Healthcare and Lifesciences
Delivery Leader
Client Partner
PMO-Product Implementations
Value-centric, results-driven executive specializing in Healthcare Business & HealthTech Consulting, Client Partnerships, Delivery Leadership, Program Management, Product Management, and Supply chain consultant with over 20 years of experience. You have built strong client relationships by delivering impactful programs and are eager to leverage your expertise to drive innovation and growth while continuously seeking new learning opportunities.
As a leader in PMO implementation and stabilization, I managed the deployment of various SAP Supply Chain Management (SCM) modules to support clinical trials using Interactive Response Technology (IRT) platforms. The goal was to optimize drug supply management, ensure compliant transportation, and align supply levels with forecasted demand to enhance clinical trial efficiency. Key focus areas included:
Through the strategic implementation of SAP SCM modules, we optimized the clinical trial supply chain, ensuring real-time visibility, efficient distribution, and regulatory compliance.
As the Head of the strategic program for product partnerships and development, I led collaborations with industry leaders—Cerner, Allscripts, SAP, and IBM—to deliver cutting-edge healthcare solutions. The goal was to enhance healthcare operations and patient care through advanced technology implementations, including:
The initiative managed a $5 million P&L portfolio, driving impactful technological solutions across the healthcare sector.
Through strategic collaboration and customized solutions, we successfully enhanced operational efficiency and patient care for healthcare clients, contributing to better healthcare outcomes.
As a consultant collaborating with pharmaceutical business teams, I led the implementation of SAP ERP ECC 6.0 Supply Chain solutions alongside Siemens Opcenter and Oracle Demand Planner for a major pharmaceutical client. The project aimed to optimize and streamline the pharmaceutical supply chain, covering all aspects from demand forecasting and raw material procurement to manufacturing, quality control, and distribution. Key focus areas included:
Through the strategic implementation of SAP ERP, Siemens Opcenter, and Oracle Demand Planner, we successfully optimized the pharmaceutical supply chain, enhancing efficiency, ensuring quality control, and improving the availability of pharmaceutical products.
As a leader in project delivery, I successfully won and delivered the Affordable Care Act (ACA) 3Rs initiatives—Risk Adjustment, Risk Reinsurance, and Risk Corridors. The objective was to implement robust data warehousing and analytics solutions to enable efficient and accurate reporting for claims, membership, and pharmacy data, ensuring timely compliance with regulatory requirements set by the Centers for Medicare & Medicaid Services (CMS). Key focus areas included:
Through the implementation of a robust data infrastructure and advanced analytics, we successfully delivered on the ACA 3Rs initiatives, ensuring regulatory compliance, improving data accessibility, and supporting efficient, on-time reporting for business teams and actuaries.
As a key consultant, I successfully won the RFP and delivered the Cost Share Reduction (CSR) program for a healthcare client by implementing the Acero claims double adjudication product platform. The objective was to streamline the claims adjudication process, ensuring compliance with healthcare regulations while optimizing cost-sharing mechanisms for members. Key focus areas included:
By implementing the Acero claims double adjudication platform, we successfully delivered the Cost Share Reduction program, ensuring regulatory compliance, enhancing claims processing accuracy, and improving overall operational efficiency for our healthcare client.
As the lead consultant, I managed the delivery of multiple initiatives aimed at integrating data and analytics capabilities for two major healthcare mergers—Group Health with KP Washington and Maui Health System. The primary objective was to build a unified data infrastructure and reporting system that could support the complexities of merging healthcare organizations. Key technologies and solutions included:
By implementing Teradata, Apache Spark, Tableau, and Power BI, we successfully integrated data and analytics systems for the healthcare mergers, delivering a scalable, secure, and compliant data infrastructure that enhanced operational efficiency and enabled real-time insights for decision-making.
As the head of strategic product partnerships at a leading consulting firm, I led the delivery of innovative healthcare solutions in collaboration with industry giants such as Cerner, Allscripts, SAP, and IBM. Our focus was on enhancing healthcare operations and patient care through cutting-edge technology solutions, including Revenue Cycle Management Systems, Healthcare Analytics and Business Intelligence Solutions, Patient Engagement and Experience Platforms, Practice Management Software, and Electronic Health Records (EHRs). This strategic initiative managed a portfolio with a P&L of $5M.
Through collaborative efforts and a focus on integration, training, and security, we successfully enhanced the operational efficiency and patient care quality for our healthcare clients.
As a Healthcare Consultant and PMO, I led the Digital Consumer Experience (DCX) team, focusing on enhancing digital interactions for patients through innovative products and services.
Through collaborative efforts and a focus on integration, personalization, and training, we significantly enhanced digital interactions and user engagement for our healthcare clients.
Optimized supply chain operations for clinical labs to increase equipment utilization, reduce rental costs, and improve inventory management.
By leveraging advanced analytics and strong vendor coordination, we optimized supply chain operations, leading to improved equipment utilization and cost savings for clinical labs.
Led the strategic program for product partnerships and development with major industry players to deliver innovative healthcare solutions.
Through strategic partnerships and tailored integration solutions, we delivered innovative healthcare technologies that improved operational efficiency and patient care.
Managed the PMO delivery of the Affordable Care Act 3Rs initiatives - Risk Adjustment, Risk Reinsurance, and Risk Corridors.
By implementing comprehensive project planning and robust risk management, we ensured timely and compliant delivery of ACA initiatives, enhancing financial outcomes and regulatory adherence.
As the project lead for setting up a contact center for a large healthcare system, I spearheaded the initiative to establish a robust and efficient contact center handling both inbound and outbound communications. Our goal was to enhance patient support, streamline appointment scheduling, improve follow-up procedures, and ensure effective communication between healthcare providers and patients. This initiative aimed to provide a seamless and responsive experience for patients while optimizing operational efficiency.
Through strategic planning, robust technology integration, and comprehensive training, we successfully established a contact center that significantly improved patient support, operational efficiency, and overall satisfaction within the healthcare system.
As the head of Revenue Cycle Management (RCM) for a leading healthcare organization, my goal was to optimize both institutional billing and professional billing processes. The primary objectives included improving billing accuracy, reducing claim denials, accelerating payment cycles, and enhancing overall financial performance. By implementing advanced RCM solutions and best practices, we aimed to streamline billing operations, ensure compliance, and maximize revenue capture.
By implementing these strategic solutions, we successfully enhanced the accuracy and efficiency of institutional and professional billing processes, leading to improved financial performance and operational excellence within the healthcare organization.
As the project manager for implementing Healthconnect and Claims Connect, my primary objective was to streamline healthcare operations and improve patient care by integrating Epic Tapestry referrals and Electronic Health Records (EHR) with existing clinical systems. The initiative aimed to enhance the coordination of care, improve data accuracy, and provide a unified view of patient medical records across the healthcare network.
By implementing these solutions, we successfully integrated Healthconnect and Claims Connect with existing clinical systems, improving care coordination, data accuracy, and overall operational efficiency within the healthcare organization.
As the project lead for the implementation of ICD-10 coding within a large healthcare organization, the primary objective was to transition from ICD-9 to ICD-10 smoothly and efficiently. This transition aimed to enhance the accuracy of diagnoses and procedures coding, improve billing processes, and ensure compliance with regulatory requirements. The goal was to minimize disruption to operations while leveraging the benefits of the more detailed ICD-10 system.
Through meticulous planning, comprehensive training, and robust system upgrades, we successfully transitioned to ICD-10, enhancing the accuracy and efficiency of coding and billing processes within the healthcare organization.
As the project manager for the setup of tele-medicine kiosks within a large healthcare network, the primary objective was to enhance access to healthcare services, particularly for remote and underserved communities. These kiosks aimed to provide patients with convenient access to medical consultations, diagnostic services, and health education through telemedicine technology. The goal was to reduce barriers to healthcare, improve patient outcomes, and optimize the use of healthcare resources.
By focusing on technology integration, user accessibility, and security, we successfully set up telemedicine kiosks that enhanced access to healthcare services, improved patient satisfaction, and optimized the use of healthcare resources across the network.
As the project lead for the implementation of a comprehensive digital front door strategy, the objective was to enhance patient access and streamline administrative processes through digital solutions. This initiative aimed to provide a seamless online experience for scheduling, shopper estimates, payments, referral management, insurance verification, and Revenue Cycle Management (RCM) automation. The goal was to improve patient satisfaction, optimize operational efficiency, and reduce administrative burdens on healthcare staff.
By implementing a comprehensive digital front door strategy, we successfully enhanced patient access, streamlined administrative processes, and optimized operational efficiency within the healthcare organization.
As the project manager for automating inpatient pharmacy operations within a large healthcare system, the primary objective was to streamline pharmacy communication and inventory management tasks. The goal was to coordinate ordering, verification, preparation, dispensing, and administration within a single integrated system. This initiative aimed to enhance operational efficiency, improve patient safety, and provide proactive decision support and financial guidance.
By implementing an integrated and automated pharmacy system, we successfully enhanced operational efficiency, improved patient safety, and provided proactive decision support within the inpatient pharmacy setting.
As the project lead for optimizing case management within a large healthcare system, the primary objective was to equip hospital case managers with advanced tools to efficiently track their tasks, complete utilization reviews, and communicate with payers. Additionally, the goal was to improve the coordination of placement requests with post-acute and community-based facilities. This initiative aimed to enhance care coordination, streamline workflows, and improve patient outcomes while ensuring regulatory compliance and financial efficiency.
By implementing advanced case management tools and streamlined processes, we successfully enhanced care coordination, improved task management, and ensured efficient communication with payers and post-acute facilities, ultimately improving patient outcomes and operational efficiency.
As the project manager for enhancing the digital patient experience within a large healthcare organization, the primary objective was to implement a suite of digital solutions aimed at providing patients with a seamless and personalized healthcare journey. This initiative focused on e-Consults (virtual visits), digital companions, comprehensive health records, improved patient financial experiences, price estimates, and a CRM system tailored for healthcare. The goal was to enhance patient satisfaction, improve access to care, and streamline administrative processes.
By implementing these comprehensive digital solutions, we successfully elevated the patient experience, enhancing access to care, engagement, and satisfaction while streamlining administrative processes and ensuring data security and regulatory compliance.
The digital transformation in healthcare has revolutionized how patients interact with healthcare providers. The Digital Consumer Experience (DCX) is at the forefront of this change, offering innovative ways to enhance patient care and engagement. As healthcare moves towards a more patient-centric approach, understanding and implementing DCX is crucial for healthcare providers.
DCX encompasses various elements designed to streamline and improve patient interactions with healthcare systems. Key components include On-Demand Urgent Care, which provides patients with immediate access to medical care, and Intelligent Triage, which uses advanced algorithms to assess patient symptoms and direct them to the appropriate level of care. Additionally, personalized health recommendations based on patient data help improve health outcomes by offering tailored advice and interventions.
Implementing DCX comes with its own set of challenges. One of the primary issues is integration complexity, as healthcare providers must seamlessly integrate new digital tools with existing systems. Encouraging adoption among healthcare providers and patients can also be challenging, as it requires a shift in traditional workflows and behaviors. Ensuring data security and regulatory compliance is another critical challenge, as patient data must be protected at all costs.
To overcome these challenges, healthcare providers should develop a clear product vision and roadmap. This includes defining the goals of the DCX initiative and the steps needed to achieve them. Implementing user-centric design and personalization can enhance the user experience and encourage adoption. Providing comprehensive training for healthcare providers ensures that they are comfortable using new digital tools and can effectively incorporate them into their practice.
As the healthcare industry continues to evolve, the future of DCX looks promising. By leveraging advanced technologies and focusing on patient-centric solutions, healthcare providers can significantly enhance patient engagement and satisfaction. Investing in DCX is not just about keeping up with technological advancements; it's about delivering better healthcare outcomes and improving the overall patient experience.
Efficient supply chain management is vital for clinical labs to ensure timely and accurate diagnostic services. However, managing the supply chain in a clinical lab environment presents unique challenges that require innovative solutions. Optimizing supply chain operations can lead to significant improvements in equipment utilization, cost management, and overall operational efficiency.
One of the primary challenges in supply chain management for clinical labs is dealing with data silos. Integrating data from various sources to provide comprehensive insights is crucial for effective decision-making. Cost management pressures are also a significant concern, as clinical labs must reduce operational costs without compromising the quality of services. Additionally, ensuring regulatory compliance is critical, as labs must adhere to strict healthcare regulations.
To address these challenges, implementing advanced data analytics tools can provide real-time insights into equipment utilization and inventory levels. This allows for better resource management and cost savings. Managing coordination with multiple vendors is also essential to streamline procurement and logistics processes. Establishing robust compliance protocols ensures that all operations meet regulatory standards, protecting both patients and the organization.
Optimizing supply chain operations in clinical labs is essential for improving efficiency and reducing costs. By leveraging innovative solutions and best practices, clinical labs can enhance their operational performance and ensure the timely delivery of diagnostic services. As the healthcare industry continues to evolve, staying ahead of supply chain challenges will be crucial for maintaining high-quality patient care.
Strategic partnerships play a pivotal role in driving innovation and efficiency in the healthcare sector. By collaborating with industry leaders, healthcare providers can leverage cutting-edge technologies to enhance patient care and streamline operations. Understanding the importance of strategic partnerships is essential for healthcare organizations looking to stay competitive in a rapidly evolving market.
Building strong collaborations with industry leaders is the foundation of successful strategic partnerships. This involves developing tailored integration strategies to ensure seamless interoperability between different systems and platforms. Ensuring compliance and security is also critical, as protecting patient data and meeting regulatory requirements are paramount in the healthcare industry.
Strategic partnerships can significantly enhance operational efficiency and patient care. By leveraging the expertise and technology offerings of industry leaders, healthcare providers can implement innovative solutions that improve various aspects of healthcare delivery. This includes enhancing revenue cycle management, providing advanced analytics and business intelligence, and improving patient engagement and experience.
The future of healthcare lies in the strength of strategic partnerships. By collaborating with industry leaders and leveraging advanced technologies, healthcare providers can drive innovation and improve patient outcomes. Investing in strategic partnerships is not just about staying competitive; it's about delivering better healthcare solutions and enhancing the overall quality of care.
The Affordable Care Act (ACA) has had a profound impact on the healthcare industry, introducing several initiatives aimed at improving healthcare access and quality. Key among these are the Risk Adjustment, Risk Reinsurance, and Risk Corridors initiatives, collectively known as the 3Rs. Successfully navigating these initiatives requires careful planning and robust risk management strategies.
Implementing the ACA initiatives comes with several challenges. Ensuring compliance with ACA requirements is critical, as failure to do so can result in significant penalties. Managing multiple stakeholders and cross-functional teams can be complex, requiring effective coordination and communication. Meeting strict deadlines for implementation is also essential to avoid regulatory repercussions.
Developing comprehensive project plans is the first step towards successful ACA implementation. This involves outlining the objectives, timelines, and key milestones for each initiative. Cross-functional collaboration is essential to ensure all teams are aligned and working towards common goals. Implementing robust risk management strategies helps mitigate potential issues and ensures timely delivery of initiatives.
Successfully navigating the ACA initiatives requires a strategic approach and meticulous planning. By leveraging best practices in project management and risk mitigation, healthcare providers can ensure compliance and achieve positive outcomes. As the regulatory landscape continues to evolve, staying ahead of ACA requirements will be crucial for maintaining high standards of care and operational efficiency.
In the era of data-driven healthcare, leveraging analytics and business intelligence is crucial for improving patient care and operational efficiency. Advanced analytics tools provide healthcare providers with valuable insights that can drive informed decision-making and enhance patient outcomes. Understanding the role of healthcare analytics is essential for any healthcare organization looking to thrive in the modern landscape.
Despite the benefits, implementing healthcare analytics comes with its own set of challenges. Data integration and interoperability issues can hinder the effective use of analytics tools. Ensuring data privacy and security is critical, as patient information must be protected at all times. Encouraging adoption among healthcare providers can also be challenging, requiring comprehensive training and support.
To overcome these challenges, healthcare providers should implement advanced analytics platforms that can seamlessly integrate with existing systems. Providing comprehensive training for healthcare providers ensures they are comfortable using these tools and can effectively leverage them for better decision-making. Establishing robust data security protocols protects patient information and ensures compliance with regulatory standards.
Healthcare analytics and business intelligence are key drivers of innovation in the healthcare industry. By leveraging advanced tools and best practices, healthcare providers can enhance patient care, improve operational efficiency, and drive better outcomes. Investing in analytics is not just about staying competitive; it's about delivering higher-quality care and making informed decisions that benefit patients and providers alike.
