JENNIFER CHAPMAN
Alameda,CA
Summary
Healthcare Analytics & Program Management Professional with 15+ years of experience driving quality improvement initiatives in Medicare and Medicaid programs, including HEDIS reporting, STAR ratings, and regulatory compliance. Expert in leveraging advanced data analytics, provider performance optimization, and population health strategies to enhance healthcare delivery and operational efficiency. Skilled in data mining, market analysis, and standardized reporting to answer critical business questions and support strategic decision-making. Adept at translating complex findings into actionable insights for senior leadership, combining strong business acumen with proven leadership capabilities. Recognized for collaborative teamwork, problem-solving, and a results-driven approach to improving patient outcomes and organizational performance.
Overview
21
21
years of professional experience
Work History
Senior Business Process Analyst
UnitedHealthcare
12.2022 - Current
- Manage Texas dual products Medicare-Medicaid Plan (MMP) and Dual Special Needs Plan (DSNP), including regulatory deliverables, Health Effectiveness Data and Information (HEDIS) activities, and preparing performance reports for Center for Medicare & Medicaid Services (CMS) submissions.
- Gather data and document strategies for MMP Quality Withhold end of month review; foster strong cross-functional collaboration across 5+ departments and business lines, ensuring alignment and transparency in quality reporting.
- Coordinate quality improvement projects from inception to closure; manage federal and state-assigned initiatives.
- Review, audit, and submit ~120 documents annually for CMS approval; develop and deploy outreach and intervention member materials supporting MMP QW initiatives.
- Produce monthly DSNP STARs analytics deck using STARS performance dashboards and retrospective/prospective playbooks; communicate measure specific strategies during STARs Joint Operating Committee (JOC) meetings with vendors and provider groups; collaborate with STARs National Quality teams for performance improvement.
Senior Business Information Analyst
Elevance Health (formerly Anthem)
01.2015 - 12.2022
- Led West Region HEDIS performance reporting to maximize STAR ratings and improve member quality of care.
- Developed provider scorecards and dashboards; maintained regional database for performance tracking.
- Partnered with providers for data collection and gap closure; identified process improvement opportunities.
- Coordinated data management activities with Analytics & Enterprise teams to ensure accuracy of Quality and Risk Adjustment data.
- Performed drill-down analysis and engaged clinicians to drive actions based on data insights.
Healthcare Data Analyst
Altais (formerly Brown & Toland Physicians)
12.2013 - 12.2014
- Analyzed claims data for Quality Reporting and Performance Improvement activities.
- Developed provider performance scorecards benchmarked against Pay-For Performance (P4P) and HEDIS Medicare Advantage (MA) STAR metrics.
- Managed Physician Quality Reporting System (PQRS) submissions to CMS for financial incentives; maintained databases for quality initiatives and regulatory mandates.
- Acted as a strategic liaison between clinical and technical teams; translated complex business needs into actionable data solutions to enhance quality reporting and regulatory compliance.
Quality Analyst (Temporary Contract)
Kaiser Permanente
03.2012 - 06.2013
- Oversaw hospital department quality-of-care activities to ensure compliance with Joint Commission standards and Continuing Medical Education (CME) Accreditation Council requirements.
- Designed and evaluated CME questionnaires to measure physician competence and performance; provided actionable insights and recommendations for program enhancements.
- Analyzed physician performance data and produced detailed reports on patient satisfaction and complaint trends to inform quality initiatives.
- Developed CME program materials and surveys; synthesized feedback to drive continuous improvement in physician education programs.
Market Research Project Manager
Abbott Laboratories, Abbott Diabetes Care
11.2008 - 11.2011
- Delivered market research analytics and predictive modeling for marketing, contracting and sales teams.
- Led strategic training initiatives for National Account Managers; equipped teams with actionable insights on category/brand dynamics and data-driven decision-making to strengthen customer account strategies.
- Established metrics to measure brand performance, marketing campaign effectiveness, and product sampling optimization, and delivered actionable insights to senior leadership through clear, impactful presentations.
- Managed data reporting, vendor quality control checks, and enhancements; trained sales force on market research utilization.
Senior Client Service Analyst
IQVIA (formerly IMS Health)
05.2005 - 11.2008
- Acted as the client-facing SME for pharmaceutical market research data solutions, advising on point-of-sale and prescription datasets, data applications, limitations, and actionable insights to support strategic marketing decisions.
- Provided pharmaceutical market research solutions, managed client relationships, and custom reporting models.
- Designed and delivered analyses on market metrics, recommended IMS data solutions for strategic planning.
- Drove new business development by identifying opportunities, cultivating strategic client relationships, positioning IMS solutions, and successfully closing sales across both existing and new accounts.
Education
MBA - Marketing
University of San Francisco
San Francisco, CABS - Health Science
San Francisco State University
San Francisco, CAAA - Social & Behavioral Science
Merritt College
Oakland, CASkills
- Market Opportunity & Demand Analysis
- Clinical Quality Improvement & Population Health
- HEDIS Reporting, STAR Ratings & CMS Compliance
- Market Share Measurement & Brand Loyalty
- Quality Metrics & Process Improvement
- Healthcare Data Integration & Predictive Analytics
Timeline
Senior Business Process Analyst
UnitedHealthcare
12.2022 - Current
Senior Business Information Analyst
Elevance Health (formerly Anthem)
01.2015 - 12.2022
Healthcare Data Analyst
Altais (formerly Brown & Toland Physicians)
12.2013 - 12.2014
Quality Analyst (Temporary Contract)
Kaiser Permanente
03.2012 - 06.2013
Market Research Project Manager
Abbott Laboratories, Abbott Diabetes Care
11.2008 - 11.2011
Senior Client Service Analyst
IQVIA (formerly IMS Health)
05.2005 - 11.2008
MBA - Marketing
University of San Francisco
BS - Health Science
San Francisco State University
AA - Social & Behavioral Science
Merritt College