Saima Khan

Saima Khan Email and Phone Number

Chief Strategy Officer @ iCareManager
Washington, DC, US
Saima Khan's Location
Washington DC-Baltimore Area, United States
Saima Khan's Contact Details

Saima Khan personal email

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About Saima Khan

Healthcare leader with 20 years experience in managed care, hospital systems, and consulting. Rapidly promoted, holding market, regional and national roles driving strategy, program development, process improvement, and operational performance management. Experience in Commercial, Medicaid, Medicare, & LTSS products, implementing strategies that improve provider and member/patient experience. Seasoned in surfacing what’s needed to meet goals, being a change agent and collaborating to ensure internal alignments, and executing with an end to end mindset. Continually tapped to build new teams that shape and influence key strategies and operating models. Very adept at executive level support requests (being “right hand” support), formulating proposals, communications/decks for senior teams and board presentations.Key Accomplishments and Roles: - Co-designed Anthem’s new provider service model to significantly improve provider satisfaction results through deployment of provider-centric strategies enterprise-wide. This led to promotion to Senior Director role, responsible for a national team focused on development and execution of the new service model. - East Region Senior Director leading Anthem’s east region market implementation of the new National High Performance Network (HPN). Led work end to end - network modeling, contract negotiation and execution, network build and go live. - Program Director for provider enablement strategy that won a new provider contract to embed case managers and patient navigators within practices, which resulted in exceeding HEDIS goals and Pay for Performance targets.- Built and directed Business Strategy and Transformation teams at three companies, leading strategy development and execution, process improvement, and analytics. - Directed strategy and implementation of Maryland Medicaid HEDIS/Value-Based Purchasing Program ($10M at risk) within the Quality, Provider Network, and Medical Management/UM/Case Management departments. - Experienced in new contract development and re-negotiations with ancillary vendors, resulting in $40M lab savings and $25M pharmacy savings. - Led entrepreneurial startups and company acquisition priorities, successfully restructuring operational and IT infrastructure while maintaining existing daily business demands and stability- Certified Lean/Six Sigma Blackbelt with expertise in sophisticated analyses and idea generation to execution of critical projects

Saima Khan's Current Company Details
iCareManager

Icaremanager

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Chief Strategy Officer
Washington, DC, US
Website:
icaremanager.com
Employees:
77
Saima Khan Work Experience Details
  • Icaremanager
    Chief Strategy Officer
    Icaremanager
    Washington, Dc, Us
  • Anthem
    Senior Director Provider Experience Development & Execution
    Anthem Jul 2020 - Present
  • Anthem
    Senior Director Anthem Business Excellence
    Anthem Jan 2020 - Jul 2020
  • Anthem
    East Region High Performance Network Director
    Anthem Mar 2019 - Jan 2020
  • Anthem
    Provider Enablement Strategies Business Change Director
    Anthem Jun 2016 - Mar 2019
  • Amerigroup
    Director Of Business Transformation And Strategy
    Amerigroup Jan 2014 - Jun 2016
    Baltimore, Maryland Area
    Was directly recruited to join Amerigroup (a subsidiary of Anthem) by the company President to establish a new department for the health plan focused on improvement of health plan operations, strategic planning and analysis, programmatic evaluation, expansion and development, and highly cross-functional plan-wide implementations. Current focus of work is related to the health plan's quality program, cost of care initiatives, provider collaboration, and development of innovative clinical care and utilization management models to Amerigroup's healthcare delivery system. Select Achievements• Selected to Co-Chair the health plan’s HEDIS/Value-Based Purchasing Quality Program Steering Committee, responsible for guiding strategy and operational effectiveness across all cross-functional work teams (40+ employees) to achieve quality program targets and achieve $10M in additional bonus from the State. • Selected by health plan Medical Directors to lead highly visible projects focused on cost of care and quality improvement involving the expansion of Case Managers and Navigators to support ACO-like entities, provider groups, and solo provider practices to improve Chronic Care Management and preventive care of health plan members. • Proposed and developed the company’s first performance dashboard outlining outcomes-based Key Performance Indicators (KPIs) indicating impact of strategies and programs on Value-Based Purchasing quality metrics. • Provided process improvement expertise and management resources for cross-functional operational projects (25+ associates) aimed at 1) reaching HEDIS/Value-Based Purchasing quality goals, 2) meeting required outpatient service authorization turnaround times, and 3) developing technology support systems to track interactions providers and members. • Developed a new analytical process that pulls quality and efficiency/cost indicators to rank Primary Care Providers (PCPs) and assign membership to higher performing PCPs.
  • North Shore-Lij Health Plan, Inc.
    Business Transformation Consultant
    North Shore-Lij Health Plan, Inc. Jun 2013 - Dec 2013
    Great Neck, Ny
    Awarded consulting engagement to help lead the start-up of North Shore-LIJ Health System's Health Insurance Organization, focused on business transformation and project management oversight for two new benefits: 1) Managed Long-Term Care (MLTC) for Medicaid Members, and 2) Fully Integrated Dual Advantage (FIDA) Health Plan for Medicaid and Medicare Members.
  • Affinity Health Plan
    Director Of Business Transformation
    Affinity Health Plan Jun 2011 - Mar 2013
    Bronx, Ny
    - Directed performance, process improvement and redesign/business transformation efforts company-wide to achieve breakthrough results- Direct and manage Medicaid Redesign Initiatives, including business and IT integration activities, resulting in an expanded Medicaid product benefit to include Personal Care, Consumer-directed Personal Assistance Program, Health Homes, and Pharmacy- Led new business implementation initiative for exclusive lab and pharmacy contracts achieving $40M in savings (annualized). - Responsible for managing the careers of 3 Business Transformation professionals.
  • Healthfirst
    Lean/Six Sigma Black Belt
    Healthfirst Jun 2007 - May 2011
    New York, Ny
    - Managed full project life cycle of projects, overcoming several complex business and IT challenges, at Healthfirst, New York City’s largest Medicaid and Medicare managed care company. - Responsible for the business process integration of a new Managed Long-Term Care (MLTC) company, which was acquired and merged with existing Healthfirst operations. - Lead Facilitator in several corporate strategy development sessions with senior management. - Chosen for special assignment after one year of employment to be trained and certified as a Lean/Six Sigma Blackbelt to support the company’s efforts, including vision and execution of several performance improvement strategies focused on revenue enhancement and cost savings. - Applied Lean and Six Sigma principles, project management methodology, and NY Medicaid and Medicare product knowledge to enterprise-wide change initiatives and projects.- Helped develop Six Sigma, Lean, and Business Analyst Tools curriculum and training class for company corporate education program.
  • Healthfirst
    Program Manager
    Healthfirst Jul 2006 - Apr 2007
    - Project manager for leading expansion initiatives of the Medicare product into 7 additional counties - Project manager to lead operational activities for a new health plan expansion in New Jersey for 90 days post implementation of the new health plan. - Project manager to lead efforts to benchmark Healthfirst Claims' department operational metrics, which included a comprehensive claims error audit resulting in baselines metrics and improvement targets for the following years.
  • Trihealth
    Program Coordinator
    Trihealth Jan 2004 - May 2005
    Cincinnati, Ohio
    - Effectively managed, coached, motivated and managed administrative and quality improvement department staff (6) for the hospital’s SeniorLink department, a PACE program focused on providing comprehensive care to the frail elderly.- Implemented technology in the SeniorLink’s medical clinic resulting in 50% greater staff productivity; Conducted profitability and quality assurance investigation of catheter insertions, resulting in 67% increase in TAT in radiology suite.
  • Trihealth
    Business Analyst, Department Of Performance Improvement & Consulting
    Trihealth Jul 2003 - Jan 2004
    Cincinnati, Ohio
    - Led preparation of JCAHO and CMS accreditation review of hospitals and assisted on-site review by auditors. - Performed data mining and analysis tasks related to projects driven by the department- Supported Consultants in the department with process mapping and research related to performance improvement projects driven by the department
  • Trihealth
    Administrative Resident
    Trihealth Jul 2002 - Jul 2003
    Cincinnati, Ohio
    - Developed proposal and negotiated sign off from CFO for complete overhaul of hospital registration processes, resulting in additional $2M (annualized) in collection of copayments.- Research and initiated development of Healing Environments in TriHealth's hospital patient rooms and waiting areas, increasing patient satisfaction significantly.- Appointed Interim Administrative Director of Bariatric Surgery Service Line by COO of TriHealth, to help develop the operational and business processes and metrics to better manage clinical quality outcomes and business objectives of the program.

Saima Khan Skills

Process Improvement Program Management Healthcare Business Process Six Sigma Strategic Planning Management Project Management Strategy Business Analysis Business Process Improvement Change Management Cross Functional Team Leadership Team Building Integration Data Analysis Performance Improvement Leadership Training Health Insurance Budgets Managed Care Analysis Medicare Healthcare Management Hospitals Medicaid Consulting Healthcare Information Technology Hipaa Executive Management Business Developement Certified Lean Six Sigma Blackbelt

Saima Khan Education Details

Frequently Asked Questions about Saima Khan

What company does Saima Khan work for?

Saima Khan works for Icaremanager

What is Saima Khan's role at the current company?

Saima Khan's current role is Chief Strategy Officer.

What is Saima Khan's email address?

Saima Khan's email address is sa****@****ail.com

What is Saima Khan's direct phone number?

Saima Khan's direct phone number is +172732*****

What schools did Saima Khan attend?

Saima Khan attended University Of Michigan, Xavier University, Xavier University.

What skills is Saima Khan known for?

Saima Khan has skills like Process Improvement, Program Management, Healthcare, Business Process, Six Sigma, Strategic Planning, Management, Project Management, Strategy, Business Analysis, Business Process Improvement, Change Management.

Who are Saima Khan's colleagues?

Saima Khan's colleagues are Ali Zulfiqar, Onika Parker, Azeem Arshad, Elizabeth Dematto, Ahmad Raza Khan, Liaqat Ali, Abdul Rehman.

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