MARISSA KITTLESON

Managed quality programs for five health plan clients, ensuring compliance with NCQA standards.

Analyzed performance data to identify trends and drive process improvements.

Facilitated weekly client meetings, delivering updates on quality initiatives and timelines.

Directed cross-functional teams to meet project deadlines for NCQA accreditation.

Oversaw management of six enterprise tools to enhance efficiency and performance.

Monitored quality data trends to streamline workflows and achieve targets.

Interpreted, QA'd, and distributed 15+ reports across diverse applications.

• Collaborated with clients to identify issues and develop solutions for improved outcomes.

• Managed operational budget of $3M while directing strategic initiatives.
• Spearheaded cross-functional teams to execute corporate strategies effectively.
• Identified process boundaries and recommended continuous improvements for efficiency.
• Addressed member issues in compliance with Humana's policies and procedures.
• Generated annual revenue growth exceeding $250M as a strategic consultant.
• Designed innovative campaigns that improved HEDIS Star rating by 15% and generated over $100K ROI.
• Cultivated partnerships with four key vendors to enhance collaboration and productivity.
• Achieved yearly savings of $100K in detection costs while improving HEDIS metrics for Colorectal and Diabetic measures.

• Monitored industry trends and competitive landscape to inform strategic decisions.
• Designed benefits for over 40 Medicare plans across Florida.
• Collaborated with market presidents, finance directors, and strategic consultants on key initiatives.
• Identified internal process boundaries and business opportunities, recommending continuous improvements.
• Led product planning and implementation of corporate strategic initiatives.
• Ensured accurate preparation of ad hoc research requests and presentations for departmental goals.

• Achieved 95% audit and compliance rate, exceeding departmental benchmarks.
• Collaborated with team to enhance overall audit scores by 12%.
• Oversaw recruitment and training of new employees, ensuring regulatory compliance.
• Evaluated peer determination letters for spelling, grammar, and clarity accuracy.

• Collaborated with departmental leadership to streamline internal processes and educational tools.
• Designed and implemented learning modules to optimize associate development.
• Facilitated performance enhancement training for over 20 new associates.
• Provided strategic oversight for operational learning activities across Medicare Correspondence teams in Louisville, KY and Tampa, FL.
• Achieved departmental goals resulting in fast-track promotions for 30% of new employees.
• Received positive feedback from post-training surveys, enhancing overall departmental training experience.