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Senior Quality Specialist Resume Example

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SENIOR QUALITY SPECIALIST
Professional Summary
Accomplished senior quality specialist who proudly maintains a highly productive, efficient and quality-driven environment at all times.
Skills
  • Project management authority
  • Accomplished leader
  • Quality improvement competency
  • Strong presentation skills
  • Analytical thinker
  • Independent judgment and decision making
Work History
08/2012 to Current
Senior Quality Specialist Kaiser Foundation Hospital – Fresno, CA
  • Primarily accountable for developing, designing and coordinating the Medical Staff, in partnership with all levels of the organization.
  • Coordinate respective accreditation surveys (National Committee for Quality Assurance, The Joint Commission/Consolidated Accreditation and Licensure Survey, Centers for Medicare & Medicaid Services) and ensure compliance with regulatory agency standards.
  • Provides oversight for the administrative functions of Medical Staff Services; including coaching, counseling and team development; act as liaison, problem solver, and facilitator.
  • Initiated, developed and implemented utilization of electronic quality files to eliminate paper management processes specific to all components of quality management housed in the paper file.
  • Adaption of the electronic files has increased accessibility, eliminated redundancies and effectively promoted transparency with The Permanente Medical Group (TPMG) practitioners.
  • Utilize performance improvement methodologies as a key driver of change related to quality and compliance; collaborate with various senior managers and executive leadership pertaining to health plan quality, practitioner performance trends and credentialing and privileging transactions.
  • Determine strategic goals, project structure, direction, and work plan; see projects through fruition.
  • Provide formal presentations to various senior audiences within the organization.
  • Prepare instructional material and conduct in-service training; present information using a variety of instructional techniques or formats, such as role playing, simulations, team exercises, group discussions, videos or lectures.
  • Design and build Dynamic PDF forms utilizing Adobe LiveCycle Designer ES4 products; in addition to the conversion of forms from Microsoft Word, Microsoft Excel and Adobe Central Pro.
  • Abstract, interpret and analyze data from Health Connect/EPIC electronic medical records; submit Confidential Morbidity Reports for infection prevention and control, specific to Title 17, hospital alerts, and Central Line Insertion Practices (CLIP) to the Department of Public Health.
  • Continually improved knowledge, skills and performance based on feedback and self-identified professional developmental needs.
10/2010 to 08/2012
Quality Analyst Kaiser Foundation Hospital – Fresno, CA
  • Assisted in the evaluation and performance of practitioners/ allied health professionals through data analysis and monitoring for quality of care issues.
  • Identified and recommended best practice methodologies related to data/systems architecture for medium to large scale projects related to enhanced integration.
  • Participated in the development of performance improvement projects related to critical care measures for mobility, blood utilization and medicine service line initiatives (falls, patient care experience).
  • Processed a minimum twenty [20] pneumonia core measure audits and a minimum five [5] stroke audits per month.
  • In addition, completed one hundred fifty [150] medicine peer review cases per year (12.5/month).
  • Oversaw the creation and implementation of performance improvement plans to reduce or eliminate risk resulting from peer review findings or performance deficiencies.
  • Analyzed QA/RM/UM variances from care paths, screening indicators, utilization focused studies and Medicare admission necessity and continued stay reviews to properly assess risk management and improve services.
  • Fostered interdisciplinary relationships by negotiation and consensus building to attain goals for all disciplines.
  • Developed management reports utilizing department, medical center and/or regional metrics by extracting and validating data from multiple sources.
  • Initiated gap training for identified areas of vulnerability; provided coaching using multiple methods of education and modalities.
  • Designed new and revised forms utilizing graphical forms design software, such as Adobe LiveCycle Designer, for automation of processes.
  • Built complex regulatory forms from the ground up; including the creation of pdf fillable, electronic forms such as ongoing professional practitioner evaluations (OPPE).
  • Strategically planned methods to achieve operational goals and targets.
04/2008 to 10/2010
Staff Assistant Kaiser Foundation Hospital – Fresno, CA
  • Managed daily office operations and maintenance of equipment for Quality Management and Medical Staff Services.
  • Created and maintained spreadsheets using advanced Excel functions and calculations to develop lists, pivot tables and charts, and QI macros reports.
  • Redesigned and maintained computer-based filing and organization systems for records, reports and documents.
  • Revised forms utilizing graphical forms design software, such as Adobe LiveCycle Designer, for automation of processes.
  • Built complex regulatory forms from the ground up; including the creation of pdf fillable, electronic forms.
  • Designed agendas, minutes, tracking logs, algorithms, organizational charts, reports and presentations for up to 6 committees per month.
  • Managed department finance's for billing, travel and supplies to ensure budgetary compliance with organizational standards.
  • Maintained and coordinated executive and senior management vacation, day-to-day meeting and travel schedules.
  • Tracked attendance and monitored absenteeism for systemic trends.
  • Audited credentialing processes for accuracy, compliance, and timeliness.
  • Provided back up coverage for credentials, privileging, CME, and expirables processes within the Medical Staff Services department.
  • Provided in-house educational seminars to departmental peers with respect to computer applications such as Microsoft Word, Excel, and Lotus Notes.
07/2006 to 04/2008
Community Development Coordinator Housing Authority of the City and County of Fresno – Fresno, CA
  • Planned and implemented HOPE VI program components for homeownership, funding, Section 3, MBE/WBE initiatives, human services and management systems.
  • Wrote, packed and secured grant funding for remediation, homeownership, and down payment assistance in excess of $5 million for the HOPE VI program.
  • Researched, identified, and assisted low-income families in purchasing new homes available at the Villages at California development, Sierra Pointe.
  • Obtained LEED certification for the HOPE VI community center at the Villages at California.
  • Prepared reports for financial and administrative activities submitted to the Department of Housing and Urban Development (HUD), Federal, State and local agencies as related to the HOPE VI program.
  • Acquired pertinent knowledge of procurement procedures/laws and applied said knowledge to bids, requisitions and contract compliance processes.
  • Identified, developed and evaluated marketing strategies based on knowledge of company objectives and market trends.
  • Lead education and training seminars related to policies, procedures and regulations specific to the HOPE VI program on a quarterly basis for an average of 50 community members.
  • Administered and maintained the Section 3 initiative for HOPE VI including establishment of procedures, documentation and training materials; the Section 3 program successfully established jobs for ten [10] people during my tenure.
05/2003 to 07/2006
Housing Program Coordinator III Housing Authority of the City and County of Fresno – Fresno, CA
  • Interpreted Federal regulations, analyzed, audited and assessed the department for regulatory program compliance.
  • Managed, maintained and transmitted mandatory compliance data to HUD.
  • Researched and analyzed regulations in relation to the housing program administrative plan, policies and procedures.
  • Track and trend compliance data for executive management and provide solutions to identified systemic issues.
  • Rectified systemic issues pertaining to various levels of improvement (software/staff development) by performing a variety of internal audits related to all housing components reviewed under the Section Eight Management Assessment Program (SEMAP).
  • Established instructional material and provided in-depth staff training for implementing or clarifying policies and procedures.
  • Administered follow-up courses to ensure success post-training.
  • Conducted housing quality inspections as part of the quality assurance monitoring and assessment for SEMAP compliance related to housing quality standards (HQS).
  • Continued to support additional functions throughout the department and was accountable for personal work load with minimal supervision.
Education
2014
Master of Management: Health Care Administration
 National American University, Rouche Graduate Center - Austin, TX
 GPA: GPA: 4.0
  • Coursework in Health Services Administration
  • Coursework in Healthcare Administration
  • Graduated with 4.0 GPA
9 2014
Master of Business Administration: Human Resource Management
 National American University, Rouche Graduate Center - Austin, TX
 GPA: GPA: 4.0
  • Coursework in Business Management
  • Coursework in Human Resources Management and Accounting
  • Graduated with 4.0 GPA
8 2014
Bachelor of Science: Business Administration emphasis Management
 National American University - Rapid City, SD
 GPA: Magna cum Laude GPA: 3.89

  • Emphasis in Management
  • Graduated Magna Cum Laude
  • 3.89 GPA
11 2014
Associate of Applied Science: Business Administration
 National American University - Rapid City, SD
 GPA: GPA: 3.88
  • Coursework in Business Management
  • Graduated With Distinction
  • 3.88 GPA
Skills
administrative, Adobe, application development, agency, automation, billing, budget management, charts, CMS, coaching, computer applications, conversion, counseling, data analysis, designing, design software, direction, documentation, executive management, senior management, filing, Finance, financial, forms, Leadership, team development, Lotus Notes, macros, marketing strategies, market, Access, Microsoft Excel, Excel, office, PowerPoint, Word, Microsoft Word, negotiation, organizational, PDF, policies, presentations, problem solver, processes, procurement, Project management, Public speaking, purchasing, Quality, quality assurance, Quality Management, QA, reporting, risk management, seminars, spreadsheets, staff development, staff training, strategic, supervision, systems architecture, tables, training materials, trend, VI, Workbench
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Resume Overview

Companies Worked For:

  • Kaiser Foundation Hospital
  • Housing Authority of the City and County of Fresno

School Attended

  • National American University, Rouche Graduate Center
  • National American University

Job Titles Held:

  • Senior Quality Specialist
  • Quality Analyst
  • Staff Assistant
  • Community Development Coordinator
  • Housing Program Coordinator III

Degrees

  • Master of Management : Health Care Administration
    Master of Business Administration : Human Resource Management
    Bachelor of Science : Business Administration emphasis Management
    Associate of Applied Science : Business Administration

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