Elevance Health

Healthcare Program Representative

▪ Utilized technical expertise in data management tools such as Salesforce, Excel, and various EMR systems to track, analyze, and ensure compliance with Medicare STARS measures (MRP, NOIA, TRC, ROD), improving reporting accuracy and process efficiency.

▪ Collaborated with clinical teams, consultants, and internal staff to execute user acceptance testing and develop strategies for optimizing current processes and planning future improvements, driving operational enhancements in both healthcare and IT workflows.

▪  Streamlined data collection and verification processes by creating custom reports and using formulas, leading to an increase in efficiency for Medicare STARS documentation and reconciliation tasks.

▪  Developed a short demo and edited instructional materials to support team training and ensure consistent execution of new processes.

Health Program Representative

Brenda Duenas

▪ Managed administrative processes including expense tracking, invoicing, and financial workflows, leveraging strong problem-solving and organizational skills to ensure operational efficiency.

▪ Led market research and supplier negotiations, improving resource allocation and logistics coordination, contributing to streamlined project execution and cost savings.

▪ Applied creativity and technical expertise in video production and editing to enhance branding and communication strategies, increasing audience engagement and visibility.

Virtual Assistant

Salesforce Business Analyst

Salesforce Junior Business Analyst

ITequality

Consultant

Cirrius Solutions Inc.

Cirrius Expert

▪ Utilized Salesforce CRM daily to track productivity and conduct research, ensuring efficient operations and data-driven decision-making.

▪ Conducted comprehensive HEDIS research and abstraction for the 2022 measurement year, analyzing data from over 1,700 patients with strict adherence to health plan, regulatory, and NCQA guidelines.

▪ Enhanced data accuracy and provider compliance with quality standards by proficiently using Salesforce, QSHR, and Reveleer to streamline research and abstraction processes.

HEDIS Researcher

San Diego Eye Bank

▪ Performed over 50 sterile and non-sterile ocular tissue procedures, ensuring transplant suitability while managing lab preparation and adhering to regulatory and safety standards.

▪ Maintained comprehensive quality documentation to ensure accurate records, compliance with regulatory guidelines, and data integrity for both sterile and non-sterile procedures.

▪ Processed post-procurement documentation and handled necessary steps after tissue recovery, ensuring compliance with established protocols and contributing to seamless tracking and reporting.

Eye Bank Technician

▪ Utilized Salesforce CRM on a daily basis as a client to track productivity and conduct research, ensuring efficient operations and informed decision-making.

▪ Conducted comprehensive HEDIS research and abstraction activities for the 2021 measurement year, analyzing data from over 1200 patients.

▪ Demonstrated exceptional attention to detail and adherence to health plan, regulatory, and NCQA guidelines.

▪ Improved data accuracy and enhanced provider compliance with quality standards.
Proficiently utilized Salesforce, QSHR, and Reveleer software platforms to streamline research and abstraction processes.

Kahu Malama Nurses

▪ Collected over 5,000 lab specimens from individuals for COVID-19 testing during the pandemic, ensuring accurate and timely processing in a high-paced environment.

COVID-19 Specimen Collector

Partners for Quality Health, LLC

▪ Managed multiple quality improvement projects focused on diabetes and cancer screening campaigns, collaborating with physician organizations, health insurance companies, and cross-functional teams, resulting in improved healthcare outcomes and cost reductions.

▪ Led meetings with physicians and staff to review quality metrics, track progress, and implement process improvements, ensuring sustained enhancements in healthcare outcomes.

▪ Facilitated group presentations with coworkers to inform physician offices about major changes in payment structures and quality scores, driving alignment with new standards and processes.

▪ Developed and implemented training programs for the Practice Development Team, enhancing team proficiency in quality improvement methodologies and driving continuous improvement.

▪ Conducted data analysis and created reports using Excel and PowerPoint, providing actionable insights to leadership, measuring progress, and supporting decision-making in quality improvement initiatives.

▪ Collaborated with EMR vendors to optimize documentation and coding practices, ensuring accurate data capture and enhancing workflow efficiency in clinical quality measures and NCQA guidelines.

▪ Monitored and evaluated quality improvement initiatives, offering strategic recommendations for future enhancements to align with organizational goals.

▪ Utilized various EMR systems to enter supplemental data, ensuring accuracy, reliability, and comprehensive information management.

Practice Support Supervisor

Practice Support Assistant

Chang Dich Lai, MD

▪ Supported healthcare providers in patient care by administering injections, performing EKGs and spirometry, recording vitals, medical history, and lab results, with a strong focus on preventative care and quality care measures.

▪ Maintained and updated electronic health records (EHR), ensuring data integrity and completeness to support quality care initiatives and compliance with healthcare standards.

▪ Assisted with HEDIS data collection, analysis, and reporting, contributing to regulatory compliance and quality improvement efforts, including the preparation of audits and ensuring adherence to preventative care protocols.

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