Stephanie M., Ms, Cphq Email & Phone Number

Portland, Or, Us

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.• Provide direct supervision and enable ongoing staff development.• All Health Outcomes Consultant responsibilities.

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 of health• 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• NCQA project management, including tracking, planning, gap assessments, and projections• Facilitate weekly team meetings, monthly 1:1s, and a quarterly Accreditation Forum as collaborative spaces for education, skill building, and personal/professional development• Foster relationships with internal stakeholders, external consultants, and NCQA• Population Health Management NCQA SME, including leading the annual population assessment and contributing to the Population Health Management Strategy• Member Experience NCQA SME, including CAHPS and behavioral health survey analyses• Network Management NCQA SME, including access, availability, and adequacy analysesOTHER• Frequent presenter at various Quality Program committees and around Cambia• Participant in various workgroups and non-Quality Committees across Cambia• Health Equity Ambassador

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: Population Health Management• Direct development and implementation of the annual population assessment• Contribute to the Population Health Management StrategyNCQA Standards SME: Member Experience• Work cross-functionally to develop annual analyses of BH and non-BH member experience, including opportunities for improvement

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 decision-making• 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• Mentor junior staff in building consulting skills and connecting their work to that of others

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 development and automation• 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 accompany/supplement the graphical analyses.Insights (custom analytics) team lead: oversee Analysts' workloads; train new Analysts on Insights product lines and data cleaning; and serve as the primary contact for questions related to Insights processes and procedures.Lead analyst and reporting team lead for the core Insights product lines: Provider Access, Provider Satisfaction, and ECHO/Behavioral Health.Serve in a consultative capacity with clients and Operations and Sales staff to review for efficacy survey tools, custom reporting requirements, and requested deliverables. Work directly with key clients as Analyst and Project Manager throughout the project lifecycle to determine appropriate deliverables, produce mock-up reports, provide data updates, and participate in the final report walk-through.Perform quantitative and qualitative research activities to evaluate Insights product lines. Work internally with Product Line Development and Marketing to review and revise standard reporting and deliverables and disseminate research results via white papers and internal and external presentations.Manage benchmarking processes and analysis for the Provider Satisfaction and ECHO/Behavioral Health product lines.Develop and maintain training modules and protocol documentation focused on Insights procedures.

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 select clients.Employ quality control activities through the review of reports, data files, and client deliverables.Create and maintain training modules on Analytics department processes.

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 discussion guides.

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 analysis.Generate yearly reports for grant renewals and Institutional Review Board records.

Master Of Science (Ms), Experimental Psychology

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

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.