M. Brennan

Claim CLM-SEP-0203 · 81 F · 3-day LOS · POS 21 · billed charge $41,900
📄 Claim as submitted
Billed DRG
871
Sepsis w/o MV >96h — WITH MCC
Pays
$13,598
A41.9Sepsis, unspecified organismPDX
N17.9Acute kidney injury, unspecifiedMCC
N39.0Urinary tract infection, site not specifiedCC
RW 1.9425 × $7,000 base · FY2026 V43.0
🩺 Medical chart
Vyshnavi_Vanamala_Resume_KyanHealth.pdfocr completeView HOCR
Vyshnavi Vanamala San Francisco, CA * 5202656571 * vyshnavi.vanamala@gmail.com * www.linkedin.com/in/vyshnavi-vanamala/ SUMMARY Results-driven product and growth generalist with 6+ years building 0-to-1 products across Y-Combinator startups and healthcare enterprises. Skilled in cross-functional execution, growth experimentation, and driving cost, efficiency, and revenue impact at scale. SKILLS Skills: Product Strategy, 0-to-1 Product Development, Growth Strategy, Growth Experimentation, GTM Strategy, Cross-Functional Leadership, Stakeholder Management, Operational Optimization, Market Research, Competitive Analysis, Business Strategy, Data-Driven Decision Making, User Research, A/B Testing, Agile Methodologies, Design Thinking Programming Languages: Python, HTML, JavaScript, C++, C, CSS, SQL, R Tools & Technologies: Tableau, Claude Suite, JIRA, Agility, Figma, ZenDesk, Trello, PowerBI, Mixpanel, APIs, Postman, MS Suite EXPERIENCE Product Manager (Advanced Analytics Team) | Highmark Health May 2024 - Present Product Manager Intern (May 2024 ~ May 2025); transitioned to Full-Time Product Manager in June 2025 + Spearheading product execution for an agentic Al clinical review solution, automating complex auditor workflows; cutting review cycle time 30% and admin overhead 40% * Owning ClaimHUB, a healthcare workflow management platform; driving automated case routing, EMR data integration for clinical context, and appeals lifecycle management, reducing audit turnaround 35% and increasing auditor throughput 25% + Leading BEARTrap, a healthcare analytics platform; driving data flow mapping and reporting redesigns for fraud detection and financial integrity teams, reducing revenue leakage $5M+ annually and improving anomaly detection 30% + Leading BEAR Lettering, a provider correspondence platform automating clinical and administrative mail and email workflows; reducing manual correspondence effort 50% and improving provider communication turnaround by 3 days * Owning roadmap and sprint execution across 4 simultaneous analytics products; authoring PRDs, aligning cross-functional stakeholders, and reducing time-to-market 10% Founder's Office | Weekday (YC W21) Feb 2022 - Jul 2023 + Led launch of candidate sourcing product for hiring; defined roadmap and GTM strategy with CEO, resulting in 70% revenue growth and $1.6M growth during my tenure * Owned experimentation roadmap for candidate sourcing platform; ran and scaled data-validated experiments across growth levers, reducing time to hire by 50% + Launched a new product, Weekday jobs portal, which saw a remarkable rise of 120% in applications and 40% in revenue + Owned end-to-end product execution - user research, UX design, sprint planning, and QA - reducing time to market by 30% * Expanded Weekday into Indonesia and Vietnam by redesigning the payment experience, leading to a 70% increase in the user base Founding Member - Head of Product and Customer Success |Rivia.Al (YC S21) Feb 2021 - Feb 2022 * Co-led CEO-driven E-Commerce warehouse system(for D2C logistics), similar to Amazon's warehouse management system, reducing D2C delivery timeline from 3 days to 24 hours, resulting in a $0.7M revenue increase * Owned customer success across 20+ clients; drove operational and product improvements through user research, feature development, and process optimization, sustaining fulfillment rate above 90% + Implemented inventory distribution algorithm by using different forecasting models, cutting product wastages by 32% + Drove fulfillment efficiency by developing warehouse optimization logic that reduced packaging time by 60% + Developed and deployed Retool-based operations dashboard for real-time order tracking, automating status reporting and reducing manual operational overhead by 30% * Built product roadmap around customer and market signals gathered through direct involvement in sales and go-to-market strategy Software Engineer | Juniper Networks Jan 2019 - Feb 2021 * Worked cross-functionally with teams to develop pivotal features for new firewall architecture, improving efficiency by 22% * Significantly increased feature coverage from 35% to 80% by designing and implementing an innovative testing framework Proactively automated critical customer response functionalities on code breakages, resulting in a 12% reduction in reported issues EDUCATION + Master of Business Administration(MBA) University of Arizona, AZ, USA 3.9GPA May 2025 + Master of Science Management Information Systems (MIS) University of Arizona, AZ, USA 4GPA May 2025 + Bachelor of Technology in Information and Communication Technology (ICT) DAIICT, Gujarat, India 3.6GPA May 2019
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Rate basis (FY2026 / V43.0): DRG 871 RW 1.9425 (verified CMS); DRG 872 RW 1.0299 (verified CMS FY2024); base $7,000 blended IPPS rate. Validation logic grounded in ICD-10-CM Official Guidelines §I.C.1.d, AHA Coding Clinic, UHDDS, and Sepsis-3 (Singer et al., JAMA 2016). This tool surfaces a recommendation for a human auditor and does not auto-adjudicate.