Services

Interested in engaging with me for consulting?

Schedule a 30‑minute exploratory call.

During the call we will:

If we both agree to proceed, I will issue the SOW and consulting agreement and sign any NDA, DUA, or BAA you require. A modest booking fee secures the slot and keeps the conversation focused on initiatives ready to advance.

Please note: All projects run on a retainer model with a minimum commitment of 10 hours per week for at least three months.


Client Work Examples

Specialty Drug Savings Optimization

Identified multimillion-dollar savings by directing patients to more cost-effective infusion sites. Structured direct provider contracts and established ongoing performance dashboards, making this service our most requested offering.

Medicare Pricing Benchmark Database

Built an integrated dataset covering inpatient, outpatient, professional, and drug reimbursement rates. Armed clients with a single source of truth for pricing strategy, contract negotiation, and cost modeling.

Specialty Drug FWA Analytics

Strengthened a client's fraud-waste-abuse engine with granular analytics on excess dosing, biosimilar misuse, generic overpayment, and unexplained pricing variation.

Pharmacy FWA Audit

Evaluated and enhanced a pharmacy surveillance platform, adding more than fifty high-value checks such as 500-day supplies and inconsistent reimbursement for identical fills. Detection accuracy improved immediately.

Price Transparency Insights Delivery

Delivered actionable insights from hospital and payer machine-readable files (MRFs), supporting strategic pricing, contracting, and product design. Notably, two research studies were commissioned and published by Turquoise Health: Turquoise Health Reports

Specialty Drug Fee Schedule Design

Crafted a medical-benefit fee schedule for an alternative payment-model startup, embedding incentives for channel optimization and evidence-based biosimilar use.

Direct Contracting ROI Analysis

Assessed hospital direct contracts, quantified realized versus expected savings, and delivered a step-by-step plan to unwind or renegotiate underperforming agreements.

Claims Benchmarking & Opportunity Discovery

Benchmarked medical and pharmacy claims against Medicare and market references, pinpointing high-value interventions for plan sponsors and benefits administrators.

Claims Data Warehouse Implementation

Engineered a Microsoft SQL-based warehouse that consolidated multi-year claims data, enabling advanced queries, interactive reporting, and seamless analytics tool integration.

Automated Outlier Detection

Deployed real-time reporting pipelines that flag unusually high costs and price variance across providers and facilities, giving stakeholders immediate insight and actionable redirection options.