Tier one schools in the US take several Indian applicants each yeär but certainly not nearly as many as the voluminous numbers which apply. standing out is difficult and with only three years of work experience and very little leadership you may find it challenging to compete. your core profile is fine but they would likely balk at your goal to work for a PE or VC firm since its fairly widely viewed as a very difficult industry to crack as a freshly minted MBA. best to stick with the consulting goal and to be safe I would add a school or two to my target list that is outside the top ten. i would say you could increase your chances by getting some leadership experience either through work or in the community. perhaps run for an elected office or get involved in an area which taps your passions or sets you up well for your post MBA pursuits. switching jobs would only be advantageous if it were an increase in responsibility or scope. you already work for a top firm as you say and health care is a very onerous field to break into, so you are well positioned to add value in the classroom if you continue in this vein and then apply to a school which has a health care component. business schools like to see an intentional, purposeful career trajectory, so to the extent you can keep beating the same drum but at an increasingly more challenging capacity, you will be best positioned to impress the adcoms vs some kind of seemingly random job change. if your heart is truly set on PE or VC, the best thing to do would be to go get a job in that area, which will prove you have what it takes to break into this very elusive field and by doing so you will not leave it up to the adcom to try and infer from your simply telling them you will make it happen post MBA. we can actually be very helpful with casting your story in the best way so please consider using our services when it comes time to apply next year. applications are released as early as July for 2014 season. Best of luck.