Eric Mcquiston Email & Phone Number

San Antonio, Texas, United States

Responsible for overseeing and managing the operations of assigned clinics within the PSU. (PSU) Consists of a team of Nationally Certified Medical Assistants (TX) and Licensed Practical Nurses, Patient Service Representatives (PSR), Nurse Practitioners (NP), and Clinical Quality Analysts (CQA) that support contracted providers on meeting their Focus on Care (FOC), Quality, and Risk Adjustment goals. • Provide additional support to contracted provider offices to achieve 5-star performance and meet quality and HEDIS measures.• Collaborate closely with vendors, wrap-around services, and CPR (Care Providers and Referrals) to coordinate services effectively.• Provide support tools and resources to contracted provider offices, assisting in closing gaps in areas such as lab draws, specimen collection, surveys, screenings, and eye exams. • Organize and oversee mobile clinics to reach patients in communities that may otherwise not receive care.• Track and trend issues related to quality, Stars, HEDIS measures, and FOC, providing auditing services and retraining opportunities when necessary.

San Antonio, Texas Metropolitan Area

• Instrumental in establishing vendors and operations for the opening of an additional 5000 sq. foot facility in San Antonio, Texas.• Directly supervise 15 Registered Behavior Technicians (RBT) to include day to day operations, performance appraisals, coaching and counseling.• Utilizes iCIMS software to recruit, review applicants, prescreening, formal interview, offer position, and complete onboarding responsibilities.• Responsible for direct financial and budgetary function of the practice, purchasing.• Manage P&L, intake projections, coordinating client authorizations and reauthorizations, invoicing, posting payments to patient accounts, staff scheduling, patient scheduling.• Auditing billing daily to ensure accuracy on therapy sessions billed to insurance to process claims correctly.

San Antonio, Texas Metropolitan Area

• Managed the administrative and operational functions for the day-to-day operations for 7 multi-site primary care clinics, 100 medical staff with 22 providers, and no onsite clinic managers.• Executed Human Resource functions by conducting interviewing, hiring, evaluating new hire orientation, policy and procedure overview, benefits administration, administering regulatory trainings, and ensuring all new hire documents are completed.• Directly supervised 100 medical staff to include: performance appraisals, coaching, and counseling.• Managed $2 Million operational and maintenance, enrollment, staffing, and other Direct Cost budget.• Enforced established operational policies and procedures necessary to remain in compliance with Federal, State, and Local laws, and regulations. • Architected the increase of patient enrollment from 8,470 to 18,500 over course of 5-year tenure. • Navigated all 6 clinics through 2014 & 2017 The Joint Commission (TJC), Office of Inspector General (OIG) and privacy compliance inspections with no major findings.• Collected data and monitored Healthcare Effectiveness Data and Information Set (HEDIS) quality performance scores for 22 provider team in 6 primary care clinics.• Oversaw management of the patient satisfaction survey program, patient grievance process and quality improvement.• Collected data and generated monthly reports to monitor licenses/certifications and ensured all clinical employees were compliant. Assisted in coordinating renewal of licenses/certifications.• Developed and implemented action plans to increase patient satisfaction, decrease appointment wait times, and no-show rates for 6 primary care clinics.

San Antonio, Texas Metropolitan Area

• Appointed by Operations Manager to manage expedition of backlog of delinquent cases; improved completion time of all cases from 90 to 30 days.• Facilitated training, technical support and updated regulation compliance guidance to providers.• Analyzed and tracked projects/programs utilizing productivity guidelines, targets, and reports.• Managed a four-person team to include: monitoring progress, running reports, discussing strategy and productivity targets, and providing feedback and coaching. • Conducted quality assurance analysis of South Texas region medical and disability examination reports.

Master Of Arts - Ma, Human Resources Development

Bachelor Of Business Administration - Bba, Health Care Administration