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
TechCusp Program Manager for Pharmacy System can drive IT systems solutions to support your Pharmacy Operations. Pharmacy Project Managers could be hired Full Time / Part Time – Consultants for identifying and implementing new systems as well as enhancements / improvements to existing systems at your Health System. Our PM Develops operating procedures, strategies and plans to serve the internal and external users/customers that the systems support.
Collaborates with Pharmacy Operations leaders to ensure technical solutions are operationally sound and meet the needs of the business. Communicates issues, recommendation and implementation approaches to a range of audiences from the Pharmacy Operations leadership to technical audiences
Develops operational guidelines and governance around processes. Ensures business solutions are consistent with operation guidelines
Ensures that all enhancements/new systems are compliant with all Federal, state, municipal, and pharmacy boards. Maintains currency of current regulatory matters that affect the company and collaborates closely with Government Affairs on electronic prescribing
Functions as Company subject matter expert on all Electronic Prescribing and eHealth activities to professional organizations
Manages efforts for business requirements gathering and documentation, user acceptance testing (UAT) of initial concepts, approved enhancements, and testing with business partners.
Presents results and insights regularly to leaders. Measures and ensures continued service optimization
Prioritizes projects for implementation – functions as liaison between Pharmacy Operations and IT
Provides leadership to develop, test, and deploy fully automated Electronic Prescribing solutions (eRx & EPCS) and programs that drives increased safety and efficiency in our pharmacies by eliminating the need for manual data entry
Responsible for leading the identification of technology solutions that support Pharmacy Operations. Leads the design, build and deployment of new systems as well as enhancements/improvements to existing systems. Leads strategic development, implementation and maintenance of centralized routing work
Reviews development ideas for all Pharmacy Operations systems and determines if ideas are viable for the business model
Manage New York State mandate of March 27, 2016 by ensuring that your Health System is ePrescribing Compliant. Per the law, all Prescribing Prescribers (Doctors, PAs, NPs, etc.) must have the ability to ePrescibe both Controlled Substances (EPCS) and Non-Controlled Substances (eRx) directly to Pharmacy.
Electronic Prescribing known as ePrescribing (eRx & EPCS) is defined as an electronic transmission of prescriptions from Providers to Pharmacists using computer and other mobile devices, such as cell phone and tablets. E-prescribing systems are used in various applications including preparation of complete medication list, data security checks, complete information of formulary and patient historical data.
We could help as we have deep Program Management capabilities to ensure that your team is ready for the mandate. We bring to bear Platform / Apps implementation of Allscripts & DrFirst. We have hands-on experience on: