Portfolio

Fraud, Waste, Abuse: Savings of $2+ billion/year by identifying process inefficiencies, which enabled the health plan and state to mitigate fraudulent and wasteful medical claims. Additionally, established robust controls and procedures to mitigate future losses.

EMR and Clinical Documentation System Design and Integration

Spearheaded the design and seamless integration of Electronic Medical Records (EMR) and clinical documentation systems for healthcare institutions, optimizing data management and enhancing patient care delivery.

NCQA Accreditation

Successfully led healthcare organizations through the rigorous process of obtaining National Committee for Quality Assurance (NCQA) accreditation, ensuring adherence to industry-leading quality standards and driving continuous improvement in care delivery.

CMS Stars Quality Improvement Program

Implemented comprehensive quality improvement initiatives as part of the Centers for Medicare & Medicaid Services (CMS) Stars program, resulting in improved patient outcomes, increased efficiency, and elevated performance ratings.

Process Improvement for Clinical Workflows

Implemented strategic process improvements to streamline clinical workflows, reducing redundancies, improving communication, and enhancing overall operational efficiency within healthcare settings.

Clinical Program Design for Equitable Patient Care

Designed and implemented innovative clinical programs to ensure top-level patient care that is equitable and inclusive across diverse disease profiles, social determinants of health, and demographics. Programs include pediatric care initiatives, adult cancer management, obesity intervention programs, and house call programs for economically disadvantaged individuals, addressing the unique needs of each population segment with tailored and compassionate care. Additionally, specialized programs for diabetes and hypertension management have been developed to address the growing prevalence of these chronic conditions and to promote proactive management and prevention strategies.

Each accomplishment underscores a commitment to excellence and a relentless pursuit of improving healthcare outcomes for all individuals. As your strategic partner, I bring a wealth of experience and expertise to drive positive change and foster health equity within your organization.