Amy Qureshi

Amy Qureshi Email and Phone Number

Senior Director, Healthcare Consulting @ Citius Healthcare Consulting
Baltimore, MD, US
Amy Qureshi's Location
Baltimore, Maryland, United States, United States
About Amy Qureshi

Registered Nurse with a driving passion for improving health outcomes through exceptional care delivery and use of data-driven insights: deep managed care and integrated health system operational knowledge; expertise in care management as an essential component of population health and driver in value based care; confident translator of regulatory requirements into efficient, adherent operational processes; extensive experience in care management and utilization management systems implementation and solutions development. Active RN license in good standing in Maryland and Pennsylvania.Key Competencies: Utilization and care management workflows, programs, operations and metrics; use of population health data for risk stratification and integration with care programs; data analysis, metrics definition and reporting; CMS regulatory compliance; NCQA accreditation and HEDIS alignment; quality and performance measurement; software implementation and process redesign; Agile methodology; team leadership; project and program management.

Amy Qureshi's Current Company Details
Citius Healthcare Consulting

Citius Healthcare Consulting

View
Senior Director, Healthcare Consulting
Baltimore, MD, US
Amy Qureshi Work Experience Details
  • Citius Healthcare Consulting
    Senior Director, Healthcare Consulting
    Citius Healthcare Consulting
    Baltimore, Md, Us
  • Brave Health
    Head Of Account Management
    Brave Health May 2024 - Sep 2024
    Miami, Fl
    Account management organization development to ensure that the payer partners realize optimal value and outcomes for their members in need of virtual mental health care services.
  • The Terry Group
    Clinical Consultant
    The Terry Group Oct 2022 - May 2024
    Chicago, Il
    Case management, utilization management, and clinical SME engaged with large health systems, telehealth providers, technology vendors and state agencies delivering:- Inpatient and ambulatory case and utilization management performance optimization and operational redesign- Clinical and quality metric data modeling, analysis and opportunity identification- Interim case management leadership- Product strategy- Return on investment analysis and validation
  • Cognizant
    Senior Product Owner/Consultant
    Cognizant Jul 2021 - Oct 2022
    Baltimore, Md
    Product development and consulting for the utilization management solutions providing prior authorization interoperability, enabling efficiencies and reducing burden for payers and providers through business rule automation and compliance risk visibility through payer dashboards.
  • Vital Data Technology
    Senior Product Manager, Case And Utilization Management
    Vital Data Technology Jan 2021 - Jul 2021
    Newport Beach, Ca
    Product management for commercial and customized case management and utilization management solutions for payers, providing CM operational dashboards and workflows to meet NCQA and URAC standards and essential UM requirements that align with CMS Medicare Advantage requirements.
  • Zyter|Trucare
    Director, Clinical Solutions
    Zyter|Trucare Dec 2017 - Jan 2021
    Bedford, Ma
    (Formerly Casenet LLC, a Centene company) CM, DM, UM, and Population Health clinical SME supporting sales and marketing in growth, and providing expertise in CMS compliance, NCQA accreditation, and quality in collaboration with the product and client success teams.
  • Pegasystems
    Director, Industry Principal
    Pegasystems Dec 2016 - Dec 2017
    Cambridge, Ma
    Clinical SME in the Health Care and Life Sciences vertical, engaging large payers, health systems, and pharmaceutical clients and collaborating in the development of core case and utilization management platform features.
  • Casenet, Llc
    Senior Clinical Solutions Consultant
    Casenet, Llc Nov 2014 - Dec 2016
    Bedford, Ma
    CM, DM, and UM solution demonstrations and clinical SME support to the sales, marketing, product, and client success teams.
  • Deloitte Consulting
    Specialist Senior
    Deloitte Consulting Feb 2012 - Mar 2014
    Greater Philadelphia Area
    Clinical management consultant in the Healthcare Provider Strategy and Operations organization
  • Greencastle Associates Consulting
    Clinical Management Consultant
    Greencastle Associates Consulting Jan 2010 - Feb 2012
    Malvern, Pa
    Clinical SME and project management in EHR implementations.
  • Publicis Groupe
    Program Manager
    Publicis Groupe 2007 - 2010
    Blue Bell, Pa
    Leader of a registered nurse team providing inside sales and services for a large pharmaceutical client.
  • Medecision
    Senior Clinical Sales Support Manager | Senior Clinical Analyst
    Medecision 2001 - 2006
    CM, DM, and UM software implementations and product demonstrations for managed care organizations.
  • The Children'S Hospital Of Philadelphia
    Case Manager | Home Health Coordinator | Staff Nurse (Rn)
    The Children'S Hospital Of Philadelphia 1990 - 2001

Amy Qureshi Education Details

Frequently Asked Questions about Amy Qureshi

What company does Amy Qureshi work for?

Amy Qureshi works for Citius Healthcare Consulting

What is Amy Qureshi's role at the current company?

Amy Qureshi's current role is Senior Director, Healthcare Consulting.

What schools did Amy Qureshi attend?

Amy Qureshi attended Cedar Crest College.

Not the Amy Qureshi you were looking for?

Free Chrome Extension

Find emails, phones & company data instantly

Find verified emails from LinkedIn profiles
Get direct phone numbers & mobile contacts
Access company data & employee information
Works directly on LinkedIn - no copy/paste needed
Get Chrome Extension - Free

Download 750 million emails and 100 million phone numbers

Access emails and phone numbers of over 750 million business users. Instantly download verified profiles using 20+ filters, including location, job title, company, function, and industry.