Michaela Nolff, Mph, Chca Email & Phone Number

Columbia, South Carolina, United States

United States

Responsible for strategic client relationship management, managing client expectations, and developing client solutions.Account Management1. Served as primary client contact to develop and manage project plans ensuring all client deliverables were met on time.2. Managed client expectations to ensure CareSeed met customer needs.3. Served as HEDIS® subject matter expert and maintained a high level of industry knowledge regarding HEDIS technical specifications, measure updates, and audit standards.4. Assisted clients with audit preparation and responses including data query and documentation requests.5. Provided data analysis using Microsoft Office products and SQL to assist with data drill-down as needed.6. Reviewed CareSeed deliverables for completeness and accuracy prior to sending to clients, including rate reports, data analysis, project plans, and other work products.7. Assisted with product testing, updates to the product backlog and contributing enhancement requests and defect fixes to the software development team.

Responsible for strategic client relationship management, managing client expectations, and developing client solutions. Support customers who use our Care Analyzer (Certified HEDIS Software), Clinical Repository (HEDIS Medical Record Review Software) and Star5 (trending) software. Account Management • Served as account manager for Care Analyzer, Clinical Repository and Star 5 clients. • Served as HEDIS® subject matter expert and maintained a high level of industry knowledge regarding HEDIS technical specifications, measure updates and audit standards. • Assisted clients with HEDIS® audit preparation and responses including data query and documentation requests.• Provided data analysis using Microsoft Office products and SQL to assist with data drill-down as needed.• Reviewed deliverables for completeness and accuracy prior to sending to clients, including rate reports, data analysis, project plans and other work products.• Documented customer requirements and intended uses for implementation team to be added as software enhancements.• Participated in weekly status meetings with clients• Delivered methodology and navigation training to Care Analyzer, Clinical Repository and Star5 customers on SS&C software.• Assisted in the development of the HEDIS® medical record abstraction tool. Documented annual updates based on newly released HEDIS® specifications. Tested software prior to annual release to clients.

1. Comprehensively manage assigned client HEDIS MRR Projects;2. Support, nurture, and expand positive and successful client relationships;3. Develop and maintain an expert level of knowledge regarding HEDIS MRR reporting requirements;4. Create and maintain client HEDIS MRR project implementation plans and schedules; and5. Direct responsibility for the resolution of client HEDIS MRR project questions, concerns and service issues while serving as the liaison between clients and the company.

1. Provide direction and leadership to ensure the effective coordination of all QM programs and QI activities.2. Serve as HEDIS subject matter expert, implementing HEDIS data collection for BCBSSC fully insured, state health plan, national alliance and ASO books of business; 3. Coordinate all HEDIS data collection and audit requirements for the BlueChoice HealthPlan ( a subsidiary of BCBSSC) commercial and Medicaid products and the BCBSSC Group and Individual Medicare products. 4. Provide oversight and consulting services to BCBS Disease Management initiatives.

Coordinated the HEDIS data collection process for BlueChoice HealthPlan; provided documentation for external auditors, ensuring BlueChoice HealthPlan met the 90th percentile in all graded measures. Measured guidelines using HEDIS measures.

Supervised four full-time employees and eleven part-time employees with the implementation of eleven disease management/preventive health programs. Coached team members to ensure all standards were exceeded. Organized HEDIS data collection and increased HEDIS measures.

Master Of Public Health (M.P.H.), Public Health Education And Promotion

Bachelor Of Science (B.S.), Public Health Education And Promotion