Rajat Dhameja

Physician | Healthcare Executive | Travel Photographer

Healthcare Executive – 18+ 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