Rajat Dhameja Carmel Bay California
Carmel Bay view from Pebble Beach, California

Published by rajatdhameja

Healthcare Executive - 17+ years in the US Healthcare Payer and Provider industries including Acute Care Hospitals, Ambulatory Surgical Centers, Community Clinics, Health Plans, Health Insurance, Consulting & Advisory Services Payer Experience -Managed Care/Health Plan Operations for Medicare, Medicaid, Medicare Advantage, PBM Part D, MA- PD programs. Product Development, Product Strategy. Provider Experience -Hospital Administration/Management of Acute Care facilities, Ambulatory Care centers and system wide care delivery models. Actively engaged with leading healthcare professional associations and societies including ACHE, HFMA and MGMA Experience and Expertise- Hospitals, Managed Care, PBM ACO, Triple Aim (CQO), PCMH Value Based Payment Models Provider Reimbursement P4P Contracting Hospital Operations & Management Cost/Quality/Utilization Metrics Revenue, Profitability, Growth Opportunities HMO, PPO, POS Product Development/Product Strategy Medicare, Medicaid, Government Programs Business Project/Program Management Payer Provider Strategic Initiatives Claims Management Integrated Care Delivery Systems Client Relationship Management Predictive & Clinical Analytics CMS Compliance, Joint Commission EMR/EHR Physician Alignment, Clinical Integration

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