Livecareer-Resume
Jessica Claire
  • , , 100 Montgomery St. 10th Floor
  • H: (555) 432-1000
  • C:
  • resumesample@example.com
  • Date of Birth:
  • India:
  • :
  • single:
Executive Summary

Detail-oriented in entering accurate data for analysis. Read and quickly understand information found in source documents to complete efficient work.

Skills
  • Bilingual in English and Spanish
  • Sharepoint Site expert
  • Quality Improvement
  • Performance improvements
  • CVS Health expert
  • Patient-focused care
  • Regulatory compliance
  • QSI and Tableau
  • MS Office
  • Data management
Experience
Quality Specialist, 03/2018 - Current
Thermo Fisher Scientific Inc. Andover, MA,
  • Stepped up as Quality Department Project Owner, collaborated with IT department to pull accurate data for NCQA, analyzed data from multiple sources to create detailed reports for the Population Health Assessment, Continuity and Coordination of Care Report, and Population Health Assessment for Care Management Annual Report , which was the first one and only market to be approved within corporate with no edits, leading to health plan accreditation.
  • Geo-mapped members with HRA gap to get members compliant with their PCP’s and increase the completion rate making yourself have the highest number of HRA done leading you to be the owner of this project.
  • Market data was integrated with corporate’s data and there was a discrepancy in the data, we verified this using tableau and v-lookup to ensure accuracy of members in the denominator, which ensured that as measure owner Osteoporosis Management in Women (OMW 2019 and 2020), we have a projected 5-Star rating for HEDIS 2021.
  • CAHPS committee responsible for improving member experience with WellCare thus increasing CAHPS score through using data analysis to see gaps in care from member grievances, care gaps, and any pressing member problems such as COVID.
  • Diabetes is a chronic condition that affects the WellCare population at an alarming rate, therefore I became a Certified Diabetes Educator through rigorous training to be able to facilitate a discussion on diabetes prevention, diabetes monitoring, and the complications in minority populations that we serve.
Shift Manager, 08/2015 - 03/2018
Arby's, Llc Cottage Grove, MN,
  • Managed over 10 employees by directing and assigning duties and seeing that they were completed.
  • Successfully managed to hit goals set by Area Coach and Restaurant Manager i.e speed > 80% for deliveries (>30) and speed >90% for pick-up (>15).
  • Open and closed location and monitoring shift changes to maximize business success and customer satisfaction.
  • Tracked receipts, employee hours, and inventory movements.
  • Trained new employees to enhance business results.
  • Generated reports to assess performance and make adjustments.
  • Managed schedules, accepted time off requests, and found coverage for shifts.
  • Upheld company standards and compliance requirements for operations and cleanliness of all areas.
  • Assessed, optimized and elevated operations to target current and expected demands.
Community Outreach Specialist, 07/2015 - 02/2018
Aptiv (Formerly Riverfront Inc.) Prairie Du Chien, WI,
  • Greeted and directed visitors/patients to their destination and provided general information.
  • Asked patients to participate in patient surveys in order to maintain consistent visits.
  • Offered health programs and assistance to members of the community.
  • Drafted contracts for collaboration with hospitals in plans for shared marketing.
  • Targeted specific community groups with wellness and disease management information.
  • Wrote and distributed informational materials on chronic diseases, infant mortality, substance abuse and other community health concerns.
  • Maintained accurate daily log records, including monthly outcome reports with program data for each client.
Community Outreach Coordinator, Certified Enrollment Counselor, 05/2013 - 11/2014
Family Health Care Resources City, STATE,
  • Fielded phone calls and pleasantly greeted office visitors, answering questions and inquiries regarding community resources and services.
  • Answered multi-line telephone, routed calls, and took accurate messages.
  • Offered health programs from Covered CA and Medicaid to members of the community.
  • Coordinated outreach events with providers in the greater Los Angeles County.
  • Gave presentations at public gatherings and community events.
  • Provided individuals and families with information and resources to connect with available programs.
  • Cultivated and developed relationships with existing and potential referral sources, identified new partners, uncovered untapped opportunities and raised brand awareness.
Education and Training
Bachelor's: Political Science, Expected in 2015
-
University of California - Davis - Davis, CA
GPA:
Master of Science: Public Health, Expected in
true -
University Of Southern California - Los Angeles, CA
GPA:
Activities and Honors
  • Received NCQA Health Plan Accreditation for WellCare
  • Earned “WellCare Champion” Award (October 2018) for effectively managing the Osteoporosis (OMW) measure while managing NCQA and other duties.
  • Earned “WellCare Champion ” Award (March 2019) for successfully completing NCQA submission requirements with no errors and being the first WellCare Market to finish PHM2 for auditors.
Certifications
  • Certified Diabetes Educator -Health Services Advisory Group (HSAG)
  • Certified Mental Health Aid-Mental Health First Aid USA
  • Business Analyst Certification- University of Southern Florida, 2020

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School Attended

  • University of California - Davis
  • University Of Southern California

Job Titles Held:

  • Quality Specialist
  • Shift Manager
  • Community Outreach Specialist
  • Community Outreach Coordinator, Certified Enrollment Counselor

Degrees

  • Bachelor's
  • Master of Science

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