Mit P. Email & Phone Number

New York, Ny, Us

Lead the development and implementation of value-based care initiatives to improve patient outcomes, enhance quality of care, and reduce healthcare costs.Collaborate with senior leadership, physicians, and stakeholders to define strategic goals and objectives for value-based care programs.Design and execute strategies to transition fee-for-service models to value-based reimbursement models, including accountable care organizations (ACOs) and bundled payment arrangements. Establish key performance indicators (KPIs) and metrics to measure the effectiveness of value-based care programs and track performance against targets.Identify opportunities for performance improvement and develop action plans to address gaps and optimize program outcomes.Build and maintain relationships with payors, healthcare providers, and community partners to support the adoption and implementation of value-based care initiatives.Provide leadership and guidance to cross-functional teams involved in program development, implementation, and ongoing management.Stay abreast of industry trends, regulatory changes, and best practices in value-based care to inform program development and strategy.Prepare and present regular reports and updates to senior leadership on the progress and impact of value-based care initiatives.Collaborate with internal and external stakeholders to drive innovation and continuous improvement in value-based care delivery

Led the development and implementation of telehealth programs, including telemedicine, remote monitoring, and virtual care platforms.Developed and executed strategic plans to drive business growth and expand telehealth services to new markets and populations.Oversaw day-to-day operations of the telehealth program, including staffing, scheduling, and resource allocation.Collaborated with cross-functional teams, including clinicians, IT professionals, and business development, to ensure seamless integration of telehealth services into existing workflows. Managed telehealth technology platforms and vendor relationships, ensuring compliance with regulations and security standards.Monitored and analyzed key performance metrics and outcomes to drive continuous improvement and optimize telehealth services.Ensured compliance with telehealth regulations, privacy laws, and reimbursement policies.

Provides leadership to ensure timely, efficient, and accurate processing of claims; timely initial billing, follow-up, payment posting, denial management, self-pay A/R and bad debt program managementDevelops policies and procedures for the business office operations and ensure operations are efficient, effective, meet all regulatory guidelines and consistently being utilizedCollaborated with providers to implement clinical best practices and process improvements. Coached and trained staff on workflow optimization and documentation standards.Create and monitor billing analysis dashboards for each department, ensuring accurate and up-to-date financial data for effective decision-making.Responsible for collections on account receivables and maximize cash collections through a variety of processes, and ongoing operational evaluationDevelop and monitor reporting tools to track Key Performance Indicators (KPIs), (e.g., A/R, DSO, Cash Collections, and Aging Reports by Payor).Make recommendations and implement continual process improvements to improve performance. Communicate information as appropriateReduced claim denials by 18% Increased monthly collections by 25% Streamlined revenue cycle processes, resulting in a 13% reduction in average days in accounts receivableConducted trainings and provided support to practices on implementation of value-based payment models, resulting in 25% increase in revenueConducted data analysis to identify improvement opportunities in staff and patient care services, making data-driven recommendations.Monitored quality by performing audits of outputs and ensuring consistent adherence to processes

Lead strategic planning and development initiatives to drive practice growth and expansion. Develop and implement marketing strategies to attract new patients and increase practice visibility in the community.Cultivate and maintain relationships with referring physicians, healthcare organizations, and community partners to drive patient referrals.Oversee the recruitment, training, and management of clinical and administrative staff to ensure high-quality patient care and operational efficiency.Conduct market research and analysis to identify growth opportunities and stay abreast of industry trends and competitor activities.Collaborate with physicians and senior leadership to develop and implement business development plans aligned with practice goals and objectives.Monitor key performance indicators and metrics to assess practice performance and identify areas for improvement.Develop and maintain relationships with insurance payors to negotiate contracts and ensure optimal reimbursement rates.Coordinate community outreach events, health fairs, and educational seminars to promote the practice and engage with the local community.Prepare and present regular reports and updates to senior management on practice development initiatives and outcomes.

Evaluated the work in cardiovascular center. Emergency care, medical analyst, patient care, evaluation of patient drug interaction, patient follow up. Human resources and recruitment and talent retention. Expert in business management, Microsoft Office, Office 365, Visio. Advance business techniques and electronic patient records. Expert knowledge of HIPAA rules & regulations of medical records and release of information. Expert in Med iSOFT. Conceived and developed smoking cessation, drug and alcohol rehabilitation programs. Sound knowledge of medical terminology, office practices and procedures, policy, legal and ethical issues. Medical reimbursement systems; billing and medical coding. Medical finance and insurances. Marketing and practice outreach. Expert project management skills; coordinating and overseeing multiple schedules and deadlines. Excellent interpersonal effectiveness; teamwork and collaboration.