Suze Cucci, M.A. Cphq Email & Phone Number

United States

Tucson, Arizona Area

Tucson, Arizona Area

• Direct supervision of 9 team members including: Financial Analysts, Data Scientists, and Clinical Performance Analysts• Key support team to the CEO, CMO and CFO including weekly dashboards on clinical performance, ROI’s, contracting and quality improvement activities, Long term initiatives, Annual Initiatives and Budget initiatives• Provides senior and executive leadership with population and program analysis in written and oral presentations• Co -chair monthly UM Finance Committee• Oversight of machine learning initiatives including reducing hospitalizations, palliative care coordination for long term care members, high risk member identification, and member retention initiativesSenior data analyst for alternative payment modeling (APM) contracts for Medicaid, Medicare and Long-Term Care lines of business for the Health PlanResponsible for analytics tied to quality measures in APM contracts including provider performance, network performance, ROI for contracting decisionsProvides senior and executive leadership with population and program analysis in written and oral presentationsPerform SQL queries for ad-hoc data requests, population reports, and as part of user acceptance testing of reports in developmentUse of Tableau Desktop and Excel for report analysis and provider performance visualizationData visualization for over 300 provider reports delivered monthly Business Dashboards and Provider Scorecards created and presented on a quarterly basis to Senior LeadershipManagement of business report requirement development for APM quality metricsResponsible for IS user acceptance testing of draft reportsSome experience with BI Publisher and Microsoft PowerShellSME for Behavioral Health Technology Platforms

Tucson, Arizona Area

Regional oversight of population health analytics and programmingSupervision of Analytics Manager, Evaluation Coordinator and Data AnalystsChronic disease management program development and oversightCreate and manage chronic disease registries using Crystal Reports and ExcelAnalysis of performance on CMS Stars and HEDIS measures Reporting of clinical outcome measure performance to Executive teams monthlyProgram evaluation and data oversight for Federal grantsChair of Population Health Policy CommitteeMember of Refugee Health CommitteeProject manager of state HIE implementation for Tucson and Phoenix clinicsProject manager for EHR reporting, template creation, and enhancements with external developer

Tucson, Arizona

Provide direct supervision of the Intake Coordinator, Quality Specialists, and Administrative Assistant for Outpatient Program ServicesPrepare documentation as requested for internal and external audits and agency licensing; coordinate and oversight all medical record audits and ensure files are complete and delivered in a timely mannerAssist the QM director in preparing materials for corrective action plans including creating new forms to meet compliance standards, meeting with RBHA provider mentors and coaches, revising internal processes as necessary Review Notice of Action letters for termination of program services Work in conjunction with fellow QM team members and Program Directors to note and correct deficiencies; identify trends within each program through data collection and analysis Identify, coordinate and implement process improvement initiativesAnalyze and document workflow operating procedures and implement changes as needed to improve process efficiency to reduce re-workCompare medical records and encounter data submissions, utilizing the covered services guide and or ICD9, ICD10, CPT, and HCPC’s manuals, guidelines and rules as neededAssist in coordinating the data validation activities of ICHD and contracting behavioral health networksCreate and implement protocols for the department; assign tasks and manage daily workflowProvide verbal and written technical assistance to program staff to resolve identified errors; provide education and training to program staff as requestedPrincipal trainer for the agency EHR including creation of all training materials, monthly new hire training, ad hoc program in-services and outpatient program technical supportProvide leadership and support for staff in daily tactical operations of the department

Tucson, Arizona Area

Provided supervision of direct service staff and licensed therapeutic foster care providers in a residential behavioral health treatment setting.

Tucson, Arizona

Test proctor/ Library assistant technicianWorked with Disabled Student Resources to provide tutoring needs for special education studentsTutored students in psychology and math specializing in statistics and research methods

Emily Grey Junior High School

Supported special education students in mainstream classroom settingProvided individual instruction based on current classroom curriculumAssisted teachers in modifying tests and assignments to meet student needs and curriculum standards per the students Individualized Education Plan (IEP) goals and objectivesUtilized positive behavior modification techniques to manage disruptive behaviorsMaintained daily contact with parents/caregivers through behavior tracking and communication log books

Tucson, Arizona Area

 Directly supervised between 5 - 9 employees Responsible for interviewing and hiring of support staff and summer program staff Responsible for all employee probationary and annual performance review Responsible for participant recruitment through community summer program fairs (January-April) Organized and planned all program activities in the community Directly responsible for all program finances and budgetary obligations Facilitated Individualized Support Plan meetings for residents Provided training for group home staff including behavioral concepts, Article 9, and de-escalation techniques Completed program documentation daily including behavioral data collection

Master Of Arts - Ma, Health Law And Policy

Bachelor'S Degree, Psychology

Psychology

Activities and Societies: Member of Psi Chi, Honors College

Associate Of Arts (A.A.), Liberal Arts And Sciences/Liberal Studies

Activities and Societies: Phi Theta Kappa, Psychology Club, Deans ListVice president of the Psychology Club Member and officer of Phi.