SCM. Solutions Connect
S. Healthcare Program Management

Program management for the healthcare initiatives that can’t slip.

SCM Solutions LLC is an independent program management practice for complex healthcare initiatives — quality and regulatory programs, health equity operationalization, and managed care transitions. Every engagement draws on operational experience inside multi-hospital systems, integrated health plans, and Fortune 25 managed care organizations.

Practice
Independent & selective.
Limited engagements per year.
Engagement length
8 – 24 weeks, typical.
Aligned to operational rhythm.
Based
Virginia — working across the U.S.
Remote-first, on-site when it matters.
Experience across
Multi-Hospital Health Systems Integrated Health Plans Fortune 25 Managed Care National Pharmacy Benefits Medicaid Managed Care Behavioral Health
I. Focus Areas 01 / 07

Program management,
in three areas of deep experience.

Every engagement draws on direct experience leading similar initiatives inside health systems and managed care organizations. Adjacent healthcare work is considered case-by-case.

01 / Quality & Regulatory

Quality & Regulatory Programs

Program management for Leapfrog, NCQA, clinical variation reduction, and other high-visibility quality initiatives. Cross-functional coordination, deadline discipline, and executive-ready reporting for work where regulatory stakes are real.

02 / Health Equity

Health Equity & SDoH Operationalization

Moving SDoH screening, health equity strategy, and community health initiatives from policy documents to operational reality. EHR workflow design, vendor coordination, and measurable screening-rate improvement.

03 / Managed Care

Managed Care & Transition Programs

Line-of-business transitions, pharmacy network redesign, behavioral health program management, and regulatory stakeholder coordination across Medicaid and commercial lines.

II. Select Results 02 / 07

Outcomes from past programs.

A representative sample of measurable outcomes from prior engagements. Organizations and identifying details are kept confidential under mutual NDA.

$10M+
Portfolio-wide savings
28 initiativesFY21 – FY23

Program management for a 28-initiative clinical variation portfolio at a multi-hospital system — $10M+ in documented savings across three fiscal years.

$20M+
Annual savings
21 hospitals18 staff

Program management for a 21-hospital transfer liaison program (18 staff) sustaining $20M+ in annual savings through process improvement.

30K+
Members transitioned
Behavioral Health0 disruption findings

Program management for the decommissioning of a Behavioral Health Medicaid line of business — 30K+ members transitioned with care continuity maintained.

1M+
Patients impacted
3 regional networksNational scope

Program management for the replacement of a national pharmacy network with three regionalized networks serving 1M+ patients.

III. Case Studies 03 / 07

How the work gets done.

Representative engagements — anonymized at the organization level — drawn from the three focus areas above.

Health Equity & SDoH

Operationalizing SDoH at system scale

Multi-hospital health system, Southeast U.S.
Challenge

A published health equity strategy without an operational mechanism for identifying social drivers of health at the point of care. No SDoH platform integrated into the EHR. Clinical, operational, marketing, and training functions misaligned on scope and sequencing — the common failure mode for health equity strategy stalling at the gap between policy and operations.

Approach

Program-managed the end-to-end implementation of a third-party SDoH platform (Findhelp) integrated into Epic. Aligned the clinical, operational, marketing, and training workstreams under a single program structure. Drove EHR workflow design for screening capture, referral initiation, and closed-loop tracking.

Outcome

The platform became the enterprise-standard vehicle for translating the published health equity strategy into measurable operational activity. Screening capture moved from policy aspiration to a reliably executed clinical workflow across the system, with the reporting infrastructure required for disparity analysis.

Quality & Regulatory

Clinical variation portfolio program management

Multi-hospital health system, Southeast U.S.
Challenge

A large and growing set of clinical variation and quality initiatives with different owners, executive sponsors, timelines, and reporting standards. Without a coordinating program management layer, initiatives risked stalling between functions, overlapping in scope, or failing to deliver or document their projected financial impact.

Approach

Stood up program management for a portfolio spanning 28 initiatives across three fiscal years. Established governance cadences and standardized executive reporting templates. Tracked each initiative against financial and clinical targets, coordinated cross-functional workgroups, and drove decision and escalation flow for initiative-level risks.

Outcome

The portfolio delivered $10M+ in documented savings across FY21–23. The program management structure became the operational mechanism through which the system translated clinical quality strategy into reportable, sustained financial and clinical outcomes — a layer the organization had previously lacked.

Managed Care & Transitions

Behavioral Health Medicaid LOB decommissioning

Managed care operations within a multi-hospital health system
Challenge

A behavioral health Medicaid line of business requiring decommissioning, with 30,000+ members to be transitioned to new managed care plans. Care continuity was non-negotiable: gaps in behavioral health coverage risk disrupted medications, interrupted therapy relationships, and regulatory exposure — on a compressed regulatory timeline.

Approach

Directed the decommissioning program end-to-end. Coordinated regulatory stakeholder engagement, clinical handoff protocols, member communication sequencing, and transition logistics across multiple receiving plans. Established member-level tracking mechanisms for continuity verification and escalation pathways for at-risk cases.

Outcome

All 30,000+ members transitioned to new managed care plans with care continuity maintained. The LOB closed on regulatory timeline without member-disruption findings.

A note on how the work happens

Program management is hands-on and inside the work — not a slide deck from the outside.

SCM Solutions LLC · Operating principle

Embedded, not advisory.

Execution happens alongside the people doing the work, in their tools and their meetings. The deliverable isn’t a report. The deliverable is a program that runs.

Measured, not narrated.

Every engagement is tied to outcomes that can be tracked and reported. Work isn’t finished when a project ends — it’s finished when the results are sustained.

IV. Approach 04 / 07

How engagements work.

A direct, four-stage rhythm. Every engagement is scoped honestly, executed inside the work, and tied to outcomes that can be tracked.

01 — Discovery

An honest first conversation.

Every engagement begins with a conversation to understand the challenge, the stakeholders, and what success looks like — without a sales pitch attached. An honest fit assessment, both ways.

02 — Scope & Structure

Clear scope, no ambiguity.

Engagements are defined with a clear scope, timeline, deliverables, and working agreement. No ambiguity about what gets delivered, when, and how progress is measured.

03 — Embedded Execution

Inside the work, not outside it.

Program management is hands-on and inside the work — not a slide deck from the outside. Execution happens alongside the people doing the work, in their tools and their meetings.

04 — Measurable Outcomes

Finished when results are sustained.

Every engagement is tied to outcomes that can be tracked and reported. Work isn’t finished when a project ends — it’s finished when the results are sustained.

V. Interactive · Engagement Fit 05 / 07

A quick check on whether the work fits.

Four short questions about your initiative. The result is a short snapshot of how an engagement would likely be shaped — and an honest signal on whether SCM Solutions is the right call. Takes about a minute. Nothing is sent until you choose to send it.

Engagement Fit · Self-assessment

Tell me about the initiative.

Four questions. No email required. Your selections stay on your device.

Step 1 of 4
Question 01

What kind of initiative are you thinking about?

Question 02

What kind of organization is the initiative inside?

Question 03

What’s the natural timing window?

Question 04

What’s the trickiest part right now?

Focus area match
Likely engagement shape
Suggested next step

VI. Frequently Asked 06 / 07

Common questions about engaging SCM Solutions.

Direct answers to the questions most prospective clients ask before an initial conversation.

What kinds of organizations does SCM Solutions work with?
Healthcare organizations where program management discipline is required for high-visibility, multi-stakeholder initiatives. This typically means health systems, integrated health plans, managed care organizations, behavioral health networks, and pharmacy benefits companies. Adjacent organizations — venture-backed healthcare companies, healthcare technology vendors, provider groups — are considered case-by-case based on engagement fit.
What does a typical engagement look like?
Most engagements fall between 8 and 24 weeks and align to a natural operational rhythm: a quality program cycle, a regulatory submission, a line-of-business transition, a platform implementation, or an acquisition-integration window. Shorter advisory engagements and longer multi-quarter program leadership are both possible when scope warrants.
How is confidentiality handled?
All engagements operate under mutual non-disclosure agreements. Past engagement details referenced on this site are anonymized at the organization level. No client-identifying information is shared in public materials, case studies, or conversations with other prospective clients.
How is pricing structured?
Engagements are priced on a fixed-fee, milestone-based, or monthly retainer basis depending on engagement model and scope. Specific pricing is shared during a scoping conversation once fit and scope are understood. SCM Solutions does not publish a rate card because engagement pricing materially depends on scope complexity, stakeholder breadth, and timeline.
What is out of scope?
SCM Solutions is a program management practice. The scope does not include technical implementation (custom software development, IT infrastructure builds, EHR configuration work performed directly), licensed clinical practice, or legal and regulatory opinion work. These adjacent capabilities are often coordinated with during an engagement but are not delivered directly.
Do engagements happen on-site or remotely?
Program management work is primarily conducted remotely, with on-site presence coordinated for kickoff, executive working sessions, and key operational milestones. On-site percentage is defined per engagement based on client preference and the nature of the work.
What is the current engagement availability?
SCM Solutions takes on a limited number of engagements per year. Organizations with program management needs aligned to the focus areas above are invited to share context about the work — inquiries are evaluated against timing, scope, and fit on a rolling basis.
How are inquiries handled?
All inquiries receive a response. Initial scoping conversations are arranged when there is a plausible fit, and inquiries outside the current focus areas are answered honestly and directly.
VII. About 07 / 07

About the practice.

SCM Solutions LLC is an independent healthcare program management practice. It concentrates on complex, multi-stakeholder initiatives where execution quality materially affects regulatory, financial, or clinical outcomes.

Every engagement draws on direct operational experience inside multi-hospital health systems, integrated health plans, Fortune 25 managed care organizations, national pharmacy benefits companies, and regional Medicaid plans — spanning quality and regulatory programs, health equity operationalization, and managed care transitions.

The practice is selective about engagements, prioritizing work where focus-area fit and timing align to deliver measurable outcomes.

Connect

Connect with SCM Solutions.

SCM Solutions takes on a limited number of engagements per year. Organizations with program management needs aligned to the focus areas above are invited to share context about the work — inquiries are evaluated against timing, scope, and fit.

Direct email
contact@scmsolutions.org
Based in Virginia · Working across the U.S.
What helps in an inquiry
  • A few sentences on the initiative, stakeholders involved, and what success would look like.
  • The natural operational window — regulatory submission, LOB transition, fiscal-year program cycle, etc.
  • Any timing constraints worth knowing about up front.