Austyn Young, Md, Cphq Email & Phone Number

Chicago, Illinois, United States

*Ensure management and employees’ full understanding of business needs, auditing compliance, and tracking progress toward strategic business goals.*Facilitate the integration of reform initiatives into operational processes that align with strategic business goals and accreditation and regulatory requirements while increasing efficiency and program excellence. Recent examples include managing the Mental Health Parity Program and implementation of the 30-Day Readmission Payment initiative.*Successfully led the 2020 State Medicaid contract audit conducted by External Quality Review Organization Health Services Advisory Group (HSAG).*Direct administrative and operational management responsibilities for the Accreditation Program. Achieved a perfect score on the National Committee for Quality Assurance (NCQA) Health Plan Renewal Survey for Medicaid (HMO) and awarded three-year reaccreditation effective August 28, 2020. *Increased organizational awareness of regulatory and accreditation standards through implementation of a comprehensive project plan to ensure NCQA survey readiness with ongoing monitoring for compliance and process improvement.*Developing quantitative and qualitative analysis reports in collaboration with business leads aimed at addressing identified deficiencies and improving outcomes.

*Direct supervisory and operational management responsibilities for the Quality Program and the Accreditation Program for multiple Lines of Business. *Successfully managed the Accreditation Program resulting in NCQA reaccreditation for Medicaid and Marketplace in 2020. Managed and analyzed performance results against established benchmarks to identify opportunities for improvement for multiple NCQA standards.*As Quality Department lead, successfully completed the Illinois Department of Healthcare and Family Services Quality Department readiness review for the YouthCare program.*Collaborated with the clinical team care team to improve member health outcomes by developing performance measurement and outcome studies based on membership demographic characteristics and disease prevalence.

Illinois, United States

*Conducted NCQA accreditation readiness assessments and developed and implemented a process for ensuring that the health plan maintained NCQA accreditation in 2020.*As Quality Department contributor, successfully completed the Illinois Department of Healthcare and Family Services Quality Department readiness review for new statewide request for proposal.*Rendered key insights for quality improvement policies and procedures enhancements based on literature reviews and self-generated data outcome reports.*Supervised QOC Coordinator to achieve enhanced overall regulatory compliance of the health plan peer review program and establish best practices through creation of training materials and oversight tools and processes.

Illinois, United States

*Gained distinction for receiving the Key Contributor Award in January 2017 due to outstanding achievements in building best practices for Quality of Care (QOC) investigation and analysis.*Conducted innovative Practice Transformation Activities with affiliated FQHC using the PDSA model to promote optimum service delivery and improved patient outcomes.*Improved regulatory compliance of health plan QOC and peer review program with 50% reduction in turnaround time for case resolution and successful completion of the California Department of Health Care Services QOC audit with no regulatory findings. Established best practice of referencing up-to-date evidence-based practice guidelines and scientific evidence when assessing for deviation from standard of care and generating professional written case summaries for the Peer Review Committee.

Mattapan, Ma

Completed quantitative and qualitative analysis of health center utilization data and highlighted implications of findings, which resulted in changes to the health center’s program strategy

West Roxbury, Ma

Drove efforts in enhancing patient outcomes and minimizing inappropriate utilization of healthcare services through development of care management pilot program for high-risk veteransDemonstrated efficiency in drafting communication materials and summary reports as well as in working collaboratively with an interdisciplinary team and external partners

Boston, Ma

Designed and implemented a curriculum to complement a Summer Externship where medical students care for high-utilizing patients in underserved areas.

Doctor Of Medicine (M.D.)

Bachelor’S Degree, Pre-Medicine/Pre-Medical Studies, French Language, 3.85

Activities and Societies: Phi Beta Kappa National Honor Society Research Intern in both the Univ. of Oregon Department of Psychology &.