Iesha Davis

Lead quality and performance initiatives to support closure of HEDIS/STAR gaps, improve care delivery, and enhance provider and member engagement.

• Conduct comprehensive root cause analyses to identify quality issues, implement corrective actions, and evaluate effectiveness through continuous monitoring.

• Develop and maintain quality reports, dashboards, and performance summaries for leadership review, highlighting trends, compliance risks, and improvement opportunities.

• Perform in-depth data analysis using multiple systems to identify high-risk populations, quality gaps, and workflow inefficiencies requiring intervention.

• Support operational controls and validate compliance with internal and external quality standards.

• Collaborate with leadership, administrative teams, and clinical providers to align process improvements with organizational goals, ensuring successful implementation and adoption.

• Facilitate member outreach efforts, provider communication, and documentation review to ensure accuracy and completeness of quality records.

• Implemented risk mitigation strategies that strengthened HIPAA compliance and reduced vulnerabilities in protected health information management.

Developed and maintained standard operating procedures (SOPs), internal documentation, and quality workflows.

• Conducted internal audits, resolved discrepancies, and implemented quality improvements to strengthen operational accuracy.

• Managed onboarding, employee credentialing documentation, and compliance with HR and organizational policies.

• Oversaw scheduling, office operations, and communication processes ensuring effective workflow management.

• Maintained accuracy in patient data entry, insurance verification, and appointment scheduling.

• Followed strict compliance guidelines aligned with HIPAA and organizational quality standards.

• Achieved performance KPIs related to documentation accuracy, timeliness, and communication quality.

• Managed credentialing and re-credentialing processes aligned with NCQA standards and regulatory requirements.

• Conducted audits of provider data ensuring 98% accuracy and compliance with federal/state policies.

• Updated and improved SOPs to strengthen quality controls and streamline operations.

• Prepared credentialing committee materials, maintained audit-ready documentation, and supported regulatory reviews.