Veronica Jenkins
Grovetown,Georgia
Summary
Dynamic and results-oriented professional with a proven track record at United HealthCare, enhancing healthcare quality and performance. Excelled in leveraging EMR and HEDIS expertise, coupled with exceptional leadership and communication skills, to drive significant improvements. Recognized for outstanding patient experience and adept at multitasking, I bring a blend of analytical thinking and interpersonal prowess to every challenge.
Overview
16
16
years of professional experience
1
1
Certification
Work History
Associate Practice Performance Manager
United HealthCare
Minneapolis, MN
01.2017 - Current
- Company Overview: Travels throughout an assigned territory, collaborating with healthcare providers to discuss UHG and incentive programs focused on improving the quality of care for Medicare Advantage members
- Executes education, training and facilitates monthly meetings to providers on applicable incentive programs
- Works both onsite and virtually with care providers, as well as other embedded QFO staff (PPM and PPS)
- Travels throughout an assigned territory, collaborating with healthcare providers to discuss UHG and incentive programs focused on improving the quality of care for Medicare Advantage members
- Executes education, training and facilitates monthly meetings to providers on applicable incentive programs
- Works both onsite and virtually with care providers, as well as other embedded QFO staff (PPM and PPS)
- Establishes positive, long-term consultative relationships with physicians, medical groups, IPAs and ACOs
- Develops comprehensive, provider-specific plans to increase HEDIS performance and improve outcomes
- Provides ongoing strategic recommendations, training and coaching to provider groups on program implementation and barrier resolution
- Includes leadership, PPM, and PPS roles as applicable in strategy recommendations
- Gathers internal resources to provide appropriate, effective provider education, coaching and consultation
- Coordinates and leads Stars specific JOC meetings with provider groups with regular frequency to drive continual process improvement and achieve goals
- Provides reporting to health plan leadership on process of overall performance
- Facilitates/leads monthly or quarterly meetings, as required by health plan leader
- Collaborates with health plan market leads to make providers aware of Plan-sponsored initiatives designed to assist and empower members in closing Star gaps
- Utilizes HEDIS, Stars Management and MAPCPi Planning to recognize and incorporate Medicare Risk Adjustment Factors
- Specializes in utilizing: HEDIS, Stars, HIPPA, CAHPS, CMS, NCQA, ICD-9, ICD-10, Diagnosis Related Groupings (DRG) and DRG Data Release Governance (DRG)
- Understands and utilizes the Medical Management approach to solve patient care coordination issues
- Travels throughout an assigned territory, collaborating with healthcare providers to discuss UHG and incentive programs focused on improving the quality of care for Medicare Advantage members
- Executes education, training and facilitates monthly meetings to providers on applicable incentive programs
- Works both onsite and virtually with care providers, as well as other embedded QFO staff (PPM and PPS)
Healthcare Services Coordinator
United HealthCare
Minneapolis, MN
01.2015 - 01.2017
- Company Overview: Utilized Electronic Medical Records (EMR) and Healthcare Effectiveness Data and Information Set (HEDIS) experience to collaborate with hospitals, clinics, facilities, and clinical teams to manage request for services from members and/or providers
- Utilized Electronic Medical Records (EMR) and Healthcare Effectiveness Data and Information Set (HEDIS) experience to collaborate with hospitals, clinics, facilities, and clinical teams to manage request for services from members and/or providers
- Traveled to multiple provider offices to collect data and assist with HQPAF
- Provided care coordination telephonically; completing assessments and documentation within a clinical system while multi-tasking other applications gathering information to support member's needs, i.e., annual wellness visits, Med Adherence and Clinic Days
- Demonstrated knowledge of clinical standards of care, preventive health, and Stars measures
- Utilized Electronic Medical Records (EMR) and Healthcare Effectiveness Data and Information Set (HEDIS) experience to collaborate with hospitals, clinics, facilities, and clinical teams to manage request for services from members and/or providers
Registered Medical Assistant
CSRA Medical Associates
Augusta, GA
01.2009 - 01.2015
- Company Overview: Optimized patient satisfaction and positively impacted productivity
- Supervised Medical Assistants/students in daily operations
- Optimized patient satisfaction and positively impacted productivity
- Supervised Medical Assistants/students in daily operations
- Made copies, sent faxes, and managed incoming and outgoing correspondence
- Obtained prior authorization and verified insurance
- Maintained a record of equipment, supplies, and other items
- Managed patient check-ins and check-outs, while collecting co-pays
- Processed requests for medical records
- Documented information completely, accurately and in a timely manner
- Reviewed all patient charts prior to the appointment
- Cross trained when applicable
- Worked with patients, families and other health care professionals in a manner that supported institutional and departmental mission, vision, and values
- Successfully planned and executed meetings for employees and trained Medical Assistant Students
- Optimized patient satisfaction and positively impacted productivity
- Supervised Medical Assistants/students in daily operations
- Planned and executed Health Fair
- Received a merit raise as the result of demonstrating attention to detail, providing exemplary customer service and being an essential part of the team
- Received award for patient experience
Education
Master of Science - Healthcare Administration
University of Phoenix
01.2017
Bachelor of Science - Healthcare Administration
University of Phoenix
01.2013
Skills
- Consulting
- Leadership
- Teamwork
- Multi-tasking
- Organization
- Adaptability
- Decision Making
- Communication
- Documentation
- Risk Management
- Critical Thinking
- Customer Relations
- Computer Skills
- SQL
- Epic
- Athena
- Cerner
- Allscripts
- Centricity
- Tableau
- Prognosis
- EClinicalWorks
- Microsoft Office Suite
- Electronic Medical Records
- Pivot Tables
- Conflict resolution
- Lean six sigma
- Professionalism
- Quality assurance
- Coaching and mentoring
- Performance analysis
- Data interpretation
- Analytical thinking
- Performance improvement
- Train staff
- Problem-solving aptitude
- Professional demeanor
- Effective communication
- Leadership development
- Analyze data
- Team collaboration
- Analytical skills
- Organizational management
- Excellent communication
- Multitasking Abilities
- Interpersonal skills
- Project coordination
- Performance management
- Written communication
- Active listening
- Time management
- Customer service
- Adaptability and flexibility
- Time management abilities
- Self-motivation
- Decision-making
- Organizational skills
- Attention to detail
- Strategic planning
- Client relationship management
- Multitasking
- Evaluate reports
Certification
Six Sigma Green Belt Certification, 01/21
Accomplishments
- Planned and executed Health Fair
- Received a merit raise as the result of demonstrating attention to detail, providing exemplary customer service and being an essential part of the team.
- Received award for patient experience.
Statementofskills
More than 16 years of experience in healthcare with varied leadership experience to include serving as a trainer for medical assistants and providers and collaborating with marketing and sales staff. Applies expert knowledge to act as a change agent, role model and leader. Recognized as a resourceful, results-oriented individual capable of accomplishing numerous tasks while at the same time ensuring the highest standard of excellence. Dedicated and focused, excels at prioritizing, completing multiple tasks simultaneously and following through to achieve project goals. Effective communicator. Effective planner and organizer with extensive medical knowledge.
Timeline
Associate Practice Performance Manager
United HealthCare
01.2017 - Current
Healthcare Services Coordinator
United HealthCare
01.2015 - 01.2017
Registered Medical Assistant
CSRA Medical Associates
01.2009 - 01.2015
Master of Science - Healthcare Administration
University of Phoenix
Bachelor of Science - Healthcare Administration
University of Phoenix
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