Jacqueline O'Donnell Email & Phone Number

Stuart, Fl, Us

SME of HEDIS Technical Specifications; Manage HEDIS reporting projects for multiple markets; Ensure HEDIS processes and outcomes comply with all applicable requirements and technical specifications.

Treasure Coast

Responsible for driving value based care initiatives in regional practices.

 Project Manager for all Physician Quality Incentives including training, monitoring and reporting for a 65 member multi-specialty physician group for Meaningful Use Stages 1-2, PQRS, MACRA and internal quality measures through various stages and eligibility status- 2012 through present  Responsible for project planning and management of Practice Management (PM) and Electronic Medical Record (EMR) application for all hospital owned physician practices (eClinical Works) including mapping, data field creation and analysis, and interface project coordination Performs all EMR data reporting including monthly patient growth analysis by physician, site, unique patients v. visits for senior leadership; Analysis of HEDIS, MIPS and MU Dashboards  Identifies workflow improvements and resolves issues to maximize efficient use of systems and applications for physicians and staff

Sleepy Hollow, Ny

Responsible for project planning and management of Practice Management (PM) and Electronic Medical Records (EMR) application for the physician offices. Implements PM & EMR application in new physician offices. Trains physicians and staff as well as provides ongoing technical support. Identifies workflow improvements and resolves issues to maximize efficient use of systems and applications. Assists in workflow development, system configurations and troubleshooting PM/EMR issues. Responsible for confiuration of and resolution of patient portal issues.

Manage the financial and operational aspects of a four provider Ob/Gyn Hospital owned practice. Provide leadership to the group planning process by directing, coordinating and reporting departmental activities and act as a liaison between hospital administration, physician group and supporting staff while directing general business planning.Collaborate with Senior Hospital Administration to coordinate practice implementation of various departments;

Manage the financial and operational aspects of a six provider Internal Medicine practice pre- and post hospital acquisition and collaborate with Senior Hospital Administration to coordinate practice implementation of various departments;

Successful contracting of multiple managed care agreements on behalf of 1200 member IPAComposition of all IPA correspondence, proposals & presentationsProject Manager for successful NCQA Certification status in physician Credentialing since 2002Development of formal Quality Improvement Policies & Procedures for both internal and network quality Vendor due diligence, analysis and agreement negotiation for network including MCOs, EMRs, and group purchasing opportunitiesOversight and preparation of network analysis as related to physician recruitment & retention Prepare and present agendas, status reports and departmental reporting to IPA Board of DirectorsLiaison between IPA Board of Directors, external vendors, and IPA staffSupervise IPA staff including Office Manager, Network Management and Data Analysis

Primary liaison for four contracted managed care organizations (MCOs), including but not limited to: contracting, reimbursement, quality management, elevated claim issues, network development, recruitment and ongoing physician relations for six NY countiesSupervise staff performing credentialing and recredentialing of 1200 health care providers following the National Committee of Quality Assurance's (NCQA) standardsResponsible for NCQA compliant policy maintenance and preparation for NCQA Re-certification auditProject Manager achieving 100% compliance for annual HIP Health Plan of New York Credentialing Due Diligence audit, June 2003Management and marketing of HIPAA Provider Education program, including recommending and reviewing website content, coordinating educational seminars and interfacing with health care industry law firm Monitored Quality of Network; Worked collaboratively with MCOs to improve Quality measuresAssisted Director of Network Management in preparation of NCQA Credentialing auditEvent Planning as related to Office Manager meetings and network events

Recruited Hudson Valley region physicians to fulfill company requirementsNegotiated Medicaid Managed Care physician agreements as applicable for solo and group providersPrimary liaison between network providers and Genesis Health PlanEducated physicians and their staffs on plan policies and proceduresReviewed provider applications for completeness and accuracy

Verified patient eligibility, patient referrals and/or pre-certificationsPrepared physician credentialingPerformed patient registration and data entryScheduled office appointments, hospital proceduresMaintained patient files, statistics and log records

Lpn, Nursing

Education record

Education record

Education record