Deb Chambers Email & Phone Number

Albany, New York, United States

• Develop and manage External Quality Review Organization (EQRO) contract-specific work-plans including tasks, timelines and deliverables. For each project, ensure that all planning, data collection, data analysis and.
• Provide regular formal and informal reporting to state representatives and other contract representatives including required status reports and participate in periodic conference calls and face-to-face meetings.
• Actively lead and/or participate in select activities such as surveys, evaluations, preparation of technical reports, and communicating findings to various audiences.
• Day-to-day liaison with customers, collaborators, and other stakeholders. Work closely with customers to ensure their satisfaction with IPRO’s work and to identify new customer needs and lead efforts to provide.

• Leadership of Quality Improvement Program for NY statewide health plan with 2+ million members
• Development of best-in-class physician performance reporting and member rewards programs
• Implementation and analysis of the quality improvement program
• Led effort of successful integration of the not for profit quality department throughout the merger with a fortune 500 company
• Manage staff responsible for extracting, analyzing and producing all data related to quality improvement initiatives including physician quality reports, HEDIS and medical record audits
• Liaison with numerous external vendors responsible for member and provider surveys, regulatory audits, and clinical data warehouse systems

Latham, NY

Leadership of Quality Improvement Program for regional health plan with 700,000 members across three states. Consistent ranking within top 10% nationally. Consistent achievement of 99+% in NCQA surveys.Development of best-in-class physician performance reporting program including quality & resource management profiles, pay for performance and transparent.

Responsible for the development and implementation of analytical tools to measure program performance and tracking/trending of GHI/HMO initiativesManage, train and evaluate team of analysts responsible for multifunctional performance reportingChair of the company's Data Integrity Workgroup, responsible for ensuring the data integrity of multiple source.

Development and production of quarterly report cardsDevelopment of bi-annual specialty profiling reportsResponsible for data integrity of data warehouse and source systemsTraining and support to 60 employees on the Codman physician profiling toolReporting support to Utilization Management, Behavioral Health and Contracting departments

HEDIS reporting for employer groupsMajor contributor to Sybase data warehouse and provider profiling system development teamDeveloped data dictionary documentation