Alan Hoffman Email & Phone Number

Washington, Dc

Manage NCQA’s contractual services arm, Quality Solutions Groups (QSG), which leverages NCQA’s expertise to meet the needs of agencies and organizations in both the public and private sectors. Oversee QSG contracts and support project staff to ensure that high-quality deliverables are provided to clients on time and on budget. Additionally, serve as a Project Director, Project Manager, or subject matter expert on a diverse set of contracts. Centers for Medicare & Medicaid ServicesDevelopment of the Quality Improvement Strategy (QIS), which Qualified Health Plan insurers participating in the Marketplace are required to implement in accordance with section 1311(g) of the Affordable Care Act.Provide technical assistance to state Medicaid and CHIP agencies on the implementation of the CMCS Core Measure sets: 1) Child Core; 2) Medicaid Adult Core; and 3) Health Homes Core. Develop and operate a program to assess the performance of Medicare Special Needs Plans.Collect HEDIS® performance measure results from Medicare Advantage organizations, develop an annual performance report; and develop performance measures for older Medicare beneficiaries.Implement the HEDIS Medicare Health Outcomes Survey (HOS) including managing data collection and transmittal; facilitating a technical expert panel; training and certifying survey vendors; providing technical and operational oversight; and managing special analysis projects. Develop new performance measures for the Medicare Advantage program.U.S. Office of Personnel Management Establish the structure for a formula to assess plan performance and the development of a Federal Employees Health Benefit (FEHB) plan performance award process. HEDIS Data Collection Service Collect HEDIS data for state agencies and the U.S. Office of Personnel Management.State agencies Develop performance reports aimed at various audiences, including consumers, on health insurer performance.

Washington, Dc

Washington, Dc

Baltimore, Md

Responsible for the development and implementation of a statewide HMO Quality and Performance Evaluation System. o Oversaw the production and public distribution of 60,000 HMO consumer guides containing comparative health plan performance information.o Successfully balanced the needs and concerns of interested parties including health plans, providers, employers and consumers.o Assessed program goals in order to delineate specific components, tasks and timeframes. o Formulated solicitation strategies and technical specifications.o Oversaw procurement process from development of RFPs to the selection of vendors.o Directed and coordinated activities of contractors. o Staffed Commission advisory committees responsible for the development of a standard benefit plan for the small group market and the implementation of practice parameters.

Baltimore, Md

Master’S Degree, Health Care Finance And Adminstration

Bachelor’S Degree, History, With High Distinction