Biswas Pradhan

Director of quality assurance and quality improvement responsible for preparing organization’s readiness for regulatory and accreditation requirements, and leading quality improvement initiatives to improve operations and population health outcomes. More than ten years of experiences in health sector, formerly served as director of population health, COVID-19 task force, health insurance consultant, and Albert Schweitzer Fellow with a strong focus in community health, disease management, and developing health strategies. Master’s degrees in public health and social work, and with strong skillsets and experiences in program management, data analysis, and implementation.

Director of Quality Assurance & Quality Improvement

Whittier Street Health Center | Boston, MA | May 2024 – Present

• Partner with Accountable Care Organization (ACO) and various health plans to develop structured data and strategies to address any unmet preventive screenings targeting specific populations.
• Maintain accreditation survey readiness and ensure organization’s compliance in preparation for site visits/surveys conducted by external regulatory organizations – HRSA, NCQA, FTCA, Department of Public Health, and the Joint Commission.
• Lead Quality Improvement Initiatives by forming interdisciplinary teams and through data-driven analysis to bring system change and to enhance overall quality and performance.
• Perform clinical and operational data analysis, and create meaningful dashboards (UDS/HEDIS measures, patient complaints, COVID, provider performance) to drive system change and quality improvement initiatives across the organization.
• Lead monthly Quality Assurance Committee meeting and present dashboards and findings to the board and senior management team.

Neighborhood Health Plan of Rhode Island | Smithfield, RI | Dec. 2022 – May 2024

Population Health Strategy

• Designed and implemented population health management (PHM) strategies and clinical programs to support organization’s mission and values, and for meeting member needs across the continuum of care.
• Created a robust registry of clinical programs and categorized them into risk tiers (keeping members healthy, managing members with emerging risk, patient outcomes across settings, managing multiple chronic illnesses) to ensure member needs are addressed and met under each risk stratum.

• Formed inter-departmental teams to develop condition-specific clinical disease management programs to address health needs of members with chronic conditions (asthma, diabetes, COPD, behavioral health needs).
• Partnered with Rhode Island Department of Health (RIDOH) to design and implement an evidence-based ‘Asthma Home Visiting Intervention Program’ led by community care coordinators with a goal to reduce preventable asthma emergency department visits and hospitalizations.

• Chaired organization’s health equity committee and created a forum to have open dialogues on initiatives to address health disparities by partnering with community organizations.
• Identified three focus areas - maternal health, childhood obesity, and behavioral health (opioids overdose); supervised sub-committees to design and present their health equity project proposals to the executive leadership team.

Mass General Brigham | Somerville, MA | Nov. 2021 – Dec. 2022

• Developed a robust project management plan for ‘Ambulatory Pharmacy Program’ targeted to patients with uncontrolled hypertension and diabetes by providing clinical pharmacy support and interventions.
• Conducted internal surveys and performed comprehensive analysis on dashboard functionalities, visuals, and reporting methods to enhance organization’s quality and clinical performance management tools.
• Co-designed and led ‘United Against Racism Asthma Program’ that aimed to reduce hospitalizations and acute visits of children with uncontrolled asthma conditions.
• Created a linkage to care channel with primary care practices and community agencies for persecuted scholars and their family members.

Friend Health Center, Inc. | Chicago, IL | Jan. 2016 – Nov. 2021

COVID-19 Task Force Member (March 2020 – Nov. 2021):

• Mapped out a drive-thru testing model by repurposing health centers’ parking lots to provide COVID-19 test services for community members.
• Managed central data registry of 30k+ patients’ COVID-19 test results; trained and supervised community health workers, clinic coordinators, and interns with appropriate delivery of test results, patient education, and data management. 

• Managed all grant-funded and research-based projects; supervised teams and developed database to monitor, track, and evaluate projects; co-chaired organization’s population health committee.
• Led interdepartmental teams and incorporated various quality improvement tools – PDSA, SWOT, flowcharts etc. to improve projects communication and collaboration.

• Conducted community outreach and formed partnership with community-based organizations, public libraries, faith institutions, school systems to educate community members about affordable health plan options offered through Obamacare/Affordable Care Act (ACA).
• Enrolled patients and community members into appropriate health plans (Medicate/Marketplace/All Kids) and navigated them to health systems for primary and specialty care.

Master of Public Health (MPH)

Johns Hopkins Bloomberg School of Public Health | Baltimore, MD

Graduated: May 2019

Concentration: Global Health

Reed-Frost Scholar

Master of Social Work (MSW)

Loyola University Chicago | Chicago, IL

Graduated: May 2014

Concentration: Leadership & Development in Social Services

Miriam Cooper Scholar

Bachelor of Science in Business Administration

University of Charleston | Charleston, WV

Graduated: May 2010

Dean’s List