Principal Consultant & Delivery Manager – HealthCare (Payers & Providers)
The Principal Consultant & Delivery Manager (PCDM) leverages combined people, process, analytics and technology competencies to support large-scale, complex customer engagements
The Principal Consultant & Delivery Manager (PCDM) is responsible for driving customer value through client facing advisory and delivery services. A subject matter expert and trusted advisor for Payers, Providers, Clients & Program Management Team and works closely with engagement and technology team to define strategic and tactical direction
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
Build, share, and maintain expertise in both practice area and client environment, regularly interface with Product, Infrastructure, and Security teams to deliver on customer commitments
Contribute to operational readiness, organizational change management, solution capability, packaging, and estimating, planning and delivery management
Contribute to pre-sales and sales activities for revenue growth
Lead major engagement work streams and projects to meet milestones on time, and to deliver with high quality and within agreed to budgets
Plan, organize, staff, direct and control the operations of the department; develop and implement policies and programs as necessary; may have budgetary responsibility and authority
Use Data Analytics & information sets for analysis, creating hypotheses and presenting recommendations to team; developing client specific requirements, standard operating procedures (SOP), functional roles & responsibilities, process flow and user guide per SOW
An MBA with 18+ years of experience in the HealthCare IT & Outsourcing space. An experienced Manager, successfully delivered Revenue Growth, Consulting, Technology, Change Management & System Implementation (SI) Projects with Govt., Payers, Providers & Insurance Carriers. Proven track record around Business Development, Product Management and Application Services i.e. Agile / Waterfall, Mobility, Social Media, Analytics, Research, System Integration, Platform BPO, Web Services, CRM, Document Management, QA-Testing, BPM, Practice Management, EMR, ePrescribe, Billing, Revenue Cycle (RCM) & HL7 – ADT. Successfully delivered transformational Projects for Pharmacy, Medicare, PBMs, Specialty Rx, TPAs, Article 28 sites, Medical Groups, Acute Care & Ambulatory Group clients. An Expert (SME) in eRx, EPCS, SI, SDLC, RFPs, MU, HIE/HIT, Onshore-Offshore Delivery & Client Services.
Sector Focused – HealthCare IT Projects Summary
Pharmacy Project, Application Project, EMR Project, ePrescription, Registration, Clinical Project, Medical Informatics Project, Tele-Health, 430B Project, Specialty Pharmacy, Reporting / Dashboard, Audit Tool, RCM Project, Tele-Health, Disease Mgt., MTM, Medicare Projects (MA, PDP), Claims, Health Portals, In-Patient, Out-Patient & ED Projects, Identity Management Projects, BPO Projects for MLTC, Health Plans, ACOs, PCMH, TPAs, PACE & Health COOP clients
Fully integrated modules include Acute Care, Ambulatory Care, Pharmacy Care and Knowledge-Based Medication Administration
Clinical Manager’s single integrated clinical platform can connect acute and ambulatory care providers, enabling patient information to flow seamlessly between the acute and ambulatory care environments while integrating with the Pharmacy to improve medication management.
Medical centers can use Clinical Manager’s Knowledge-Based CPOE System to establish standard care processes throughout the medical center to help improve patient-care outcomes
Clinical Manager and its integrated modules Pharmacy and Knowledge-Based Medication Administration will help Hospitals streamline the medication management process to help improve productivity and efficiency
CPOE solutions automate the workflows of physicians as they place orders, of pharmacists as they verify and dispense medication orders, and of nurses as they administer medications to the patient.
Knowledge-Based Medication Administration will assist Medical Center’s nurses with validation of the five rights (right patient, right medication, right dose, right route, and right time) of medication administration via bar-code scanning at the bedside to enhance patient safety
Medicare Advantage – Software Platform by Techcusp
We could build custom software for your Medicare Advantage, MAPD, PDP, Self-funded, Health Co-Op, MLTC, PACE Plans to cover your niche workflows from Mobile Apps to Enrollment, Claims & Accounting Integration.
Salient features of Techcusp MA software
Document reconciliation and management
Enrollment / disenrollment management
Member mail management (member record storage of in and outbound communications)