Waterfall Project Manager Simulation — Mount Sinai Health System

The scenario

Mount Sinai Health System spent 2020-2024 running telehealth as an emergency capability — ad-hoc video visits glued to Epic via manual scheduling. The pandemic's volume justified the shortcuts; the post-pandemic patient demand is now too durable to keep operating that way. The Telehealth Center of Excellence has a $14M mandate to convert Mount Sinai's telehealth footprint into a permanent enterprise platform on Teladoc — ten priority specialties live, Epic Bridges bidirectional sync, supervised video infrastructure for 25,000 monthly visits, and clinician licensure across five priority states (NY, NJ, CT, FL, CA). The Teladoc MSA is already signed. The Charter must be approved by Day 6. What is NOT bounded is patient demand. Mount Sinai's brand pulls patients into telehealth slots faster than the cardiology, dermatology, and endocrinology specialty teams can absorb them — a signal Teladoc's reference accounts at New York-Presbyterian and Cedars-Sinai have already documented. The program either authors a fair-triage scheduling rule that holds the visit-volume KPI without burning clinician goodwill, or it doesn't. The four phase-gate deliverables — Charter (Day 6), Plan (Day 12), SteerCo Update + Change Request (Day 18), Closure (Day 27) — sequence the 27-day window. Aggressive timeline, generous budget, executive air cover, weekly status pressure from the sponsor — the program runs at the pace of a permanent platform replacement, not a pilot.

What you'll do as the project manager

• →Activate Teladoc enterprise telehealth across ten priority specialties (cardiology, dermatology, endocrinology, primary care, psychiatry, neurology, pulmonology, gastroenterology, rheumatology, nephrology) in two sequenced waves within the 27-day window
• →Achieve 22,000 of the contracted 25,000 monthly video visit capacity sustained across the first 30 post-launch days at the activated specialties — measured as a 7-day rolling average to absorb day-of-week variance
• →Complete Epic Bridges bidirectional sync for scheduling, encounter notes, and billing CPT codes for all ten specialties — no fall-back to manual encounter entry post-go-live
• →Secure active clinician licensure for all participating providers across the five priority states (NY, NJ, CT, FL, CA) before respective state-by-state activation — no patient visits booked outside a clinician's licensed state
• →Close the program on Day 27 with all four phase-gate deliverables signed, the joint Mt Sinai/Teladoc retrospective complete, and operational handover to the Telehealth Center of Excellence executed

Project management skills you'll build

The challenges you'll navigate

• •Patient demand surge at specialty go-live — Mt Sinai brand strength is expected to pull patient bookings faster than absorption capacity at cardiology, dermatology, and endocrinology; no scheduling triage rule is yet authored
• •Teladoc joint-roadmap commitment risk — specialty-specific workflow configurations land on Teladoc's release calendar, not Mt Sinai's; missed Teladoc commits would compress per-specialty activation windows
• •Cross-state licensure interpretive risk — the Interstate Medical Licensure Compact covers four of the five priority states but New York requires its own additional consent flow that the Office of Professional Medical Conduct has not yet issued final guidance on
• •Cardiology Department's signal — Dr. Ellis Vance has not committed to participate in Wave 1; a Cardiology withdrawal would force a wave-resequence before Charter and put the program's flagship specialty into Wave 2
• •Epic Bridges interface stability under load — the existing Bridges environment serves seven other production interfaces; the additional Teladoc-bound ADT, SIU, and DFT message volume is bounded but not stress-tested at peak telehealth concurrency

Technology & stakeholders

You'll manage 9 stakeholders, including Dr. Priya Khanna (Vice President & Chief Information Officer, Mount Sinai Health System), Marcus Reed (Senior Director, Strategic Accounts — Teladoc Health), Dr. Ellis Vance (Chair of Cardiology, Mount Sinai Heart Hospital), and more.

What you'll walk away with

A verified, shareable record of a completed enterprise project — plus the PMO deliverables you produced along the way (charter, project plan, SteerCo deck, closure document). It's real, demonstrable project management experience you can put on your resume and speak to in interviews.

Frequently asked questions

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