Parth Patel
Huntingdon Valley,PA
Summary
Clinical Program Manager | Healthcare Project Manager | Engagement Manager Adaptable, strategic, detail-oriented, and decisive managing professional showcasing experience spanning health care compliance, project management, analyzing complex datasets, risk mitigation and client engagement, with a proven track record driving team productivity enhancement, comprehensive project completions by overseeing client activities necessary for business operations. Envisions opportunities for organizational growth & triggers change while championing patient privacy, team leadership, and compliance. Precise and concise communicator & listener, collaborator, and leader, spearheading diverse experts/ teams toward accelerated progress, tangible results, and rapid business value.
Overview
11
11
years of professional experience
1
1
Certification
Work History
Clinical Program Manager
IQVIA | MASSACHUSETTS
02.2022 - 05.2023
- Ensures resource provision and on-time, under-budget project delivery, guides teams to surpass departmental goals, enhancing workflows in Salesforce, drives program performance by establishing metrics, providing coaching, and leveraging agile methodologies, and streamlines project workflows using innovative features and industry-leading platforms such as Salesforce, Microsoft Visio, Microsoft Project, and Basecamp
- Leadership in HUB and Copay Assistance Program: Provided leadership, oversight, and management to ensure effective functioning of HUB and copay assistance program, establishing and monitoring program goals and key performance indicators
- Reimbursement Specialist Management: Successfully managed 20 Reimbursement Specialists across 2 different clients and 4 products
- Strategic Relationship Building: Built and nurtured strong relationships with clients and third parties, adeptly de-escalating issues and fostering collaborative working environment while increasing efficiency by 21%
- Team Management & Client Support: Maintained client-facing team rosters and managed assessment queues, ensuring timely completion and client satisfaction
- Performance Monitoring and Correction: Monitored and assessed performance of staff members, ensuring alignment with agreed-upon contracts
- Implemented corrective measures and alternative solutions to address performance issues
- Data Analysis for Improvement: Analyzed HUB and co-pay operating data to identify trends and opportunities for process and program improvement
- Knowledge and Intervention: Demonstrated knowledge of structure, systems, reimbursement methodology, and processes, particularly related to private payers, government payers (especially Medicare and Medicaid)
- Identified program trends and opportunities for intervention with payers, providing recommendations for improvement to client management
- Project Management and Resource Utilization: Developed and monitored project schedules, reporting, planning, and resource management using Microsoft Project and BI
- Issue Anticipation & Resolution: Integrated quick solutions while working towards long-term resolutions while anticipating and resolving issues and conflicts
- Budget Management and Risk Mitigation: Managed substantial budget, directed project milestones, and executed preventive measures to mitigate risks with budgets ranging from $ 5 million to $15 million
- Operational Excellence in Data Entry and Funding Processes: Augmented operational excellence by overseeing completion of data entry, benefits, and funding processes, adhering to rigorous Standard Operating Procedures (SOPs), Service Level Agreements (SLAs), and Centers for Medicaid and Medicare
- Supply Chain Operations Oversight: Monitored supply chain operations by working on distribution of Humira, Skyrizi, and Rinvoq branded drugs to pharmacies and partners while effectively increased revenue by 24 %.
Healthcare Project Manager
BLUE CROSS BLUE SHIELD, SOUTH CAROLINA
03.2021 - 02.2022
- Directs proposal processes, ensuring selection of most suitable and cost-effective offer, ensures strict adherence to healthcare regulations, including OSHA, CLIA, COLA, HIPAA, and others, and facilitates clear communication of project details, assigned accountabilities, chaired meetings, while providing operational reports to executive team
- Contract Oversight & Support: Assisted contract owners by addressing and resolving questionnaire-related inquiries, ensuring seamless contract operations
- Strategic Reporting: Created comprehensive reports for management, providing critical insights and actionable data
- Cross-Functional Collaboration: Worked closely with various teams and departments, consolidating information into insightful reports for management decision-making
- Cost Savings Initiative: Successfully reduced spending costs by over 30% through comprehensive review of all current contracts and vendor relationships
- Technology Implementation Success: Achieved 100% internal user adoption upon implementation by directing innovative technology team responsible for redeveloping healthcare system websites and online care portals for Medicare clients
- Project Management Leadership: Spearheaded project teams for various time-sensitive initiatives, including marketing, facilities advancement, construction, renovation, technical executions, and other projects with strict deadlines, utilizing Microsoft Project and Salesforce
- Contract Award and Negotiation: Awarded, managed, and negotiated contracts with qualified, reviewed, and winning contractors, suppliers, and vendors.
Healthcare Project Manager
ACCOLADE, INC, PENNSYLVANIA
11.2019 - 08.2020
- Implements effective client interaction, addressing diverse needs, conducts root cause analyses, connecting clients with relevant resources, maintains proactive follow-up system, consistently exceeding client satisfaction levels, processes Medicaid, managed care, and income-related payments, including private pay transactions
- Provided valuable insights to upper management on technology, marketing, and design strategies, and evaluates team performance to ensure achievement of set KPIs
- Client Empowerment and Guidance: Empowered and guided clients through intricacies of healthcare system, fostering clarity on coverage options and promptly addressing concerns
- Technology Utilization for Client Understanding: Leveraged technology and internal resources to enhance clients' comprehension of available next steps, empowering them to make informed decisions
- Effective Communication and Coordination: Fostered communication with business office management, administrators, and accounting and billing team members
- Deadline Achievement and Recognition: Met deadlines in coordination with the team and earned accolades for seven consecutive months
- Personalized Service Optimization: Formulated personalized plans to optimize each client's experience, confirming tailored and exceptional service
- Leadership in Project Milestone Establishment: Demonstrated leadership in establishing and reporting key project milestones, enabling assessments of project efficacy using Microsoft Project
- Financial Operations Excellence: Showcased expertise in conducting accurate cash and charge reconciliations, performing thorough payment reviews, and effectively managing denials, resulting in streamlined financial operations and revenue optimization.
General Manager
SUBWAY | PENNSYLVANIA
08.2012 - 01.2016
- Streamlines store operations, optimizing promotions, sales, customer service, inventory control, and food preparation for increased overall efficiency, implements cost-saving initiatives, successfully controlling labor and food costs and contributing to significant financial improvements, ensures an unparalleled customer experience by processing orders in strict adherence to FDA guidelines and effectively led all aspects of business operations and revenue, ensuring accurate preparation of bank deposits
- Cross-Functional Collaboration: Worked collaboratively with diverse teams and departments, compiling and presenting consolidated reports for effective management decision-making
- Document Management & Compliance: Worked closely with vendors to obtain necessary documents, thoroughly reviewing for relevance and compliance
- Relationship Development: Developed and maintained strong relationships with business partners, fostering a collaborative and mutually beneficial working environment
- Franchise Management Success: Successfully managed three Subway franchises for an absentee owner, driving a remarkable combined revenue of $1.8 million
- Promotion to General Manager: Earned a well-deserved promotion to the esteemed role of General Manager in August 2012, recognizing exceptional leadership skills and profound expertise in store operations
- Strategic Retail Operations Leadership: Led retail operations with coordination and introduced robust strategies, driving business growth and store performance
- Sales Monitoring and Re-merchandising Expertise: Monitored sales trends and employed strategic Re-merchandising, augmenting customer satisfaction and surpassing targets.
Education
Master of Science - Healthcare Administration & Management
Saint Joseph’s University
Philadelphia, PA2020
Bachelor of Science - Philosophy, Biology & Chemistry
Temple University
Philadelphia, PA2017
Skills
- Cross-functional Team Leadership
- Privacy Analyst
- Process Improvement & Automation
- Strategic Planning & Execution
- Client Engagement
- Data Analysis & Interpretation
- Risk Identification & Mitigation
- Project Scope & Budget Management
- Project Management
- Customer Relation Management
- Communication & Presentation Skills
- Resource Allocation & Optimization
- Stakeholder Engagement & Management
- Performance Metrics & KPI Development
- IT SKILLS
- Microsoft Office Suite (Word, Excel, Outlook, PowerPoint, Visio, Planner, Project, Teams), OneNote, Scrub Salesforce Google Suites, Asana, EMR, HER, SDS, CRM, Slack
- Project Planning & Development
References
References Available Upon Request
Certification
- CPT - Certified Personal Trainer
- PMP - Project Management Professional (In progress)
Timeline
Clinical Program Manager
IQVIA | MASSACHUSETTS
02.2022 - 05.2023
Healthcare Project Manager
BLUE CROSS BLUE SHIELD, SOUTH CAROLINA
03.2021 - 02.2022
Healthcare Project Manager
ACCOLADE, INC, PENNSYLVANIA
11.2019 - 08.2020
General Manager
SUBWAY | PENNSYLVANIA
08.2012 - 01.2016
Master of Science - Healthcare Administration & Management
Saint Joseph’s University
Bachelor of Science - Philosophy, Biology & Chemistry
Temple University
- CPT - Certified Personal Trainer
- PMP - Project Management Professional (In progress)
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