MICHELLE PICARD
Youngsville,USA
Summary
Experienced healthcare quality leader with extensive experience in driving strategic initiatives and fostering effective team collaboration. Strong background in project management, medical record retrieval operations, HEDIS and stakeholder engagement, ensuring organizational goals are met efficiently. Proven ability to lead programs, optimize workflows, analyze large datasets, and deliver operational improvements that drive measurable outcomes. Effective communicator with experience collaborating across clinical, operational, and technical teams to resolve systemic issues and enhance performance. Proficient in client-facing communication, training development, continuous improvement, and team leadership within matrixed environment
Overview
31
31
years of professional experience
1
1
Certification
Work History
Associate Director Quality & Population Health
United HealthCare Community Plan Louisiana
03.2025 - Current
- Oversee the Louisiana Medicaid Quality improvement program, aligning with LDH, NCQA and enterprise standards
- Oversee statewide Medicaid quality improvement operations, including programs that rely heavily on medical record review, provider engagement, and documentation accuracy.
- Lead strategic initiatives that strengthen retrieval workflows for HEDIS, CAHPS, and quality improvement projects
- Collaborate with cross-functional clinical, operations, and analytics teams to optimize data capture and ensure accuracy of records used for quality and risk reporting.
- Prepare and present performance metrics, retrieval progress, and program outcomes to senior leadership and state agencies.
- Lead strategies to improve CAHPS scores, focusing on key drivers such as access to care, customer service, and care coordination
- Drive process improvements that streamline documentation workflows, enhance provider communication, and increase operational efficiency.
Quality/Population Health Manager
United HealthCare Community Plan Louisiana
10.2022 - 03.2025
- Supervised a team of Population Health Consultants performing medical record review, provider outreach, and VBP support, ensuring compliance with contractual requirements and quality standards.
- Evaluated and improved procedures for medical record retrieval, provider engagement, and HEDIS data collection.
- Led cross-department projects involving VBP, CP-PCPi, ACO, and Episodes of Care, many of which required chart review, data validation, and workflow standardization
- Developed training and orientation plans focused on retrieval workflows, quality measure education, and provider documentation practices.
- Represent Quality Department at various state meetings, events, and conferences.
Population Health Strategic Consultant-VBC
United HealthCare Community and State
01.2019 - 01.2022
- Implement Value-Based Programs as required by the plan.
- Design practice-level quality transformation through targeted clinical education during field visits and assist providers in improving their quality measures by closing gaps in care.
- Used large datasets to identify care gaps, analyze documentation trends, and support targeted interventions to improve retrieval and performance.
- Supported HEDIS data collection, chart review, and risk adjustment activities aligned with plan and CMS requirements.
- Function as Lead PHC to conduct weekly meetings and orient new staff.
Sr. Clinical Quality RN/ Clinical Practice Consult
United HealthCare Community and State
01.2016 - 01.2019
- Responsible for conducting onsite and remote medical record reviews and educating providers on HEDIS quality measures.
- Designed practice-level quality transformation through targeted clinical education during field visits, and assisted providers in improving their quality measures by closing gaps in care.
- Participated and represented the Health Plan at community-based organization events, health department meetings, and other outreach events focused on quality improvement.
- Collaborated with other teams to address provider concerns and work toward a resolution.
- Worked with HEDIS data collection.
- Responsible for the access and availability survey special project.
- Responsible for health promotion toolkit development.
- Worked with CP-PCPi and educated providers on the program.
Registered Nurse Case Manager
United HealthCare Community and State
01.2013 - 01.2016
- Responsible for managing members' care telephonically.
- Responsible for disease management education, medication reviews, and connections to resources in the member's community.
- Responsible for assisting members with the transition from a care facility back to their home.
Registered Nurse/ Care Liaison
Acadian Home Care
01.2003 - 01.2013
- Responsible for all aspects of direct patient care.
- Transitioned to the Home Care Liaison position.
- Responsible for the development of a care plan to ensure all health needs are met, utilizing available resources.
- Leadership role and experience in assisting with emergency and disaster preparedness, as well as measuring outcomes.
- Direct patient, family, and caregiver education to promote health and wellness.
- Able to utilize independent assessment skills and screening for the referral of health conditions in a cost-effective manner.
Registered Nurse/Branch Manager
Nursing Specialties Home Care
Abbeville, Louisiana
01.1998 - 01.2001
- Responsible for all aspects of direct patient care.
- Served as Branch Manager for a newly opened home health branch in Abbeville, Louisiana.
Registered Nurse
Direct Care Home Health
01.1995 - 01.1998
- Responsible for all aspects of direct patient care.
- Responsible for the development of a care plan involving a multidisciplinary approach.
- Direct, independent field assessment skills, and screening.
Education
Bachelor of Science - Nursing
University of Southwestern Louisiana
Lafayette, LA12.1992
Skills
- HEDIS data collection
- Medical record retrieval
- Provider engagement
- Performance improvement projects
- Value-based programs
- Microsoft Word
- Excel
- Data Analysis
- Medicaid population
- Managed care
- Training
- Team development
Certification
- CCM, Commission for Case Manager Certification
- CPHQ, Certified Professional in Healthcare Quality
Timeline
Associate Director Quality & Population Health
United HealthCare Community Plan Louisiana
03.2025 - Current
Quality/Population Health Manager
United HealthCare Community Plan Louisiana
10.2022 - 03.2025
Population Health Strategic Consultant-VBC
United HealthCare Community and State
01.2019 - 01.2022
Sr. Clinical Quality RN/ Clinical Practice Consult
United HealthCare Community and State
01.2016 - 01.2019
Registered Nurse Case Manager
United HealthCare Community and State
01.2013 - 01.2016
Registered Nurse/ Care Liaison
Acadian Home Care
01.2003 - 01.2013
Registered Nurse/Branch Manager
Nursing Specialties Home Care
01.1998 - 01.2001
Registered Nurse
Direct Care Home Health
01.1995 - 01.1998
Bachelor of Science - Nursing
University of Southwestern Louisiana
Accomplishments
Living Our culture Award : Relationships 2021