Alexa Vicioso
Las Vegas,NV
Summary
Motivated healthcare professional with extensive experience in clinical data management, quality improvement, and regulatory compliance. Demonstrated ability to lead teams, enhance operational efficiency, and drive continuous improvement initiatives. Currently enrolled in United Healthcare's First Level Leader class, poised to transition into a supervisory role with a focus on fostering team collaboration and delivering exceptional healthcare outcomes.
Overview
9
9
years of professional experience
Work History
Clinical Practice Perf Coord Sr
United Healthcare
Las Vegas, NV
10.2023 - Current
- Coordinate and perform medical record collection activities to meet quality standards, ensuring compliance with HEDIS® and other quality and Risk Adjustment programs.
- Utilize multiple claims systems and electronic medical record systems to accurately collect and analyze data, contributing to the organization's quality improvement efforts.
- Abstracted and coded required core data items from medical records in compliance with regulatory standards.
- Performed primary data abstraction duties for clinical measures and registries, ensuring high levels of abstraction accuracy and alignment with organizational quality standards.
- Maintained databases, including loading import files, generating and working data status reports in compliance with regulatory requirements and timeframes.
- Performed HEDIS and RISK pulls for data analysis and quality improvement initiatives.
- Assisted in retrieving medical records from contracted providers for project audits.
- Reviewed medical records to identify flagged information or missing data during the audit process.
- Actively participating in the First Level Leader class at United Healthcare, focusing on developing leadership skills for effective team management.
- Formerly Retrieval Specialist
Quality Interventions Analyst/QI Compliance
Molina Healthcare
Las Vegas, NV
01.2023 - 10.2023
- 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
06.2019 - 01.2023
- 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 - 05.2019
- 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 - Business with a Human Resource Management Cert
University of Phoenix
MN04.2018
High School Diploma -
Elk River High School
MN06.2013
Skills
- Leadership
- Communication
- Management
- Technology
- Compliance
- Clinical Quality Improvement
- Employee Relations
- Conflict Resolution
- Training and Mentoring
Accomplishments
- Diversity and Inclusion Award
- Leadership Excellence Award
- Workplace Culture Award
- Employee Engagement Award
Languages
English
Native/ Bilingual
Spanish
Limited
Timeline
Clinical Practice Perf Coord Sr
United Healthcare
10.2023 - Current
Quality Interventions Analyst/QI Compliance
Molina Healthcare
01.2023 - 10.2023
Employee Relations Manager
Blend Labs
06.2019 - 01.2023
Senior HR Specialist
Paramount Residential Mortgage Group
12.2015 - 05.2019
Bachelor of Science - Business with a Human Resource Management Cert
University of Phoenix
High School Diploma -
Elk River High School