Deborah Roberts

Deborah Roberts Email and Phone Number

Managed Health Care-Quality Improvement-Government Programs-Quality Audit Specialist-HEDIS Project Coordination/Facilitation-Risk Adjustment Operations @ Health Care Service Corporation
Deborah Roberts's Location
Greater Chicago Area, United States, United States
Deborah Roberts's Contact Details

Deborah Roberts work email

Deborah Roberts personal email

About Deborah Roberts

Experienced Project Coordinator with a demonstrated history of working in Insurance & Managed Health Care. Proven experience as an Associate Manager, Lead Coordinator, Quality Audit Specialist and Business Analyst facilitating technical and operational support to teams, departments, divisions, and Enterprise areas. Professional Strengths include managing and assisting in the coordination of complex projects, facilitating project delivery, and the training and guidance of multiple teams. Assists in the management of reports, and work groups. Strong analytical, technical and communication skills.

Deborah Roberts's Current Company Details
Health Care Service Corporation

Health Care Service Corporation

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Managed Health Care-Quality Improvement-Government Programs-Quality Audit Specialist-HEDIS Project Coordination/Facilitation-Risk Adjustment Operations
Deborah Roberts Work Experience Details
  • Health Care Service Corporation
    Hedis Quality Audit Specialist - Qi Government Programs, Medicare, Stars, Risk Adjustment Operations
    Health Care Service Corporation Jan 2021 - Present
    Chicago, Il, Us
    Assists the Oversight and Operations Manager in the coordination and implementation of Clinical, Risk Management and Medicare Contract Operations. Coordinate and implement HEDIS initiatives. Facilitate Vendor Payor and Auxiliary Record Retrieval. Assists in Chase List management, creating process documents, establishing workflows, and facilitating operational reporting
  • Health Care Service Corporation
    Administrative Operations-Qi Government Programs- Hedis, Medicare Advantage, Stars
    Health Care Service Corporation Jan 2020 - Jun 2021
    Chicago, Il, Us
    Assisted Clinical Programs Manager in the coordination and implementation of HEDIS project initiatives as set by Government Programs Dept. Assisted in the facilitation and implementation of aspects of assigned projects as Audits developed. Organized, reviewed, extracted, HEDIS EMR across states. Facilitated Vendor Payor and Auxiliary Record Retrieval. Extracted Diagnostics. Assisted in creating process documents, workflows and facilitated reporting. All other duties as assigned. Software Used: QSHR, MS Excel, Power Point, Change HC Alert Portal, Centauri, Quest Diagnostics
  • Health Care Service Corporation
    Project Coordinator Qi Government Programs-Medicaid Oversight Operations
    Health Care Service Corporation Jun 2019 - Dec 2019
    Chicago, Il, Us
    Facilitated Oversight Team in the management of Clinical Oversight processes. Grievance, Appeals, Provider Preventable Conditions. Originated, managed, and oversaw diverse Vendor Payor and Auxiliary record requests. Managed case flow, reviewed and audited acute care records, received, and filed medical records. Managed, organized, reviewed, and extracted HEDIS EMR. Managed Medical Record billing processes Software Used: MS Project, Share Point, Oracle, MS Office, Adobe.
  • Health Care Service Corporation
    Coordinating Assistant Qi Government Programs Medicaid-Hedis
    Health Care Service Corporation Jan 2018 - Jun 2019
    Chicago, Il, Us
    Managed and Assisted w HEDIS Manager in the coordination and implementation of HEDIS project initiatives as set by QI Government Programs Dept. Managed and assisted in the facilitation and implementation of aspects of assigned projects as Audits developed. Facilitated the development of project plans and process documents. Coordinated and assisted in training and facilitating the HEDIS team. Queried HEDIS Data. Managed Provider Groups communications. Managed, organized, reviewed, and extracted HEDIS EMR, Managed, requested, reviewed Vendor Payor and Auxiliary records. Extracted Diagnostics. HEDIS verification and preparation. Facilitated off season and pre-season HEDIS processes. HEDIS Audit preparation. Software Used: MS Project, Share Point, QSHR, Provider Performance Analytics and Reporting Database, (P.A.R) Adobe
  • Health Care Service Corporation
    Business Analyst (Data Analytics)-Enterprise Quality Accreditation And Reporting
    Health Care Service Corporation May 2017 - Jan 2018
    Chicago, Il, Us
    Provided support and facilitated goals as set by the Quality, Accreditation and Reporting Enterprise Leadership Team. Managed, assisted, supported w Senior Project Manager. Facilitated the development of project plans and process documents and workflows. Facilitated diverse credentialing processes. Assisted in the coordination and development of Data and Analytics Databases. Provided User and Product support. Coordinated and conducted Educational Training's. Conducted Software Experience Surveys. Coordinated Support Team in the management of secured provisioning processes. Queried HEDIS Data. Facilitated HEDIS data mapping, quality profiling, loading, building queries, and categorizing data. Facilitated HEDIS retrospective & prospective data load and operational tasks. Updated Pivot Tables, performed VLOOKUP’s, checked, and updated Macros. Software Used: Share Point, Provider Performance Analytics and Reporting Database, (P.A.R) QSHR, Teradata, Tableau, MS Office: Excel, PowerPoint
  • Health Care Service Corporation
    Coordinating Assistant-Qi Government Programs Medicaid-Hedis
    Health Care Service Corporation Jan 2015 - Jun 2017
    Chicago, Il, Us
    Managed and Assisted w HEDIS Manager in the coordination and implementation of HEDIS project initiatives as set by QI Government Programs Dept. Managed and assisted in the facilitation and implementation of aspects of assigned projects as Audits developed. Facilitated the development of project plans and process documents. Coordinated and assisted in training and facilitating the HEDIS team. Queried HEDIS Data. Managed communications with Provider Groups. Managed, organized, reviewed, and extracted HEDIS EMR, Managed, requested, reviewed Vendor Payor and Auxiliary records. Extracted Diagnostics. HEDIS verification and preparation. Facilitated off season and pre-season HEDIS processes. HEDIS Audit preparation. Software Used: MS Project, Share Point, QSHR, Adobe
  • American Academy Of Dermatology
    Project Coordinator
    American Academy Of Dermatology Dec 2013 - Jan 2015
    Rosemont, Il, Us
    Managed and Assisted Senior Manager with Data Collection and Analysis related to the American Academy of Dermatology Educational Activities Dept. Managed, assisted, and facilitated the development of project plans and process documents. Coordinated and facilitated small projects. Edited and proofread Scientific and CME content and documents. Worked collaboratively with staff and volunteer physicians to coordinate content development. Collected Data using Academy’s existing systems and methods, reported results, and coordinated dissemination. Participated in Department activities and projects as directed. Software Used: Share Point, Aptify, MS Office
  • Molina Healthcare
    Associate Project Manager Qi Government Programs Medicaid
    Molina Healthcare Dec 2013 - Dec 2014
    Long Beach, California, Us
    Managed and assisted w HEDIS Manager in the coordination and implementation of HEDIS project initiatives as set by Molina Health Care. Managed and assisted in the facilitation and implementation of aspects of assigned projects as Audits developed. Facilitated the development of project plans and process documents. Coordinated and assisted in facilitating HEDIS team. Managed communication with Provider offices ensuring compliance with federal contracts and mandates for HEDIS requests. Managed, organized, reviewed, and extracted HEDIS EMR. Provided Administrative and clerical support with regards to EMR data. HEDIS verification and preparation. Facilitated off season HEDIS processes. Facilitated pre-season HEDIS Audit preparation. Software Used: UMK2, QNXT, Lotus, MS Office
  • Innovista Health Solutions
    Project Coordinator
    Innovista Health Solutions Jan 2012 - Dec 2013
    Oak Brook, Illinois, Us
    Assisted with the Care Coordination and Member Care of the Utilization and Disease Management Dept. Completed assigned tasks related to Care Coordination. Managed Administrative cases of members for the ER Admission/Discharge post notification work assigned to Nurses and Clinical Staff. Administrative and Clerical duties as assigned. Software Used: Passport, Aerial and MS Office.
  • Raymond James Financial Services Advisors, Inc.
    Administrative Coordinator
    Raymond James Financial Services Advisors, Inc. Jan 2012 - Dec 2013
    Greeted and assisted Clients as needed. Provided distinct administrative and interpersonal support to Branch Operations Specialists, Sales Associates and Brokers in the areas of filing, scanning, updating client accounts, funds disbursement, mailings and any and all other duties as assigned. Answered and directed incoming calls. Software Used: Advisor Access, MS Office.
  • Access 1 Communications Corp
    Marketing Coordinator
    Access 1 Communications Corp Jan 2012 - Dec 2013
    Responsible for placing Advertising (Copy) Commercials on various Radio Station Schedules. Responsible for staying up to date and following up on Purchase Orders with Sales Executives for any and all missing copy. Provided clerical support to Sales Executives. Created new Orders. Assisted clients and customers as needed. Software Used: T.R.A.F.F.I.C
  • Bekins Van Lines
    Hr Administrative Assistant
    Bekins Van Lines Jul 2010 - Dec 2012
    Ensured that all incoming calls were answered and directed to the appropriate parties in a timely manner. Logged incoming packages forwarded them to appropriate departments. Processed HR Department invoices. Performed employee audits. Calculated employee hours, and prepared employee time sheets for Payroll processing. Provided clerical support to Revenue Processing and Micro Graphic Department’s as needed. Software Used: Microsoft Excel
  • Quadel Consulting & Training, Llc
    Administrative Coordinator
    Quadel Consulting & Training, Llc Feb 2010 - Jun 2010
    Washington, District Of Columbia, Us
    (Temporary Staffing Assignment)Managed Interim Desk for Chicago Housing Choice Voucher Program, HCVP. Responsible for reviewing tenant credentials to ensure compliance with HCVP program requirements and eligibility. Provided clerical support and program policy information to clients. Received and forwarded incoming calls. Performed various clerical functions. Referred problems and or concerns to the appropriate parties for further assistance.
  • T.E.A.M.Work Englewood
    Project Coordinator
    T.E.A.M.Work Englewood Aug 2002 - Dec 2009
    Provided distinct administrative and interpersonal support to Lead Project Manger, clients and staff. Provided support to Co-Project Managers and Project Team in all initiatives. This included any and all updates, to proofing and revising plans. This also included communicating any and all requirements, mandates schedules, target dates, status reports, etc. Provided support to the Lead Project manager in the preparation, editing and proofreading of documents and proposals. Scheduled staff and client appointments, arranged business meetings, made travel arrangements, and composed correspondences. Provided relief to other secretaries for breaks and lunches. Software Used: Microsoft Word, and Outlook.

Deborah Roberts Skills

Administrative Assistance Provider Relations Consulting Seasoned Epic Systems Payments Insurance Sales Data Entry Advancement Payroll Processing Digital Marketing Correspondences Medical Records Accounts Payable And Receivable Executive Positions Client Accounts Effective Analytic Tenant Temporary Placement Legal Direct Mail Search Management Revenue Calls Funding Disbursement Related Software Clerical Composed Auditing Problem Solving And Technical Skills Administrative Project Support Attorneys Human Resources Business Meetings Purchase Orders Administrative Care Coordination Physicians Nitro Business Services Electronic Medical Record Extraction Microsoft Office Project Coordination Editing Patient Demonstrate Remarkable Administrative Radio Intranet Switchboard Qshr Commercials Chicago Payroll R Proofreading Yahoo C Event Planning Office Management Social Housing Communication Schedules Advertising Travel Arrangements Checks Typing Data Logging Project Efficient At Tracking And Processing Large Amounts Of Information Time Sheets Clerical And Interpersona Responsibility Branch Banking Administrative Work Umkr/qnxt Tax Forms Reviews Relief Credentials Organized And Professional Compliance Receptionist Duties Docketing Switchboard Operator Parties Proposal Writing Libraries Invoicing Legal Documents Scanners Englewood Filing Tax Returns Broadcast Journalism Breaks Eligibility Medical Equipment Coordinated

Deborah Roberts Education Details

  • Loyola University Chicago
    Loyola University Chicago
    Project Management Professional
  • Shaw University
    Shaw University
    General

Frequently Asked Questions about Deborah Roberts

What company does Deborah Roberts work for?

Deborah Roberts works for Health Care Service Corporation

What is Deborah Roberts's role at the current company?

Deborah Roberts's current role is Managed Health Care-Quality Improvement-Government Programs-Quality Audit Specialist-HEDIS Project Coordination/Facilitation-Risk Adjustment Operations.

What is Deborah Roberts's email address?

Deborah Roberts's email address is de****@****sil.com

What schools did Deborah Roberts attend?

Deborah Roberts attended Loyola University Chicago, Shaw University.

What skills is Deborah Roberts known for?

Deborah Roberts has skills like Administrative Assistance, Provider Relations, Consulting, Seasoned, Epic Systems, Payments, Insurance, Sales, Data Entry, Advancement, Payroll Processing, Digital Marketing.

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