Arshiah Khan Email & Phone Number

Minneapolis, Minnesota, United States

Change Healthcare will join with Optum Insight, a diversified health services company and part of UnitedHealth Group, which provide software and data analytics, technology-enabled services and research, advisory and revenue cycle management. The combined capabilities will more effectively connect and simplify core clinical, administrative and payments. • Develop, implement, and complete tactical project plans related to customer issue resolution, quality improvement plans, and program enhancements. • Act as the lead relationship manager for assigned accounts, coordinating proactive customer communication for all HEDIS/Risk Adjustment contractual requirements• Partner with Account and Product Management on Customer Health, NPS, Executive Business Reviews (EBRs), Expansion, and Renewals by hitting assigned metrics • Lead HEDIS/Risk Adjustment projects for multiple Medicare, Medicaid and Commercial health customers to success by understanding their business needs and proactively aligning Optum’s software and services with those needs to generate outstanding results. • Forecast and track key metrics, including revenue numbers, member counts, and relevant risk adjustment metrics. Track and manage product-related issues that impact customer success.• Utilize operational knowledge to recognize revenue and audit regulations to ensure accurate and compliant business practices• Manage medical record retrieval and abstraction with the clinical/coding and operation teams, guaranteeing a seamless process meeting client expectation.• Improve and create customized reporting for HEDIS/Risk Adjustment clients.• Working in a cross-functional role within all areas of the organization, providing on-going contractual updates/changes, client expectations and ensuring all financial obligations are completed.

Greater St. Louis Area

A leading healthcare company focused on growth and diversification issues of healthcare organizations. Created volume-based growth and value-based solutions by providing care delivery transformation, payment models, and physician alignment. Worked closely with Operations, Data Management, Business Development, and Quality teams on product development and contract execution and management. [Corporate decision to eliminate remote positions in Sept. 2017; unable to relocate to Missouri.] Developed and analyzed business requirement documents that satisfied stakeholder needs by interviewing, defining, and documenting client requirements, processes, and procedures.  Tracked and fully documented changes in functional and business specifications, wrote detailed, universally understood procedures for permanent records and for use in training. Documented and presented detailed workflows and business processes for clients using MS Visio. Facilitated and led specification meetings to clarify client requirements and to develop a functional design that satisfied all contractual clients.

Greater New York City Area

Senior Program Manager March 2016 – March 2017Program Manager August 2013 – March 2016A leading healthcare company providing a “feet on the street” model to locate, engage, and connect hard-to-reach Medicaid and Medicare members with specific healthcare needs and ongoing barriers to care by closing Open Care gaps, decreasing ER/hospitalization costs, and employing risk adjustment models. Improved Medicare stars rating from a 2.5 to a 3.5 in 1 year, generating a 3:1 increase in ROI. Effectively applied an ER Diversion-Case Management support program, decreasing costs by 30% for health plan. In 1 year, quadrupled Dual-Eligible Special Needs Plan (DSNP) program and expanded contract in multiple states. Improved Healthcare Effectiveness Data and Information Set (HEDIS) performance measures and expansion of contract from 1 to 3 years, generating a 2:1 increase in ROI. Maintained multi-level client relationships (care management, business development, senior-level staff) to ensure highest possible level of client satisfaction. Hired, trained, and supervised multidisciplinary remote teams of 3 Assistant Program Managers and 26 Community Coordinators in NY and CT. Developed process to seamlessly guide new business from sales to implementation/operations to ongoing account management. Completed QA monthly process, ensuring data integrity and program outcomes met client needs. Created reports for senior leadership, highlighting positive trends and areas that needed refocus.