Neel Patel Email & Phone Number

Warren, Nj

Product management/strategyIT strategyAgileSAFeBusiness analysis

Philadelphia, Pa

- Promoted to manage and deliver high-profile, multi-million dollar projects, with oversight of time and cost estimates, timelines, deliverables, managing expectations and ensuring strong quality through risk assessment and troubleshooting.- Chosen to serve on the Consultant Advisory Council, an internal firm-wide committee representing the consulting population to firm leadership on key issues, engaging leadership to update performance management process and enhance the rewards and… Show more - Promoted to manage and deliver high-profile, multi-million dollar projects, with oversight of time and cost estimates, timelines, deliverables, managing expectations and ensuring strong quality through risk assessment and troubleshooting.- Chosen to serve on the Consultant Advisory Council, an internal firm-wide committee representing the consulting population to firm leadership on key issues, engaging leadership to update performance management process and enhance the rewards and recognition program.- Consult on financial and budgetary issues related to State and Federal program funding and expenditures, with attention to any government compliance, permitting and contracts necessary to complete work.- Achieve multi-million-dollar savings through strong oversight of contract compliance and impact analyses.- Worked with clients to develop processes to ensure health plans’ compliance with State and Federal regulations.- Create performance data dashboards to monitor program and health outcomes, using HEDIS data, claims data and other health plan reported data.- Serve as a subject matter expert on service delivery networks and provider networks to achieve best technology solutions.- Lead client staff development, training activities and reorganization of employees, supporting change management and adoption of new technologies.- Create RFPs and RFIs, procuring IT vendors, health plans, enrollment brokers and other vendors at desired cost with strong quality of deliverables.- Develop and implement processes, procedures, and tools that have successfully reduced program and health plan monitoring and oversight activities. Show less

Greater Philadelphia Area

- Collaborated on the maintenance of a data repository retaining HEDIS®, CAHPS® and performance measures data used to create performance profile reports. - Developed a mock pay for performance models to integrate into existing pay for performance programs.- Conducted claims analysis as a part of litigation support to a large private insurance client, including the collection, breakdown and rate verification of data as it pertained to the specifics of the case and compared against market… Show more - Collaborated on the maintenance of a data repository retaining HEDIS®, CAHPS® and performance measures data used to create performance profile reports. - Developed a mock pay for performance models to integrate into existing pay for performance programs.- Conducted claims analysis as a part of litigation support to a large private insurance client, including the collection, breakdown and rate verification of data as it pertained to the specifics of the case and compared against market benchmarking metrics to develop a report outlining the findings.- Developed and achieved CMS approval of new Electronic Health Record incentive program audit strategies. Show less

Liberty Healthcare Corporation

- Chosen to lead implementation and administration of Pennsylvania’s Electronic Health Record (EHR) incentive program under the HITECH Act.- Collaborated with workgroup to approve over $167M in HIT incentive payments to over 4K providers.- Led and managed a small team to provide top level assistance to key stakeholders to meet program requirements and meaningful use.- Improved pre-payment validation and post-payment audit procedures by 25% by introducing automated procedures, and… Show more - Chosen to lead implementation and administration of Pennsylvania’s Electronic Health Record (EHR) incentive program under the HITECH Act.- Collaborated with workgroup to approve over $167M in HIT incentive payments to over 4K providers.- Led and managed a small team to provide top level assistance to key stakeholders to meet program requirements and meaningful use.- Improved pre-payment validation and post-payment audit procedures by 25% by introducing automated procedures, and eliminating redundancies, as well as introduction of improved resources utilized by stakeholders.- Developed strong relationships with stakeholders and subject matter experts to determine user/business/functional requirements, analyze risk and develop solutions.- Validated technical designs against functional specifications to achieve accuracy of reported information.- Developed use cases, workflow and screen mock-ups for multiple repository systems and program processes- Worked on the development of system integration that obtained claims information, provider details and remittance/financial records for validation.- Ensured project budgets were maintained, performing cost benefit, analysis and procurement of HIT initiatives through trusted low-cost vendors.- Represented PA Medicaid throughout the creation of the statewide eHealth collaborative and Health Information Exchange (HIE). Show less

- Achieved an annual $1M+ revenue increase by implementing Level 3 Patient Centered Medical Home Model. - Successfully reduced administrative tasks, incorporated EHR and increased patient engagement through an innovative practice workflow.- Developed and implemented policies for practice standards, communication, care coordination, and performance improvement based on industry best practices, organizational goals and standards.- Drove a marketing campaign for preventative screenings… Show more - Achieved an annual $1M+ revenue increase by implementing Level 3 Patient Centered Medical Home Model. - Successfully reduced administrative tasks, incorporated EHR and increased patient engagement through an innovative practice workflow.- Developed and implemented policies for practice standards, communication, care coordination, and performance improvement based on industry best practices, organizational goals and standards.- Drove a marketing campaign for preventative screenings and chronic disease patients to align the practice with HEDIS requirements for pay for performance. Show less

Langhorne, Pa

- Engaged in customer interaction with in-depth information about latest electronics- Maintained up to date knowledge about recent electronics- Assisted in strategic marketing, publicity of items, and inventory