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Ilaiza Reynoso

@ilaizareynoso

Healthcare data and operations professional at NewYork-Presbyterian Hospital who supported HEDIS, QARR, and PCMH reporting and investigated data-quality issues.

United States

Message

At NewYork-Presbyterian Hospital, I supported monthly HEDIS builds and annual HEDIS, QARR, and PCMH submissions. I reviewed healthcare data, investigated discrepancies, and worked with analysts, providers, vendors, and data partners to support issue resolution.

As a Patient Navigator in the hospital’s Cardiology Department, I coordinated patient follow-up and connected people with healthcare and community resources. Earlier, I supervised clerical staff at NYC Health + Hospitals/Jacobi and assisted patients with accessing care and community resources as a Community Health Worker intern at St. Barnabas Hospital.

Experience

Work history, roles, and key accomplishments

Program Coordinator – Population Health Strategy

NewYork-Presbyterian Hospital

Apr 2024 - Apr 2026 (2 years)

Supported monthly HEDIS builds and annual HEDIS, QARR, and PCMH submissions involving claims, provider, member, encounter, and supplemental data. Reviewed and validated healthcare data, identified discrepancies, and collaborated with teams to resolve issues.

HEDIS QARR PCMH Claims Data Analysis Data Validation Root Cause Analysis Quality Reporting Healthcare Analytics Excel Epic

Patient Navigator – Cardiology Department

NewYork-Presbyterian Hospital

Jul 2022 - Apr 2024 (1 year 9 months)

Coordinated healthcare services, patient follow-up, and administrative activities within a hospital-based cardiology department. Collaborated with physicians, nurses, and staff to coordinate patient services and used Epic for documentation.

Epic Patient Coordination Healthcare Documentation Communication Skills Care Coordination

Emergency Department Clerical Level 4

NYC Health + Hospitals/Jacobi

Sep 2021 - Jul 2022 (10 months)

Supervised clerical staff and supported daily Emergency Department operations, including coordinating assignments, monitoring workflow, and providing guidance. Reviewed and processed healthcare-related administrative information while maintaining accuracy and confidentiality.

Supervision Workflow Coordination Microsoft Office Electronic Health Systems Confidentiality

Community Health Worker (intern)

St. Barnabas Hospital

Jun 2013 - Sep 2015 (2 years 3 months)

Assisted patients and community members with accessing healthcare and community resources. Supported patient outreach, education, follow-up, and care coordination activities.

Patient Outreach Care Coordination Documentation Communication Skills