Experience

QMetrics, Inc.

• United States
• Business Consulting and Services
• 1 - 100 Employee

• CEO, Founder & HEDIS Auditor

  • Apr 2005 - 18 years 9 months

  San Diego, CA



Sharp Health Plan

• United States
• Hospitals and Health Care
• 100 - 200 Employee

• Director, Quality Improvement

  • Sep 1999 - Feb 2005

  San Diego, CA • Directed all aspects of quality management to include the development and implementation of clinical and non-clinical programs and studies for a multi-product line health plan • Project management of HEDIS process to include strategic planning, programming, medical record review, analysis, audit preparation, and development of interventions • Developed innovative and bi-model interventions focused on physicians and members for sensitive populations • Managed physician credentialing,… Show more • Directed all aspects of quality management to include the development and implementation of clinical and non-clinical programs and studies for a multi-product line health plan • Project management of HEDIS process to include strategic planning, programming, medical record review, analysis, audit preparation, and development of interventions • Developed innovative and bi-model interventions focused on physicians and members for sensitive populations • Managed physician credentialing, health promotion/education, delegation oversight and facility evaluations programs • Developed in-house physician satisfaction tools and dashboard metrics report cards Show less



Sutter Health - Palo Alto Medical Foundation

• United States
• Medical Practices
• 700 & Above Employee

• Quality Manager

  • Oct 1998 - Sep 1999

  Palo Alto, CA • Developed quantitative and qualitative auditing tools for measurement and process improvement • Managed the implementation of enterprise-wide patient satisfaction surveys and productivity studies • Developed processes for the collection of HEDIS measures to include medical record review processes



Magellan Health

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

• Director, Quality Improvement

  • Mar 1997 - Oct 1998

  San Jose, CA • Directed all aspects of quality management programming, TQM training, and JCAHO survey preparedness • Developed reporting structure and dashboard report card reflective of hospital management metrics and CMS compliance requirements • Managed medical staff credentialing and onboarding



Stanford University

• United States
• Higher Education
• 700 & Above Employee

• Quality Assurance Analyst

  • Oct 1995 - Mar 1997

  Palo Alto, CA • Coordinated quality improvement projects for hospital and professional fee billing departments • Utilized TQM and QI tools in process improvement project and staff education in billing and ambulatory clinic staff • Developed executive level key metric monitoring report of process and outcome measures • Developed monitoring reports for comparative and longitudinal analysis