Director Provider Performance, West Region

• Jan 2023 - Present

Monitor performance of our markets in the west region. Provide insight and analytics to the market leads that will drive discussions with our payer partners in the areas of utilization, risk adjustment, quality, and financial performance. Work with internal teams to continuously improve upon data reporting strategies. Assist network teams in education and operational interventions.

Director of Network Performance

• Mar 2020 - Apr 2023

Quality Improvement Coordinator

• Feb 2020 - Mar 2020

Quality Improvement Coordinator

• Jan 2018 - Feb 2020

Quality Coordination Manager

• Jan 2017 - Dec 2017

Thunderbird IM became a part of Summit Medical Group Az as of 1/1/2018 Thunderbird IM became a part of Summit Medical Group Az as of 1/1/2018

Quality Manager

• Sep 2013 - Dec 2016

I oversee the provider education and reporting on HEDIS/Stars metrics across 4 Medicare Advantage plans. Currently this includes 279 PCPs and 6 capitated specialty groups. I am a liaison between the clinician and the health plan ensuring accurate gap lists and patient intervention opportunities. I also supply leadership with the results for reporting on a national level. I oversee the provider education and reporting on HEDIS/Stars metrics across 4 Medicare Advantage plans. Currently this includes 279 PCPs and 6 capitated specialty groups. I am a liaison between the clinician and the health plan ensuring accurate gap lists and patient intervention opportunities. I also supply leadership with the results for reporting on a national level.

Sr. Financial Analyst

• Apr 2006 - Dec 2016

Provided financial analyses of capitated providers' utilization. Monthly PMPM reports for FFS utilization. Claim audits for verification on paying per contract. Provided financial analyses of capitated providers' utilization. Monthly PMPM reports for FFS utilization. Claim audits for verification on paying per contract.

Collaborative Coordinator

• Feb 2001 - Jul 2005

Worked as part of a national health disparities collaborative through Bureau of Primary Health. Participated in workgroups to integrate a chronic disease treatment model beginning with Asthma and subsequently including Diabetes, HTN. Educated providers, collected data, generated reports, participated in quarterly sharing sessions with other collaborative participants. Shared best practices via speaking engagements. Created continuous improvement models to move upwards in meeting national… Show more Worked as part of a national health disparities collaborative through Bureau of Primary Health. Participated in workgroups to integrate a chronic disease treatment model beginning with Asthma and subsequently including Diabetes, HTN. Educated providers, collected data, generated reports, participated in quarterly sharing sessions with other collaborative participants. Shared best practices via speaking engagements. Created continuous improvement models to move upwards in meeting national criterias. Show less Worked as part of a national health disparities collaborative through Bureau of Primary Health. Participated in workgroups to integrate a chronic disease treatment model beginning with Asthma and subsequently including Diabetes, HTN. Educated providers, collected data, generated reports, participated in quarterly sharing sessions with other collaborative participants. Shared best practices via speaking engagements. Created continuous improvement models to move upwards in meeting national… Show more Worked as part of a national health disparities collaborative through Bureau of Primary Health. Participated in workgroups to integrate a chronic disease treatment model beginning with Asthma and subsequently including Diabetes, HTN. Educated providers, collected data, generated reports, participated in quarterly sharing sessions with other collaborative participants. Shared best practices via speaking engagements. Created continuous improvement models to move upwards in meeting national criterias. Show less

Medical Assistant/PCT

• 1995 - 2001

General patient care items: collecting vitals, drawing blood, giving injections, assisting in procedures, telephonic patient care, triage provider requests. Performing Medical Assistant duties as expected under the scope of AZ law. General patient care items: collecting vitals, drawing blood, giving injections, assisting in procedures, telephonic patient care, triage provider requests. Performing Medical Assistant duties as expected under the scope of AZ law.