Dynamic professional with a proven track record at Aetna enhancing HEDIS quality initiatives. Skilled in Microsoft Excel and team collaboration, I excel in analyzing and improving health outcomes through efficient practices and strategic provider engagement.
• I contribute with a team to provide support for HEDIS quality initiatives and requirements.
• Part of a team that increased MY2023 Pay for Performance withhold earnings by 27%- highest in ABHKS
history.
• Part of a team that increased ABHKS star rating from 3 to 3.5
• Helped our HEDIS hybrid project by initiating provider and location cleanup throughout the project.
A contract position that consists of HEDIS reviewing and abstracting. I analyze patients records to determine if they match the criteria to comply to HEDIS measures. I am part of a team that follows guidelines with precision and efficiency. My overall objective is to analyze quality improvement practices and initiate a
collaboration with providers to improve member health outcomes.
A position that consists of sorting and transporting packages to the correct hub
Microsoft Office
QMRM
EPIC
Cotiviti
RightFax
Ciox
PowerChart
Microsoft Excel
NCQA Standards