HEALTHCARE MANAGEMENT SOLUTIONS, LLC

Healthcare Management Solutions, LLC specializes in designing and implementing mission-critical IT systems and management consulting services for federal health agencies, with a strong focus on Medicare/Medicaid oversight and clinical data integrity. Their core capabilities include the development and operation of clinical data abstraction, validation, and adjudication platforms; system design for survey and certification workflows; and technical support for quality reporting infrastructure. They deliver end-to-end solutions for CMS and related entities, integrating secure data pipelines, compliance automation, and state agency coordination tools. Their expertise spans computer systems design for healthcare compliance environments, including infrastructure for provider surveillance, hospice oversight, and clinical performance metrics, with deep familiarity with federal regulatory frameworks governing healthcare delivery. The contractor maintains a consistent, long-standing relationship with the Department of Health and Human Services, particularly the Centers for Medicare & Medicaid Services, where they support survey and certification operations, marketplace compliance reviews, and clinical data management systems. They also serve the General Services Administration through acquisition and IT service contracts, demonstrating adaptability across federal procurement ecosystems. Their primary industry focus lies in computer systems design services for healthcare administration and general management consulting within public health governance. They specialize in the intersection of clinical data systems, regulatory compliance, and state-federal coordination—positioning them as a niche provider for complex, high-stakes health IT modernization and operational oversight. As a small business entity headquartered in Fairmont, WV, with no federal certifications on record, Healthcare Management Solutions, LLC operates as a specialized contractor with deep domain expertise in federal healthcare systems, leveraging localized operational agility to support national health program integrity initiatives.