Experience

Elevance Health

• United States
• Hospitals and Health Care
• 700 & Above Employee

• HEDIS Clinical Quality Manager

  • Dec 2019 - Present

  HEDIS Clinical Quality Manager for the Clinical Quality & Health Equity Improvement department with an emphasis on medical records collection for HEDIS Hybrid and year-round medical record collection for the purpose of Medicare/Medicaid STARS ratings. Responsible for team and process management which ensured accurate identification and collection of large volume provider records, onsite record collection and vendor managed records collection which directly impacted STARS and other metrics. Developed team's annual quality goals with 100% of goals met for multiple years Show less



UnitedHealth Group

• Hospitals and Health Care
• 700 & Above Employee

• Quality Solutions Delivery Specialist

  • Dec 2018 - Dec 2019

  Quality Solutions Delivery Specialist for a large insurance company in the Population Health Managment department. Responsible for conducting clinical audits, analyzing and reporting care metrics in order to develop plan for continuous quality improvement. Investigated quality issues and collected alternate data to improve HEDIS quality measures for customers. Mined and analyzed data to identify trends and inconsistencies in order to develop a plan to achieve maximum charts for purposes of HEDIS audits. Show less



OhioHealth

• United States
• Hospitals and Health Care
• 700 & Above Employee

• Hospice Coordinator

  • Nov 2011 - Jun 2015

  Hospice Coordinator and Interim Nurse Manager for a large hospital-based hospice. Responsible for the daily coordination of all hospice staff and management of hospice plan of care. Ensured compliance with CMS regulations and division profitability. Served as the community and partner educator. Hospice Coordinator and Interim Nurse Manager for a large hospital-based hospice. Responsible for the daily coordination of all hospice staff and management of hospice plan of care. Ensured compliance with CMS regulations and division profitability. Served as the community and partner educator.