Summary
Overview
Work History
Education
Skills
Timeline
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Tanya Afonso

Summary

Experienced healthcare professional with over two decades of diverse experience across various healthcare settings. Skilled in quality improvement and HEDIS measures, dedicated to leveraging knowledge and expertise to support healthcare organizations in enhancing quality standards. Known for compassionate approach and proactive mindset, committed to contributing to development and maintenance of effective mechanisms for quality assurance in healthcare.

Overview

6
6
years of professional experience

Work History

HEDIS Product Trainer

Arkos Health
01.2023 - 01.2025
  • Was recruited to train the organization's Quality staff on Arkos' new Salesforce-based EMR: Arkos 360
  • Created SoPs and training materials for the entire company regarding HEDIS data collection and submission
  • Updated training materials based on new builds released by the Product Team
  • Helped open new Arkos markets in new states and assisted them in launching their Quality teams
  • Implemented Arkos processes globally in the organization
  • Performed triage on user tickets submitted about Arkos 360 for the product team
  • Assisted all Arkos markets in creating their own processes and training materials

Quality (HEDIS) Manager

Arkos Health
01.2021 - 01.2023
  • Directly managed the Arkos Quality Department
  • Maintain, updated, and assigned work through departmental spreadsheets
  • Organized and dispatched Quality staff to cover Maricopa, Pima, and Pinal counties in Arizona
  • Utilize the Healthcare Effectiveness Data and Information Set (HEDIS)
  • Created intuitive processes for the teams to follow in collecting, documenting, and submitting gap-closing results
  • Created SoPs and learning materials for all Quality Department processes

Quality Coordinator (HEDIS)

Arkos Health
01.2021 - 01.2023
  • Utilize the Healthcare Effectiveness Data and Information Set (HEDIS)
  • Went into the field and engaged patients, collecting tests and samples needed to close HEDIS gaps
  • Maintain and update departmental spreadsheets
  • Process and organize patient documents and review for deficiencies
  • Coordinate and order preventative and diagnostic tests to bridge the gap in patient care on behalf of patient's primary care providers, in accordance with patient's health care plan
  • Conduct outreach or visits to specified patients on priority lists for outstanding care gaps
  • Educate patients on procedures being scheduled and performed, as well as heath care plans
  • Maintain positive relationships with patients and follow up on care previously scheduled

Concierge Medical Assistant

LifeScape Premier
01.2019 - 01.2021
  • MA to an Arizona Top Doc and CEO/founder of the practice
  • Manage a patient list of 300+ effectively and efficiently
  • Communicate lab results, physician recommendations and more, promptly, and pleasantly to patients via phone call and in-office
  • Provide concierge patients with a comfortable and pleasant office experience
  • General MA tasks

Education

High School Diploma -

Mount Hope High
Bristol, RI
01.2000

Medical Assistant Certification - undefined

Apollo College
01.2009

Skills

  • HEDIS performance oversight
  • Healthcare support services
  • Effective therapeutic communication
  • Bilingual communication in Portuguese and English
  • Skilled in data analysis and presentations using Office 365
  • Experience with multiple EMR platforms including Cerner, Athena, and NextGen
  • Experience with Salesforce
  • Internal ticketing system proficiency (JIRA, Confluence)
  • Experienced in QuickBooks management
  • Prior authorization management
  • Experience with HIPAA standards
  • Service excellence
  • Market analysis methods
  • Cultural awareness

Timeline

HEDIS Product Trainer

Arkos Health
01.2023 - 01.2025

Quality (HEDIS) Manager

Arkos Health
01.2021 - 01.2023

Quality Coordinator (HEDIS)

Arkos Health
01.2021 - 01.2023

Concierge Medical Assistant

LifeScape Premier
01.2019 - 01.2021

Medical Assistant Certification - undefined

Apollo College

High School Diploma -

Mount Hope High

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