for a Qualiﬁed
for a Qualiﬁed
Thejesh Kumar C. is a Solutions Consultant with 13 years of experience in US
Healthcare across diﬀerent functional areas. Apart from being a certiﬁed RCM,
AHM, PAHM, CMS and AHIP professional, he also has vast experience in Claim
beneﬁt management, ANSI X12 transactions, HL7, Medicare & Medicaid solutions,
Enrolment and other key areas.
Thejesh Kumar C
The process of certiﬁcation of a QHP plan will have a huge impact on payer business. The
processes involved like monitoring the quality and deﬁning quality metrics, deﬁning rates,
designing plans, SHOPs and Exchange need a comprehensive strategy of solution. Business
process, policy, and system change impacts need to be identiﬁed, assessed, planned, and ana-
lyzed before going live. Nalashaa has great exposure in Health Insurance Exchange and creating
beneﬁts for health plans, which will help assist in smooth delivery of QHP related services.
If you would like to bounce oﬀ your thoughts on this,
let’s have a conversation.
At Nalashaa, we partner with healthcare organizations of all stages, from startups to established firms, and work with them to build
engaging user experiences that reduce organziational cost and risk. Our healthcare and technology expertise, along with our flexible
engagement models, make us a great fit for developing the quality technology while reducing time to market and engineering costs.
555 US Highway 1 South, Suite 170, Iselin, NJ 08830, USA
732-602-2560 X 200 www.nalashaahealth.com