Rabina Poudel
Summary
Results-driven healthcare quality and population health professional with experience supporting value-based care initiatives through care-gap management, quality measure validation, and performance reporting. Proven ability to collaborate across clinical, operational, and data teams to improve HEDIS and UDS outcomes and drive preventive screening performance. Developing advanced expertise in healthcare analytics, Power BI, and Lean Six Sigma to contribute to strategic quality and operational leadership roles.
Overview
5
5
years of professional experience
Work History
Quality Improvement Coordinator
Apicha Community Health Center
2024.08 - Current
- Managed monthly care-gap and HEDIS data, including retrieval, validation, and master file updates, ensuring accuracy for value-based care reporting.
- Provided actionable insights to clinical teams to close care gaps and improve preventive screenings.
- Lead pre-visit planning workflow preparation, prioritizing high-impact patients and coordinating follow-ups to increase patient engagement and quality metrics.
- Compile and submit supplemental data to MCOs, resolving discrepancies to maintain UDS and Vale Based Contract compliance.
- Served in an interim managerial role 6-7 months, supporting team operation and continuity of quality initiatives.
- Trained and onboarded a newly hired manager and participated in interview panels contributing to the hiring team development.
- Review medical records and collaborate with internal and external stakeholders to support regulatory compliance and improve quality outcomes.
Health Educator
AIDS Center of Queens County
2023.08 - 2024.05
- Provided a full range of health education services funded by a SAMHSA grant, including HIV/STI/HCV testing, risk counseling, and promotion of wellness.
- Oversaw community-based outreach and engagement programs to meet high-risk groups and provide increased access to preventative services.
- Conducted and implemented workshops to assist in behavioral health awareness, compliance, and lifestyle change.
- Generated program reports and social media campaigns, facilitating more people to engage and use the services offered.
- Guided new employees, aided in the onboarding process, and helped facilitate a comfortable program running by conducting constant quality examinations.
Crisis Counselor
Vibrant Emotional Health
2022.03 - 2024.04
- Provided immediate crisis intervention and trauma-informed support to individuals experiencing suicidal ideation, addiction, or mental health crises.
- Delivered services through multichannel platforms (phone, SMS, web chat), ensuring rapid response and HIPAA-compliant documentation.
- Developed individualized intervention plans and coordinated with EMS, behavioral health providers, and SAMHSA-linked services.
- Regularly exceeded KPIs in response time, client engagement, and compliance audits.
- Leveraged case management systems (iCarol, InterAction) to maintain continuity of care and monitor client outcomes.
Behavioral Health Paraprofessional
Department of Education
2021.06 - 2024.03
- Administered behavior screening and designed custom individual education-support plans for students on the autism spectrum.
- Employed data-based behavioral intervention models, which led to better academic performance and emotional control.
- Partnered with multidisciplinary teams in identifying the connection between behavioral goals and academic progress by delivering coordination of family-based care.
Education
Master of Health Care Administration -
Purdue Global University
03.2026
Bachelor of Arts - Psychology
York College CUNY
01.2021
Skills
- Healthcare Quality Improvement (HEDIS, UDS, PCMH, Care Gaps)
- Performance Metrics & Reporting (DRVS, Excel, eCW)
- Value-Based Payment (VBP) Program Management
- Clinical Workflow Optimization & Compliance Monitoring
- Provider Relations & Stakeholder Engagement
- EHR & Case Management Systems (eCW, iCarol, InterAction)
- Cross-Functional Collaboration & Workgroup Leadership
- Health Data Analysis & Dashboard Development
- Project Management & Process Improvement
- Microsoft Office Learning Power BI & Lean Six Sigma
LANGUAGE
Nepali
Hindi
Timeline
Quality Improvement Coordinator
Apicha Community Health Center
2024.08 - Current
Health Educator
AIDS Center of Queens County
2023.08 - 2024.05
Crisis Counselor
Vibrant Emotional Health
2022.03 - 2024.04
Behavioral Health Paraprofessional
Department of Education
2021.06 - 2024.03
Bachelor of Arts - Psychology
York College CUNY
Master of Health Care Administration -
Purdue Global University