Summary
Overview
Work History
Education
Skills
Accomplishments
Certification
Timeline
Generic

Raihana Mehreen

Summary

Dynamic Quality Coordinator with expertise in project management and data analysis. Spearheaded initiatives that enhanced compliance and improved health outcomes, utilizing SQL and effective communication skills. Proven track record in leading interdisciplinary teams and delivering impactful presentations to drive strategic decisions.

Overview

10
10

Years of professional experience

4
4

Certifications

Work History

Quality Coordinator

WellSense Health Plan
Boston, MA
04.2022 - 05.2024
  • Conducted in-depth analysis of plan members' (patient) data to inform policy decisions and drive program
    improvements, utilizing quantitative and qualitative methodologies to identify trends and optimize health
    outcomes.
  • Directed coordination of regulatory and quality improvement plans/initiatives within Medicaid and Medicare
    domains, ensuring both Star Ratings enhancement and HEDIS compliance, while managing program operations,
    overseeing implementation and addressing gaps in compliance and performance metrics to align with federal
    and state guidelines.
  • Spearheaded multifaceted texting and mailing programs for health campaigns (e.g., Breast Cancer Screening,
    Lead Screening in Children and Diabetes Medication Management) demonstrating strategic planning and
    effective communication skills to promote preventive care and public health awareness.
  • Delivered monthly PowerPoint presentations (60-70 slides), detailing key performance measures for plan members,
    including year-long progress graphs up to most recent month, metric analyses, compliance percentages, trend
    forecasts and barrier identification to facilitate strategic discussions with the Quality team and RNs on actionable
    next steps.
  • Led interdisciplinary clinical research programs targeting plan measures, ensuring adherence to GCPs, SOPs and
    regulatory requirements, to ascertain research integrity and quality.
  • Monitored plans for cross-departmental (Pharmacy and Care Management) initiatives aimed to improve health
    outcomes, education and screening and treatment adherence among plan members.
  • Facilitated training sessions for senior executives, directors and management, driving organizational change and
    seamless integration of new processes, while also contributing to staff development and knowledge-sharing by
    organizing cross-departmental workshops (policy orientation, condition-specific education, etc.).
  • Oversaw daily quality processes including document preparation, literature reviews and web research,
    maintaining high standards of reliability in research outputs and project deliverables.
  • Formulated and regulated a streamlined company-wide procedure for requesting, tracking and delivering
    reporting and analytic support from the Quality department.
  • Presented analytical outputs to Leadership to illustrate enhanced efficiency within five weeks of introducing it.

Research Executive & Manager

Social Innovation Ventures
Boston, MA
05.2022 - 07.2023
  • Directed cross-functional research teams and the execution of comprehensive research projects by hosting
    weekly meetings, tracking project milestones, maintaining meticulous records and adeptly delegating
    responsibilities to improve team efficiency and outcomes, enabling evidence-based decision-making and project
    progression.
  • Improved communication and stakeholder engagement through efficient project timeline updates, data
    requirements, budget constraints and other project-related concerns.
  • Developed innovative project proposals and incorporated creative ideas to enhance project efficacy and
    output.
  • Created comprehensive manuscripts, meticulously managing the end-to-end publishing process, including
    drafting, editing and finalizing content, while coordinating with necessary stakeholders, including editors, peer
    reviewers and publishers, to ensure timely and successful publication.
  • Co-published a paper that analyzes the flow of individuals through a well-established crisis system in the U.S. and
    identifies factors associated with the reutilization of crisis services within 30 days.
  • Conducted a comprehensive literature review to identify gaps in knowledge regarding crisis services and system
    design and applied understanding of psychiatric emergencies and crisis intervention services to inform study
    design and interpretation of results.
  • Added expertise from firsthand experience with Medicaid operations and interviews with state and federal
    officials.
  • Utilized statistical software to analyze large datasets, including Medicaid claims and electronic health records,
    employing generalized estimating equations to calculate adjusted odds ratios.
  • Managed and merged complex datasets from multiple sources, ensuring compliance with ethical standards for
    handling sensitive health data.
  • Communicated research findings effectively through clear and coherent writing, including abstract, introduction,
    methods, results, discussion and conclusions, adhering to academic writing standards.
  • Co-authored an RFI that discusses opportunities for CMS to improve health access and equity.
  • Employed visual technologies and tools to map the dynamic discussion (in real-time) that led to the article, while
    actively contributing insights and facilitating meaningful interactions among participants.
  • Identified and bridged key points and synthesized them into actionable recommendations, drafting a
    comprehensive summary that facilitated collaborative review before securing unanimous approval of the final
    version.

Writer

American Public Health Association (APHA)
Boston, MA
09.2021 - 12.2021
  • Authored articles for The Nation's Health on topics like child obesity and alcohol use in college students.
  • Pitched compelling story ideas to engage readers on public health issues.
  • Conducted research and interviews with experts to ensure content accuracy.
  • Synthesized emerging health news to create weekly quizzes, fostering active learning.
  • Tracked latest publications and expert commentary to generate informative content.

Immigration Paralegal

Mintz, Levin, Cohn, Ferris, Glovsky and Popeo, P.C.
Boston, MA
06.2021 - 12.2021
  • Prepared case documents and submitted Nonimmigrant and Immigrant Visa petitions to U.S. agencies for H-1B, L-1, and E-3 workers.
  • Managed six active cases simultaneously, coordinating with four senior attorneys and stakeholders.
  • Conducted legal analysis and researched factual issues to ensure compliance and accuracy.
  • Led special projects as project coordinator, assisting five colleagues to support Afghan refugees in entering the U.S.

Research Assistant

Boston Medical Center - Neurology
Boston, MA
10.2020 - 09.2021
  • Developed three clinical questionnaire instruments essential for determining patient eligibility in quantitative pupillometry study.
  • Crafted precise questions to ensure accurate patient condition assessment and meaningful selection.
  • Collaborated with senior researchers and clinicians to validate questionnaire instruments.
  • Examined and categorized over 100 participants' brain scans and medical records based on neural damage types using advanced imaging software.
  • Maintained project data in multiple databases while implementing rigorous data verification processes.
  • Established detailed timelines to monitor project progress and evaluate data trends efficiently.

Research/Data Analyst

Boston University School of Law
Boston, MA
09.2018 - 05.2019
  • Collected and organized over 150 insurance premiums from various healthcare companies into a structured database.
  • Collaborated with legal and healthcare professionals to refine data collection processes.
  • Spearheaded initiatives analyzing correlations between legal policies and medical malpractice outcomes.
  • Developed reports that influenced policy recommendations and discussions on healthcare reform.
  • Evaluated accuracy and completeness of forms, transcribing paper-based data into electronic systems.
  • Utilized Excel, R, and SQL to create data visualizations for clear communication of analytical results.

Education

Master of Arts - Public Health Biology

Johns Hopkins Bloomberg School of Public Health
Baltimore, MD
05.2025

Graduate Certificate - Topics in Biology

Harvard Extension School
Boston, MA
08.2024

Bachelor of Arts - Psychological and Brain Sciences, Public Health

Boston University
Boston, MA
01.2021

Skills

  • Quality Improvement Methods (Lean, Six Sigma, PDSA cycles, Root Cause Analysis, FMEA)
  • Health Policy & Regulatory Knowledge (CMS quality programs, NCQA standards, Value-Based Care models, MIPS, MACRA)
  • Data Analysis & Performance Metrics (HEDIS, CAHPS, AHRQ indicators, Risk Adjustment, Outcome measurement)
  • Technical & Data Skills (SQL, R, Tableau, Epic, REDCap, Excel)
  • Project Management Frameworks & Tools (Agile, Scrum, Waterfall, Kanban, Gantt Charts, Smartsheet, Asana, MS Project)
  • Health Systems & Population Health Tools (EHR navigation, Population health dashboards, SDOH data tools)
  • Reporting & Communication Tools (PowerPoint, Canva, Technical writing, Policy briefs, Dashboard design)
  • Languages (Bengali, Hindi, Urdu, Spanish)

Accomplishments

  • Patient Flow and Reutilization of Crisis Services Within 30 Days in a Comprehensive Crisis System
  • Opportunities for CMS to improve healthcare access and equity through advancing technology-enabled startups and digital health innovations

Certification

  • Predictive Project Management
  • Boston University School of Public Health Mini-MPH
  • Google Data Analytics
  • Certified Professional in Healthcare Quality — In progress

Timeline

Research Executive & Manager

Social Innovation Ventures
05.2022 - 07.2023

Quality Coordinator

WellSense Health Plan
04.2022 - 05.2024

Writer

American Public Health Association (APHA)
09.2021 - 12.2021

Immigration Paralegal

Mintz, Levin, Cohn, Ferris, Glovsky and Popeo, P.C.
06.2021 - 12.2021

Research Assistant

Boston Medical Center - Neurology
10.2020 - 09.2021

Research/Data Analyst

Boston University School of Law
09.2018 - 05.2019

Master of Arts - Public Health Biology

Johns Hopkins Bloomberg School of Public Health

Graduate Certificate - Topics in Biology

Harvard Extension School

Bachelor of Arts - Psychological and Brain Sciences, Public Health

Boston University

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Raihana Mehreen