transformation project which included: o Designing a best-in-class claims platform & improve adherence to operational SLAs o Interaction with CXO level executives to gather end-to-end operational requirements and define functional level system interactions for the client’s To-Be system · Increased the efficiency & accuracy in daily operations for Trizetto’s Care Management Product by creating desk level procedures, user journey mapping and reviewing care management processes with client SMEs · Provided solutions to clients in multiple IT consulting engagements by delivering: o Process-flow diagrams, Requirement Traceability Matrices, Business Rules, Use Cases, User stories, Process flows, UI/UX Design & Review, Business/Product/System Requirement Documents · Pitched the Cognizant point-of-view to a Fortune Top 10 company on Automation CoE setup · Assisted one of the largest US pharmacy retail chains in replacement of their existing Medical Document Tracking System by conducting a COTS product evaluation in the Document Management Tools space · Helped a small-size B2B client in efficient resolution of customer queries and process standardization by re-designing a Support Ticketing System and delivering a Product Requirement Document for a MVP Business Development/ Practice Development: · Acquired a business opportunity worth $180,000 from a large US based HMO by pitching a proactive proposal advising on the IT strategic roadmap · Supported business development initiatives such as RFP responses and market research to identify opportunities within existing accounts & with potential/new clients

Team Lead
IIM Raipur
Key responsibilities included: · Identifying universities across the globe for academic alliances and liaising with IIM Raipur’s international partner universities · Leading the Student Exchange Program and the various international level events (seminars, conferences, and guest lectures) conducted by the institute's International Relations Department

Intern - Strategy & Planning
Milestone Brandcom
Mumbai Area, India
Secured a Pre-Placement Offer on the basis of my performance during the summer internship. Highlights: • Conducted strategic research & analysis in designing Out of Home Communication channels and understanding consumer behavior in the OOH Advertising Space. • Designed, formulated & executed the research in Mumbai Region for Telecom Category clients to provide them insights about the consumer's network usage pattern, media engagement and enable them to identify the point of interaction (basis iLAP areas) for target marketing activity with respect to OOH communication.
Education
Satvik Jani's Contact Information
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