Collaborative leader partners with coworkers to promote engaged, empowering work culture. Documented strengths in building and maintaining relationships with a diverse range of stakeholders in dynamic, fast-paced settings.
Overview
19
19
years of professional experience
Work History
Manager, National Quality Interventions
Molina Healthcare
08.2025 - Current
In collaboration with senior quality leadership, plans and/or implements national and/or state-based quality interventions (QI) that meet state and federal intervention rules aligned with best quality practices, including intervention projects and problem resolution.
Develops and implements targeted interventions related to Healthcare Effectiveness Data and Information Set (HEDIS) performance improvement, including member and provider outreach to improve care and service.
Held Molina health plans accountable for timely, accurate completion of state-mandated quality activities, ensuring compliance with regulatory requirements.
Led QI interventions by conducting qualitative analysis and developing program materials, templates, and policies.
Collaborates directly with Molina health plans to coordinate resources and training, and identify barriers to established quality goals and timelines.
Supports provision of high-quality clinical care and services by facilitating/building strategic relationships with health care providers.
Chairs collaborative workgroups to develop strategies for effective QI intervention programs; interfaces and supports other medical care management, disease management or care coordination activities; oversees scheduling, execution and follow-up for regulators, physicians, nurses, pharmacists and providers.
Conducted audits of corporate and health plan programs for efficiency and adherence to policy, offering system-wide recommendations for process improvements.
Manager Health Plans Quality- HEDIS
CHRISTUS Health
10.2023 - 08.2025
Oversaw quality improvement activities for largest, most complex health plan partners’ programs, enhancing program effectiveness.
Maintains effective documentation of research programs to meet regulatory and Accreditation Standards.
Provides oversight to assure accurate and complete quantitative analysis of clinical data and presentation of data analysis results.
Oversees the implementation of new initiatives.
Leads interactions with regulators or oversight entities.
Assist HEDIS team to facilitate and coordinate HEDIS training, technical training understanding, and workflow processes.
Coordinated training for external client-facing program, developed success measures, and assessed program outcomes periodically.
Director of Quality Operations- HEDIS
WellMed Medical Management
09.2018 - 08.2023
Oversaw multi-market quality, providing strategic leadership that enhanced program effectiveness.
Led and mentored team of managers, driving achievement of optimal HEDIS/STARS results.
Coordinated deliverables for CMS Star program, CAHPS, HEDIS data collection and analytics, CPTII coding, and quality initiatives within the market.
HEDIS Quality Manager
WellMed Medical Management
12.2021 - 12.2022
Delegated, monitored, and controlled work progress on key HEDIS/Star metrics and initiatives, enhancing staff productivity and optimizing administrative expenses.
Managed staff performance through clearly defined objectives and targeted training, fostering skill development.
Recruited and mentored staff, supporting their professional growth and development.
HEDIS Senior Clinical Quality Consultant
WellMed Medical Management
01.2020 - 12.2021
Served as a preceptor to train new staff for the Quality Program.
Guided submarket providers in achieving over 5 stars for MY, elevating service quality.
Led quality improvement initiatives supporting HEDIS, Star measures, and regulatory compliance across care teams.
Analyzed medical records to identify documentation gaps and opportunities for quality measure improvement.
Collaborated with providers to resolve chart discrepancies and strengthen coding accuracy.
HEDIS Clinical Quality Consultant
WellMed Medical Management
09.2018 - 01.2020
Created strategic plans to support providers in improving STAR ratings and areas of development for providers to achieve their maximum STAR ratings.
Educated clinic staff on HEDIS measures and gap closures about HEDIS measures and how to close gaps.
Reviewed quality measures to assist providers in enhancing care delivery to assist the providers with improvements.
Executive Director/Administrator
Kindred At Home
04.2017 - 01.2018
Directed clinical and financial operations for a home care branch.
Developed criteria and work procedures to enhance quality and service delivery.
Directed team priorities and decision-making processes to meet branch clinical and operational objectives.
Administrator/Director of Nurses
Intrepid Healthcare Services
08.2015 - 04.2017
Led agency operations and ensured alignment with company mission and strategic business plans to meet client needs.
Executed internal compliance reviews and monitoring activities, including monthly, quarterly, and annual audits; analyzed OBI/OBQM data and plans of action.
Maintained adherence to Medicare, Medicaid, and state licensing regulations to support operational integrity.
Administrator/Director of Nurses
Interim Healthcare
01.2014 - 01.2015
Streamlined processes for clinical, HR, and intake departments, enhancing operational efficiency.
Executed the delivery of clinical and paraprofessional services, aligning with the company's core values.
Built a collaborative team through strategic recruitment, hiring, training, and team-building initiatives.
Regional vice Present/Administrator/Director of Nurse Division Director/Case Manager
Therapy2000
06.2007 - 12.2013
Oversaw and directed Division Directors and their staff in all areas of day to day function.
Directed Division Directors and their staff in daily operations, ensuring alignment with organizational goals.
Standardized regional processes and procedures to optimize company productivity and attendance.
Drove regional growth and development through effective marketing and recruiting strategies.
Created and enhanced processes and procedures to increase efficiency.
Education
BSN - Nursing
The University of Texas at Arlington
Arlington
05-1993
Master of Science - Nursing Leadership And Management
Capella University
Minneapolis, MN
12-2027
Skills
Regulatory compliance
Operations management
Strategic planning
Key performance indicators
Complex Problem-solving
Decision-making
Cross-functional teamwork
Team leadership
Performance evaluation
Employee development
Process improvement
Managing operations and efficiency
ADDITIONAL INFORMATION
Compact RN Licensure and Eligible to work in the U.S. with no restrictions
Knowledge of Microsoft Office Suite, Microsoft Office 365 and Various EMR systems
Strong Leadership skills from 27 years of employee development, strategic planning, regional growth and project management to meet the goals of the industry.
Timeline
Manager, National Quality Interventions
Molina Healthcare
08.2025 - Current
Manager Health Plans Quality- HEDIS
CHRISTUS Health
10.2023 - 08.2025
HEDIS Quality Manager
WellMed Medical Management
12.2021 - 12.2022
HEDIS Senior Clinical Quality Consultant
WellMed Medical Management
01.2020 - 12.2021
Director of Quality Operations- HEDIS
WellMed Medical Management
09.2018 - 08.2023
HEDIS Clinical Quality Consultant
WellMed Medical Management
09.2018 - 01.2020
Executive Director/Administrator
Kindred At Home
04.2017 - 01.2018
Administrator/Director of Nurses
Intrepid Healthcare Services
08.2015 - 04.2017
Administrator/Director of Nurses
Interim Healthcare
01.2014 - 01.2015
Regional vice Present/Administrator/Director of Nurse Division Director/Case Manager
Therapy2000
06.2007 - 12.2013
BSN - Nursing
The University of Texas at Arlington
Master of Science - Nursing Leadership And Management
<ul>
<li>Analyzed patient safety events following EHR system implementation to identify key issues.</li>
<li>Collaborated with national stakeholders and vendors to correct EHR algorithms effectively.</li>
<li>Advised regulatory groups on deficiencies, correction strategies, and timely milestone achievements.</li>
<li>Developed EHR self-correction training for clinical and administrative staff.</li>
<li>Performed root cause analysis to pinpoint areas requiring improvement.</li>
<li>Established and monitored corrective measures to track outcomes of interventions.</li>
</ul> at Veterans’ Healthcare Administration<ul>
<li>Analyzed patient safety events following EHR system implementation to identify key issues.</li>
<li>Collaborated with national stakeholders and vendors to correct EHR algorithms effectively.</li>
<li>Advised regulatory groups on deficiencies, correction strategies, and timely milestone achievements.</li>
<li>Developed EHR self-correction training for clinical and administrative staff.</li>
<li>Performed root cause analysis to pinpoint areas requiring improvement.</li>
<li>Established and monitored corrective measures to track outcomes of interventions.</li>
</ul> at Veterans’ Healthcare Administration
National Standards and Lead Quality Manager at St Vincent’s Health Network SydneyNational Standards and Lead Quality Manager at St Vincent’s Health Network Sydney
National Compliance Specialist: Quality, Health and Safety, and Environmental at Huawei Technologies AfricaNational Compliance Specialist: Quality, Health and Safety, and Environmental at Huawei Technologies Africa