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Michael MancusoProduct & technology executive
Projects & case studies

Complex work.
Concrete results.

Product launches, operating-model changes, and complex AI-enabled builds. Explore the business problem, the decisions I led, and what changed.

Built with agents

Product strategy and a repository-based second brain.

Phase 3 Benefits brings eight health, commuter, and wage-law account types onto one payment card. I built a repository-based second brain—product strategy, specifications, verified facts, and agent memory—to keep AI development aligned.

Specification-driven development at platform scale.

Shared FHIR-based contracts coordinated parallel development across clinical, operational, and financial workflows.

Leadership case studies

Showing 6 of 38

SmileMD

Streamlined patient referral, intake processes, and clinical operations by deploying Salesforce Health Cloud at SmileMD, reducing cycle times for dozens of tasks by 80% and supporting rapid growth.

01

Challenge

As SmileMD grew, we outgrew our initial system for managing the business. The existing infrastructure struggled to support our expanding clinical recruiting pipeline, patient clearing processes, practice management, and scheduling needs. A more robust and scalable solution was required to maintain efficiency and support continued growth.

02

Action

To address these challenges, we decided to implement Salesforce Health Cloud. This comprehensive solution was designed to support various aspects of our operations, including clinical recruiting, patient clearing, practice management, and provider scheduling. Key actions included:

  • System Evaluation and Selection: Conducted a thorough evaluation of potential solutions and selected Salesforce Health Cloud for its robust capabilities and scalability.
  • Implementation and Integration: Deployed Salesforce Health Cloud, ensuring seamless integration with our existing infrastructure. Designed our applications to enable a smooth cutover from the old system to Salesforce Health Cloud, utilizing FHIR (Fast Healthcare Interoperability Resources) standards for data interoperability.
  • Clinical Recruiting Pipeline: Configured Salesforce Health Cloud to manage and streamline our clinical recruiting processes, from candidate tracking to onboarding.
  • Patient Clearing and Practice Management: Implemented features to optimize patient clearing processes and enhance practice management, reducing lead times and improving operational efficiency.
  • Provider Management and Scheduling: Developed and deployed tools within Salesforce Health Cloud to streamline provider management and scheduling, ensuring better coordination and resource allocation.
03

Results

The deployment of Salesforce Health Cloud resulted in significant improvements across multiple areas of our operations:

  • Enhanced Clinical Recruiting: The streamlined clinical recruiting pipeline improved candidate tracking and onboarding processes, enabling us to efficiently manage a growing pool of candidates.
  • Optimized Patient Clearing: The new system reduced patient clearing lead times, improving case day profitability and overall patient management efficiency.
  • Improved Practice Management: Enhanced practice management capabilities led to more efficient scheduling and resource allocation, reducing operational bottlenecks.
  • Streamlined Provider Management: The integrated provider management and scheduling tools improved coordination and reduced scheduling conflicts, leading to higher provider satisfaction and better service delivery.
  • Seamless Transition: The use of FHIR standards ensured a seamless transition from the old system to Salesforce Health Cloud, minimizing disruption and ensuring data integrity.

Questions

Why was Salesforce Health Cloud chosen for SmileMD?

Salesforce Health Cloud was chosen for its robust healthcare-specific capabilities and scalability, supporting clinical recruiting, patient clearing, practice management, and provider scheduling as SmileMD outgrew its initial systems.

How were cycle times reduced by 80%?

Cycle times were reduced by 80% through streamlined patient referral and intake processes, optimized clinical recruiting pipelines, and integrated provider management and scheduling tools within Salesforce Health Cloud.

What healthcare data standards were used?

FHIR (Fast Healthcare Interoperability Resources) standards were used to ensure seamless data interoperability during the migration from the legacy system to Salesforce Health Cloud.

How was data migrated from the legacy system to Salesforce Health Cloud?

The migration involved a carefully planned cutover from the legacy system, using FHIR standards to ensure data integrity and interoperability while minimizing disruption to ongoing clinical operations.

How did FHIR standards future-proof the SmileMD system?

By building on FHIR standards, the Salesforce Health Cloud implementation ensured SmileMD could interoperate with hospitals, health systems, and future healthcare platforms without costly custom integrations.

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