Rocio Cortez

Rocio Cortez Email and Phone Number

Director Of Population Health Management at Chinese Community Health Plan (CCHP) @ CCHP
Rocio Cortez's Location
San Francisco, California, United States, United States
Rocio Cortez's Contact Details

Rocio Cortez personal email

n/a
About Rocio Cortez

Passionate healthcare specialist with over 20 years of experience in clinic and administrative settings. Expert in Population Health Management, Quality Improvement, Risk Adjustment, Program Development, Accreditation and Healthcare Regulations. Clinical Background, practiced Medicine in both, hospital and outpatient settings.Provides leadership in designing and implementing strategies and programs to enhance delivery of care.Focused on Process Improvement, lean methodology. Experience in program accreditation (CMS, NCQA, DHCS, DMHC), compliance and implementation of policies' and procedures. Expert in implementing advanced platforms to produce clinical performance indicators, identify health disparities and trends.

Rocio Cortez's Current Company Details
CCHP

Cchp

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Director Of Population Health Management at Chinese Community Health Plan (CCHP)
Rocio Cortez Work Experience Details
  • Cchp
    Director, Population Health Management, Cchp
    Cchp Oct 2022 - Present
    San Francisco, Ca, Us
    Serves as leader of operations, planning, implementation, and delivery of Clinical Programs consistent with Population Health and managed Care strategies to lead business units in championing initiatives to achieve operational objectives and compliance regulations through collaboratives and strategic mission aligned partnerships. Leads Clinical Workgroups such as the Covered California Health Disparity Reduction Group. Leads QI, Risk Adjustment, Grievances and Appeals Departments and Supports Health Plan Audits, including HEDIS, CMS data validation, CMS part C and implements Corrective Actions as applicable.Participates in Collaborative Operations to identify Root Causes of high priority Company Issues impacting Operations.
  • Cchp
    Director Of Quality Improvement
    Cchp Sep 2019 - Present
    San Francisco, Ca, Us
    Clinical Quality Leader for the CCHP. Leads clinical interventions and ensures regulatory compliance and accreditation with all relevant agencies. Scope of quality includes NCQA, CMS, DMHC.Coordinates operational and strategic projects within CCHP and in collaboration with Chinese Hospital.Leads all Member experience interventions and reporting as well as Grievances and Appeals Department for all lines of business covered by the Health Plan.
  • Health Net
    Senior Manager, Performance Quality Improvement & Quality Of Care
    Health Net Jul 2018 - Sep 2019
    Woodland Hills, California, Us
  • University Healthcare Alliance
    Quality Project Manager
    University Healthcare Alliance Sep 2016 - Jan 2018
    Project Manager for Quality Measurement and Improvement department. Responsible for leading Clinical Quality metrics rates primarily for Stanford Healthcare Advantage Stars, NCQA. Supporting also the Pay for Performance (P4P) program for Accountable Care Physician Organization.Expertise on Quality Metrics, problem solving, A3, Lean Methodology.Strong Clinical Background and Supervisor Experience.
  • University Healthcare Alliance
    Project Manager
    University Healthcare Alliance Feb 2012 - 2018
  • University Healthcare Alliance
    Quality Supervisor
    University Healthcare Alliance Jul 2014 - Oct 2016
    Led Quality Department on Data Abstraction for California Pay For Performance (P4P) Quality Metrics. Implemented Improvement Projects on Osteoporosis Management, Diabetes Control.Assisted in Quality Audits. Implementation in new Quality platform and led data validation.

Rocio Cortez Skills

Performance Improvement Healthcare Management Clinical Background Project Management Team Leadership Training Quality Measures Root Cause Problem Solving

Rocio Cortez Education Details

  • Universidad Autónoma De Guadalajara
    Universidad Autónoma De Guadalajara
    Medicine

Frequently Asked Questions about Rocio Cortez

What company does Rocio Cortez work for?

Rocio Cortez works for Cchp

What is Rocio Cortez's role at the current company?

Rocio Cortez's current role is Director Of Population Health Management at Chinese Community Health Plan (CCHP).

What is Rocio Cortez's email address?

Rocio Cortez's email address is rc****@****are.org

What schools did Rocio Cortez attend?

Rocio Cortez attended Universidad Autónoma De Guadalajara.

What skills is Rocio Cortez known for?

Rocio Cortez has skills like Performance Improvement, Healthcare Management, Clinical Background, Project Management, Team Leadership, Training, Quality Measures, Root Cause Problem Solving.

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