Dr. Sahai currently serves as Professor of Medicine at the UT MD Anderson Cancer Center. From 2020 to 2026, he returned to his alma mater, The University of Texas Medical Branch at Galveston (UTMB) as Professor and Division Chief of General Medicine. In this significant role, he directed a division of academic clinicians practicing in both hospital and ambulatory settings. His leadership was crucial during the COVID-19 pandemic, where he played an instrumental role in UTMB's institutional response. Over five years as Division Chief, Dr. Sahai nearly doubled the division's size and established new service lines and research programs in areas such as surgical co-management, community health, substance use disorders, and obesity medicine. His contributions were recognized with his election to the UTMB Academy of Master Clinicians in 2022. In November 2025, he transitioned to Director of Perioperative Medicine for the Department of Medicine at UTMB to focus on developing an institution-wide perioperative medicine program, before returning to MD Anderson in May 2026 as a full-time clinician and mentor.
Before his return to UTMB, Dr. Sahai held several key leadership positions at the University of Texas MD Anderson Cancer Center. From 2004 to 2018, he served as Medical Director of the Internal Medicine Perioperative Assessment Center (IMPAC), where he pioneered the first formal perioperative medicine program at a comprehensive cancer center in the United States. He also served as Medical Director of the Clinical Decision Unit and the Internal Medicine Center – Main and was Section Chief of Consultative Medicine from 2015 to 2020, gaining experience in clinical operations and healthcare management.
Dr. Sahai's commitment to leadership development is further demonstrated by his extensive educational pursuits, including a graduate certificate in Health Care Management from Rice University and Executive Leadership in Health Care Certificates from Harvard T.H. Chan School of Public Health. He also holds the American College of Physicians Certificate in Physician Leadership and has participated in various leadership training programs. He is actively involved in numerous medical societies, serving on the Board of Advisors for the Society of Perioperative Assessment and Quality Improvement (SPAQI) and the national board of the South Asian Medical Student Association (SAMSA). Dr. Sahai is internationally recognized for his expertise in perioperative cancer care and is a dedicated mentor, guiding many physicians in their leadership journeys.