Dr. Amit Ray, MBBS, MHA
Asst. Medical Superintendent (AMS)
Paras HMRI Hospital, Patna
Mobile: 08002283712
Email: amitboney@gmail.com
PROFICIENCY FORTE:
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Hospital- Operations & Quality
Medical Administration
Health Insurance
Crisis Management
Hospital Infrastructure Planning (Project Phase)
Commissioning OTs/ICU
Commissioning of Patient Care Areas
Training
Client Management
NABH Assessment and Audit
SOP Formulation and Implementation
Academic Credentials:
Qualification
Board/University
Institute
MHA
MBBS
Higher Secondary Certificate
Senior Secondary Certificate
IIHMR Deemed University
Kathmandu University
CBSE
CBSE
IIHMR, Jaipur
Manipal College of Medical Sciences, Pokhara
Delhi Public School, Bokaro
Delhi Public School, Bokaro
Academic Projects:
Organisation
Project Title
Organisation
Project Title
Maa Lalita Hospital & Research Centre, Deoghar , Jharkhand
 OPD Patient Satisfaction Study
 Employee’s Job Satisfaction Study
Santokba Durlabhji Memorial Hospital, Jaipur, Rajasthan
 In-Depth Study of ICU
 Study of In-Patient Discharge
 Study of OPD patient Satisfaction
Year
2010
2006
2000
1998
Professional Experience:
Present Organisation
Designation
Key Responsibilities
Pars HMRI Hospital (A 300 Bed Multi Super Speciality Hospital)
Assistant Medical Superintendent
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Ensuring availability of Medical Staff (SRs, RMOs) as well as Paramedical Staff
(Nursing, Technician) in patient care areas.
Human Resource Planning as per work load areas and duty allocation as per duty
roster.
Ensuring Hospital policies and protocols are followed by duty doctors
Ensuring timely follow up of Consultant orders (Investigations, medication
administration) in patient care areas
In-Charge for Critical Care Areas (MICU, SICU, Neuro ICU, CTVS-ICU, CCU) , OT
Complex and Cardiac Cath Lab. As In-Charge for the above mentioned areas,
addressing issues related to manpower, operational issues, equipment and
inventory.
Ensuring Patient Satisfaction by taking daily rounds of patient care areas,
interaction with patient attendants, counselling of patient attendant regarding
medical condition as well as financial counselling.
Daily following up with nursing supervisors/ANS/DNS for any problems regarding
Pharmacy / Lab/Radiology /Patient Diet/Physiotherapy services.
Supervision of Emergency and Trauma Services Department in terms of
doctor/equipment/ambulance status, MLC documentation and timely intimation
etc.
Ensuring Deficient Medical Records being completed by SRs/RMOs.
Quality: Responsible for maintaining all the policies and procedures of NABH and
quality parameters of the hospital.
Member of various committees as per NABH Requirement including Pharmacy and
Therapeutic Committee.
Responsible for performance & roster of RMOs, Medical Transcriptionists,
Dieticians. Also addressing LAB, Blood bank, Radiology, MRD, Pharmacy, F&B,
Operations related issues when required.
Planning for manpower, capital equipment and other requirements during
expansion of wards and patient care areas.
Working as Manager on Duty during night duties (Supervision and responsible for all
Activities in the Hospital at night).
Coordinating with the billing department and resolving any issues of Inpatients
regarding their bills.
Ensuring that patients and attendants are aware of the medical status as well as the
bill status of the patients.
Addressing queries of Admission department on need basis.
Optimizing bed utilisation by discussing with consultants & transferring transferable
patient from ICU to HDU /planning discharges of stable patients.
Coordinating of Tie-ups of the Hospital with Health Insurance Companies and TPAs
and also SOC finalisation for such tie ups.
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Notable Attainments
Organisation
Designation
Key Responsibilities
Notable Attainments
Organisation
Designation
Key Responsibilities
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Addressing any Operational issues related to Cashless Hospitalisation of patients in
the Hospital (Authorisation Requests, Denials, Queries raised).
Training of SRs and RMOs regarding medical documentation of Cashless and
Corporate Patients.
Joined Paras HMRI Hospital in the Project phase, hence worked in the project phase
(ICU and OT specifically) and Commissioning of the same.
 Experience to plan and supervise setting up of new wards/critical care units/OT.
 Forming and Implementing policies of the hospital across all patient care areas.
 Initiating TPA and Corporate Tie ups of the Hospital.
 Crisis Handling in Brought Dead patients, Critical Care mortalities, Code Blue
Situation, Medico Legal cases (Gun Shot Injuries) etc.
 Expereince as In-Charge of OT/Critical Care/Cath Lab.
Md India Health Care Services Pvt. Limited
Manager-Authorisation
 Handling a team of 45 doctors consisting of Medical Auditors, Group Leaders, Asst.
Managers.
 Ensuring TAT compliance for Authorisation Requests (Both Retail and Corporate
Auth Requests)
 Ensuring proper medical management of cases from authorisation point
of view.
 Detailed Analysis of MIS to make strategies in order maintain the quality of the
Approvals/Denials.
 Case to case escalations to Provider Management Team in order to ensure
Hospitals are complying by the agreed Package rates.
 Involved in Pro-active communication with treating Doctors, high level officials and
patients on case to case basis.
 Ensuring quality of Fraud and Investigation outputs in order to filter out the
Fraud/Abuse/Non-Genuine Authorisation Requests.
 Formed the Medical Management team for case to case proper Medical
Management of Auth cases: - Negotiations are based on Utilization Review of each
disease and Health Index. Ensuring that the procedures rendered are in line with
what is expected according to the disease.
 Formed the SOPs for the Medical Management of the Cases.
 Trained the Auth team for increasing the quality of the processing of cases: specially focusing in areas of triggering Investigations for cases, proper deductions
on basis of terms and conditions of the policy and eligibility of the client.
 Triggering Case Investigations/Cashless Visits primarily based upon medical facts of
the case. Most of the trigger points are based on non-medical grounds. Tailor Made
Case to Case trigger points based on the patho-physiology of the ailment/disease
ensuring that the trigger points are high on accuracy.
Max Bupa Health Insurance Company Limited
Relationship Doctor
 Build strong relationships and create effective communication channels with each
provider
 Facilitate access into network hospitals, and oversee pre-authorisation process.
 Support the integration process of verification of benefits, billing
and claims processing.
 Ensure that hospital and medical fees are in line with market practices and within
agreed price schedule.
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Notable Attainments
Organisation
Designation
Key Responsibilities
Carry out case management visits within pre-defined parameters.
Improve customer service and brand recognition among providers and members by
having a visible head in key markets.
Assess medical care quality and efficiency rendered by providers and identify
opportunities for improvements
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Holds the distinction of Completing Provider Training of Pune Hospitals in the
shortest period of Time.
 Rewarded by Dr. Damien Marmion, CEO of Max Bupa for exemplary performance in
achieving Customer Satisfaction .
 Leader in West Zone for Conducting Maximum No. of Fraud Investigations in 2010.
 Provided Support to Branch Sales & Marketing Teams in order to carry out Brand
activation activities/events of Max Bupa in Renowned Hospitals in Pune.
Manipal Teaching Hospital
Medical Officer- Department Of Orthopaedics
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Handling of Emergency and Post operative cases
Assisting and Closing in OT for Major Surgeries
Performing Minor Surgeries
Diagnostic & Therapeutic work up of Ward Cases and functioning as Ward In-charge
Operation of C-Arm (Image Intensifier) Machine in OT
Routine OPD Duties- Patient Consultation and follow up of Closed Reduction and
Manipulation Procedures
Achievements:
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Organised Sports Mania 2008, in IIHMR, Jaipur.
A member in Sub-committee for Organizing National Conference“Governance in Health care-Emerging
Challenges” Pradanya 2008 at IIHMR, Jaipur.
Elected as member of Recreation Committee of 13th Batch of PGDHM in IIHMR.
Participated in poster presentation on “Medical Tourism” in “Governance in health care-Emerging
Challenges” Pradanya 2008 organized by IIHMR, Jaipur.
Volunteered in Paediatrics Health Assessment Camps organized by World Vision International, Nepal (An
International NGO).
Provided medical cover in 22nd National Boxing Championship organized by Nepal Boxing Organization
and Kaski Boxing organization on 26 September 2007.
Active involvement to coordinate and set up of Wards and OPDs during MCI visit at Paritran Medical College
and Hospital, Deoghar.
Purchase Committee member in Manipal Teaching Hospital
Trainings & Conferences:
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One year work experience as a rotating resident intern in Manipal Teaching Hospital (The Hospital of
Manipal College of Medical Sciences) from 02/02/2006 to 01/02/2007.
Also worked in Regional Tuberculosis Centre, Green Pastures Hospital & Rehabilitation Centre and Family
Planning Association of Nepal, Kaski Branch, Pokhara during the internship period.
Attended National Conference “Governance in Healthcare-Emerging Challenges” Pradanya-2008 held at
IIHMR,Jaipur.
Computer Skills:
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Proficient in the use of MS Word 2007, MS PowerPoint 2007, MS Excel 2007, MS Office Outlook 2007.
Proficient user of HIS used in Paras HMRI Hospital
Personal Dossier:
Date of Birth: 27/01/1982
Permanent Address: Plot No. - 137 Cooperative Colony , Bokaro Steel City-827001, Jharkhand
Linguistic Abilities: English, Hindi, Bengali, Nepali
Marital Status: Single