Koushik Guntur Nagarajan

A GenAI-powered clinical documentation tool for surgeons and hospital staff.

• Led end-to-end discovery, process mapping, and requirements gathering for the MVP and scaled iterations.
• Orchestrated over 30 cross-functional stakeholder workshops, including clinical leads and hospital executives.
• Defined Epics, User Stories, and Acceptance Criteria; managed backlog grooming, sprint readiness, and scope control.
• Participated in a mini-RFP process from a technical BA perspective—evaluated three vendor solutions, conducted feature comparisons, and recommended the most suitable product for Ramsay's clinical and technical needs.
• Supported STT (Speech-to-Text) prompt engineering, audio analysis, AI/ML model evaluation, and HL7 interface integration.
• Facilitated change management activities during the prototype phase, ensuring clinical adoption readiness and stakeholder alignment.
• Designed and analyzed feedback instruments, including the PDQI-9 questionnaire and custom post-pilot evaluation surveys, to capture structured insights from end users.
• Coordinated UAT planning, defect triaging, and hypercare support during pilot and production rollouts.
• Aligned closely with clinical governance, legal, and privacy teams to ensure regulatory compliance and patient data protection.

A GenAI initiative focused on optimizing operational workflows.

• Collaborated with enterprise architects and engineers to define UI/UX flows, system integration, and data architecture.
• Facilitated backlog prioritization, sprint planning, and end-to-end testing across multi-disciplinary teams.
• Conducted user interviews, mapped user journeys, and translated key business pain points into structured user stories.

Transitioning a GenAI proof-of-concept into a production-grade solution.

• Acted as the primary liaison between business owners, clinical users, and product teams to refine and scale the pilot.
• Led scope definition, sprint planning, and backlog refinement to meet evolving user and compliance requirements.
• Delivered product demonstrations, gathered structured feedback, and iterated features based on real-world usage insights.

• Spearheaded the integration of OpenAI models into enterprise solutions, driving a transformative shift in AI capabilities and cultivating a culture of continuous innovation.
• Led Pre-Sales efforts across a portfolio valued at $380M for high-profile clients, including Apple and Microsoft, providing strategic guidance on solution design, value proposition, and ROI, resulting in successful deals and long-term partnerships.
• Played a pivotal role in expanding data analytics and AI service offerings across multiple global regions, directly contributing to substantial business growth and new market penetration.
• Managed a diverse portfolio of projects ranging from $750M to $1.3B, ensuring the on-time, on-budget delivery of cutting-edge solutions with measurable impact.
• Recognized for leading innovative initiatives that enhanced operational efficiency, optimizing both internal processes and client-facing services.
• Collaborated closely with business development teams to refine sales pitches, deliver client presentations, and craft custom solutions tailored to meet evolving client needs and market demands.

• Led Workday Capability Delivery Excellence as Lead and Hiring Partner, achieving a 61% increase in capability within 18 months.
• Transformed the Factory Services model, driving a 21% increase in productivity through strategic operational improvements.
• Received multiple ACE awards for delivery excellence, leadership, and team development.
• Managed a project portfolio valued at $750M–$1.3B, leading cross-functional teams of 170+ FTEs to deliver high-impact solutions on time and within budget.
• Directed and developed teams of up to 230 FTEs, promoting inclusive leadership, coaching, and performance optimization.
• Cultivated senior stakeholder relationships, supporting strategic planning and contributing to long-term client success.
• Oversaw account profitability, monitored financial metrics, and acted as a trusted advisor to drive client growth.
• Introduced streamlined project management practices, reducing delivery timelines by 90% and improving profitability by 87%.
• Implemented a strategic client account management framework, resulting in a 98% boost in engagement and a 94% increase in retention.

- Led product development and quality control initiatives, ensuring the delivery of high-performance software solutions and enhancing customer satisfaction.

Developed and tested a wide range of applications, contributing to the delivery of high-quality software products and meeting client expectations.