Elizabeth Bell
Jacksonville,FL
Summary
A highly experienced healthcare Quality and Compliance professional who has demonstrated the ability to build and lead diverse teams of professionals to new levels of success in a variety of healthcare settings. Strong management and healthcare compliance qualifications with an impressive track record of more than 20 years of hand-on experience in quality management, healthcare accreditation and regulatory compliance.
Overview
15
15
years of professional experience
1
1
Certification
Work History
Director of Medically Integrated Pharmacy Accreditation
NCODA
Jacksonville, FL
08.2021 - Current
- Oversee and manage all aspects of NCODA Center of Excellence Medically Integrated Pharmacy Accreditation Program
- Lead process improvement activities for more efficient and streamlined workflows across the accreditation process
- Hire, train, and manage accreditation staff members
- Develop and implement new technological tools and processes to enhance workflow efficiency and effectiveness
- Compile and communicate accreditation outcomes data and provide written reports and oral presentations to internal and external audiences
- Serve as a subject matter expert in accreditation, providing leadership, quality standards, and best practices to internal and external stakeholders
- Organize and control accreditation activities, methods, and procedures to achieve business objectives
- Present results of improvement efforts and ongoing performance measures to senior management, recommending action plans for continuous improvement
- Support NCODA’s mission to empower the medically integrated oncology team to deliver positive, patient-centered outcomes by providing leadership, expertise, quality standards, and best practices.
VP, Consulting Services
RBS Solutions LLC
Jacksonville, FL
11.2017 - 08.2021
- Directed all consulting services related to healthcare accreditation, focusing on improving processes for achieving and maintaining compliance with accreditation standards
- Hired, trained and supervised accreditation consultants
- Conducted risk adjustment assessments and quality improvement initiatives across various healthcare organizations
- Created and maintained policies, training and evidence templates compliant with applicable accreditation standards
- Conducted presentations for potential clients and healthcare solutions partners
- Developed and maintained professional relationships with clients and accrediting bodies
- Led efforts to integrate external data sources, enhancing the accuracy and effectiveness of accreditation and quality improvement processes
- Reviewed and implemented best practices for quality improvement in client operations
- Assisted pharmacies with URAC, ACHC, NABP and The Joint Commission accreditation.
Accreditation Consultant
RBS Solutions LLC
Jacksonville, FL
04.2015 - 11.2017
- Assisted pharmacies with URAC, ACHC, NABP and The Joint Commission accreditation
- Conducted gap analysis and project plan
- Submitted applications
- Developed policies and procedures
- Implemented quality programs and data collection
- Conducted mock audits
- Managed accreditation maintenance.
Manager, Quality and Accreditations
New Directions Behavioral Health
Jacksonville, FL
09.2013 - 04.2015
- Led quality improvement activities and NCQA, HEDIS, Medicare STARS, URAC and CMS accreditation processes, ensuring compliance and highest levels of accreditation
- Created and delivered compliance training programs to regional staff
- Managed all aspects of HEDIS improvement activities, including data collection, analysis, and reporting
- Facilitated corporate-wide HEDIS performance improvement workgroups and led the integration of best practices into operations
- Developed and maintained quality improvement projects and activities to address noncompliance with regulatory and contractual requirements and compliance violations
- Presented quality improvement initiatives and ongoing performance measures to senior management, driving continuous improvement efforts
- Developed and enforced policies, operating procedures, and compliance measures to meet internal and external guidelines
- Managed audit and investigation of complaints, incidents, and compliance violations
- Maintained oversight of the Regional Service Center Quality Management Committee and Sub-Committee operations.
Quality Management Project Coordinator
New Directions Behavioral Health
Jacksonville, FL
02.2012 - 08.2013
- Managed NCQA and URAC accreditation activities including compliance audits and quality improvement activities with other departments and Regional Service Centers
- Supported and guided improvement projects with management staff and line staff in all departments
- Participated in corporate HEDIS workgroup to include facilitation of performance improvement pilot projects
- Prepared and presented reports for senior executives and external customers, including NCQA, URAC, CMS, auditors, providers, Board of Directors and employers
- Participated in clinical staff meetings and committee meetings to report on projects and advise the clinical team
- Provided data collection and statistical analysis of standing quality improvement reports and audits
- Managed complaint investigations and resolution processes professionally, collaboratively and timely
- Developed and maintained quality and compliance policies and procedures.
Contract Monitor
State of Florida, Department of Children and Families
Jacksonville, FL
08.2009 - 10.2010
- Monitored the administrative and programmatic terms and conditions of provider for substance abuse, mental health, child welfare and domestic violence shelter services
- Participated as the Provider Coordinator and Contract Oversight team leader for multiple-contract providers
- Developed monitoring tools and processes for use during onsite provider audits
- Conducted onsite provider audits including record review and staff interviews to ensure compliance with federal and state laws, rules, regulations, procedures and established accountability, principles and safeguards
- Performed research and analysis of data from departmental information programs and provider monitoring activities.
Education
MS, Rehabilitation Counseling -
University of Tennessee
Knoxville, TN01.2001
BA, Sociology -
Benedictine College
Atchison, KS01.1995
Skills
- Quality management
- Healthcare accreditation
- Regulatory compliance
- Process improvement
- Leadership
- Data analysis
- Training and development
- Relationship management
- Project management
- Policy development
- Risk assessment
- Audit and investigation
- Contract oversight
- Program evaluation
Certification
Lean/DFSS Green Belt, Aveta Business Institute, 2014, 7550480656634
Timeline
Director of Medically Integrated Pharmacy Accreditation
NCODA
08.2021 - Current
VP, Consulting Services
RBS Solutions LLC
11.2017 - 08.2021
Accreditation Consultant
RBS Solutions LLC
04.2015 - 11.2017
Manager, Quality and Accreditations
New Directions Behavioral Health
09.2013 - 04.2015
Quality Management Project Coordinator
New Directions Behavioral Health
02.2012 - 08.2013
Contract Monitor
State of Florida, Department of Children and Families
08.2009 - 10.2010
MS, Rehabilitation Counseling -
University of Tennessee
BA, Sociology -
Benedictine College
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