Abhi Ramaswamy
Austin, Texas
Overview
I get deployed when a PE-backed healthcare business is growing but the commercial model isn’t working — customers are hard to acquire, deals are mispriced, delivery doesn’t connect to economics, and growth isn’t converting to margin. I build and fix the full commercial engine: BD, sales, pricing, delivery, and customer success — wired so every dollar of revenue carries margin and every function is accountable to economic outcomes. Three proof points: At an AI-enabled healthcare RCM company, I built the commercial function from zero and scaled ARR to ~$5M with 3x YoY growth. That infrastruct
About
I get deployed when a PE-backed healthcare business is growing but the commercial model isn’t working — customers are hard to acquire, deals are mispriced, delivery doesn’t connect to economics, and growth isn’t converting to margin. I build and fix the full commercial engine: BD, sales, pricing, delivery, and customer success — wired so every dollar of revenue carries margin and every function is accountable to economic outcomes. Three proof points: At an AI-enabled healthcare RCM company, I built the commercial function from zero and scaled ARR to ~$5M with 3x YoY growth. That infrastructure ran the company through a ~$600M PE acquisition in 2025 at ~60x ARR. At Deloitte, I identified a ~$300M margin expansion opportunity for a national insurer by redesigning pricing, underwriting, and billing governance — and built the operating model to capture it. At Meta, I recovered ~$420M in annual advertiser revenue by diagnosing systemic operational failures across a $54M global program. What makes me unusual: genuine clinical fluency built through deep, self-directed immersion in the evidence base — not proximity to clinicians. I build differentials, read primary literature, and understand why treatment algorithms are structured the way they are. In cardiology, I understand why heart failure management differs by ejection fraction and what that means for MSO care management design. In GI, I understand the clinical distinction between IBD and functional disorders, why they require different care architectures, and how RVU economics undermine evidence-based treatment. In psychiatry — my deepest area — I navigate the full landscape: pharmacotherapy with mechanism and side effect profile, psychotherapy (CBT, DBT, etc.), interventional modalities including TMS and ketamine, psychedelic-assisted approaches, and lifestyle psychiatry. This changes how I evaluate businesses and build operating models in healthcare. Current focus: PE-backed healthcare services — physician practice management, MSO operating model redesign, and revenue cycle improvement. Targeting CRO, COO, CCO roles where the commercial model needs to be built or fixed. abhi.ramaswamy@gmail.com