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• »	eBusiness applications for brokers, providers, employers, and members

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  Design and delivery of custom small group and individual product systems, including quoting, enrollment, renewals, broker commissions, integration with legacy systems

• »	Quoting and underwriting systems design and implementation for launch of new individual insurance product

• »	Design, delivery and hosting of a physician and facility credentialing system for a national insurer, enabling our client to resell credentialing data to third parties

• »	Design and implementation of broker commission systems

• »	Project management of disease management vendor solutions (predictive modeling, behavioral health, radiology utilization)

• »	HIPAA PMO design and compliance projects

• »	Operations assessments

• »	Decision support systems

• »	Design, development and PMO support for hospital and physician pay-for-performance programs

• »	Planning and project management of systems conversion projects

• »	Analysis of provider contracting/reimbursement issues

• »	Conversion of underwriting spreadsheet to Web service

• »	Conversion of 1,000 programs to current Oracle technology, program management assistance in major systems transformation

• »	Post-acquisition integration including sales and marketing integration, claims re-pricing, network and contract rationalization

• »	Documented process flows and information management in the Health Care Economics area, including predictive modeling, cost of care analysis, and enterprise reporting

• »	Requirements definition, planning and testing of systems that support the processing for 20+ state health reinsurance pools

Healthcare Providers    Back To Top

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  Program direction for Connecticut’s Regional Health Information Organization. eHealthConnecticut is a not for profit entity incorporated to create, champion and sustain a secure statewide health information exchange that will dramatically improve the safety, efficiency and quality of health care in Connecticut. Leaders representing physicians, providers, purchasers, payers, academia, quality organizations, government and other stakeholders established the organization as a collaborative approach to meeting the challenges of Health Information Technology adoption and interoperability across Connecticut

• »	Program and project management, process design and client implementations for nationwide subspecialty teleradiology company

• »	Assessment of information management systems and processes for a large multi-specialty physician group, including lab and radiology ancillary services

• »	Designed, implemented and supported a web-based patient activity tracking system that enhances patient service and provides quality and outcomes measurements for a regional breast care program

• »	Project management services to assist with a Federal demonstration contract for transformation of clinical guidelines into XML format for integration with ambulatory EHR systems

Social Services    Back To Top

• »	Designed, developed and supported a statewide master client index and data warehouse to link multiple programs and social services agencies across the State. We capture and report services provided and outcomes achieved

• »	Helped to secure a $5 million Federal Medicaid Transformation grant for a state's Department of Social Services to implement Health Information Exchange and ePrescribing

• »	Designed, developed, and implemented a custom system for Maryland's Senior Prescription Drug Assistance Program (SPDAP). The system processes applications, enrolls eligible seniors, and makes subsidy payments. The system includes document imaging, call center and communications modules