Shahul Hameed Ummarali
Solutions & AI Systems Architect · Healthcare Payer AI · Mississauga, ON, Canada
I have spent 20+ years designing and building software, at Capgemini, Royal Bank of Scotland and, since 2012, Cognizant. I have worked as an architect since 2018. Today I am the solutions architect for a U.S. health plan's market-facing portfolio portals – member, provider, employer and broker portals – which serve more than 2 million users on a platform of 400+ microservices on Azure. I focus on bringing generative AI into those systems in ways that compliance, clinical and operations teams can sign off on, starting with an Azure OpenAI solution that reads employer group documents and processes the actions in them.
Where I have worked in the payer stack
Core administration
Claims adjudication, enrollment and eligibility, X12 837/835/834/270-271.
Clinical & UM
Prior authorization (X12 278, Da Vinci PAS/CRD/DTR), care management, HEDIS.
Interoperability
FHIR R4 APIs for Patient Access, Provider Directory and Payer-to-Payer exchange.
Timeline
| Years | Role | Highlights |
|---|---|---|
| 2020–now | Solutions Architect Cognizant Mississauga, Canada · Remote | Solutions architect for a U.S. health plan's member, provider, employer and broker portals, serving more than 2 million users. Led digital transformation and cloud migration to a platform of 400+ microservices on Azure, and designed and delivered an Azure OpenAI solution that reads employer group documents and processes the actions in them. Leads a 40-person team across India, Canada and the United States. |
| 2018–2020 | Software Architect Cognizant Herndon, VA, United States | Architected a digital platform for a U.S. mortgage finance client's next-generation bond offerings, automating bond offer processing and reporting. |
| 2012–2018 | Lead Developer Cognizant Chennai, India · United States | Led the development team for the same health plan's member, provider, employer and broker portals. |
| 2010–2012 | Software Engineer Royal Bank of Scotland Chennai, India | Designed and developed Online Client Services, a self-service portal where corporate clients view accounts, contracts, transactions and balances and raise service requests. |
| 2006–2010 | Associate Consultant Capgemini Pune, India · Oslo, Norway | Developed a regulatory reporting system for a global investment bank, then a next-generation credit bureau system on-site in Oslo for a Norwegian credit information company. |
Education & certifications
| Post Graduate Program in Artificial Intelligence and Machine Learning | Purdue University |
| Bachelor of Technology, Computer Science and Engineering | Calicut University |
| Claude Certified Architect – Foundations | Anthropic |
| Microsoft Certified: Azure Fundamentals | Microsoft |
| Generative AI Overview for Project Managers | Project Management Institute |