• Claims management and case management for railroad employees• Administrative claims data analysis• Clinical Review• Reporting to a Medical Director of MTA Headquarters, have been managing state-mandated health risk assessment program for Metro-North Railroad. • Performed claims data mapping and harmonization• Identified reporting strategies for evaluation of key performance indicators (KPI's), quality metrics, and outcomes evaluation. • Implemented and managed Obstructive Sleep Apnea (OSA) testing and treatment monitoring program for Metro-North Railroad employees.Relevant skills:Working knowledge of standards, regulations, state and federal guidelines including FMCSA/DOT, FRA, ODG, FELA. NYS Workers Compensation Law, FMLA, HIPAA, ICD-10, and CPT.

• Created high-level product architecture of a digital health product and coordinated technical project managers during the software development cycle. • Remotely managed a team of software developers. • Developed STD screening algorithms in accordance with CDC and USPTF guidelines. Participated in UX development and improvement. • Provided regulatory compliance oversight to ensure proper PHI handling in accordance with state and federal regulations.

Opioid ManagementUrine Toxicology/Urine Drug Screening (UDS) Liquid chromatography–mass spectrometry (LC-MS) Prescription drug monitoring programs (PDP)Worker's Compensation Case ManagementSpinal Cord Stimulator (SCS) managementIntrathecal (IT) Pump ManagementInternal Risk Management ProgramsNYS Worker’s Compensation Medical Treatment Guidelines (MTG)

Psychiatric evaluation and treatment in: -Hospital setting (ER, locked psychiatric unit) -Outpatient clinics -Long-term care facilitiesPsychopharmacological treatmentDisability assessments (SSI)Telephone triageClinical Research