Healthcare IT, Healthcare Management, Healthcare Business Development

QUALIFICATIONS PROFILE

Highly accomplished professional, with both domestic and international experience in general and project management, strategic planning, and technology development with multinational, national and government organizations. Work experience of over 15 years in design, development and implementation of various healthcare oriented administrative, educational and software solutions. Please visit www.nextintellect.com for a complete narrative of expertise.

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PROFESSIONAL CAREER STRENGTHS

Results-oriented, with proven success in project management, solution identification, and problem solving. Ability to identify and nurture talent. Good inter-personal skills. A multicultural approach to a learning phase, team productivity, and cohesion. Profound understanding of the entire business cycle and undercurrents, prevalent in urban healthcare setting. Strong Public Relation skills.

MAJOR ACCOMPLISHMENTS:

Project Chernobyl: A synergy effort by United Nations, New York Eye & Ear Infirmary Hospital, and leading medical researchers in treatment of thyroid cancer. Development, production, and implementation of a specialized software solution that allows doctors around the globe to participate in real time, in diagnostics and treatment effort of victims of the nuclear radiation exposure.

Project Locked Door: Consulting effort with New York State Department of Health and Human Services, Office of the New York State Attorney General in regard to implementation of various anti-fraud software and hardware solutions in medical facilities across New York State. Criteria development for a GPS based tracking software that will provide various State and Federal Institutions with on-screen data to monitor healthcare delivery trends, lower the amount of unnecessary procedures, and to combat medical fraud. TECHNOLOGY PROFICIENCIES:

All Microsoft, Adobe and Oracle products. Client/Cloud based HIE’s, EMR’s, CRM’s, Cerner, Practice Fusion, eClinical, Practice Fusion, ActionScript, Chart Logic, Saas, HL7 Nathan Braylovsky

Email: *************@*****.*** Cell: 347-***-****

Employment History

Next Intellect LLC New York, N.Y. Feb 2012- Present Senior Project Leader

Hands-on experience:

Research into the workflow and business requirements of inpatient/outpatient medical facilities, Managed Care organization, Pharmaceutical and Medical Devices companies. Working relationship with over 340 leading providers in tristate area. HIT and Clinical Transformation IT projects. Meaningful Use Stage 3 planning. Medicare and Medicaid programs. Implementation of third-party software solutions. All stages of software development, including functionality, analysis, user interface design, QA protocols, roll out and ongoing support. HIPAA and IT security and infiltration prevention. JAD and AGILE/SCRUM methodology. Responsibilities:

Management of a diverse stakeholder teams including developers, analysts, project owners

PHI, HIPAA and Corporate compliance issues and resolutions

Evaluations of IT infrastructure, upgrade recommendations and implementation scheduling.

General software architecture seminars with on-site and off-site developers, followed by team- specific requirements, meeting and consultations.

Control of software documentation aggregation and storage

Development and maintenance of project management plans including: clinical transformation, HEDIS, STARS,PQRS, MEDS and ASA compliance requirements

Design of DSRIP provider education manuals and seminars

Research into State and Federal-based Marketplaces Payer adjustments

Management of 34 personnel including Coders, Client Support, IT Engineers and Marketing.

Proposals and presentations to C-level personnel and Federal/ State policy makers Accomplishments:

Successful design, development and implementation of Health Care Management software.

A marketing effort resulted in 62 new clients for a Medical software start up in 8 month.

84% success rate in fulfilling HEDIS, PQRS and other NCQA initiatives.

An average increase of 25% in receivables due to improved claims’ adjudication process United Care Group LLC New York, NY June 2006 – Jan. 2012 VP Providers Engagement

Hands-on experience:

Hiring, training and management of culturally diverse team of provider relations specialists. Research into doctor/patient interaction as it pretends to outcomes of management of chronic disorders. Study into effects of mandatory regulations on provider’s ability to affect patients life style. Design development and implementation of various EMR, EHR and Revenue Cycle software solutions.

Responsibilities:

Liaison to Federal, State, and Private Payers

Introduction and maintenance of Federal and State initiatives such as HEDIS, HOC, DSRIP

General administrative and business oversight of 18 outpatient facilities

Business development, marketing to C-level segment

Medical Fraud advisory to US Department of Health and Human Services

Supervision of the 58 personnel Billing/ Credentialing Department

Design and development of training media, management of client services Diversified Media Services Inc. New York, N.Y. February 2001- May 2006 Assistant Project Leader

Responsibilities:

Initial planning, design, of WEB based Medical Management Software.

Physician Credentialing process

Medical Billing and Coding requirements

Staff developing and training

Remote user infrastructure design and support

User training and support

Education: National University of Kyiv, Applied Sociology/Bachelor of Science

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