Manager - Decision Support Resume Example
Meticulous manager with a data analytical background, excellent at juggling multiple tasks and working under pressure. Broad industry experience in Healthcare: front line support, EHR, revenue cycle, data and analysis, to executive level process and policy decisions. Co-chaired Quality, Measurement and Reporting committees and directed improvement efforts and initiatives
Meticulous manager with a data analytical background, excellent at juggling multiple tasks and working under pressure. Broad industry experience in Healthcare: front line support, EHR, revenue cycle, data & analysis, including executive level process and policy decision making. Co-chaired Quality, Measurement and Reporting committees and directed improvement efforts and initiatives.
|
|
|
|
- Managed the PAMF Regional P4P public reporting
- Managed the PAMF Regional PQRS/GPRO public reporting
- Built and managed the PAMF Regional RAF reporting and improvement
- Developed new process for quality improvement which resulted in marked performance improvements for public reporting
- Worked directly with providers and quality leadership to achieve P90 threshold goals
- Co-Chair of the Sutter Medical Network Quality Measurement Group
- Committee member on PAMF's: P4P Steering Committee, P4P Outreach Committee, Quality Improvement sub-committee
- Supported affiliates clinical needs for quality analysis and improvement at various sites within BAOU.
- Ownership over team productivity and managed work flow to meet or exceed quality service goals
- Trained staff on clinical and operating procedures around affiliate data reporting
- Managed the PAMF Regional P4P public reporting
- Managed the PAMF Regional PQRS/GPRO public reporting
- Built and managed the PAMF Regional RAF reporting and improvement
- Developed new process for quality improvement which resulted in marked performance improvements for public reporting
- Worked directly with providers and quality leadership to achieve P90 threshold goals
- Co-Chair of the Sutter Medical Network Quality Measurement Group
- Committee member on PAMF's: P4P Steering Committee, P4P Outreach Committee, Quality Improvement sub-committee
- Supported clinical needs for quality analysis and improvement at affiliate sites within BAOU.
- Designed, Build, and Project Managed the PAMF Regional P4P reporting
- Designed, Build, and Project Managed for the PAMF Regional GPRO reporting
- EPIC Ambulatory and Professional Resolute Clarity trained
- Certified in EPIC Professional Resolute
- SMSC EPIC EAP conversion project from MS4
- SMSC/MPSH MS4 query reporting
- CDM/EAP pricing for hospital
- Cost analysis on hospital procedures and equipment
- Auditor support for both Hospitals (SMSC & MPSH) and PAMF ambulatory Region
- Quality analytics reporting committee member
- Committee and Sub-committee member for Sutter and PAMF: P4P Steering Committee, P4P Outreach Committee, PQRS (GPRO) reporting
- Built and Project Manager for the PAMF Regional P4P reporting
- Built and Project Manager for the PAMF Regional GPRO Reporting
- EPIC Ambulatory and Professional Resolute Clarity training
- Certified in EPIC Professional Resolute
- SMSC EPIC EAP conversion project from MS4
- SMSC/MPSH MS4 query reporting
- Auditor support for both Hospitals (SMSC & MPSH) and PAMF ambulatory Region
- Quality analytics reporting committee member
- Committee and Sub-committee member for Sutter and PAMF: P4P Steering Committee, P4P Outreach Committee, PQRS (GPRO) reporting
- Reimbursement analysis for Medicare/Medicaid, Medical, managed care and PPO payors
- Case Mix & DRG reporting analysis
- Patient Accounting
- A/R hospital reconciliation
- Facility billing
- Member of task force committee WPI: Work Process Improvement
- Reimbursement analysis for Medicare/Medicaid, Medi-Cal, managed care and PPO payors
- Case Mix & DRG reporting analysis
- Patient Accounting
- A/R hospital reconciliation
- Facility billing
- Member of task force committee WPI: Work Process Improvement
NCQA/IHA Pay For Performance
CMS Medicare five-star quality rating
CMS PQRS / GPRO
Medicare Risk Adjustment Factor (RAF)
CDM/EAP Pricing for hospital
Procedure and Equipment cost analysis
NCQA/IHA Pay For Performance
CMS Medicare five-star quality rating
CMS PQRS / GPRO
Medicare Risk Adjustment Factor (RAF)
CSUMB - City
DISCLAIMER
Resumes, and other information uploaded or provided by the user, are considered User Content governed by our Terms & Conditions. As such, it is not owned by us, and it is the user who retains ownership over such content.
How this resume score could be improved?
Many factors go into creating a strong resume. Here are a few tweaks that could improve the score of this resume:
- Word choice
- Measurable results
- Typos
Resume Overview
School Attended
- CSUMB
Job Titles Held:
- Manager - Decision Support
- Analyst III - Decision Support
- Patient Account Rep - Ambulatory & Hospital
Degrees
- Bachelor of Science : Business
Similar Resumes
