Ramakrishnan is currently the COO of Syngenta Foundation for Sustainable Agriculture (Kilimo Salama), based in Nairobi, Kenya. Syngenta provides agriculture micro-insurance to small scale farmers in Kenya and Rwanda. As a Fellow, Ramakrishnan worked in Kenya with Meridian Medical Centre, whose vision is to establish a chain of affordable, high quality outpatient clinics across Kenya. At Meridian, Ramakrishnan helped to develop expansion plans, opened a new branch outlet for services, and supported the development of a branding and marketing strategy to attract and retain new business. Before Acumen, Ramakrishnan was a consultant in the development and banking sectors with a background in consumer banking and industrial goods. He has served as Head of Operations for Pratham, an NGO working in primary education in India. Ramakrishnan earned a Masters in Management Studies and a BS in Chemistry from Mumbai University.