Ensuring compliance in health care

A brief listing of healthcare project :

• Management of the HIPAA compliance initiative for EDI transactions and privacy for a State Medicaid agency.
• Multi-year engagement that included analysis, design, and implementation of various systems for a $400MM Health Maintenance Organization:
  • Online & EDI claims adjudication
  • Provider contracting
  • Financial systems, including capitation and medical incentives
  • Enrollment management
  • Pharmacy claims management
• Multi-year engagement for the largest not-for-profit chain of dialysis clinics:
  • Assessment and recommendation of corporate computing architecture.
  • Analysis, design, development, and deployment of a complete clinic information system with tablet PC’s to enable direct recording at patient’s bedside.
  • Integration with the business system.
• Quotation system used by 3000+ agents at regional health, and life insurance company.
• Product development to assist a premier provider of home healthcare software and services.