In this episode of Dexian Talks – GCC Leader Series, we sit down with Pawan Sachdeva, Senior Managing Director & Technology Head – India at Keralon (Elevance Health), alongside Kumar Rajagopalan, VP & Country Head Dexian India, and Anilesh Seth, GCC Advisor. Pawan shares firsthand insights from building one of India’s fastest-growing healthcare GCCs, scaling from zero to 25,000+ employees across India, Philippines, Ireland, and Puerto Rico. He breaks down why GCCs must be designed as capability centers—not cost centers, how leadership alignment and culture drive scale, and what it takes to build trust in mission-critical, compliance-heavy environments.