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Gordon AndresGA
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Gordon Andres

@gordonandres

HEDIS Manager at Partners Health Management who earned 100% across all NAV audit indicators for the MY2025 audit.

United States
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At Partners Health Management, I lead HEDIS MY2025 compliance, audit preparation, and quality measure reporting for a North Carolina Medicaid Tailored Plan. I coordinated audit submissions that earned 100% across all NAV audit indicators and built HEDIS infrastructure including the MY2025 Roadmap and quality assurance documentation.

Previously, I spearheaded Centene's Enterprise Stars Improvement program and managed clinical quality at HealthyBlue North Carolina / BCBS. I also partnered with DHHS to launch Medicaid managed care for HealthyBlue NC and managed EPSDT Federal requirements for children.

Experience

Work history, roles, and key accomplishments

Education

Degrees, certifications, and relevant coursework

University of Phoenix logoUP

University of Phoenix

BSHA/HM, Health Administration and Health Management

Completed a Bachelor of Science in Health Administration and Health Management.

LN

Licensed Practical Nurse

LPN, Nursing

Earned a Licensed Practical Nurse certification.

University of the People logoUP

University of the People

MBA, Business Administration

Pursued an MBA degree.

Tech stack

Software and tools used professionally

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