Mohammad Raheel Sohail, M.D, MBA

*** ****** ******* ***** *****: ace2k8@r.postjobfree.com

Nanuet, NY 10954 Cell: 732-***-****

SUMMARY

Diverse background in the healthcare profession, with experience in both clinical medicine as well as

healthcare management. Extensive familiarity in working at healthcare clinics and hospitals in the United

States. Reliable, hardworking individual, who has the ability to efficiently multitask and work well under

pressure with minimum supervision. Solid analytical skills with strong problem solving capabilities. A

team player with great communication skills who pays attention to details. Enjoys the field of healthcare

management, specifically being involved in the strategic management of hospitals and other healthcare

facilities. Flexible and easily adaptable into any healthcare setting.

SKILLS

Extensive knowledge of clinical medicine Excellent team player with the ability to work

Six Sigma Green Belt Certified independently as well as part of a team

Strong project management skills Patient relations

Solid analytical skills Excellent written, oral, and presentation skills

Advanced knowledge in CERNER Microsoft Report builder

(Electronic Medical Record) Tableau Specialist

Knowledge of Microsoft Excel, Pivot and

Power Pivot table.

Microsoft SQL

CORE COMPETENCIES

Clinical medicine

Team leadership

Project management

Data gathering & analysis

Marketing

Excellent patient relations

Patient counseling

EDUCATION

Isenberg School of Management, University of Massachusetts May 2014

Amherst, MA

MBA with Concentration in Health Care

September 2005 – September 2010

Windsor University, School of Medicine

St. Kitts and Nevis

Doctor of Medicine (M.D.)

EXPERIENCE

Epstein Health Care Consultants September 2013- Present

Stamford, CT

Senior Consultant/Associate Director

Providing consultation to Health Care organizations in the following areas: Accountable Care

Organization (ACO), value based care, coordination improvement, quality improvement,

physician performance, marketing, and business improvement.

Guide project teams in conducting performance improvement and process redesign projects using

appropriate analytic and facilitation techniques and utilizing process improvement principals based

on Six Sigma methodology for improvement, which focuses on streamlining and refining specific

work process.

Utilize key business skills to guide project leadership and team members in achieving the stated

business objectives.

Develop and execute work plans for strategic process redesign and performance improvement

initiatives.

Structure and conduct best practice research, process analyses, benchmarking and performance

baseline measurement activities.

Spearheaded the formation of a Medical Business Intelligence team consisting of clinical analyst

and IT software developers.

In charge of overseeing all aspects of analytics and business intelligence projects.

Created modules by Brainstorming with the Business Intelligence analyst and IT software

developer.

Quality Module – Analyzed PSI (Patient Safety Indicators) software which is part of

Agency for Healthcare Research and Quality (AHRQ) to offer support and solutions for

the hospital quality department.

Strategy and Marketing Module – Providing solutions to healthcare industries by Data

Analytics and Mapping Hotspots of Patient profiling and demographi cs through Tableau

Software.

Clinical Module – Created excel and tableau sheets as well as using other Business

Intelligence tools to create template for Readmissions and Length of Stay.

Operations Module– Analysis and visualizations to understand patient volume for high

revenue generating departments

.

Atlantic Health System

Atlantic Accountable Care Organization

Morristown, NJ

Consultant Project Manager May 2013 - Present

Financial Operation

Worked with Executive director to provide thorough financial analysis of costs and cost saving

strategies within ACO.

Assisted the Executive Director in contributing financial expertise in the planning of new services

that generate additional sources of profitable revenue.

Managing costs by continually seeking data that will identify opportunities and take action to

eliminate non-value costs.

Involved in allocating budget for the physician academy project.

Physician Academy Project

Project addresses the core competencies for physicians to succeed in an accountable care delivery

system. Designed to be sensitive to the time constraints faced by practicing physicians; the contents

are organized into modules which contain a balance of self-paced information via online learning

(readings, videos) as well as discussion forums and interactive sessions with content experts.

Project Deliverable –Atlantic ACO Academy physician participants will be able to:

a. Understand ACA and ACO’s on the roles of practicing primary care and specialist physicians .

b. Anticipate the changes from commercial payers as a result of the shift to a value-based

marketplace.

c. Ensure that proper documentation practices/systems are in place.

d. Be familiar with the legal, ethical and financial imp lications of reform activities.

Healthcare Evolution based on Insurance company perspective

Brainstormed and helped in the creation of an educational video for Atlantic ACO on how

insurance company is affected on the changes of the healthcare mandate and how can

physicians benefit from it.

Accomplishment

Legal & Ethical Issues in Accountable Care Models

Researched and created the Legal & Ethical issues in Accountable Care models project that can

benefit Atlantic ACO and presented it to the CEO of Morristown Medical Center and President of

Atlantic ACO, Dr. David Shulkin, and is one of the modules in the Physician Academy.

December 2012 – April 2013

Business Advisor

Project, Quality Metrics

Quality Metric Software

Brainstormed with the QualCare IT Executive director and ACO Executive Director to restructure

the software, to better serve the clinic’s needs, leading to a 15%-20% increase in data collection.

Physician Engagement & Education Committee

In charge of the Physician Engagement & Education committee to educate physicians for proper

clinical documentation as per the CMS guidelines for quality data gathering.

Led the collection and analysis of quality data from 1200 physicians participating in the Atlantic

ACO, which resulted in gathering approximately 95- 97% of all data.

Conducted bimonthly conferences with approximately 400 physician attendees to educate about

quality data gathering.

Conducted weekly webinars and conferences for physicians and office nurse managers who had

errors or problems in documenting quality data, which resulted in 90- 95% decrease in incomplete

documentation or documentation errors.

Apalachin Family Care Clinic January 2012 - November 2012

Apalachin, NY

Practice Administrator

Involved in day-to-day activities, implementing policies and procedures, selecting, training and

assigning staff, analyzing data, participating in development of operating budgets, implementing

business plans, improving the patients experience, managing billing and revenue cycle activities, and

reporting operating and financial results.

Implemented electronic medical record system; which improved the clinic’s work efficacy and

decrease the paperwork load not only for physician but also for the nurses and other administrative

staff.

Worked on the financial aspects of the clinic including using different marketing strategies such as

internet marketing, to increase the clinic’s cash flow.

Adventist Hinsdale Hospital June 2011 - December 2011

Hinsdale, IL

Family Medicine Resident

Independently in charge of patient care from admission to discharge includes aspects such as history,

patient notes, and physical exams.

Constructed a diagnostic approach and developed a plan of care through discussion with the primary as

well as specialty team.

Efficiently worked with nurses, social workers, and case managers to deliver excellent quality of care.

Discussed the diagnostic approach with the Attending Physician.

Routinely performed team presentations.

Primary Care Clinic September 2010 - May 2011

Kingdom of Bahrain

Diabetic and Weight Loss Counselor

Counseling and educating patients regarding diabetes, its complications, and management methods.

Providing education on insulin regimen and oral hypoglycemic medications.

Follow up the patients with their weight and blood sugar and creating graphs to increase awareness.

Windsor University, School of Medicine September 2005 - September 2010

St. Kitts and Nevis

Medical School Rotation (Clinical Rotation)

Completed last two years of rotations in United States hospitals as a part of medical school curriculum

in the following departments – Internal Medicine, Family Medicine, Surgery, Pediatrics, Obstetrics &

Gynecology, Psychiatry, Nephrology, Ophthalmology, Cardiology, Thoracic &Vascular surgery.

Gave presentations and worked efficiently with the medical staff.

Performed diagnostic and therapeutic workup.

LICENSURE & CERTIFICATIONS

Six Sigma Green Belt Certified

Education Commission for Foreign Medical Graduates – ECFMG

United States Medical Licensing Examination (USMLE) Step II

United States Medical Licensing Examination (USMLE) Step I

Member of American College of Healthcare Executives

Member of Medical Group Management Association

Member of National Committee for Quality Assurance

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