Jennifer Frazer
Mount Holly,NC
Summary
Dedicated healthcare professional with a history of meeting company goals utilizing consistent and organized practices. Seeking continued professional growth while pursuing a passion for health equity advancement, disparity reduction, and achievement of high-quality outcomes for underserved communities.
Overview
17
17
years of professional experience
1
1
Certification
Work History
Director, Quality Management
AmeriHealth Caritas Family Of Companies
04.2022 - Current
- Responsible and accountable for successful ongoing development, refinement, implementation, measurement, and ongoing quality improvement of Plan's Quality Management program
- Responsible and accountable for ongoing maintenance of compliance with state regulations and NCQA standards for activities related to Quality
- Primary oversight and responsibility for Plan's Quality Committee structure and support
- Work directly with senior executives to plan, organize and direct identification, prioritization, and implementation of strategic projects that improve financial, service and clinical outcomes for more than 370,000 covered lives
- Coordinate with Plan stakeholders to develop, implement, and lead strategy to improve HEDIS outcomes and maximize pay for performance payout
- Provide functional support to Network Management, Informatics, Care Coordination, Practice Transformation to integrate Quality Management initiatives and goals within organizational programs
Supervisor Clinical Quality Outcomes
NC C&S Plan, United Healthcare
01.2020 - 01.2022
- Responsible for leadership and supervision of clinical quality staff, programs, and regulatory requirements for NC Medicaid Managed Care
- Partnered with Quality leadership and other senior health plan leaders to ensure integrated quality oversight processes exist to carry out Quality Management and Improvement Plan while maintaining compliance with contractual requirements and NCQA accreditation standards, including strong focus on health equity
- Worked directly with members of cross-functional health plan teams to build relationships, ensure effective education and reporting, and to proactively identify performance improvement and disparity reduction opportunities through analysis and subsequent action planning with subject matter experts
- Supported design of clinical quality strategy and transformation, including advancement of equity in clinical outcomes for Medicaid members through intentional creation of programmatic framework based on applicable research and evidence-based guidelines
- Responsible for performance measurement and reporting, including development of mechanisms to identify and address disparities, care gap closure to improve HEDIS outcomes, member incentive programs, performance improvement plans, quality program monitoring, and support of health plan and state partner’s vision and strategy to advance health equity
- Served as Interim Quality Director for health plan
Clinical Quality Improvement Coordinator
NC C&S Plan, United Healthcare
01.2019 - 01.2020
- Deployment to New Jersey Community and State Preservice Review Team where primary responsibility was pre-service clinical coverage review through interpretation and synthesis of state and federal mandates, applicable benefit language, and consideration of relevant clinical information.
Performance Improvement Coordinator I
Atrium Health Medical Group Quality
01.2012 - 01.2019
- Delivered population-based improvement of primary care-specific, chronic disease, prevention, and utilization measure performance in underserved patient populations by leading and supporting quality improvement efforts within provider-based, safety-net community clinics as well as free-standing Family and Internal Medicine medical group practices
Staff Nurse, Clinical Nurse I
CMC Northpark
01.2010 - 01.2012
- Provided high quality, patient centered care to pediatric and adult family practice population including those with chronic conditions such as Diabetes, Hypertension, COPD and Asthma in fast-paced safety-net community clinic
Staff Nurse, Clinical Nurse I
CMC Main, Nursing Unit 7B
01.2007 - 01.2010
- Provided high quality, patient centered care for cardiac telemetry patient including heart transplant and LVAD patients
Education
Master of Health Administration -
Louisiana State University-Shreveport
Shreveport, LA01.2021
Bachelor of Science in Nursing -
University of North Carolina At Charlotte
Charlotte, NC01.2009
Associate in Applied Science-Associate Degree Nursing -
Central Piedmont Community College
Charlotte, NC01.2007
Skills
- Excellent communication and presentation skills
- Self-motivated learner who is highly organized and efficient
- Critical thinker who is comfortable with data management, drill-down, and analysis
- Experience with NC Medicaid Managed Care contracting
- Proficient in Rapid Cycle Continuous Improvement and Change Management concepts
- Proficient in use of Microsoft Office programs
- Experience with HEDIS, ACO, MIPS pay for performance measures
Certification
Certified Professional in Healthcare Quality (CPHQ) 2016-current
References
Available Upon Request
Timeline
Director, Quality Management
AmeriHealth Caritas Family Of Companies
04.2022 - Current
Supervisor Clinical Quality Outcomes
NC C&S Plan, United Healthcare
01.2020 - 01.2022
Clinical Quality Improvement Coordinator
NC C&S Plan, United Healthcare
01.2019 - 01.2020
Performance Improvement Coordinator I
Atrium Health Medical Group Quality
01.2012 - 01.2019
Staff Nurse, Clinical Nurse I
CMC Northpark
01.2010 - 01.2012
Staff Nurse, Clinical Nurse I
CMC Main, Nursing Unit 7B
01.2007 - 01.2010
Master of Health Administration -
Louisiana State University-Shreveport
Bachelor of Science in Nursing -
University of North Carolina At Charlotte
Associate in Applied Science-Associate Degree Nursing -
Central Piedmont Community College