Serve as a Health Equity Officer overseeing a comprehensive Health-Related Social Needs (HRSN) program aimed at addressing Social Determinants of Health (SDOH).Forge partnerships with local housing authorities, non-profit organizations, and landlords to expand housing options.Spearhead leadership in health equity and SDOH, driving organizational strategy and operational excellence.Manage a $5 million budget for community initiatives, overseeing the approval of grant funding, sponsorships, and events.Implement strategies resulting in a 7% increase in capitation rates and generating over $8 million in quality incentive dollars.Manage medical/pharmacy claims and call center operations, administering Medicaid and Medicare Advantage contracts.Renegotiate contracts for 10% savings in administrative fees, better rebate terms, and $1.2 million in annual savings.Implement performance-based incentives for meeting benchmarks on medication adherence and customer service metrics.Achieve a 15% improvement in medication adherence rates and a 20% increase in member satisfaction scores.Implement a compliance program by developing policies and procedures aligning with regulatory guidelines.Foster a culture of compliance, resulting in consistently high audit scores and minimal regulatory issues.Monitor a voucher program with the Housing Authority and Action Services.Implement a Landlord Incentive Program offering subsidies for affordable housing units that meet HUD Quality Standards.Collaborate with local healthcare providers to establish a mobile outreach clinic in underserved rural communities.Formulate vision and strategy, focusing on enhancing member experience, advancing health equity, and addressing SDOH.Identify high-risk areas, enhancing the approach to health equity, quality performance, and health equity efforts.Track and report progress towards strategic goals for health equity, SDOH, and member engagement.

Directed annual quality measures reporting, guaranteeing compliance with standards and enhancing clinical outcomes.Led multidisciplinary team collaborations to deepen the comprehension and application of quality measure reporting.Worked with Training and Communications departments to distribute educational materials.Collaborated with EHR and Informatics teams to improve data capture and reporting through automation.Created educational content on quality measure specifications and reporting to facilitate performance improvement.Engaged in knowledge exchange and strategic discussions with ACO teams and leaders.Monitored organizational performance against quality benchmarks, identifying and executing strategies to surpass goalsManaged performance dashboards to provide insights for quality improvement.Oversaw the development of project plans for the quality reporting process and managed user access to the reporting portal.

Directed QIC and QAPI programs at WDG, ensuring compliance with regulatory standards and adapting to CCO models.Spearheaded efforts across departments to enhance clinical quality and compliance, streamlining policies.Performed data analysis for quality initiatives, offering strategic insights and reporting on quality assurance outcomes.Developed QAPI-driven strategies for patient outcomes, while establishing quality performance indicators.Led QIC and QAPI teams in fostering a culture of timely, continuous quality improvement, emphasizing patient care.Enhanced patient care and compliance by aligning program outcomes, implementing improvement plans, and leading quality improvement teams to excellence.

Led data management for clinical operations, aligning with regulations to meet revenue goals.Secured Medicaid payments through data analytics for patient-centered care homes.Gained proficiency in value/performance-based payment models, enhancing organizational strategy and compliance.Served as liaison for establishing quality metrics with entities, introduced efficient documentation workflows with clinical staff.Actively participated in value-based programs to improve patient care.Set quality performance benchmarks to boost workflow and infrastructure for better care deliveryPartnered with clinics to maximize program effectiveness and cost efficiency.Directed quality evaluations and Improvement measures, created data tools for critical insights into patient cares.

Led key performance data management to boost customer satisfaction and meet regulatory standards.Enhanced data-driven decision-making through detailed statistical reporting, ensuring data privacy and security.Boosted teamwork and communication by collaborating on data presentations for quality improvement.Improved workflow and data integrity, supporting strategic decisions with in-depth data analysis.Managed data maintenance and led inspections for compliance and operational excellence.Elevated communications and business development via presentations, meeting management, and resource negotiation.