Quality Improvement Specialist
CurrentDaily outreach to providers' offices to assist in scheduling patients for blood pressure & cancer screenings.Coordinated monthly webinars for providers to communicate risk adjustment procedures and RAF score updates.Collected and provided data for quality monitoring reports.Managed EHR systems like Nextgen, EPICs, and Cozeva.Conducted patient and clinician outreach, averaging 70 calls a day.Troubleshoot patient concerns with professionalism.Managed HMO/PPO and Medicare health plans.Coached and advised team members, conducted audits, and analyzed trends.Conducted member and provider outreach via email and phone, averaging 50 emails and 70 calls a day.Assisted with training and cross-training of new and existing staff.Daily outreach to providers' offices to assist in scheduling patients for blood pressure & cancer screenings.Coordinated monthly webinars for providers to communicate risk adjustment procedures and RAF score updates. ( HEDIS scores)Collected and provided data for quality monitoring reports.Managed EHR systems like Nextgen, EPICs, and Cozeva.Conducted patient and clinician outreach, averaging 70 calls a day.Troubleshoot patient concerns with professionalism.Managed HMO/PPO and Medicare health plans.Coached and advised team members, conducted audits, and analyzed trends.Conducted member and provider outreach via email and phone, averaging 50 emails and 70 calls a day.Assisted with training and cross-training of new and existing staff.