Tara Bergeron Email and Phone Number

Director of Medicaid plan in Western Washington County, including working closely with Coordinated Care Organization (CCO), Portland-metro area plan partners, local PCP/Specialist network, and building on new and existing community partnerships. Oversaw large increase in membership and evaluating subsequent staffing needs. Works closely with growing hospital system and administration.

Focused Medicaid work with Coordinated Care Organization (CCO) quality metric measures, including innovative approaches to connecting information through PreManage and various Electronic Health Records. Surveyed local network of primary care providers and specialists for barriers to improving care and worked with integral clinic staff to implement improved workflows and processes. Developed agendas and presentations regarding MedAdvantage plans geared toward clinic staff of various levels of understanding, including interpretation of Hedis and NCQA measure specifications, and Star level ratings. Specific metric work in Colorectal Cancer Screenings, Diabetic disease focus (including prevention), tobacco cessation, effective contraceptive use, decreasing Emergency Department use, Adolescent Well Care visits, Annual Wellness Exams, and Immunizations. Lead development and distribution of Opioid education to providers and clinical staff.

As The Portland Clinic's Quality Assurance Coordinator, the position includes: Collaborating and interpreting internal and external patient surveys, patient/customer quality concerns, interpretation and analysis of Quality metrics, CAHPS surveys, provider peer review, liaison with insurance quality plans.Committees and projects:NCQAEPICLean process improvementCAHPSICD-10HEDIS/Star ratingsDiabetic ManagementHypertension ManagementFall Risk and Osteoporosis ManagementSBIRT

Supervising 10-12 medical assistants and Registered Nurses. Assisted staff in preparing for Medical Assistant Certification. Lead monthly staff meetings, as well as active participation with committees throughout the clinic in a variety of topic areas. Integral leader of Comprehensive Primary Care Initiative and implementation of required work flows.

Triage, vaccinations, wound care, facilitating healthcare team support

Active job responsibilities as telephone and in-person triage nurse. Available as needed for specialty, injection or urgent care nurse. On-site lead for staffing and personnel concerns.

Various job positions within an office setting of an Independent Medical Exam company. Worked closely with legal and Worker's Compensation cases. * Scheduling for Portland and Oregon-based providers in several community settings* Chart organization and collating* Assisted providers with medical exams