Summary

Rajat Dhameja is a Healthcare Executive, Management Consultant, Project Manager with 12+ years of progressive experience in Hospitals & Managed Care organizations - Acute & Tertiary Care Hospitals, Medicaid, Medicare and Private Insurers.

Experience:

St. Joseph Health, Southern California
Anaheim Regional Medical Center, Anaheim CA
Fountain Valley Regional Hospital, Orange County, CA
L.A. Care Health Plan, Los Angeles, CA
Express Scripts, St. Louis, MO
Fresenius Medical Care, CA
Molina Healthcare, Long Beach, CA
HCA

Providers & Delivery Systems
Hospital Administration & Operations, Project Management, Process Improvement, Product Development, ROI, NPV, EBITDA, Reimbursement, Clinical Analytics, EHR Meaningful Use. Translate performance to Cost - Quality dimensions, evaluate and improve KPIs (Inpatient & Outpatient Revenue, Contractual Allowance, Total Operating Expense, Uncompensated Care, Net Income).

Payers
Managed Care Operations, Medicare A & B, Medicare Advantage, Part D, Medicaid ( California Medi-CAL) Predictive Modeling, Risk Stratification, Contracting, QI, CMS, Knox Keene, OIG, NCQA, State / Federal Programs.

Education
MHA - University of Southern California, Los Angeles,
MBBS (MD) - Kasturba Medical College, Manipal, India.

Exemplary communication and presentation skills recognized by department staff, senior management & leadership.

Ability to apply extensive knowledge & industry trends to rapid revenue & profit growth opportunities.

Broad experience across multi-disciplinary hospital service lines: Inpatient Medical & Surgical, ER, Ambulatory, ICU, NICU OR, Diagnostic Services ( Imaging, Ultrasound, Lab, X-Ray ) & Administration.

Led highly visible and multifaceted projects in Operations, Contracting, Medical Management, Strategic Planning & Business Development.

Trained as Resident Physician in 1,474 bed tertiary care multi-specialty Teaching Hospital.