Ana Sanchez
El Paso,TX
Summary
Results-driven Clinical Improvement Quality Manager at Tenet Physician Resources, with expertise in project management and compliance, driving performance optimization, and implementing effective strategies that elevate patient care and operational excellence across multiple clinics. Foster a collaborative environment as a result of excellent leadership skills.
Overview
8
8
years of professional experience
Work History
Clinical Improvement Quality Manager
Tenet Physician Resources
El Paso, TX
02.2017 - Current
- Manage payor performance for the Medicare patient population, supporting clinical quality measures, annual wellness visit requirements, HEDIS measures, and patient experience to maximize quality and risk incentives. Current payors include United Healthcare, Optum, Cigna, and WellCare/Superior.
- Analyze payor patient data, and proactively work with clinic managers to close outstanding care gaps, provide medication adherence reporting to help maximize prescription benefits and compliance, and schedule patients needing annual wellness visits (AWVs).
- Manage the quality healthcare operating mechanism to monitor provider performance for Medicare’s Merit-based Incentive Payment System under MACRA.
- Provide training on quality healthcare documentation guidelines from the Centers for Medicare & Medicaid Services to the medical assistant staff.
- Responsible for the implementation of Emergency Preparedness Plans, addressing disaster quarterly drills, armed intruder and bomb threat drills, monthly office safety checklists, and internal/external disaster plans.
- Created a standardized reporting mechanism to manage quality metrics and enhance clinic-level improvements for both corporate quality requirements and patient experience, achieving an overall 4.3 Google Star Rating for the market.
- Implemented an annual competency clinical assessment process for over 170 medical assistants, ensuring compliance with operational standards.
- Achieved a 4.3 Star Rating in Primary Care Specialty on quality care guidelines, exceeding the corporate goal of a 4.2 Star Rating.
- Executed COVID-19 safety protocols across 48 physician clinics, safeguarding over 500 employees.
- Established an internal PPE supply chain and coordinated the employee vaccination rollout in response to COVID-19.
- Implemented a centralized security risk assessment process for 48 physician clinics, ensuring corporate compliance requirements.
Education
MBA -
The University of Texas At El Paso
El Paso, TX05-2004
BBA - Accounting
The University of Texas At El Paso
El Paso, TX05-1999
Skills
- Analytical skills
- Effective communication skills
- Team building and collaboration
- Effective problem-solving techniques
- Project management
- Quality management
- Healthcare reporting and analysis
- Performance optimization strategies
- Improving quality processes
- Strategies for operational excellence
- Initiatives for continuous improvement
- Clinical documentation standards and compliance
Languages
English
Native/ Bilingual
Spanish
Native/ Bilingual
References
References available upon request.
Timeline
Clinical Improvement Quality Manager
Tenet Physician Resources
02.2017 - Current
MBA -
The University of Texas At El Paso
BBA - Accounting
The University of Texas At El Paso
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