Sr V P
Medica Synergie Pvt Ltd
Total years of experience :17 years, 11 Months
P & L responsibility, Corporate tie ups, Business network expansion, Govt schemes
Service line development, utilization management.
Financial and Service outcomes management.
Executing healthcare programs, healthcare analytics and interventions for quality improvement, risk reduction.
Business integration and networking - Empanelment, performance reviews, claims intelligence.
Risk Assessment, Screening programs, Lifestyle coach, Preventive Care, Disease Management and Pathway management
Co-developed health measurement tool with internationally renowned entity that was also presented to Minister of Technology, India.
Contributor to National initiative in Wellness, Health Management Services
Mentoring inter-organizational clinical operations through integrated service design, talent management, decision algorithms, patient safety, infection control, risk management and clinical quality.
Strategic Alliance development with international entities like Swiss Re and sharing business intelligence.
Established navigation system for emergency care services raising utilisation level of emergency care services.
Lead pre-hospital medical operations (about 25000 per month) through a team of Emergency Response Centre Physicians (ERCPs) and certified Emergency Medical Technicians (EMTs).
Maintaining network of 3500 hospitals through geo-mapped network intelligence for establishing seamless emergency care continuum.
Dynamic statistical modelling, syndromic surveillance for mission critical interventions planning.
Propagating emergency care protocols, processes and standard operating practices through training programs, CMEs, peer group discussions.
Cross-Industry collaborations with peer organizations, professional bodies, hospital teams and various government bodies for systemising end-to-end emergency care services.
Planned and organised 7 CMEs and conferences in academic medical colleges in the field of Emergency Care.
Managing healthcare operations including care processes and service delivery.
Lead a medical team of 112 for handling nationwide preauthorization, claims adjudication, trends analysis, benchmark comparisons and negotiations with hospitals and management of hospital networks.
Set up and managed all India network of service providers (7, 500) and optimising healthcare service to covered population.
Healthcare analytics with Actuaries, Marketing Managers and Policy Administrators for working on health insurance products.
Hospital & medical audits and improvement planning (ISO 9001:2000, Business Excellence, Insurance Companies and IRDA).
Conceptualised disease programs (DM, Geriatric Care, Emergency Care) for corporate groups.
Adopted data based information practices for hospitals, practices and insurers.
Worked on the development of clinical protocols, information-based decisions and utilization management.
M Phil degree in Hospital and Health Systems Management from BITS, PIlani with CGPA of 9.2/10
Regular medical subjects and clinical disciplines