James B. Amberson
New York,NY
Summary
Quality management professional with history of driving process improvements and ensuring compliance with stringent quality standards. Proven ability to collaborate effectively with cross-functional teams and achieve significant results. Known for reliability and adaptability in dynamic environments, with strong skills in process optimization and quality assurance.
Overview
14
14
years of professional experience
Work History
Clinical Quality Manager
William F Ryan Community Health Center
10.2022 - 03.2026
- Prepare and review data for UDS(Uniform Data Systems) submission
- Assist in data collection and review for PCMH (Patient Centered Medical Home) submission
- Coordinate and collect Peer Reviews for providers
- Meet with DRVs (centralized data reporting and analytics solution) to discuss improvements to their system as well as updates that have been implemented
- Meet with Cologuard to discuss process improvement as well as test collection
- Prepare and oversee Process Improvement meetings for site yearly SMART (Specific, Measurable, Achievable, Realistic, Timely)write out) Goals
- Create presentations for Board Board of Directors to show improvements network has made toward Quality
- Collected data for American Heart Association
- Accomplishments:
- Assisted with the implementation of Cologuard into the network to improve Colon Cancer screenings
- Developed new templates to improve rates of Diabetic Eye exams
- Developed a new electronic system for peer reviews to improve efficiency and organization
- Improved collection of referral correspondences by over 20%
- Developed training documents for IT department on how to use DRVs
- Vital in helping sites achieve gold standard certification from American Heart Association
- Developed and implemented quality management systems in accordance with regulatory requirements.
- Led quality assurance initiatives to enhance patient care standards and operational efficiency.
- Mentored staff on best practices for maintaining quality standards in clinical operations.
- Analyzed data to identify trends, facilitating informed decision-making for quality improvements.
- Collaborated with cross-functional teams to drive continuous improvement projects and initiatives.
- Evaluated quality problems and performed assessments to identify and resolve issues.
- Provided training to employees on best practices in quality management, fostering a culture of excellence within the organization.
- Improved quality processes for increased efficiency and effectiveness.
- Wrote and implemented new rework procedures to standardize processes and streamline workflow.
- Led continuous improvement initiatives by actively seeking opportunities for process optimization and cost reduction.
- Mentored junior staff members in quality management principles, fostering professional growth among team members.
Quality Improvement Analyst
William F. Ryan Community Health Center
12.2014 - 10.2022
- Train and educate staff on use of population health tool DRVs
- Develop reports for staff to use for different data projects
- Work with IT to create data reports for clinical improvement projects
- Meet with different insurance companies to discuss changes regarding quality incentive payments
- Prepare data for UDS submission as well as prepare data for grant submissions
- Perform chart reviews to facilitate meeting quality incentive payments
- Trained and educated Patient Care Coordinator on Quality Improvement objectives
- Coordinated Quality Improvement efforts through multiple sites
- Created scorecard to show improvement over time
- Presented clinical data and Quality metrics to Board of Directors
- Created presentations on Best Practices and how to achieve target rates
- Accomplishments
- Quality Improvement incentive payments from managed care companies more than tripled during my employment
- Was first person to be hired in this role
- Reorganized workflow and processes for organization to meet these Quality Incentives
- Replaced manual data collection with electronic reporting tools such as eBO, DRVs, and BridgeIT to improve data collection
- Implemented new culture around Quality into the organization
- Analyzed healthcare data to identify trends and support strategic planning initiatives.
- Developed comprehensive reports to inform management decisions and enhance operational efficiency.
- Provided training and mentorship to junior analysts, fostering skill development and teamwork.
- Conducted regular audits of data integrity, ensuring compliance with regulatory standards.
- Implemented new analytical tools, optimizing data visualization and reporting capabilities.
- Led projects aimed at improving patient outcomes through data-driven insights and recommendations.
- Evaluated program effectiveness through statistical analysis, guiding resource allocation decisions.
- Enhanced team collaboration by providing clear communication of complex findings through visualizations and reports.
- Increased efficiency by streamlining data analysis processes and implementing automation tools.
- Streamlined reporting procedures by creating user-friendly dashboards for easy access to key performance indicators.
- Enhanced report accuracy, conducting thorough data audits on regular basis.
- Conducted in-depth market analysis to identify trends, guiding strategy adjustments for competitive advantage.
- Managed multiple projects simultaneously while adhering to strict deadlines and quality standards.
- Improved team collaboration with implementation of new communication tools.
- Led team in developing predictive model that forecasted trends, informing business decisions.
- Increased operational transparency by developing and implementing new reporting framework.
- Streamlined reporting processes, significantly reducing time required to generate insights.
- Enhanced customer engagement by analyzing behavior patterns and suggesting targeted marketing strategies.
- Streamlined data collection methods to improve speed and accuracy of analysis.
- Reduced errors in data entry, instituting rigorous quality control checks.
- Improved decision-making processes, providing senior management with detailed analysis and actionable insights.
- Collected, arranged, and input information into database system.
- Generated reports detailing findings and recommendations.
- Gathered, organized and input information into digital database.
- Maintained database systems to track and analyze operational data.
Administrative Assistant
Department of Surgery Medstar Georgetown University Hospital
10.2011 - 01.2013
- Organize the office of Vascular Surgery for the daily tasks responsibilities
- Schedule all procedures and surgeries for the Vascular surgeons for the week
- Schedule patients for office visits and provide patients instructions in preparation for procedure or surgery
- Organize weekly meetings for surgeons
- Provide correspondence to other medical professionals regarding shared patients
- Conducted preauthorizations for procedures and surgeries
- Oversaw that billing for patients was done in a timely manner
- Responsible for making sure that department was compliant with HIPAA standards
- Trained all new staff in use of new electronic health records, scheduling
- Managed staff tasks and delegated tasks
- Responsible for making sure department was meeting JCAHO requirements
- Dealt with any patient complaints
- Accomplishments:
- Vital in the customization and implementation of the electronic health records system for department
- Was awarded Star employee for 3 years in a row
- Assisted 2 new physicians in transition to the practice
- Never had a JCAHO violation in the department
- Coordinated scheduling for surgical procedures, optimizing resource allocation and minimizing delays.
- Managed patient communications, ensuring timely responses to inquiries and appointment confirmations.
- Streamlined office operations by implementing digital filing systems, enhancing document retrieval efficiency.
- Assisted in preparation of departmental reports, ensuring accuracy and compliance with hospital standards.
- Led training sessions for new administrative staff, fostering a collaborative work environment.
- Answered multi-line phone system, routing calls, delivering messages to staff and greeting visitors.
- Maintained confidentiality of sensitive information by adhering to strict privacy policies and implementing secure filing systems.
- Delivered excellent customer service through prompt responses to client inquiries, addressing concerns effectively, and building strong relationships.
- Promoted a positive work environment through effective communication skills and fostering professional relationships among colleagues.
- Supported executive staff through scheduling meetings, coordinating travel arrangements, and preparing crucial documents.
- Assisted in onboarding new employees, providing training materials, and coordinating orientation schedules to ensure a smooth integration into the team.
- Optimized calendar management for executives by scheduling appointments strategically while considering priorities and minimizing conflicts.
Education
Master of Science - Healthcare Informatics
Weill Cornell Medical College
New York, NY01-2014
Bachelor of Science - Healthcare Administration
James Madison University
Harrisonburg, VA05-2008
Skills
- EPIC, IDX GE Centricity, E-Clinical Works, eBO, DRVs, BridgeIT
- Internal auditing
- Quality management systems
- Compliance monitoring
- Corrective actions
- Quality processes
- Quality training
- Quality metrics
- Analytical mindset
- Performance monitoring
- Decision-making
- Process improvement
Accomplishments
- Collaborated with team of [Number] in the development of [Project name].
- Achieved [Result] by introducing [Software] for [Type] tasks.
- Achieved [Result] by completing [Task] with accuracy and efficiency.
- Supervised team of [Number] staff members.
- Achieved [Result] through effectively helping with [Task].
- Documented and resolved [Issue] which led to [Results].
Timeline
Clinical Quality Manager
William F Ryan Community Health Center
10.2022 - 03.2026
Quality Improvement Analyst
William F. Ryan Community Health Center
12.2014 - 10.2022
Administrative Assistant
Department of Surgery Medstar Georgetown University Hospital
10.2011 - 01.2013
Bachelor of Science - Healthcare Administration
James Madison University
Master of Science - Healthcare Informatics
Weill Cornell Medical College