Dazha Player
Gilbert,AZ
Summary
A multi disciplinary member, with a strong understanding of resource utilization, compliance and program management. Excellent organizational and problem-solving abilities with an unwavering dedication to delivering quality care.
Overview
9
9
years of professional experience
1
1
Certification
Work History
FEP/STARS Business Analyst
Blue Cross Blue Shield of Arizona
10.2023 - Current
- Partner with Stars leadership to utilize performance analysis methods to identify and recommend opportunities for improvement across Stars program measures.
- Monitor and evaluate progress against timelines, project milestones and key deliverables for HEDIS, Pharmacy, Operations, CAHPS, HOS and improvement measures.
- Assist in development and maintenance of work plan for improvement of Star Rating as well as project specific reporting for status updates.
- Coordinate projects, including agendas, meeting minutes and status reports.
- Collaborate across business divisions with various departments to track Star program performance.
- Collect and Analyze data need to implement and monitor quality improvement initiatives that will achieve Star Program outcomes. Will include activities related to HEDIS, Pharmacy, Operations, CAHPS, HOS and Improvement.
- Participate in the development and support the implementation of member outreach activities to improve performance and member outcomes
- Participate in the development and support the implementation of provider activities to improve performance and outcomes
- Support compliance and MA team understanding of CMS guidance for quality policies, procedures and regulation changes
- Support vendor oversight activities and participate in vendor RFP process and implementations
- Manage and maintain stars training materials
- Maintain collaborative team relationship to effectively and efficiently achieve goals and foster a positive work environment
Health Coach/Medical Assistant/ Quality Lead
One Medical Seniors
Mesa , AZ
11.2021 - 10.2023
- Phoenix Market referral champion: Drive growth, increase customer loyalty, and reach new audiences by ensuring the referrals demands are met.
- Lean six Sigma Champion: A team-focused managerial approach that seeks to improve performance by eliminating resource waste and defects.
- Serve as Clinic Quality Lead which includes collaborating with upper management to set quality benchmarks, and identifying quality control process improvement.
- Project Management: Created project plans with established timelines, assigned to appropriate teams and managed workflow throughout construction.
- Utilize problem-solving techniques to analyze quality data and metrics to identify patient health trends.
- Implement and communicate weekly quality goals and assign responsibilities to team members to meet established benchmarks.
- Oversee employee quality performance and provide guidance and feedback.
- Proficient in quality systems databases such as Chirp, EMR, and Looker Reports.
- Mentor, coach, and support geriatric patients in making healthy lifestyle choices.
- Coordinate care between patients, healthcare providers, medical specialists, and pharmaceutical professionals to explain diagnoses and health plans in layman’s terms.
- Assist patients with completing all necessary medical forms to ensure compliance to HIPPA, Medicare, and HIE (Health Information Exchange) rules and regulations.
- Provide individualized, holistic health education based on member concerns, including stress management, mindfulness, healthy sleep, medication adherence, self-advocacy, physical activity, and self-monitoring.
- Aid in chronic disease management and support the members via developing self-efficacy and self-advocacy.
- Created industry leading solutions for customers and members.
- Combined high-touch, high-tech data-driven processes to meet each members health journey.
- Reviewed performance, implemented improvement plans, provided customer specific training with Senior Directors, Managers and Clinical/ Member advocate teams.
- Monitored One Medical overall performance for medicare population health programs , including Key Performance Measures and Performance by conducting root cause analysis to proactively identify opportunities for continuous improvement.
Lead Internship/Capstone
Mayor’s Office
Phoenix , AZ
08.2020 - 05.2021
- Effectively communicated with clients while providing prompt, accurate, and positive customer service.
- Ensured client satisfaction with forward-thinking strategies by effectively addressing clients’ needs and resolving additional concerns.
- Generated reports and obtained data to develop analytics on key performance and operational metrics.
- Conducted data analysis to prepare forecasts and identify trends.
- Planned daily/weekly activities for internship program.
- Reviewed completed work to verify consistency, quality and conformance.
- Assigned work and monitored performance of project personnel.
- Delegated work to staff, setting priorities and goals.
- Presented data in visually appealing and simple methods for end users to navigate and comprehend.
- Used statistical analyses to find patterns from data and identify improvement opportunities.
- Assisted with development of dashboards and reports using spreadsheet and visualization software.
- Researched new ideas to prioritize areas of focus.
- Updated data management documentation to include deployment of new fields and assets.
Research Analyst: Health Policy & Equity Network
Arizona State University
Phoenix, AZ
08.2020 - 05.2021
- Performed needs assessments and consultations with clients to determine research and information requirements.
- Prepared, manipulated and managed extensive social research databases.
- Contributed to meetings with diverse stakeholders to gather information and discuss human learning-related best practices.
- Wrote and submitted proposals to government to obtain necessary funding to carry out research and experiments.
- Developed experiments based upon gathered data to help promote new learning and behavior strategies.
- Worked successfully with diverse group of coworkers to accomplish goals and address issues related to our products and services.
Customer Service Agent
State Farm
Tempe, AZ
01.2017 - 08.2020
- Effectively communicated with clients while providing prompt, accurate, and positive customer service.
- Ensured client satisfaction with forward-thinking strategies by effectively addressing clients’ needs and resolving additional concerns.
- Accurately fulfilled clients’ requests in regard to products, services, and/or company information.
Patient Safety Assistant
Banner Hospital
Phoenix, AZ
04.2015 - 05.2017
- Provided assistance during ongoing activities of daily living and completed tasks to promote patient health and success.
- Performed clerical duties as assigned to support efficiency and effectiveness of the department.
- Documented patient progress and transmitting accurate and detailed notes to health care staff.
Education
Master of Science - Science of Healthcare Delivery
Arizona State University
PhoenixBachelor of Science - Medical Studies
Arizona State University
Tempe, AZSkills
- Mastery of powerpoint, excel and Microsoft word
- Maintaining Safety Protocols
- Maintaining Database Information
- Dependable, accurate and detail-oriented
- Excellent communication and interpersonal skills
- Knowledge of the healthcare industry ( State VS Federal laws/limitations )
- Cost Analysis
- Quality Assurance
- EMR Proficiency
- Project Management
- Performance Monitoring
- Work Planning and Prioritization
Certification
Doane University, Crete, Nebraska, In Progress
Medical Terminology Certification
Arizona State University, Phoenix, Arizona, 2020
Green belt certification in lean six sigma
Arizona State University, Phoenix, Arizona, In Progress
Black belt certification in lean six sigma
American Medical Certification Association, Arizona, 2023, Certified Clinical Medical Assistant (CCMA)
Timeline
FEP/STARS Business Analyst
Blue Cross Blue Shield of Arizona
10.2023 - Current
Health Coach/Medical Assistant/ Quality Lead
One Medical Seniors
11.2021 - 10.2023
Lead Internship/Capstone
Mayor’s Office
08.2020 - 05.2021
Research Analyst: Health Policy & Equity Network
Arizona State University
08.2020 - 05.2021
Customer Service Agent
State Farm
01.2017 - 08.2020
Patient Safety Assistant
Banner Hospital
04.2015 - 05.2017
Master of Science - Science of Healthcare Delivery
Arizona State University
Bachelor of Science - Medical Studies
Arizona State University
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