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Medical - Healthcare Consulting and Business Development

Location:
New York, NY
Posted:
August 22, 2015

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DR. MICHAEL RAND

Cell: 516-***-**** • acrcxq@r.postjobfree.com

PROFESSIONAL SUMMARY

I have been a Senior Project Manager and Business Development Healthcare Professional for over 20 years, I have had overall responsibilities for the planning, coordination, communication and control of activities pertaining to enterprise-wide technology initiatives, ensuring that project outcomes are in line with the customer’s business objectives and comply with overall time, cost and quality success criteria. I have experience managing large enterprise healthcare customers and projects, in both a hands-on and consulting environment, with a demonstrated ability to work in a fast-paced health related setting, as evidenced by a track record of direct involvement in the clinical development strategy and management of both internal and external resources and relationships. Highly dependable and meticulous Change Management Specialist with a superior customer service record. I am adept at working independently and as a team member, with a comprehensive background in all areas of change management ideology and execution. Additionally, I will represent the company in discussions with KOLs, investors and the overall medical community in a professional effective manner.

HIGHER ORDER SKILL SETS

Expert on Advanced Technology Including HMS Power Technology

Care Planning Management/Care Coordination/Chronic Care Management

Facilitating clinical collaboration and streamlining administrative processes, technology in helping today’s healthcare provider increase efficiency, control costs and deliver high-quality patient care. Utilizing HMS clinical solutions to capitalize on technology to enhance and improve patient care

Extensive experience in change management consulting

High expertise in change management methodologies and principles

Excellent familiarity with project life cycle approaches, phases and tools

Strong skills in identifying operational issues and recommending solution strategies

Exceptional ability to deliver clear and accessible public presentations

Outstanding proficiency in MS Office applications, including Outlook, Word and Excel

Automating healthcare administration, Including total back office systems in an efficient manner

Showing the provider networks HMS optimization with decreased cost factor.

Showing complete back office automation with claims adjudication processes

Manage the project goals, scope and project teams to ensure overall project success, including customer satisfaction and structured financial goals specific to the healthcare vertical

Lead cross-functional teams in the development and successful completion of small through large scale initiatives across a diverse set of projects, including strategy, user experience design and software development

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Develop and proactively manage project plans, including scheduling, identification of risks, contingency plans, issues management, and allocation of available resources

Responsible for project financial performance, including managing to target project margins

Participate in the presales process by reviewing project proposals and Statements of Work, assessing overall project structure, risk, staffing requirements and ensuring alignment in order to achieve project success.

Actively participate in and drive customer solutions

Experience with different EMR / HER platforms

Experience with HIPAA and PHI

Experience with specifics of health care related projects such as privacy, security, GxP and computer systems validation.

Support the creation and approach of proposals that are specific to the healthcare vertical

Provides leadership in program development, utilization management, process improvement, implementation and measurement

Interprets and implements quality assurance standards

Creates, develops and implements policies and procedures in accordance with State Department of Health (SDOH) regulations and contract requirements

Reviews quality assurance standards, studies existing policies and procedures and interviews personnel and customers to evaluate the effectiveness of CPHL’s quality assurance program

Leads and/or participates in quality initiatives and activities, as commissioned by the Quality Assurance and Performance Improvement Committee

Acts as a key contact in accreditation processes

Improves quality of care and services, work performance and departmental processes

Performs quality-assurance functions in accordance with monitoring and reporting requirements of CPHL’s Care Management and Quality Assurance Plan

Compiles statistical data and writes narrative reports summarizing quality assurance findings.

Assures timely identification of problems and correction of deficiencies

Assists with the coordination of audit information and recommends appropriate data-gathering mechanisms and procedures as part of Continuous Quality Improvement (CQI) initiatives

Participates in special projects as assigned by the Chief Medical Officer.

Broad knowledge of the health care delivery systems

Experience in Care Management/Disease Management methodologies and Program development;

Broad clinical/analytical knowledge base, with experience successfully planning and executing clinical/beta trials

Management of Medicare/Medicaid Managed Care Programs,

Responsible for project financial performance, including managing to target project margins 3

Participate in the presales process by reviewing project proposals and Statements of Work, assessing overall project structure, risk, staffing requirements and ensuring alignment in order to achieve project success

Actively participate in and drive customer solutions EXPERIENCE AND ACCOMPLISHMENTS:

GERSON LEHRMAN, Consultant – 2006 – to present, Third Party Consulting for healthcare strategies via venture capital, education, and potential interest in expansions protocols. CMSO/CONSULTANT – Practice Transformations, Chief Medical Strategy Officer– Virtual Wellness Strategies International, 2009-2011 incorporated into My Virtual Exam – to present.

-A Telemedicine/Telehealth “virtual medical” company that owns a software platform capable of servicing ethnic communities. In addition, MVE will facilitate and coordinate diagnostic specific virtual physical examinations and pharmaceutical adherence. Data and results are sent encrypted seamlessly into the system.

-Acquired and coordinated strategic partners and marketing involvement with the VA, Department Of Corrections, home care agencies, article 28s, FQHCs, clinics, OASAS and substance abuse, NYCHA, healthcare educational institutions.

-Project control and risk management strategic monitor progress against the overall project plan, leading the team toward successful milestone completion. CONSULTANT – 2012-2013, J CAP, Office of Alcohol and Substance Abuse Services, OASAS, Jamaica, New York, organizing their Article 28 healthcare facility to coordinate a virtual telehealth / examination system, and putting protocol together. Project coordinated by Dr. Robert Evans, CEO Community Wellness Centers of America

CONSULTANT 2009 - 2011

Check Ups USA. Business development exams in multiple K-Mart’s with smart card technology, regulatory issues, staff training, employee credentialing. We Care To Cure, A for-profit corporation setting up wellness care for (“NYCHA“). New York City Housing Authority. Clinics are in both free standing areas and also located in community centers belonging to NYCHA. Some wellness issues are, fall prevention for the elderly, diabetes screening, prostate screening, obesity screening, colon cancer, breast clinics. In addition we have put together a unique senior aerobics program.

We Care 2 Cure, Principal/Consulting. A non-for-profit corporation. Implementation of EMR Finger-Print Technology Systems into multi-disciplined free standing centers to accommodate

(“NYCHA”), New York City Housing Authority Seniors for home care and ambulatory multi- disciplined centers. Implementation of Fall Prevention Clinics, Breast Disease Screening and Clinics, Prostate Disease Screening and Clinics, Osteoporosis Screening and Clinics, Sexually Transmitted Diseases Screening and Clinics. Senior Citizen Aerobic and Therapy Programs--- Mayor’s Office.

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MEDICAL SECURITY CONSULTANTS, principal 2005-2008

Independent strategic security advisor for investment / think tank organizations and total medical compliance services for governmental, insurance, and medical organizations.

-Directed company’s operations and management of projects with major corporations and agencies.

- Optimized successful planning and design of Qassim University Medical Center in Saudi Arabia which included hospital and medical, dental, and engineering schools. Company guided implementation of variety of systems / infrastructure including mobile medical systems; security, engineering, and architecture; administration; electronic medical systems; diagnostic systems; pharmaceuticals; and protocols, policies, and procedures.

- Consulted with United States governmental agencies on medical / safety compliance issues related to HIPAA, OSHA, EPA, and Office of Inspector General; workers’ compensation; and risk management, and security. Agencies included Department of Labor and Postal Service. HOMELAND INTELLIGENCE TECHNOLOGIES, Inc., Tampa, Florida • 1999-2005 Producer of antiterrorism force protection equipment, systems, medical technologies, and technical assistance.

PRINCIPAL

Served as Senior Medical Global Director of Business Development. Initiated and championed development of all business development strategies and partnerships. Established advisory board, general operations framework, and projected future growth and related operational needs. Participated in United States Department of Homeland Security (DHS) workshops. Played important role in curriculum development for Northeastern University related to homeland security and emergency preparedness. Curriculum included FEMA training on disaster preparedness, hospital emergency response team training for mass casualty incidents, understanding terrorism and counter terrorism, and cost effective solutions to removing risk within present infrastructure.

Enhanced company’s visibility and success by developing productive rapport with many politicians and key industry decision makers, speaking at various DHS break-out sessions related to topics such as medical preparedness with truck and rail bomb threats and pro-active technology / operations at city- based rail stations.

Coordinated partnership with Singapore Technologies to build an all terrain medical IT platform with satellite capabilities enabling virtual medical care. MEDICAL PRACTICE, principal 1982-1997 specializing in multispecialty, multi-location physician practices servicing unions and individuals needing spinal and muscular-skeletal rehabilitation. Partnered with Arthur Jones - Nautilus Systems to put the first spinal remote spinal rehab systems available. Set up the first capitation program with US Healthcare in 1984.

Negotiated with New York City agencies to provide disability evaluations, consulting, and treatment for NYC transit workers, Emergency Medical Services, and NYC correction officers.

Consulted with a professional liability insurance carrier, collaborating with their risk managers, underwriters, and in-house counsel to develop a chiropractic malpractice program for New York State, to educate insurance personnel, and to conduct claims evaluation, quality assurance, and Marketing initiatives.

Negotiated capitation programs with PPOs five years prior to becoming an industry standard.

Interacted with vendors to determine capabilities and built solid working relationships from which to negotiate favorable pricing structures and terms, including discount schedules for equipment, office / medical supplies, and livery services to transport confined patients. 5

Conducted community seminars on basic health and well-being issues to serve as a source of information while building good will and visibility.

Utilized various forms of media to increase patient volume, including radio advertising and one-hour long infomercials to promote the two Wellness Centers (specializing in alternative medicine team approaches).

-enhanced Nautilus equipment for installation in the Spinal Rehabilitation Center.

ORGANIZATIONS:

- American Telemedicine Association

- Healthcare Executive Network

- American Medical Practice and Hospital Executive Leadership Network

- Medical Tourism Facilitators

- Healthcare Industries Professional Group

- Homecare and Healthcare Advocacy

- Medical Wellness Association And Alliance

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