Harwanda Hancock-Rowel
Spring,TX
Summary
At ElevanceHealth, I spearheaded quality management initiatives, driving operational excellence and strategic planning to boost STAR ratings and Risk Adjustment. My leadership fostered a culture of innovation and continuous improvement, achieving a 99% accuracy rate in quality KPIs. Expert in project coordination and people management, I excel in building high-performing teams and enhancing organizational development. Strong leader and problem-solver dedicated to streamlining operations to decrease costs and promote organizational efficiency. Uses independent decision-making skills and sound judgment to positively impact company success. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. My quality experience extends to CIGNA Health and Nationwide HMO. I've also had years of experience within the private medical industry working with and for several physicians within their private practices.
Overview
14
14
years of professional experience
Work History
Director, Clinical Quality Management (HEDIS)
ElevanceHealth
03.2022 - Current
- Developed high-performing teams(15) by providing mentorship, guidance, and opportunities for professional growth.
- Enhanced team collaboration through regular communication, goal setting, and performance evaluations.
- Collaboration with teams surrounding our guidance with our auditors and NCQA and HEDIS performance. 7 State auditors and 1 main accreditation auditor.
- Worked closely with organizational leadership and directors to guide operational strategy to improve STAR ratings and Risk Adjustment.
- Established a culture of continuous improvement by fostering open communication channels and empowering employees to voice their ideas.
- Cultivated a positive work environment that fostered employee engagement, increased retention rates, and boosted overall team morale.
- Managed budgets effectively to ensure optimal use of resources while maintaining financial stability.
- Strengthened internal controls by reviewing existing policies and procedures, ensuring compliance with regulatory requirements.
- Monitored and coordinated workflows to optimize resources.
- Established departmental performance goals and provided feedback for underperforming areas to cross functioning teams and Senior Leadership.
- Facilitated cross-functional collaboration for improved decision-making processes within the organization.
- Improved project efficiency with strategic planning, resource allocation, and time management practices.
- Oversaw operations and provided corrective feedback to achieve daily and long-term goals.
- Implemented innovative solutions to solve complex problems, resulting in increased productivity and streamlined operations.
- Managed daily operations while overseeing multiple locations to foster increased productivity.
- Proactively identified potential risks and implemented mitigation strategies to minimize negative impacts on projects or business operations.
- Increased company revenue by streamlining processes and implementing cost-saving measures.
- Trained and guided team members to maintain high productivity and performance metrics.
- Assisted in recruiting, hiring and training of team members.
Director, Quality Management
ElevanceHealth
01.2020 - 03.2022
- Developed high-performing teams (15) by providing mentorship, guidance, and opportunities for professional growth.
- Enhanced team collaboration through regular communication, goal setting, and performance evaluations.
- Worked closely with organizational leadership and directors to guide operational strategy. Collaborated with teams concerning National Committee for Quality Assurance (NCQA) Accreditation and HEDIS performance.
- Established a culture of continuous improvement by fostering open communication channels and empowering employees to voice their ideas.
- Managed budgets (3) effectively to ensure optimal use of resources while maintaining financial stability.
- Monitored office workflow and administrative processes to keep operations running smoothly.
- Monitored and coordinated workflows to optimize resources.
- Established departmental performance goals and provided feedback for underperforming areas.
- Facilitated cross-functional collaboration for improved decision-making processes within the organization. Continued collaboration with the Medicare STARS team to improve overall STARS rating for Medicare products.
- Oversaw operations and provided corrective feedback to achieve daily and long-term goals.
- Prepared Executive Summaries for presentations for Senior and Executive Leadership.
- Trained and guided team members to maintain high productivity and performance metrics.
- Recruited, hired, and trained initial personnel, working to establish key internal functions and outline scope of positions for new organization.
- Formed strategic partnerships and connected with potential clients to drive business development.
- Spearheaded innovative approaches to resource allocation and strategic planning.
Director, Quality Management Medicare
ElevanceHealth
01.2019 - 01.2020
- Developed high-performing teams (15) by providing mentorship, guidance, and opportunities for professional growth.
- Enhanced team collaboration through regular communication, goal setting, and performance evaluations.
- Worked closely with organizational leadership and directors to guide operational strategy. Developed focused groups for Medicare STARS.
- Managed budgets effectively to ensure optimal use of resources while maintaining financial stability.
- Monitored office workflow and administrative processes to keep operations running smoothly.
- Established departmental performance goals and provided feedback for underperforming areas.
- Facilitated cross-functional collaboration for improved decision-making processes within the organization.
- Established a culture of continuous improvement by fostering open communication channels and empowering employees to voice their ideas.
Director, Regional Quality Management
ElevanceHealth
05.2018 - 01.2019
- Developed high-performing teams (18) by providing mentorship, guidance, and opportunities for professional growth.
- Enhanced team collaboration through regular communication, goal setting, and performance evaluations.
- Worked closely with organizational leadership and directors to guide focused operational strategies for Medicare, Medicaid and Commercial lines of business
- Strengthened internal controls by reviewing existing policies and procedures, ensuring compliance with regulatory requirements.
- Established a culture of continuous improvement by fostering open communication channels and empowering employees to voice their ideas.
- Established departmental performance goals and provided feedback for underperforming areas.
- Oversaw operations and provided corrective feedback to achieve daily and long-term goals.
- Proactively identified potential risks and implemented mitigation strategies to minimize negative impacts on projects or business operations.
Director, OverRead Team
ElevanceHealth
05.2017 - 05.2018
- Developed high-performing team by providing mentorship, guidance, and opportunities for professional growth.
- Enhanced team collaboration through regular communication, goal setting, and performance evaluations.
- Worked closely with organizational leadership and directors to guide operational strategy.
- Strengthened internal controls by reviewing existing policies and procedures, ensuring compliance with regulatory requirements.
- Monitored and coordinated workflows to optimize resources.
- Established departmental performance goals and provided feedback for underperforming areas.
- Established a culture of continuous improvement by fostering open communication channels and empowering employees to voice their ideas.
- Managed budgets effectively to ensure optimal use of resources while maintaining financial stability.
- Implemental and maintained a quality KPI of 96% accuracy rate or better, with the team ending up with a 99% accuracy rate.
Manager, OverRead Team
ElevanceHealth
05.2016 - 05.2017
- Managed and motivated employees to be productive and engaged in work.
- Accomplished multiple tasks within established timeframes.
- Maintained professional, organized, and safe environment for employees.
- Resolved staff member conflicts, actively listening to concerns and finding appropriate middle ground.
- Maximized performance by monitoring daily activities and mentoring team members.
- Cross-trained existing employees to maximize team agility and performance.
- Developed a strong company culture focused on employee engagement, collaboration, and continuous learning opportunities.
- Achieved departmental goals by developing and executing strategic plans and performance metrics.
- Built high-performing teams through effective recruitment, onboarding, and talent development initiatives.
- Maintained quality metrics of 95% or better for each LOB
Program Manager
ElevanceHealth
05.2014 - 05.2016
- Managed and supervised administrative and daily program operations for Medicare, Medicaid and Commercial, complying with policies and regulations based on NCQA guidelines.
- Established strong relationships with key stakeholders, ensuring support for program initiatives.
- Developed strategic plans, setting clear objectives and achievable milestones for the team.
- Managed HealthPlan teams for successful project completion within deadlines and budgets.
- Facilitated workshops and conducted one-on-one training to educate team members.
- Conducted comprehensive program evaluations, identifying areas for improvement and recommending actionable solutions.
- Utilized data-driven decision-making approaches to inform strategy development and optimize outcomes.
- Ensured regulatory compliance by closely monitoring adherence to industry standards and guidelines throughout the program lifecycle.
- Delivered high-quality results by setting performance metrics and monitoring progress against targets.
HEDIS Manager
ElevanceHealth (TX HealthPlan)
05.2012 - 05.2014
- Managed and motivated employees to be productive and engaged in work.
- Accomplished multiple tasks within established timeframes.
- Maintained professional, organized, and safe environment for employees and patrons.
- Enhanced customer satisfaction by resolving disputes promptly, maintaining open lines of communication, and ensuring high-quality service delivery.
- Maximized performance by monitoring daily activities and mentoring team members.
- Onboarded new employees with training and new hire documentation.
- Cross-trained existing employees to maximize team agility and performance.
- Communicated clearly with employees, suppliers and stakeholders to keep everyone on same page and working toward established business goals.
- Achieved departmental goals by developing and executing strategic plans and performance metrics for Medicare and Medicaid lines of business.
HEDIS Manager
ElevanceHealth (VA)
12.2010 - 04.2012
- Managed and motivated employees to be productive and engaged in work.
- Accomplished multiple tasks within established timeframes.
- Maintained professional, organized, and safe environment for employees and patrons.
- Enhanced customer satisfaction(stakeholders) by resolving disputes promptly, maintaining open lines of communication, and ensuring high-quality service delivery.
- Resolved staff member conflicts, actively listening to concerns and finding appropriate middle ground.
- Maximized performance by monitoring daily activities and mentoring team members.
- Onboarded new employees with training and new hire documentation.
- Cross-trained existing employees to maximize team agility and performance.
- Controlled costs to keep business operating within budget and increase profits.
- Monitored and analyzed business performance to identify areas of improvement and make necessary adjustments.
- Developed a strong company culture focused on employee engagement, collaboration, and continuous learning opportunities.
- Achieved departmental goals by developing and executing strategic plans and performance metrics.
- Built high-performing teams through effective recruitment, onboarding, and talent development initiatives.
Education
LPN - Nursing
Fairfax School of Nursing
Falls Church, VAAssociate of Applied Science - Health Administration
College For America - SNHU
Hooksett, NHNo Degree - Health Equity Certification
Harvard T.H. Chan School of Public Health
Boston, MASkills
- Strategic Planning
- Verbal and written communication
- People Management
- Operations Management
- Project Management
- Team Management
- Creativity and Innovation
- Strategies and goals
Certification
- Health Equity Certification - Harvard T.H. Chan School of Public Health, Executive Education
- CPR/AED for Professional Rescuers
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Work Preference
Work Type
Full TimeWork Location
RemoteImportant To Me
Company CultureWork-life balancePaid sick leaveHealthcare benefitsFlexible work hoursPaid time off401k matchWork from home optionStock Options / Equity / Profit SharingPersonal development programsTimeline
Director, Clinical Quality Management (HEDIS)
ElevanceHealth
03.2022 - Current
Director, Quality Management
ElevanceHealth
01.2020 - 03.2022
Director, Quality Management Medicare
ElevanceHealth
01.2019 - 01.2020
Director, Regional Quality Management
ElevanceHealth
05.2018 - 01.2019
Director, OverRead Team
ElevanceHealth
05.2017 - 05.2018
Manager, OverRead Team
ElevanceHealth
05.2016 - 05.2017
Program Manager
ElevanceHealth
05.2014 - 05.2016
HEDIS Manager
ElevanceHealth (TX HealthPlan)
05.2012 - 05.2014
HEDIS Manager
ElevanceHealth (VA)
12.2010 - 04.2012
LPN - Nursing
Fairfax School of Nursing
Associate of Applied Science - Health Administration
College For America - SNHU
No Degree - Health Equity Certification
Harvard T.H. Chan School of Public Health
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