Suite 1300
Salt Lake City, UT 84111
Block-1 3rd Floor, Perungudi Bypass Rd, Perungudi,
Chennai - 600096
MGR Main Rd,
Perungudi, Chennai - 600096
Villupuram,
Tamil Nadu – 605602
Leadership Team
Guided by Experience. Driven by Results.
Our leadership team brings together the expertise needed to solve your most complex revenue cycle challenges, from coding accuracy to AR recovery to complete RCM transformation.
President & CEO
John Britto Linkedin
John Britto leads AnnexMed as President and CEO, bringing over 20 years of healthcare leadership experience. His expertise spans healthcare administration, workforce management, customer relations, and operational excellence. Known for his strategic vision and problem-solving ability, John drives innovation and sustainable growth across global markets. A recognized expert in US healthcare BPM, he guides AnnexMed’s long-term strategy while delivering impactful, technology-enabled transformations across the healthcare revenue cycle.
Executive Vice President
Nick Pratt Linkedin
Nick Pratt brings 21 years of experience across Revenue Cycle Management, sales, accounting, and financial analytics. An HFMA Certified Revenue Cycle Representative, he has led billing and coding operations for hospitals, provider groups, FQHCs, and surgery centers nationwide. Nick partners closely with C-suite leaders to drive measurable RCM improvements, performance accountability, and scalable growth, with a strong focus on expanding AnnexMed’s footprint across the US healthcare market.
Executive Vice President
George Durica Linkedin
Senior Vice President - Operations
Rekha Rajan Wilson Linkedin
Meet Rekha Rajan Wilson, Senior Vice President of Operations at AnnexMed. With nearly 20 years of healthcare leadership experience, she brings expertise in operations, compliance, risk management, and revenue cycle. Rekha holds a J.D. in Health Law and credentials as LHRM and CHC. She previously scaled global healthcare operations to $22M revenue and led 1,800 employees across the U.S., Colombia, and India. At AnnexMed, she drives operational excellence, quality, compliance, and client performance.
Chief Growth Officer
Anuradha Krishnan Linkedin
Anuradha Krishnan serves as Chief Growth Officer, leading AnnexMed’s strategic expansion and organizational development. With over 20 years of experience across finance, administration, HR, sales support, and client engagement, she drives growth initiatives across pre-sales, digital marketing, and client success. Known for her resilience and people-first leadership, Anuradha plays a key role in building strong teams, scalable processes, and a culture focused on long-term operational excellence.
Chief Strategy Officer
Fabian Fernandez Linkedin
Fabian Fernandez brings 23 years of leadership experience in Revenue Cycle Management, driving operational transformation and financial optimization at AnnexMed. With a strong foundation in economics, he oversees client success, strategic expansion, and efficiency initiatives. Fabian’s leadership philosophy emphasizes smart prioritization, sustainable improvement, and team excellence, enabling healthcare providers to strengthen financial outcomes while maintaining focus on quality patient care.
Chief Operating Officer
Usha Magendran Linkedin
Usha Magendran, Chief Operating Officer at AnnexMed, has over 25 years of U.S. Healthcare RCM experience, an MBA, and PMP certification. She leads operations, process optimization, technology integration, and client experience with strategic vision and results-driven execution. Previously a COO, Usha successfully managed complex operations and shaped organizational culture. Her commitment to excellence, team empowerment, and continuous improvement keeps AnnexMed at the forefront of the RCM industry.
Vice President – Client Relations
Mathew Houston Linkedin
Mathew Houston brings more than 20 years of healthcare experience driving operational excellence at AnnexMed. His background includes leadership roles in acute care environments, multiple EHR implementations, Department of Defense auditing, and private practice management. A former Health Information Management educator, Mathew combines deep RCM expertise with hands-on operational leadership, ensuring efficient workflows, strong teams, and high-quality service delivery across AnnexMed’s US operations.
Vice President – Client Relations
Victor Flores Linkedin
Victor Flores brings over 18 years of experience specializing in revenue cycle optimization and cash improvement strategies. Previously serving as Director of Revenue Cycle for multi-facility and single-facility health systems, Victor has led initiatives across pre-clearance, charge master optimization, payer negotiations, billing, collections, and denial management. His results-driven approach delivers sustainable revenue improvement for healthcare organizations ranging from critical access hospitals to large health systems.
Senior Vice President - Operations
Devi Murugan Linkedin
Devi Murugan brings over 23 years of healthcare expertise, leading Quality and Training at AnnexMed. She has successfully designed and implemented operational frameworks for more than 600 healthcare providers. As the architect of AnnexMed’s training programs, Devi fosters a culture of continuous learning and quality excellence. Her multidisciplinary academic background and passion for holistic development make her a driving force behind consistent, high-quality service delivery.
Senior Vice President – Coding Services
Kaladevi Linkedin
Kaladevi leads AnnexMed’s Medical Coding division with over 20 years of healthcare and RCM experience. A Certified Professional Coder (CPC) and Certified Outpatient Coder (COC), she is recognized for building high-performing teams and driving automation initiatives in coding operations. Actively engaged in industry forums and professional mentoring, Kaladevi combines technical expertise with client-focused leadership to deliver compliant, scalable, and high-quality coding solutions.