IT Services | Technology Consulting | Software Products for Insurance, HealthCare & Banking


January 2018
« Sep    

Category Archives: Care Management

Principal Consultant & Delivery Manager – HealthCare (Payers & Providers)

Posted on July 29, 2016 | Categories: ACOs, Analytics, Apps, Big Data, Care Management, Claims, Clinical Services, Clinical Trials, Consulting, Data Analytics, Health Exchange, Health Insurance, HealthCare | Posted by: admin

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


Contact Manish for Sr HealthCare Consultant @ 646.644.3049 or

Tags: , , , , ,

Why Manish Jaiswal for Sr PM role

Posted on May 27, 2016 | Categories: Account Manager, ALIP, Analytics, Care Management, Change Management, Clinical Services, Health Exchange, Health Insurance, HealthCare, HealthCare IT, Hire Me Now! | Posted by: admin

Why Manish Jaiswal for Sr PM role?

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


Tools, Technology Stacks & Platforms Experience – Summary


Allscripts Sunrise Clinical Manager (SCM), Allscripts AEHR, Allscripts EDIS, Allscripts Insight, ARB, DrFirst Rcopia, DrFirst EPCS Gold, DrFirst InfinID, Cerner Invision, McKesson Series, Microsoft OS, Windows 10, Microsoft Project Plan (MSP) Share Point, Word, Power Point (PPT), Excel, HL7, ADT Interface, VMWare Server, SQL Server, SQL Database – MS, Oracle, ASP .Net,  Java / J2EE, WordPress, Appian, Plexis, NextGen, ALIP, MS Visio, B2B Portal, B2C Portal, Care Management Portal, Claims System, Policy Admin System (PAS) – Accenture, Enrollment & Eligibility System, Lab Info System (LIS)

  • Years of project estimating/planning/monitoring; identifying, estimating and presenting costs and schedules aligned with project activities and deliverables; tracking and reporting deliverables
  • Years of resource management, dependencies; managing project scope, risk, changes and issues.
  • Years of Client Relationship Management – managing customer expectations and satisfaction; weekly meetings/communications.
  • Years of planning/conducting client workshops; collecting/confirming business requirements; documenting application functional use cases and other required documentation.
  • Years of utilizing and applying known PMI Methodology
  • Years of managing teams responsible for IO activities, or equivalent.
  • Years of organizing/directing/managing contract operation support functions involving multiple, complex, and interrelated project tasks.


Call or Writ to

Manish Jaiswal



Tags: , ,

HealthCare Systems for Hospital & Ambulatory Groups

Posted on December 17, 2014 | Categories: Care Management, Health Cusp, Health Exchange, HealthCare, Insurance, ISVs, IT Services | Posted by: admin

 HealthCare Systems for Hospital & Ambulatory Groups could help you integrate & implement HealthCare Systems for Hospitals and Ambulatory Group.



Leading HealthCare Systems


  • Allscripts SCM
  • Athena
  • Cerner (EMR, Lab, Soarian)
  • Client Centricity
  • Eclipsys Sunrise – Clinical Manager & Physician Order Entry (CPOE)
  • Epic
  • Gateway Medical
  • McKesson
  • Meditech
  • NextGen
  • Sunquest
  • T-Systems
  • Wellsoft

Clinical Manager and Physician Order Entry (CPOE) System


  • 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


HealthCare Technology Services by


  • Analytics
  • Big Data
  • Business Intelligence (BI)
  • Care Management
  • Clinical Services
  • Health Info Exchange (HIE / HIX)
  • Master Data Management (MDM)
  • Medication Therapy Management (MTM)
  • Mobile Apps
  • Mobility
  • Population Health Consulting
  • Portal
  • Predictive Analytics (PA)
  • Product Development
  • Product Management
  • Project / Program Management
  • Revenue Cycle Management (RCM)
  • Specialty Pharmacy Reporting Software
  • Website Design & Development




  • Deep Domain knowledge
  • Agile Development Methodology
  • Competitive Pricing
  • Onshore/Offshore Development
  • Quality Delivery


About Techcusp



 Contact us


Mihir Desai


Phone: +1 201.258.4704 / +1 646.479.9539

Insurance IT|HealthCare IT|Banking IT


Potential Candidates, leave your resume here –

Potential Clients, Leave your requirements here –


Tags: , , , , , , , , , , ,

Medicare Advantage – Software Platform by Techcusp

Posted on November 9, 2014 | Categories: Analytics, Apps, BPM, Business Intelligence, Care Management, Consulting, CRM, Database, Document Management, Health Cusp, Health Exchange, Health Insurance, HealthCare, Insurance, Managed Long Term Care, Medicaid Long Term Care, Medicare, MLTC, Mobile Apps, PACE, Payers, Pharmacy Benefit Management (PBM), Portal, Qulaity Assurance (Testing), Software Development, Tech Cusp, | Posted by: admin

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


  • Analytics
  • Document reconciliation and management
  • EGWP
  • Eligibility management
  • Enrollment / disenrollment management
  • Member mail management (member record storage of in and outbound communications)
  • Multi-channel capability – phone, web, chat, SMS
  • PBM integration
  • Premium billing and collections
  • Reporting and Dashboard
  • Three-way reconciliation (CMS, fiduciary, PBM)


Tags: , , , , , , ,

Rx Care Management Software (RxCM) by

Posted on October 29, 2014 | Categories: Care Management | Posted by: admin

Rx Care Management Software (RxCM) by engineers could build a custom Pharmacy Care Management System for better outcome.  Our Rx Software (RxCm) is a Cloud based Portal / Apps with 4 distinct capabilities:


  • Disease Management (DM) – a) Welcome b) Education c) Follow-up d) Health Optimization (Outcomes) e)Reporting
  • Utilization Management (UM)
  • Medication Therapy Management (MTM)
  • Dashboard (R&A) – Reporting & Analytics

Tags: , , , , ,

Latest Blog Articles

read more

Our Location


425 Washington Blvd.,
Jersey City, New Jersey 07302, USA

Phone: +1 201.258.4704
Fax: +1 201.604.3480

Leave your Resumes/RFPs/Queries