Megan Merchant Email and Phone Number
Self-motivated Quality Consultant offering 12 years of experience in the healthcare industry with the last 9+ years specializing in healthcare quality. Team player adept at project management, optimizing workflows, leading teams toward the achievement of benchmarks, and maintaining data accuracy. Strong communicator and multitasker with an organized, detail-oriented approach.
Stanford Medicine Partners
View- Website:
- universityhealthcarealliance.org
- Employees:
- 224
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Quality ConsultantStanford Medicine Partners Jan 2023 - PresentNewark, California, United States• Primary contact for AMP program including the annual AMP audit for IHA, OPA, and PAS public reporting• Leads multiple large-scale, organization-wide performance improvement initiatives for patient care, patient experience, and identifying opportunities for process improvement• Negotiates timelines and priorities for projects, coordinating action plans, implementing ongoing workflow systems, and monitoring/analyzing results for provider and clinic performance to ensure quality goals are measured as per standard reporting metrics for IHA AMP, HEDIS, Medicare/CMS STARs, MSSP, and Epic Healthy Planet ratings• Implements systems for workflow automation and standardization• Collaborates in organizational A3 projects as a coach, team member, or data support• Validates data generated by our NCQA certified vendor, collaborating with affiliated departments to correct errors, improving cohesion of the data for highly accurate reporting• Ensures accuracy for audit through oversight of data entry and QA from related departments• Accountable for reports for medical directors and senior leadership for tracking performance and internal reporting purposes• Collaborates across multiple workgroups and attends meetings within SMP and Stanford in support of the goals of SMP and the Quality Department• Primary contact for LabCorp partnership pertaining to Population Health improvement projects• Project manager for the implementation of the Epic Population Health Compass Rose module• Acting manager for staff when Population Health Manager is unavailable -
Senior Quality SpecialistStanford Medicine Partners Feb 2016 - PresentNewark, California• Lead for AMP program reporting and main contact/project manager for the annual AMP audit for IHA and OPA public reporting; Lead for Essence Medicare Advantage Health Plan, and IPA provider network engagement and process improvement projects• Oversee data entry and QA to ensure accuracy for audit purposes• Validate and maintain data generated by our NCQA Certified vendor and work with the appropriate departments to correct errors and make improvements; Generate reports for providers and senior leadership for tracking and internal reporting purposes• Lead multiple large scale, organization wide, performance improvement initiatives to improve patient care, and patient experience, including identifying opportunities for process improvement• Responsible for negotiating timelines and priorities for projects, coordinating action plans, and monitoring/analyzing results for projects that are consistent with the organization's strategic goals and objectives -
Quality Improvement CoordinatorStanford Medicine Partners Feb 2016 - Nov 2019Newark, California• Provided data analytics for our AMP (P4P) public reporting program• Worked closely with our data aggregation vendor to ensure our data is handled accurately • Supported the yearly P4P audit process for public reporting purposes -
Quality Improvement Data EntryKimco/Mediquest Aug 2014 - Feb 2016Oakland, California• Input patient information into the company data aggregator to provide leadership with quick access to essential patient data related to the IHA AMP (previously P4P) reporting program• Participated in the vendor selection process for a new AMP and HEDIS NCQA certified reporting tool and completed data validation to ensure a smooth and accurate data transition to the new platform• Utilized Excel to generate reports and graphs as well as comparing month to month data and rates.• Participated in organizational population health improvement projects• Volunteered to assist with special office projects, successfully completing all tasks prior to deadlines.
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Data Entry OperatorOsu Physicians Central Billing Office Apr 2012 - Jun 2014Columbus Area, Ohio• Posted payments and read EOBs from all insurance companies • Learned how to read and post rejections and correspondence issues related to patient care• Regularly exceeded monthly production requirements
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Revenue Cycle Support ClerkNesco Resource Jun 2011 - Apr 2012Columbus, OhioOSU Physicians Central Billing Office: • Processed the mail, fulfilled batch requests, and scanned and filed all payment and charge batches after they were completed• Change the file room from a paper filing system to a digital scanning system• Trained to assist with payment posting• Employee of the month, December 2011Progressive Medical:• Assisted in completing a major update of the patient records • Completed and sent out medical justification forms and certificates of medical necessity to get patient files up to date per Medicare guidelines• Utilized my organizational skills, attention to detail, and data entry skills.
Megan Merchant Education Details
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Information Technology & Networking -
Everest Institute-GahannaMedical Billing And Coding
Frequently Asked Questions about Megan Merchant
What company does Megan Merchant work for?
Megan Merchant works for Stanford Medicine Partners
What is Megan Merchant's role at the current company?
Megan Merchant's current role is Quality Consultant at Stanford Medicine Partners.
What schools did Megan Merchant attend?
Megan Merchant attended Devry University, Everest Institute-Gahanna.
Who are Megan Merchant's colleagues?
Megan Merchant's colleagues are Leslie Soares, Amy Mcwilliams, Gitanjali Bhardwaj, Chelly Winkler, Beatriz Ramos, Vianca Leily Mercado, Angelica Negrete.
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Megan Merchant
Greater Cleveland -
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