Stephanie M., Ms, Cphq Email & Phone Number

Portland, OR, US

Portland, OR, US

• Coordinator and co-chair, Population Health Committee.
• Develop and evaluate the effectiveness of the PHM Strategy.
• Evaluate PHM programs, activities, and services to identify improvement opportunities.
• Review population characteristics and identify member needs, including SDoH, to recommend areas of focus.
• Maintain NCQA SSME Health Plan Accreditation and direct efforts to ensure compliance.
• Ensure timely completion of regulatory activities, including annual attestations, audit readiness, and reportable events.

Portland, Oregon, United States

• SELECTED ACCOMPLISHMENTS
• Designed a Tableau dashboard and worked with Healthcare Informatics to execute on my vision to support an annual assessment of our member populations to characterize them and their needs, including social determinants.
• Mobilized a temporary cross-functional workgroup to glean deeper insights on the dashboard data to highlight opportunities and barriers and make recommendations
• Led through an organizational change with substantial personnel impacts to successfully renew our 18 NCQA Health Plan Accreditations
• Redesigned several core documents to ensure full compliance with NCQA requirements and facilitate deeper engagement with internal stakeholdersCORE RESPONSIBILITIES
• Ensure continuous adherence to NCQA requirements, including communication of changes and impacts, consultative support to close gaps, and escalation, as needed

Portland, Oregon Area

• Accreditation Project Manager (SSME)
• Work with Quality & Accreditation team members to track and score all materials; identify and mitigate risks; and ensure all required materials are complete and compliant
• Manage the renewal survey submission process, including IRTNCQA Standards SME: Network Management
• Collaborate with Network Management to produce annual reporting with barrier and opportunity identification for cultural needs and preferences, availability, access, adequacy, and directory accuracyNCQA Standards SME.
• Direct development and implementation of the annual population assessment
• Contribute to the Population Health Management StrategyNCQA Standards SME: Member Experience

Portland, Oregon Area

• Provide ad hoc/drill-down and standard monthly reporting to providers with alternative payment models (APMs)
• Collaborate with Network Management and Provider Partnership Innovation to identify and share opportunities for providers in APMs
• Consult cross-functionally with Clinical Services, Quality, Risk Adjustment, Pharmacy, and Personalized Care Support (advance care planning and palliative care) to develop or enhance reporting to support strategy and.
• Identify and promote opportunities to drive integrated and consistent information-sharing
• Provide ongoing support to Clinical Services for NCQA accreditation, including data extracts, analysis, and consultation on findings to advance clinical transformation and population health management activities
• Routinely peer review and conduct other quality assurance of analytics across teams in Healthcare Informatics

Portland, Oregon Area

• Population Health-focused, integrating risk adjustment, disease prevalence, and other clinical data to formulate a more robust view of the populations we serve to identify opportunities
• Analytic and consulting support for Medicare and commercial risk adjustment, including provider reporting, identification of members with open chronic care gaps, program and provider performance metrics, and report.
• Analytic and consulting support for the Personalized Care Support program, including metrics development, evaluation, and reporting
• Analytic support to Clinical Services for Complex Case Management, NCQA accreditation
• Explore and make connections among my support areas to share data, identify gaps, and blend perspectives to drive questions and creative solutions
• Work cross-functionally with actuarial, provider engagement and network, STARS, strategic finance, clinical services, and Medicare business strategy

Portland, Oregon Area

• Government Programs Revenue Management, primarily supporting provider engagement and education initiatives
• Develop a population health report with Case Management in support of NCQA Accreditation

Duluth, GA

Use SPSS and Wincross to analyze data (e.g., create/amend syntax; run descriptives, crosstabs, correlations, and regression); use Excel to link and develop charts and tables, serve as source data for merge documents, and manipulate data for further analysis (e.g., vlookups, pivot tables, and statistical formulae); and use Word and PowerPoint to.

Duluth, GA

Customized health care data analysis, report production, and benchmark creation using SPSS, Excel, and WinCross.Lead analyst on the Provider Access and Provider Satisfaction product lines and Insights team lead.Work with key Operations and Sales staff to meet client deadlines and reporting requirements. Participate in client calls, and work directly with.

Develop and evaluate public health programs related to health and science literacy using quantitative and qualitative research methodologies.Create middle school science and drug prevention curriculum supplements, teacher and parent training guides, and website content. Write and edit research articles, grant proposals, and qualitative research and.

Perform quantitative research on topics in Cognitive Aging using computer-based and functional MRI (fMRI) studies.Manage operations at the off-campus lab. Coordinate participant recruitment and scheduling, and maintain data and participation records.Mentor undergraduate students. Collaborate with other Universities to perform data collection, scoring, and.

Master Of Science (Ms), Experimental Psychology

Focus on Cognitive Aging/Metacognition and Aging Conduct computer-based and functional Magnetic Resonance Imaging (fMRI) research with.

Associate Of Arts (Aa), Business Administration

Bachelor Of Science (Bs), Psychology

Activities and Societies: Golden Key International Honour Society, Phi Sigma Theta National Honor SocietyMinor: Education Carried out.