Healthcare Areas of Expertise
1. Analytics (descriptive, predictive, machine learning, generative AI) – use case development and prioritization
2. Benefit administration – requirements and roadmap development for enrollment, reconciliation, policy administration
3. Part D Pharmacy -- prior authorization workflow automation, medication adherence, medication therapy management (MTM)
4. Medicare Advantage Star ratings – data evaluation, improvement and maintenance strategies
5. Sales enablement – quoting, rating, enrollment, renewal, plan maintenance, and broker
support strategy and systems planning
6. Value based contract strategy and execution -- value proposition, market determination and optimization, pricing, and contract design
7. Aging at home -- LTSS, primary care, post acute care, remote patient monitoring, virtual care
8. Avoidable ER -- communication and program development to reduce ER utilization and send members to more apprpriate sites of care
9. Virtual Care -- increase utilization through campaign development and value based care strategy for multi-specialities including cardiopulmonary and metabolic diseases.