Latonya Dotson Email & Phone Number

Plano, Tx, Us

Dallas, Texas, United States

• Lead Performance Improvement Plan (PIP) projects to ensure HEDIS measures align with the State performance goals with stakeholders identifying performance issues and how to improve• Implement processes to request and evaluate member compliance reports for each HEDIS measure, including evaluating improvement opportunities• Generate and provide a comprehensive analysis of HEDIS measures, barriers, and opportunities and present results of improvement efforts and ongoing performance measures to senior management• Review, analyze, and interpret healthcare data to ensure accuracy, operational impacts, compliance with Quality/HEDIS reporting standards, and needed actions; elevate issues, trends, areas for improvement, and opportunities to senior management• Collaborate with cross-functional teams to gather, validate, and integrate data from various sources• Develop and maintain documentation outlining data processes and reporting procedures• Participate in quality improvement initiatives and assist in the development of strategies to meet performance goals• Extract, load, model, and reconcile large amounts of data across multiple system platforms and sources• Ensure compliance for all quality audits with federal and state deliverable reporting requirements by performing data quality audits and analysis• Responsible for various HEDIS data submissions to state and federal agencies on a timely basis, ensuring the quality of the data submitted meets, at a minimum, the various regulatory requirements• Review medical records to look for any erroneous documentation of the patient data and check for non-compliant records• Other duties as assigned

Richardson, Texas

Encounters Business Consultant• Performs research and assists in analyzing financial and health data• Analyzes complex business problems and issues using data from internal and external sources to provide insight to decision-makers• Identifies and interprets trends and patterns in datasets to locate influences• Establish an effective communication channel with the all clients and report developers• Monitor and evaluate workflow and deliverables• Subject matter expertAdvanced Customer Delivery Consultant and Trainer• Lead evaluation of reporting requirement and specification of reports• Lead role in communicating with clients to understand reporting and coordination of reports• Analyzes complex business problems and issues using data from internal and external sources to provide insight to decision-makers• Identifies and interprets trends and patterns in datasets to locate influences• Train and present presentations to internal and external clients• Establish an effective communication channel with the all clients and report developers• Maintain privacy and HIPAA documents for customer reporting release• Test internal source file and data mart fields for accuracy and completeness• Monitor and evaluate workflow and deliverablesHealth Analytics Consultant• Analyze enterprise level information that demonstrates operational results of care and wellness programs• Manage the analysis of care management data for the purpose of redirecting program focus or establishing new programs· Ensure data reasonableness from various sources• Publishing results to demonstrate progressBusiness Analyst• Create Adhoc and monthly encounter submission and status reports• Research and solve moderately complex problems and/or conduct moderately complex analyses• Interface with various internal and external clients to resolve data and/or process issues• Support routine requests by gathering data or providing other requested informationTraining Coordinator

Dallas, Texas

• Prepared and filed correspondence, ordered supplies, report development, catering, scheduled meetings, travel arrangements, maintained files, maintenance of confidential documents, transcription, managed mail and e-mail, advance and complex spreadsheets, coordinated and completed special projects and other various duties• Facilitate, coordinate and attend meetings in order to take, prepare and distribute minutes to appropriate gro

Dallas, Texas

• Prepared and filed correspondence, ordered supplies, budget, expense reports, catering, scheduled meetings, travel arrangements, maintained files, maintenance of confidential documents, timekeeper, managed mail and e-mail, advance and complex spreadsheets, coordinated and completed special projects and other various duties• Facilitate, coordinate and attend meetings in order to take, prepare and distribute minutes to appropriate groups• Claims administration and adjudication, medical records, auditing, customer service with internal and external customers, verification and testing of internal coding, and investigated and resolved departmental cited errors• Answered incoming calls from beneficiaries and others to resolve particular issues

Dallas, Texas

• Prepared and filed correspondence, ordered supplies, report development, catering, scheduled meetings, maintained files, maintenance of confidential documents, managed mail and e-mail, advance and complex spreadsheets, coordinated and completed special projects and other various duties• Customer service with internal and external customers and credentialing• Facilitate, coordinate and attend meetings in order to take, prepare and distribute minutes to appropriate groups

Bachelor Of Arts, And Sciences In Health Care Management

Information Technology Support Certificate

Associate Of Arts

Project Management Certificate