Hardworking employee with customer service, multitasking and time management abilities. Devoted to giving every customer a positive and memorable experience.
Drive clinical relationships and engagement with physician practices, members, and pharmacies while partnering internally (with areas such at Network contract ACO mgrs, Health Care Economics and Analytics, Medical Directors, Reporting, Health Plan market leaders) with a goal of improving health, well-being, quality and practice performance while reducing medical costs. Accountable for the full range of clinical practice performance which may include but is not limited to improvement on HEDIS and STARs gap closures, coding accuracy, facilitating effective education and reporting, effective super utilizer engagement (e.g., members with complex and/or chronic conditions), and proactively identifying performance improvement opportunities through the use data analytics, technology, workflow changes and clinical support