 Analysis of operational costs with claims, memberships, and revenues. Monitor and track health plans' contracts and their guidelines. Tested and validated SQL reporting data systems. Wrote SQL codes to support tracking and trending of business financial risk pools.  Analyzed the trending of business financial risk pools and the best practices to implement.  Audited and analyzed various health plans' payment methodologies.

• Wrote quality performance improvement project workflows for specialty care, IT and data usage.• Implemented change management and process management guidelines. • Tested and validated statistical reporting data systems. • Ran and lead process change meetings. • Creating a playbook for mammography care that aligns with compliance, quality performance improvement, and Penrad application.• Designed and wrote various clinical care workflows to align with regulation requirements. • Developed an entire communication platform SharePoint website.• Directed the outside vendor to assist all medical centers’ workflow processes. • Reporting out and tracking scorecard reports for all 13-medical center leadership.• Worked on the Radiology Information System (RIS) application to integrate with eight different hospital care practices to transition to a new external vendor.

• Analyzed and researched hospital wide performance and operation improvements using various reporting systems: SQL, Clarity, Teradata, SAS, Access, and Excel. • Created numerous Access Database Systems and embedded various reports into those systems across different departments to obtain real time data. • Developing all of the reports and creating those database systems allowed for efficient tracking, trending, and access to quick data tailored to the specific departments' needs. • Ensuring quality of all the data created reliability, validity, and usable information. • Integration of care projects across multiple service areas. • Management of big scale projects involving Providers, RNs, Local Leadership, Regional Leaders, and all other types of labor partnership personnel e.g. virtual care: Video Messaging Service, Integrated Video Visits, Virtual Derm, Telephone Appointment Visits.• Lead Joint Commission Regulatory Core Measure trainings for all 12 SCal Medical Centers for all staff levels: upper management, labor partnership and administration non labor union. • Managed and had complete over site of multiple different types of regulatory and compliance core measures to adhere with state and federal guidelines. • Worked on and participated in various audits for JCAHO and Quality of Care. • Collaborated with Legal Counsels, vendors, medical staffs and administrators on business policy issues. • Presented and involved in coordinating small to large scale meetings and events involving anywhere from 5-50 participants or more. • Designed a strategic Quick Stroke Guideline that is used as a reference tool among all 12 Medical Centers for nurses, providers and support staff. • Created correlation, analytical and trending reports for the core measures.

• Worked on best practices, quality control, regulatory and compliance projects for outpatient and inpatient care services.• Quality Administrator of MIDAS+ IT System managing over 100 users.• Involved with hospital audits worked on DMHC, CMS, JCAHO, and internal regional audits. • Wrote up peer review and department review cases.• Designed analytical quality of care reports for various departments to improve care delivery.

• Worked on staff productivity utilization through Cadence scheduling system.• Reported on Cost Avoidance with various Sleep Apnea supplies and expenses. • Monitored and reported clinic satisfaction and patient access. • Develop pricing programs to enhance capitation efforts using CPT, ICD-9, and other medical billing.• Tracking and trending members utilization of services and the quality standards of care provided by Kaiser's health plans.

• Managed a 6-person Life Insurance and Financial sales team with responsibilities including performance reviews, mentoring and stewardship.• Promote and market financial products that Primerica produced. • I led team developments for life insurance and retirement planning marketing programs. • Developed strategic planning for best sales tactics and roll out of products.