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Population Health Management (PHM)

Posted on September 1, 2016 | Categories: Population Health Management | Posted by: admin

Population Health Management (PHM)


  • Population health has been defined as “the health outcomes of a group of individuals, to reduce health inequities due to factors i.e. Financial, Social, Physical or Genetics”. It is not just the overall health of a population but also includes the distribution of health
  • Population Health Management (PHM) is a gradual and necessary shift from Volume to Value Care or in other words Population health Management (PHM) delivers value-based care viz. from earlier Fee for Service model to now Fee for Outcome
  • Accountability, Outcome and Meaningful USE (AOM) for population health is a key premise driving the value-based care movement
  • PHM – Value-based care (VBC) requires a proactive approach, where at-risk populations are identified, tracked and handled differently for desired Outcome than historically has been the norm
  • PHM-VBC promotes Care Coordination across different parts of the health care system with ongoing patient outreach and interaction to bend the cost curve while achieving comparable or improved patient outcomes
  • Population Health Management initiatives can reduce readmissions, improve community healthcare outcomes, and increase revenues
  • PHM can help avoid hospital admission of a heart failure patient who could be effectively treated in an ambulatory manner thus delivering better care and cost curve
  • Population Health is a great tool for population / patients suffering from 5 chronic diseases like 1. Cancer 2. CHF (Health – Cardio Vascular) 3. Diabetes 4. Mental Health & 5. Hypertension (BP)
  • Four Pillars of PHM are 1. Understand Population 2. Manage Risks 3. Coordinate Care 4. Improve Quality to address and reduce the Health Inequalities Gap (HIG) amongst Healthy and Not -Healthy Population


Achieving Population Health and Real Challenges


  • Analytics are critically important for helping Payers & Provider understand how best to target their limited resources in order to maximize patient care and financial outcomes. just knowing that a patient is likely to be a high utilizer of services or a high-cost patient is insufficient if HealthCare firm can’t actually impact the care or outcomes in an appropriate manner
  • Drive patient engagement by integrating telemedicine, patient portals, HIE/HIX and mobile devices in the care continuum
  • Establish realistic metrics to measure success
  • Extracting EMR-based Clinical Data (not Claims Data alone) is a must for population analysis, for the depth and understanding of populations and Population Grouping based on Risks & Ailments
  • Identifying patients that are candidates for extra management
  • Many healthcare care coordinators are still using paper-based, manual processes, as well as juggling tasks and patient caseloads on spreadsheets and homemade databases. That said, Under Delivery System Reform and Incentive Payment (DSRIP) funding from Federal (CMS/HHS) & State are available to Hospital & Health Systems to invest in the Population Health Technology for managing their Population & Communities’ health
  • Organizations are hamstrung by limited data sets and incorrect information, thus combining Payer-Provider and EMR-Claims Data is the right way to achieve true PHM-VBC
  • Resource, Workflow, Pharmacy and IT infrastructure investments are essential for clinically integrated network to improve population health
  • While electronic medical records (EMRs) have increased access to patient information, interoperability challenges remain in sharing data across multiple EMR platforms


Analytics for Population Health Management (PHM)


  • Ability to predict at-risk patients to reduce preventable costs
  • Accurate data powered by integrated clinical and claims data across the continuum of care
  • Ability to track and compare performance outcomes via deep comparative clinical benchmarks


Population Health & Care Management

Population Health is a tool to achieve Care Management. Both delivers same outcome. The Tools are:

  • Care Coordination
  • Case Management
  • Discharge Management
  • Disease Management
  • Medication Therapy Management (MTM)
  • Mobile Health or Wearable Health
  • Tele-Health


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Agile Scrum Project Manager

Posted on August 23, 2016 | Categories: Program and Project Management, Release Managers | Posted by: admin

Agile Scrum Project Manager


  • Ability to deal with multiple projects and deadlines
  • Ability to understand technical issues at a high level
  • Analyze project performance, create cost benefit analysis and identify optimal solutions
  • Assist Product Master as needed with Product backlog maintenance
  • Assist with prioritization and resolution of defects/bugs
  • Comfortable working through alignment on decisions with multiple stakeholders
  • Consistently provide internal and external stakeholder communications and progress reports
  • Work effectively with business partners, vendors, technology, and project management staff
  • Deep knowledge of the Agile methodology. Experience as a Scrum Master
  • Experience implementing software platforms
  • Experience interfacing with all levels of the organization
  • Experience with all phases of project life cycle
  • Facilitate project planning, Sprint & Release Planning, daily stand-up meetings (Daily Scrum), Sprint reviews (retrospectives)
  • Identify and track key measures of success for the projects
  • Lead project teams consisting of internal and external business and technical resources
  • Manage project budget, schedule, scope, quality and risk
  • Manage requirements, risk management, and coordinate cross functional business
  • Managing project stories in JIRA
  • Proven experience in conflict resolution
  • Strong communication skills
  • Strong people/leadership skills; Ability to step in and lead with confidence while empowering the team
  • Strong project management experience across a broad range of business units


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HealthCare IT – Delivery Manager

Posted on August 11, 2016 | Categories: HealthCare IT, Program and Project Management | Posted by: admin

HealthCare IT – Delivery Manager


  • Accountable for successful end-to-end Project Delivery as measured by: On-Time, On-Budget, On-Scope and With Quality and Customer Satisfaction
  • Deep Healthcare IT – Payer, Provider and ACO experience
  • Ability to achieve forward progress and maintain momentum in a long-term project environment
  • Ability to manage engagements with executive level- visibility and interaction
  • Ability to manage multiple project releases concurrently
  • Ability to monitor project metrics for significant deviations in quality, cost, or schedule
  • Able to communicate using terminology that can be understood by both technical and business leadership
  • Translate complex technical items in a form that can be understood by non-technical resources
  • Adhere to Project Management Office (PMO) policies, procedures and methodologies
  • Coach and mentor individuals on the project teams and provides feedback on performance to their leaders
  • Collaborates with different business areas to prepare the project for implementation, including coordinating communications, process changes and training
  • Demonstrated experience in building win- win relationships with Business and Application Vendors
  • Demonstrated strong leadership skills with hands on management of project execution
  • Excellent interpersonal skills and conflict resolutions skills
  • Excellent oral and written communication skills
  • Excellent organizational skills including meeting agendas, minutes, documentation, etc
  • Excellent understanding of issue / risk management and resolution / mitigation
  • High proficiency (expert-level) in the use of MS Project, MS Plan Enterprise & CA Clarity to produce and deliver high quality project plans, status updates and reports
  • Identify, document, and driving issues and risks to resolution / mitigation and when necessary escalate to leadership for assistance. Develop decision documents for options to resolve issues / risks
  • Possess thorough knowledge of PMI standards and terminology (including PMBOK)
  • Present project-related presentations for executive-level leadership
  • Proficient in formal project management methodologies – Agile Scrum / Waterfall or Blend of both
  • Proven analytical skills to analyze financial and schedule forecasts and identify issues and opportunities
  • Proven experience managing large multimillion dollar projects that have significant business implications
  • Proven experience managing large project teams and sub teams
  • Responsible for initiating, planning, executing, controlling, and closing complex initiatives using a formal project management methodology
  • Successful track record of Project Work Plan (resource, cost, and time) management


Contact Manish for HealthCare IT – Delivery Manager at 646.644.3049 or

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HealthCare Operations Director – Apps, Change Management & Delivery

Posted on August 8, 2016 | Categories: Health Exchange, Health Insurance, Health System, HealthCare, HealthCare IT, Program and Project Management | Posted by: admin

HealthCare Operations Director – Apps, Change Management & Delivery 


  • Self-starter with an entrepreneurial spirit and healthcare hands-on domain expert on Payer, Providers and Tech Applications (Implementation, Configuration, Interfaces, Upgrades, Enhancements and Delivery)
  • Accountable for day-to-day progress of Agile, Waterfall & Hybrid based development project(s) and release initiatives with regard to time, budget, scope and quality
  • Collaborates with Leadership, Product, Infrastructure &Security teams to configure solutions and deliver value to customers. Responsible for identifying and solving business / systems issues
  • Contribute to the delivery and execution of complex, large scale, multi-year (high cost, high complexity and/or high risk) client enterprise transformation programs
  • Deliverables include leading major work streams and projects, supporting pre-sales and sales activities, owning deliverables, building key customer relationships, building and sharing institutional knowledge, and developing junior professionals
  • Exceptional listening, communication, documentation and presentation skills
  • Experience managing at least 10 direct reports
  • Follow and implement HIPAA, CMS and PHI compliance & regulations and maintain center operations
  • Implement company goals and objectives including Change Management
  • Negotiate and manage contracting
  • Oversee and manage Quality Assurance for Business & IT Projects
  • Participate in budget creation and maintenance with help of Finance Team
  • Participate in Infrastructure upgrade, procurement and management with help of Infrastructure Team
  • Participate in Recruiting, Hiring & Training of Key Personnel with help of HR & Training Team
  • Responsible for ensuring the delivery of quality patient care while efficiently utilizing resources and maximizing returns
  • Responsible for Voice of Customer (VOC), Statement of Work (SOW) and C-Sat (Customer Satisfaction) Score
  • Strong physician relationships- dynamic- positive- outgoing- flexible- able to work with boards, committees, regulatory agencies, third party, vendors, patients and all levels of personnel
  • Successfully managed and delivered Multi-million dollar HealthCare Transformational Projects i.e. ePrescribe, EMR, Medicare (MA), PBM, Specialty Pharmacy, Tele-Health, Claims, BPO, RCM & MU (STAR)
  • Track record of success with staff development, coaching and employee performance management


Contact Manish for HealthCare Director – Solutions & Delivery at 646.644.3049 or

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Agile (SCRUM) Project Manager / Program Manager

Posted on August 8, 2016 | Categories: Program and Project Management | Posted by: admin

Agile (SCRUM) Project Manager / Program Manager


  • Accountable for day-to-day progress of Agile, Waterfall & Hybrid based development project(s) and release initiatives with regard to time, budget, scope and quality
  • Accountable for establishing and managing the framework for governance of Agile-Scrum Delivery
  • Coordinate with release management & QA to ensure smooth release processes are maintained
  • Coordinate with technical operations to address production issues for the platform
  • Coordinate with the dev lead, project managers, and product owners to do sprint and release planning for the platform
  • Facilitate communication within the team and with the key stakeholders
  • Facilitate the Scrum process (daily stand-ups, sprint planning, backlog grooming, sprint reviews & retrospectives)
  • Hands-On experience with Project Management Tools viz. MS Project Plan (Initiation, Planning and Scheduling), Clarity (Budget, Execution and Time-Sheet) and JIRA (Agile – Sprint / Scrum Compliance & Dashboard)
  • Identify and remove impediments to the ability of the team to deliver the product/platform goals and deliverables
  • onboarding, training, sprint plan, deliverable signoff, monitoring velocity, backlog & cost
  • Partner with dev lead to do capacity planning & resource allocation in Clarity and other time tracking tools
  • Partner with the dev and QA leads to uphold the integrity of the platform and promote best practices for platform maintenance and development including mentorship to the team
  • Provide weekly reporting on platform progress against release goals and platform team activity
  • Responsible for communicating program performance to PMO & Program Leadership including
  • Responsible for defining standardized reports, liaison to establish report requirements/automation
  • Responsible for management of program work stream progress, workflows and execution against agreed upon objectives
  • Work with architecture, security and engineering teams in distributed locations to drive planning, issue resolution, and development & project specific technical topics


Contact Manish for Agile / Waterfall Project Delivery at 646.644.3049 or

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