Shaina Srivastava
Improving lives of Complex Care Members Using Integrated Care Management Services
- Role
- Clinical Operations at HealthEdge
- Location
- Reston, VA, US
- LinkedIn followers
- 500 followers
About Shaina Srivastava
Shaina provides clinical and programmatic leadership during product implementations for managed care plans. She has successfully implemented care management software (GuidingCare) to multiple health plans with solutioning of complex workflow and reporting requirements. She leads and provides guidance to the product team on improvising and building the product to meet the client needs for better user experience, regulatory compliance and to meet efficiency goals. Shaina demonstrates expertise in clinical implementation with superior knowledge of the healthcare industry, payer/provider delivery, and management and implementation of technology products. Shaina has an extensive background in managed care, particularly implementation of the Medicaid line of business and providing consulting services to health plan and state Medicaid agencies.
Experience
Clinical Operations
May 2018 — Present · Reston, VA, US
Provide clinical leadership and health plan expertise during Altruista Health\'s software solution implementations • Streamline and automate complex clinical workflows to improve health outcomes for members while reducing costs for payers and health plan operations • Provide high quality product demonstrations for product sales and upselling opportunities. Assist the sales team during opportunity assessment and proposal phases. • Responsible for solution testing, configuration, and in product enhancement innovation meetings to create optimal business practices for each client• Responsible to provide continuous improvements to the Appeals and Grievances module to meet the regulatory (CMS and NCQA) requirements and create operational efficiencies. • Responsible to meet client expectations through superior knowledge in the healthcare industry, payer/provider delivery, and management of technology products and solutions.• Provide system and clinical solutions to clients during implementations and upgrades of the Altruista Health care management platform• Develop training materials and conduct training classes for the Altruista Health care management platform• Provide clinical feedback to the Altruista Health product team to help optimize and streamline platform functionality• Provide reporting solutions to the clients to meet their CMS and local/state reporting requirements
Education
The University of North Carolina at Chapel Hill
MHA, Healthcare Administration
Symbiosis Institute of Management Studies
MPM, Personnel Management
University of Mumbai
BS, Occupational Therapy
Skills
- • Enrollee Outreach, Care Management, Member Onboarding/Engagement
- Hospitals
- Budgets
- Cross-Functional Team Leadership
- Healthcare Consulting
- Budgeting
- Project Management
- • State Government Marketing and Relations
- Healthcare Industry
- Healthcare
- Business Development
- • Medicaid Managed Care and Contracting
- Analysis
- Medicaid
- Healthcare Management
- Managed Care
- • Forecasting and P&L Management
- Leadership
- • Operational and Infrastructure Planning and Development
- Medicaid Implementation
- Strategic Planning
- Strategy
- Management
- Health Policy
- Healthcare Information Technology
- Medicaid Rfp Process
- • Strategic Planning and Financial Alignment
- Business Planning
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