Ramesh started working as a volunteer for the Education for Empowerment Program shortly after it was started in 1999 and continued volunteering until 2002, when he became the first full-time employee. As a result, he knows the program inside and out. Ramesh serves as Finance Director and oversees all money matters in Nepal, but beyond that, he is integrally involved in making sure that the program is efficient, effective, and making a transformative impact in the lives of the Little Sisters.

Before joining Little Sisters Fund and E4E, Ramesh worked in a Hospital and Rehabilitation Centre for Disabled Children (HRDC), as an orthopedic technician. Ramesh also worked briefly for the Disabled Relief Fund (DRF) as an orthopedic technician, where he made orthoses and prostheses and conducted mobile health camps. In his free time, Ramesh continues to design and produce orthoses and prostheses for people with injuries and disabilities. He holds a B.A. in Economics and has received trainings in finance and management.