• Use performance data to identify LCO practices with opportunities for quality improvement.• Works with personnel from NEQCA Central and LCO management to develop collaborative relationships with assigned LCO staff, office managers and practice staff to develop and implement a plan to improve performance on quality measures in order to effectively contribute to the achievement of quality goals.• Works with LCO management to identify and help implement possible LCO system improvements to improve identified performance measures. • Provides information on best practices and other tools to support practice quality improvement. • Works with and trains appropriate practice staff to optimize use of Patient Registry and other work flows which support optimal practice quality performance. • Works with NEQCA Patient Registry and practice Electronic Health Record to track, report and monitor quality performance goals. • Work with and support assigned members of the EHR team to implement processes in electronic health record (EHR) that will support performance improvement such as establishing outstanding test queue to begin electronic tracking of measures as well as activating electronic alert reminders.• Produces and maintains records and reports of LCO and practice improvement plans, work completed, and dates spent at each assigned practice along with monitoring LCO and practice performance to determine impact of interventions. • Supports eligibility review of high risk lists at practice level and communicates information to NEQCA Care Management Team as necessary.• Collaborates with NEQCA Nurse Care Manager and refers appropriate patients to their care.• Monitors on-going Return Rate for practices and keeps practice informed throughout the calendar year• Serve as mentor to Practice Quality Associates • Work closely with Network Relations Managers on special projects and new Practice Quality Associate Trainings

• Develops collaborative relationships with department staff that will use performance data to identify LCO practices with opportunities for quality improvement.• Works with personnel from NEQCA Central and LCO management to develop collaborative relationships with assigned LCO staff, office managers and practice staff to develop and implement a plan to improve performance on quality measures in order to effectively contribute to the achievement of quality goals.• Works with LCO management to identify and help implement possible LCO system improvements to improve identified performance measures. • Provides information on best practices and other tools to support practice quality improvement. • Works with and trains appropriate practice staff to optimize use of Patient Registry and other work flows which support optimal practice quality performance. • Works with NEQCA Patient Registry and practice Electronic Health Record to track, report and monitor quality performance goals. • Works with assigned practices as appropriate and to engage patients which may include: • Work with and support assigned members of the EHR team to implement processes in electronic health record (EHR) that will support performance improvement such as establishing outstanding test queue to begin electronic tracking of measures as well as activating electronic alert reminders.• Produces and maintains records and reports of LCO and practice improvement plans, work completed, and dates spent at each assigned practice along with monitoring LCO and practice performance to determine impact of interventions. • Supports eligibility review of high risk lists at practice level and communicates information to NEQCA Care Management Team as necessary.• Collaborates with NEQCA Nurse Care Manager and refers appropriate patients to their care.• Monitors on-going Gate Score for practices and keeps practice informed throughout the calendar year

Team Lead for Kaizen Charter – Patient Engagement• Worked with Sponsor and Facilitator to develop the Project Team Charter • Identified team members who added value • Gathered the needed materials and any preliminary analyses in preparation to the event • Communicated the team’s needs and success to all interested parties during/after the event• Developed agenda and lead team meetings following the events • Assisted the Implementation Coordinator to follow-up with team members as needed• Ensured the objectives of the event were met • Prepared materials and presented/reported out to the sponsor, champion, and team • Oversaw control plan

• Lead for Harvard Pilgrim Transitions Program; Referrals • Familiar with Medical Electronic Records: Logician, Athena, Patient Ping, Flourish, Soarian Clinical (TMP, ACO, Commercial & Chronic Patients)• Collaborates with patient/families, providers, skilled nursing facilities, home health agencies, care management members and others in order to ensure high quality collaborative team based patient management. • Establishes and maintains relationships with appropriate institutions, physician offices, skilled nursing facilities, home health agencies, LCO’s and IPA leadership, and community organizations. • Serves as an effective liaison with post-acute providers by facilitating communication and obtaining pertinent patient information to ensure utilization management. • Supports self-management interventions aimed to promote behavioral changes for our patients using the concepts of Motivational Interviewing. • Assists the care team in the execution and coordination of patient care including but not limited to patient visits, calls, mailings and reports. • Utilizes NEQCA Health Coach Documentation standards at all times.

GI Research Unit• Collaborated with various parties for the purpose of securing funding to maintain and enhance services and/or programs• Coordinated all grant processes (evaluations, budget, finance, reports) for the purpose of ensuring compliance with the vendor guidelines• Developed forms, processes, procedures, and policies for the purpose of implementing a consistent grant application methodology• Monitored proposals and funding application requirements (presentation content, delivery method and labeling, deadlines, eligibility for grant, etc.) for the purpose of utilizing time and resources to maximize successful awarding of grant funds• Processed invoices, reimbursements, and orders• Managed financial funds/ accounts

• Implemented and Transformed New polices • Analyzed patient records • Oversaw other HOPE monitors• Recruited HOPE Monitors• Trained and Tested New Hires

• Assisted CNAs when needed• Analyzed CNA quality of care• Reconciled patient and family satisfaction surveys• Organized/ planned activities for residents • Conducted private communication sessions with residents • Documented actions by completing forms and reports • Protected organization’s value by keeping patient information confidential