Established operational rigor by creating a Stage Gate/Life Cycle process to assist in the seamless integration and continuous improvement of vendor and telehealth solutions tailored to tackle chronic conditions, behavioral/mental health, and improve health outcomes for Government Program members.Selected Accomplishments:● Launched vendor and telehealth programs for high and emerging risk members that have a projected YoY savings of over $10M, achieved on, and positively impacted affordability goals and targets. ● Collaborated with UHC network, Clinical IT, health economics, health plan leadership, and other key stakeholders on all aspects of the clinical vendor portfolio to ensure offerings are competitive in RFP procurement and meet market needs.● Introduced robust oversight mechanisms for the clinical and telehealth vendor portfolio that supports Clinical Strategy and Population Health through the development of monthly and quarterly business reviews, establishing measurable clinical and quality metrics, and operational KPI’s.

Orchestrated strategic planning initiatives and provided leadership support for continued expansion, product growth, and enhancement. Devised Operating/Service Plans with external vendors to bolster provider engagement through innovative VBC programs for United Healthcare providers and uncovered growth avenues across all LOBs.Selected Accomplishments:● Oversaw the tracking of FTEs, organizational travel and expenses, and overall budget exceeding $125M while ensuring smooth operations of Quality Field Operations.● Designed dynamic programs and strategies, driving positive outcomes for incentivized providers in pursuit of improved Star Ratings with a membership of 3.3M of which 95% of members were in 4 Star plans.● Executed a comprehensive communication plan for the provider engagement field team of 700+ FTE’s as well as senior leadership, executive leadership, and external providers.● Provided direct support and thought leadership to identify new growth and expansion opportunities, product development, and improvement initiatives through innovative strategic planning

Orchestrated the implementation and assumed accountability for seamless nationwide integration, strategic alignment, and exceptional performance of DSNP engagement. Fostered strategic partnerships with C&S National Executive Leadership and local Health Plans leadership, ensuring cooperative approach to achieving shared objectives.Selected Accomplishments:● Devised targeted action plans tailored for specific H-Plan remediation and improvement efforts, focused on HEDIS, STARS, and CAHPS/HOS performance which resulted in over 96% of DSNP members in 4 Star plans.● Introduced and a cultivated a comprehensive DSNP training, designed a DSNP focused provider engagement strategy, and provided ongoing executive/leadership updates related to DSNP engagement and integration. ● Developed and implemented DSNP specific MBOs, metrics, goals, and reporting which helped to create the foundation for informed decision-making and heightened accountability.

• Responsible for the development and implementation of Community & State’s provider engagement efforts and initiatives across 26 markets • Provide support to local health plans on NCQA accreditation, Request for Proposals (RFP’s) and HEDIS compliance and strategy • Business lead working with the C&S PCOR Team to identify enhancements and address defects that affect both CP-PCPi and market reporting needs related to state mandated requirements • Support lead for C&S’s Clinical Practice Consultant Program for both the Medicaid and DSNP products by providing ongoing training • Educating health plan leadership on STAR measures that directly impact the DSNP membership and help develop strategies to improve outcomes • Responsible for developing and supporting the deployment strategy of HealthBI for C&S and recognizing opportunities and recommending enhancements to support the goals of local health plans• Manage and develop the C&S Quality relationship with HBI, Impact, PATH, and other UHC business partners• Provide implementation support for the Data Acquisition Project by working with the local markets and the CDSM Team to identify and removing barriers to success• Provide support and assist with the onboarding and training of new market STAR Leads/Project Managers and DSNP CPC’s

• Responsible at a regional level for clinical quality implementation, performance monitoring, HEDIS improvement, NCQA accreditation and regulatory compliance• Provide oversight at a regional level of plan quality improvement programs, budget, and strategies to both regional and national leadership• Assisted in the development, piloting, and implementation of the C&S PCOR• Regional liaison between C&S Member Engagement and the local quality teams • Collaborated with UHC Communications in rebranding all CPC provider facing collateral as PATH to ensure consistency between markets• Provided support for all 5 of the Southeast markets during HEDIS collection season • Responsible for DSNP STARs and HEDIS outcomes in the Florida and Georgia markets • Developed reports to track DSNP CPC month over month performance • Developed a new hire training agenda for DSNP CPC’s and executed 6 week virtual training for all C&S markets that are responsible for DSNP• Managed the DSNP CPC Program in Florida, Georgia and Delaware; was able to develop and build a successful and productive relationship with Optum, M&R, and Network

• Directed the team that was responsible for the validity and submission of PQRS GPRO data through the QualityNet (CMS) portal• Coordinate and monitor production of multiple weekly, monthly, quarterly, annual and ad hoc quality improvement reports generated within the Department.• Coordinated and submitted the NCQA Patient Centered Medical Home (PCMH) application by developing reports for quality measures, performing compliance audits, and ensuring the accuracy and validity of the information submitted for review• Responsible for maintaining and updating the Practices Patient Satisfaction survey tool through a vendor’s web-portal (Press Ganey).• Conducting and supervising Quality Improvement Projects throughout the Medical Practice• Assisting with compliance standards related to various accrediting bodies (e.g. NCQA, AAAHC)• Identifying care gaps by analyzing internal and external data, participate in payer initiatives, and compliance with federal initiative (e.g. PQRS, VBM)• Working with outside organizations to improve the overall quality of care provided by the Medical Group• Communicate with internal and external entities s to gather data to support quality improvement projects and develop the infrastructure for reporting. • Develop and maintain various Access Databases to track workloads and patient lists• Assist the Quality Director during monthly Quality Improvement meetings • Organizational Certified as a Lean Six Sigma Greenbelt

• Work under the supervision of the Director of Patient Financial Services to redesign the Monthly Reporting System.• Coordinating with PFS’s managers and analysts in identifying duplication and redundant reports and systems.• Responsible for identifying Month End Reports that need to migrated from IDX and Analyzer to Diver Solution Platform.• Assisting in the implementation of a new Electronic Medical Record and Billing System; MedAptus.• Building the MedAptus provider database under the direction of the Assistant Director of Patient Financial Services.

• Supervised the daily, weekly, and monthly functions of six district in Central Florida that consisted of 16 employees and more than 120 volunteers • Responsible for hiring, staff development, corrective action plans, and extensive support for the Central Region.• Planned and facilitated Regional and State wide conference calls and web training's for staff, agency partners, and volunteers.• Worked with Florida’s Pioneer Network to implement resident centered Quality measures in Skilled Nursing Facilities and assist these facilities in transitioning from an institutional model of care to a resident centered model. • Developed and executed corrective action plans for recalcitrant long-term care facilities.• Media Liaison for the Long-Term Care Ombudsman Program regarding long-term care facilities and issues regarding long-term care residents.• Participated in the Development of Memoranda’s of Agreements with partner agencies such as the Agency for Health Care Administration, Department of Children of Families and the Attorney General Office.• Provided technical and professional assistance to staff and volunteers’ regarding the Code of Federal Regulation, Florida Statute, and Florida Administrative Code as it pertains to long-term care.• Tracked each districts complaints and assessment data to ensure that it met the Quality Assurance and Improvement Guidelines set by the State of Florida and the Federal Health and Human Services Administration on Aging. • Assisted in the development of legislative rules and Florida Statutes that govern the Florida’s Long-Term Care Ombudsman Program.• Assisted in the drafting of the Programs legislative positions and legislative advocacy efforts. • Worked with the Agency for Health Care Administration Quality Care Monitors to identify long-term care facilities that were working on quality improvement measures.

• Managed the daily functions of the local Long-Term Care Ombudsman Office, which included but was not limited to the intake, processing, and assigning of complaints concerning long-term care facilities; provided supervision, technical assistance and training to Governor appointed volunteers, and budgetary oversight.• Developed and maintained the complaint and assessment database (Access Database).• Planned, arranged, and lead the monthly meetings for the local District Council by identifying guest speakers to provide training sessions, prepare meeting packets, developed presentations, and tool minutes of the meeting. • Tracked and maintained accurate data for the Administration on Aging and the State Long-Term Care Ombudsman through the National Ombudsman Reporting System (NORS).• Prepared quarterly and annual reports for the State Ombudsman Council and the State Long-Term Care Ombudsman.• Conducted presentations for consumers, long-term care facilities, and other agencies on various topics concerning long-term care and the elderly.• Provided technical assistance and training to Skilled Nursing Facilities, Assisted Living Facilities, Adult Family Care Homes, lead agencies and other State agencies. • Prepared and developed training and training materials for volunteers and long-term care facilities.• Worked with multiple agencies to improve the quality of life for residents by participating in the Attorney Generals “Operation Spot Check”.,• Acted as a staff Liaison for the Long-Term Care Ombudsman’s State Council’s Advocacy Committee.