Management Lead - Behavioral Health, Case Management & Practice Transformation
CurrentFocusing on managing healthcare costs while enhancing quality across the US healthcare system with proven delivery in Value-Based Care and Case Management solutions. - Leading crossfunctional Practice Transformation projects in client-facing environments, pioneering Case Management Solutions in Behavioral Health and Medicine focusing on HEDIS measures, Quality Improvement initiatives, and Social Determinants of Health across 9 medical practices in NYC and LA.- Introduced agile project management, reducing lead time and optimizing operations across 9 medical practices, including successful EHR implementation.- Developed frameworks to pilot innovative strategies and evaluate their efficacy in improving patient outcomes and operational efficiency.- Provided strategic mentorship to a leading FQHC's Behavioral Health Director in LA, leveraging advanced PowerBI and Tableau analytics for informed decision-making.- Orchestrated Collaborative Care Model implementation in NY, aligning vendors with value-based care principles.- Skilled in reducing turnover and boosting engagement among employees through retention strategies and fostering a supportive work environment.- Liaised with Revenue Cycle Management teams to identify operational improvements, design and implement new processes, and monitor efficiencies to optimize business performance leading to a reduction in denial rates, increased revenue collection, and enhanced billing efficiency through optimized RCM processes.- Supported PCMH audits, ensuring regulatory compliance and fostering a culture of continuous improvement
