A collaborative and proactive Healthcare Consultant with over a decades worth of experience stewarding healthcare organizations through regulatory and organizational changes through the continuous application of change management & Lean six sigma principles.
Areas of proficiency includes Medicare Advantage Risk Adjustment Data Validation (RADV), Social Determinants of Health, Provider engagement, digital adoption, training strategy, practice transformation, Saas implementations.
Hired to provide structure and corporate alignment to Essen Health's Clinical Training Department and improve the quality of training provided to Essen's Provider pool.
Process Improvement
Communication Management
Consulted health plans on Veradigms various Risk Adjustment solutions used to provide insight on HEDIS/STARS gaps as well as educated their provider network on best HCC coding practices
Provider Engagement
Client Management
Project Management
Owned the project onboarding & project implementations of health plans Commercial, Medicare Advantage Risk Adjustment Data Validation, HEDIS & CAHPS projects.
Communication Management
Enhanced the health of Account Managements client portfolio health by grooming communications channels between Sales, Account Management, Customers &Operations through each project.
Client Engagement
Project Management/Process Improvement
Contracted to conduct retrospective review of claims of national Health Plans w/ a clinical lens to identify any missing quality measures.
Hired under VNSNY's Capital Grant to improve the caregiver adoption of two newly implemented Home Care Services solutions as well as support VNSNY's adherence to CMS's 21st Century Cures Act, EVV™ mandate for Home Care Services Agencies
Change Management
Training & Development
Performance Management
Provided regional administrative and operational support to Clinical Ops during Go Live events & reinforced company SOPs, best practices and workflows at multiple medical practices/outpatient surgical centers
Training & Development
Performance Management
Process Improvement
Appointed as Senior Public Health Advisor to monitor the quality & integrity of NYC DOE student health data by the Division of Family & Child Health's' pediatric Diabetic Retinopathy surveillance Program
Performance Management
Documentation Management
Process Improvement
Technology Adoption
Lean Six Sigma Green Belt (IASSC)
EMR Systems: Epic, MediTech, Altera, eClinicalWorks, Cerner, AllScripts, Nextech
M365Sharepoint, One Note, Excel, MS Word, PowerPoint
Jira, Aha!, Confluence, Service Desk
V-Lookup, Pivot Tables, ETL
Project Management - Customer Engagement - Training & Development - Change Management
Provider Relations - Risk Adjustment - Communication Management - Client Success - EMR Implementation - Learning Management Systems