At Parkland Health, I lead the annual HEDIS production cycle, from planning and data intake through rate calculation and submissions. I also oversee hybrid medical record review and vendor coordination.
I manage medical record review project staff and lead Performance Improvement Plan projects aligned with State performance goals. I analyze measures, barriers, and opportunities, and present improvement results and ongoing performance to senior management.
At Blue Cross Blue Shield of Texas, I worked across encounter data management, submissions, reject remediation, and reconciliation. I analyzed claims and health data to identify trends and provide decision-makers with insight.
My work there also included reporting requirements, client training, care management analytics, and encounter reporting. I maintained privacy and HIPAA documents for customer reporting release and served as a subject matter expert in encounter operations and analytics.
