
Data & Quality Improvement Specialist with 5+ years of experience driving healthcare performance through clinical data analysis, registry abstraction, and evidence-based quality improvement initiatives. Expert in translating complex clinical and regulatory data (HEDIS, NCQA, CMS) into actionable insights that improve quality metrics, compliance, and patient outcomes. Proven ability to lead PDSA cycles, root cause analysis, and cross-functional collaboration to close care gaps, optimize workflows, and exceed performance benchmarks.
• Lead end-to-end quality improvement initiatives across multiple hospital systems, integrating clinical data analysis and evidence-based methodologies to drive performance improvement.
• Conduct comprehensive chart reviews, clinical audits, and registry abstraction to ensure data accuracy, completeness, and regulatory compliance.
• Analyze clinical and registry data to identify performance gaps, trends, and opportunities for improvement using benchmarking and KPI tracking.
• Apply PDSA cycles and root cause analysis to resolve workflow inefficiencies, improve data integrity, and reduce reporting delays.
• Ensure timely and accurate submission of data to national registries and quality reporting programs, consistently exceeding quality benchmarks. (>98%)
• Partner with physicians, clinical leadership, and operational teams to present insights and implement corrective action plans aligned with national standards.
• Collaborate with IT a clinical and operational teams to improve data capture, reporting workflows, and system optimization.
• Manage multiple concurrent projects, balancing deadlines, priorities, and stakeholder expectations in a high-volume environment.
• Led vascular registry and quality improvement program across inpatient and outpatient settings, overseeing high-volume case data and reporting.
• Abstracted, coded, and validated clinical data for vascular registries (VQI), ensuring compliance with national reporting standards.
• Identified trends in complications, readmissions, and outcomes through statistical analysis and gap-to-goal benchmarking.
• Reduced documentation and reporting errors through audit findings, provider education, and workflow redesign initiatives.
• Conducted root cause analyses following adverse events and supported implementation of corrective action plans to improve patient safety outcomes.
• Developed executive dashboards and reports to communicate performance trends to physician leadership and stakeholders.
• Facilitated multidisciplinary quality committees, aligning physicians, nursing, and leadership on improvement initiatives.
• Strengthened regulatory compliance by ensuring adherence to documentation and reporting requirements.
• Supported healthcare quality improvement initiatives across physician practices, focusing on HEDIS, NCQA, and CMS performance measures.
• Analyzed claims, clinical, and population health data to identify care gaps and develop targeted intervention strategies.
• Performed clinical data abstraction, chart reviews, and audits to support quality reporting and compliance efforts.
• Partnered with providers, practice managers, and cross-functional teams to implement and sustain process improvements.
• Developed dashboards, reports, and data visualizations to monitor KPIs and track performance improvements over time.
• Managed multiple quality improvement projects from planning through execution, ensuring timely delivery and measurable outcomes.
• Promoted high-reliability practices and standardized workflows to reduce variation in care delivery.
• Supported regulatory readiness and compliance through continuous monitoring and reporting.
Data Analysis & Reporting
Clinical Data Analysis, Abstraction & Validation
Data Visualization, Dashboard Development & Ad-Hoc Reporting
KPI Monitoring, Gap-to-Goal Analysis & Benchmarking
Data Integrity, Cleaning & Standardization
QI & Performance Optimization
PDSA Cycles, Root Cause Analysis (RCA)
Lean Methodology & High-Reliability Principles
Workflow Optimization & Process Redesign
Performance Improvement & Outcomes Measurement
Clinical Quality & Regulatory Expertise
HEDIS, NCQA, CMS & Regulatory Reporting
Chart Reviews, Clinical Audits & Documentation Integrity
Population Health & Care Gap Closure
Technical Tools & Systems
EMR Systems: Epic, Cerner
Registry Platforms: VQI, Medstreaming, M2S, Fivos Health
Coding: CPT, ICD-10
Advanced Excel & Microsoft Office Suite
Collaboration & Leadership
Physician Engagement & Stakeholder Collaboration
Cross-Functional Team Leadership
Project & Program Management
The University of North Carolina at Charlotte, May 2022
• Bachelor of Science | Health Systems Management
• Bachelor of Arts | Spanish
• Minor | Biology
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Certifications
• QAPI: Quality Assurance & Performance Improvement, 2024
• EPIC: Quality Abstractor, 2024
• Wound Class QI, 2024
• Six Sigma & The Organization (Advanced), 2023
• Clinical Trials Data Management & Quality Assurance, 2023
• Operations Management: Quality & Supply Chain, 2023
• Foundations of Project Management, 2023
• Introduction to Data Analytics, 2023