Ashutosh Pandey · notes from the field
Case Studies

A small collection of the work.

Three engagements, written down — less to advertise the outcome, more to share what the work actually looked like inside.

What follows is a small, deliberately curated set of case studies. Each is a different shape of problem — building a new system from a blank page, consulting on someone else's deployment, designing a tool for the people doing the work — and each taught something worth writing down.

Client and engagement details are anonymized where required by professional confidentiality. Numbers are presented honestly, including their limits.

01
School-Based Medicaid
California · 2023–Present

Building a school-based EHR for 120,000 students, from a blueprint.

A California county education office · CYBHI & Medi-Cal BOP programs

A first-of-its-kind school-based Medicaid billing infrastructure built from a blueprint in twenty-four months — Salesforce Health Cloud EHR, Azure SQL data warehouse, Charge Description Master, and 837P billing workflows across ten Local Education Agencies. The work sits underneath California's $4 billion Children and Youth Behavioral Health Initiative.

120,000+
Students Served
90%
Clean-Claim Rate
24,000/yr
Annual Claim Run Rate
Read the case study
02
Specialty Pharmacy
St. Louis · Genpact era

Consulting on an EHR deployment, and learning to speak both languages.

A large specialty pharmacy client · St. Louis, Missouri

Embedded as a consultant on a multi-quarter EHR deployment for a large St. Louis-headquartered pharmacy. The work spanned process requirements documentation, system design, and a parallel set of workflow automations for Revenue Management Operations — a study in becoming the bridge between business stakeholders and the engineering team.

EHR
System Design
RMO
Workflow Automation
BA + SM
Consulting Role
Read the case study
03
Revenue Operations
Coming soon
In preparation

A Revenue Operations Management system, designed from the queue up.

A case study on the design and development of a Revenue Operations Management system — currently being written up for publication. Drop by the newsletter to be notified when it goes live.

If you're working on something adjacent to any of these, or simply curious about a detail not covered above, the easiest way to start a conversation is the connect column on the About page.