Summary
Overview
Work History
Education
Skills
Accomplishments
Timeline
Generic

Alexa Vicioso

Las Vegas,NV

Summary

Dynamic executive with extensive experience in healthcare and HR management. Proven track record in leading teams, strategic planning, and ensuring regulatory compliance. Skilled in collaboration, data management, and optimizing performance under pressure.

Overview

9
9
years of professional experience

Work History

Sr Clinical Practice Analyst

United Healthcare/Optum
Las Vegas, NV
11.2022 - Current
  • Lead and oversee three high-performing teams, including team leads, analysts, contractors, and retrievalists, ensuring seamless execution and superior performance for all RISK-related projects.
  • Monitor and assign all work to reporting teams, optimizing task distribution and ensuring timely and effective completion of responsibilities.
  • Conduct routine meetings to align team goals, review progress, and address any operational issues, fostering a collaborative and efficient work environment.
  • Manage access to EMR systems, handling secure requests and maintaining stringent data integrity and security protocols.
  • Train and mentor team members on efficient data management practices, including the accurate saving of medical documents to the mapped network drive.
  • Supervise IT staff responsible for resolving technical issues and managing network drive systems, ensuring minimal downtime and prompt problem resolution.
  • Collaborate with senior management to address critical issues, set strategic objectives, and drive successful project outcomes through effective goal-setting and deadline management.
  • Expertly utilize Cerner and Epic systems to abstract and manage patient data from electronic medical records, enhancing accuracy for tumor registries and clinical documentation.
  • Conduct thorough screenings of clinical documents to identify and capture relevant cases, ensuring comprehensive and precise data collection for casefinding.
  • Oversee the abstraction and coding of core data items, ensuring adherence to regulatory standards and high-quality data output.
  • Perform data abstraction for clinical measures and registries, achieving high levels of accuracy and supporting quality improvement initiatives.
  • Maintain and optimize databases, generate detailed reports, and ensure regulatory compliance through meticulous data management practices.
  • Conduct HEDIS and RISK data pulls to drive analysis and improvement efforts, contributing to enhanced quality of care and operational efficiency.
  • Facilitate the retrieval of medical records for project audits, ensuring thorough review and accurate documentation in alignment with project requirements.
  • Develop and implement strategic plans to boost team performance and operational effectiveness, resulting in significant reductions in data retrieval times and improvements in data accuracy.

Quality Interventions Analyst/QI Compliance

Molina Healthcare
Las Vegas, NV
05.2021 - 11.2022
  • Engage in the analysis of quality of care issues, serious adverse conditions, credentialing files, and healthcare quality metrics (HEDIS, STARS, etc.) to drive continuous improvement
  • Collaborate with Quality Improvement teams to analyze and report findings from various quality improvement initiatives, ensuring the continual enhancement of healthcare services for Molina members
  • Evaluate the collection and dissemination of quality improvement data for compliance with regulatory standards and accreditation requirements
  • Prepare comprehensive reports and analyses, utilizing internal quantitative data, external industry data, and feedback from stakeholders to assess performance improvement
  • Generate graphical representations of project results, aligning with NCQA or other regulatory requirements and ensuring timely submission
  • Perform both qualitative and quantitative analyses to identify urgent concerns, develop improvement strategies, and measure the impact of implemented actions
  • Contribute to NCQA accreditation and regulatory audit readiness by producing reports, narratives, and visual aids, as well as participating in policy updates and program committees

Employee Relations Manager

Blend Labs
Las Vegas, NV
04.2019 - 05.2021
  • Led employee relations initiatives, resulting in a significant reduction in workplace conflicts and an increase in employee satisfaction.
  • Successfully conducted impartial investigations into employee concerns, ensuring fairness, accuracy, and adherence to company policies.
  • Collaborated with cross-functional teams to develop and implement comprehensive employee engagement strategies.
  • Provided guidance to management on various HR matters, including performance improvement, disciplinary actions, and accommodations.
  • Developed and updated HR policies and procedures to align with evolving legal requirements and best practices.
  • Fostered positive labor relations by effectively mediating between employees and management, resolving disputes and minimizing disruptions.
  • Established effective channels of communication for employees to voice concerns, contributing to improved transparency and trust.
  • Maintained meticulous documentation of employee relations activities, ensuring compliance with recordkeeping standards.
  • Actively participated in training and development programs for managers and employees, enhancing conflict resolution skills and awareness.

Senior HR Specialist

Paramount Residential Mortgage Group
Edina, MN
12.2015 - 03.2019
  • Led recruitment and hiring efforts for non-management positions, resulting in increased diversity hiring and elevated employee satisfaction.
  • Designed and implemented employee retention strategies, contributing to a substantial reduction in turnover through the introduction of employee engagement surveys and focus groups.
  • Promoted from HR Specialist to Senior HR Specialist in recognition of demonstrated HR expertise, effective communication skills, and dedication to the company's mission.
  • Collaborated with cross-functional teams to address workplace concerns, ensuring timely resolutions and maintaining positive employee relations.
  • Actively contributed to the preparation and execution of performance evaluations, providing employees with constructive feedback and aiding in skill improvement.
  • Coordinated employee onboarding and offboarding processes, streamlining operations and ensuring compliance with legal requirements.
  • Facilitated employee relations by conducting investigations, mediating conflicts, and ensuring adherence to HR policies and guidelines.

Education

Bachelor of Science - Computer Science

University of Phoenix
Tempe, AZ
04-2027

Bachelor of Science - Business with a Human Resource Management Cert

University of Phoenix
MN
04.2018

High School Diploma -

Elk River High School
MN
06.2013

Skills

  • Leadership
  • Supervisory Experience
  • Clinical Quality Improvement
  • Technology
  • Regulatory Compliance
  • Training and Mentoring
  • Employee Relations
  • Conflict Resolution

Accomplishments

  • Diversity and Inclusion Award
  • Leadership Excellence Award
  • Workplace Culture Award
  • Employee Engagement Award

Timeline

Sr Clinical Practice Analyst

United Healthcare/Optum
11.2022 - Current

Quality Interventions Analyst/QI Compliance

Molina Healthcare
05.2021 - 11.2022

Employee Relations Manager

Blend Labs
04.2019 - 05.2021

Senior HR Specialist

Paramount Residential Mortgage Group
12.2015 - 03.2019

Bachelor of Science - Computer Science

University of Phoenix

Bachelor of Science - Business with a Human Resource Management Cert

University of Phoenix

High School Diploma -

Elk River High School

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Alexa Vicioso