Summary
Overview
Work History
Education
Skills
Timeline
GeneralManager

David McCormick

Grove City, PA,Pennsylvania

Summary

Dynamic Senior Quality Manager with extensive experience at Corrohealth/Virtix Health and Innovalon, specializing in quality assurance techniques and root cause analysis. Proven track record in enhancing operational productivity and compliance in the Prospective Advantage project. Effectively addressed client concerns in HEDIS projects. Recognized for strong leadership and documentation analysis skills, driving continuous improvement initiatives.

Overview

17
17
years of professional experience

Work History

Senior Quality Manager

Corrohealth/Virtix Health
05.2024 - Current
  • Collaborated with cross-functional teams to identify quality assurance processes and standards
  • Subject Matter Expert (SME) for Prospective Advantage project
  • Served as Senior Quality Manager for assigned HEDIS clients to address quality issues/concerns in weekly client meetings
  • Supported root cause analysis efforts to improve product quality and operational productivity
  • Monitored compliance with associate medical review accuracy and productivity based on audits audits

Senior Quality Manager

Inovalon Formerly MedAssurant
06.2008 - 06.2024
  • Began employment as a field medical coding reviewer and advanced to an over-reader position
  • Promoted to Quality Lead position and managed a team of medical review associates (nurses and coders)
  • Promoted to Quality Manager position over 4-5 Quality Leads and approximately 80-90 associates
  • Subject Matter Expert/Project Manager for Prospective Advantage project
  • Worked the HEDIS project as both a Quality Lead and Quality Manager attending client meetings weekly to address quality issues and concerns
  • Promoted to Senior Quality Manager

Education

Certified Professional Coder - Medical Coding

American Association of Professional Coders (AAPC)
Salt Lake City, UT
01-2010

Diploma in Nursing (RN) - Registered Nursing

Jameson Hospital School of Nursing
New Castle, PA
05-1987

Skills

  • Quality assurance techniques
  • Corrective and preventive actions
  • Documentation analysis and review
  • Root Cause Analysis and subsequent process improvement plan
  • Subject Matter Expert (SME) for the Prospective Advantage project
  • Quality Manager for assigned clients in the HEDIS project including attendance at weekly client meetings to discuss client issues/concerns
  • Employee performance review

Timeline

Senior Quality Manager

Corrohealth/Virtix Health
05.2024 - Current

Senior Quality Manager

Inovalon Formerly MedAssurant
06.2008 - 06.2024

Certified Professional Coder - Medical Coding

American Association of Professional Coders (AAPC)

Diploma in Nursing (RN) - Registered Nursing

Jameson Hospital School of Nursing

Similar Profiles

CREATE PROFILE
David McCormick