Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Tristin Brock

Boise,ID

Summary

Results-driven healthcare leader offering twenty years of clinical, administrative and patient care experience. Gifted in building and implementing approaches to increase quality and streamline procedures. Significant leadership background directing multidisciplinary healthcare teams to achieve care objectives and outperform business targets.

Overview

10
10
years of professional experience
1
1
Certification

Work History

Sr. Clinical Quality Analyst

Optum
01.2023 - Current
  • Responsible for reporting and analysis of member care quality within the Idaho Behavioral Health Plan (Medicaid) in accordance to policy, contractual obligations and NCQA standards.
  • Key contributor to the External Quality Review and Performance Improvement Project processes.
  • Serve on Quality Assurance and Performance Improvement (QAPI) and Utilization Management and Outcomes (UMOT) committee.
  • Conduct quality audits of state reports.
  • Subject matter expert in all quality assurance operations relating to member critical incidents, quality of care concerns, appeals, complaints and adverse benefit determinations.
  • Collaborate with all levels of staff on identified or potential risk issues.

Practice Manager

St. Luke's Health System
12.2021 - 01.2023
  • Managed daily primary care practice operations to optimize appointment scheduling, patient throughput and budget and reimbursement administration.
  • Develop and operationalized plans that lead to the achievement of strategic initiatives, monitor practice activities to ensure compliance with all applicable governmental regulations and practice standards.
  • Supported staff and providers by creating an environment for continuous process improvement and workflow standards to increase efficiency and effectiveness.
  • Fostered dyad partnership with medical director and lead clinical and administrative support staff.

Practice Manager

UC San Diego Health
06.2019 - 06.2021
  • Managed clinic operations for primary care, pediatric and Express Care service lines.
  • Personnel management including: recruitment, performance management, training, payroll, compensation oversight and labor relations for staff and providers.
  • Partner with medical director to develop and meet quality, service, access, engagement and financial goals.
  • Maintain fiscal oversight to include revenue management, provider wRVU production and session productivity, monitor expenses and accounting.
  • Coordinate division on-call administrative functions.
  • Maintained a patient-centered environment while utilizing Lean tools for continuous process improvement.
  • Instrumental in developing and opening new clinics.

Operations Supervisor

UC San Diego Health
01.2015 - 06.2019
  • Oversee all aspects of orthopedic surgery administrative operations to include: front office, registration, authorizations, surgery scheduling and clinical staff.
  • Maintain and coordinate provider clinic scheduling templates in EPIC EMR.
  • Participate in strategic planning and budget planning.
  • Assist in new provider enrollment and credentialing.
  • Manage clinic space utilization, staff timekeeping and provider wRVU data.
  • Subject matter expert in labor relations and union contract interpretation.

Call Center Supervisor

UC San Diego Health
11.2013 - 01.2015
  • Oversee high-volume orthopedic surgery call center operations through call quality monitoring, queue management and continuous staff training.
  • Provided individual constructive feedback to enhance performance, productivity and address areas in need of improvement.
  • Maintain and analyze statistical data for leadership reporting and to implement process improvements to maximize productivity and streamline workflows.
  • Perform quality analysis of customer service, patient registration, pre and post service insurance filing.
  • Manage staff scheduling to ensure adequate phone coverage.

Education

Bachelor of Science - Healthcare Administration

Purdue University - Global
07.2025

Associate of Applied Science - Surgical Technology

Newbridge College
2007

Skills

    Lean Process Improvement

    Root Cause Analysis

    Data Analytics - Reporting

    Microsoft Applications, Advanced

    United Behavioral Health LINX

    EPIC EHR - Ambulatory, Cadence

    Tableau - Power BI

    CPT/ICD-10 Coding

    Primary Care

    Orthopedic Surgery

    Press Ganey - Burke - NRC - Qualtrics Survey Reporting

    Clinical Performance Management

    People - Relationship Management

Certification

  • Certified Professional in Healthcare Quality, NAHQ - 2023
  • Lean Six Sigma Green Belt - UC San Diego Extension - 2019

Timeline

Sr. Clinical Quality Analyst

Optum
01.2023 - Current

Practice Manager

St. Luke's Health System
12.2021 - 01.2023

Practice Manager

UC San Diego Health
06.2019 - 06.2021

Operations Supervisor

UC San Diego Health
01.2015 - 06.2019

Call Center Supervisor

UC San Diego Health
11.2013 - 01.2015

Bachelor of Science - Healthcare Administration

Purdue University - Global

Associate of Applied Science - Surgical Technology

Newbridge College
Tristin Brock