Renuka Bisht uses AI to simplify healthcare

At Humana, Renuka Bisht leads enterprise product strategy for Medicare and Medicaid platforms while also building consumer AI tools that explain confusing parts of healthcare. Her work centers on a simple idea: if people cannot understand healthcare, the system is failing them.

Why it matters: - Healthcare often leaves consumers to decode bills, coverage, and prior authorization on their own. - Bisht’s work targets that gap from two angles: enterprise product strategy inside a major insurer and consumer AI tools outside it. - The goal is to make healthcare information understandable and actionable for the people who rely on it.

What happened: - Renuka Bisht is an Associate Vice President of Product Management at Humana. - She leads enterprise product strategy across enrollment, billing, member data, and related healthcare platforms supporting millions of members across Medicare and Medicaid. - She also founded Decoding Health to build AI applications for consumers. - Her background includes roles at Accenture, Elevance Health, Express Scripts, Cigna, and Humana. - She came to the U.S. with a degree, a suitcase, and no professional network.

The details: - Bisht says her career moved from consulting and technology into healthcare product leadership and enterprise transformation. - She leads teams through complex transformation by connecting business strategy, technology, and customer experience. - Her leadership focus expanded from building technical expertise to building trust, alignment, and strong product leaders. - She says the best leaders create the environment where the right answers can emerge. - She defines kindness as honesty, investing in growth, and holding high standards while showing support. - She says innovation rarely comes from people who have all experienced the world the same way. - Her advice to emerging leaders includes building expertise, strengthening communication and judgment, finding a voice, and building relationships before they are needed. - She says people who earn a seat at the table should use their perspective to ask better questions and open doors for others. - Bisht argues that healthcare has a translation problem because the terminology, payment system, and technology infrastructure are all complex. - She says much of healthcare was designed by insiders for insiders. - Her view is that the problem is fundamentally one of design. - She believes healthcare experiences should surface the right information in a way people can understand and act on. - At Decoding Health, she built Decode My EOB, an AI tool that explains Explanation of Benefits statements in plain language. - She also built Prior Auth Coach, which helps consumers understand prior authorization decisions and possible next steps. - Bisht says AI’s biggest value is making healthcare understandable, not just making organizations more efficient. - She says if she cannot explain what she has built to someone outside her field, she does not fully understand it herself. - She teaches and mentors children through Bal Vihar of St. Louis on weekends. - She has a B.Tech. in Electronics & Communication Engineering from DIT University. - She completed executive education at Stanford, Cornell, and MIT. - She holds the FAHM credential and is a member of the St. Louis Product Group. - The article was published by Influential Women, which says it provides a platform for women to share perspectives and create empowering content.

Between the lines: - Bisht’s message is as much about leadership as it is about healthcare technology. - Her perspective suggests that clearer systems can improve both member experience and organizational execution. - The consumer AI products reflect a broader shift in healthcare: using technology to reduce confusion rather than add more layers. - Her immigrant background and experience as a woman of color shape how she treats difference as a leadership asset. - The emphasis on simplicity signals a critique of institutions that let complexity become the customer’s problem.

What's next: - Bisht said her focus remains on building organizations, teams, and experiences that leave people better equipped than they were before. - Her work will likely continue at the intersection of enterprise transformation and consumer-facing AI. - The larger test for healthcare technology is whether it can help people understand the system well enough to use it effectively.

The bottom line: - Bisht’s core idea is blunt: healthcare should not require insider knowledge to navigate. Technology should make the system clearer, not more confusing.