L K
@lk01
I build high-performing healthcare quality programs that improve outcomes and STAR Ratings.
United StatesWhat I'm looking for
At Ochsner Health Plan, I built end-to-end reporting and care-gap processes for a start-up Medicare Advantage plan, helping achieve a 4.0 first-year STAR Rating and 4.5 STARs for Part C.
I've led quality, performance improvement, risk management, regulatory reporting, and accreditation work across Ochsner Health, UnitedHealthcare ACO, QuadMed, and Aurora Accountable Care Network. My work has included reducing pressure injuries by 80%, improving sepsis detection and coding by 30% year over year, recovering more than $500,000 in billing and utilization errors, and leading ACOs to 4.75 and 5.0 STAR Ratings.
I'm an RN and MBA graduate with more than 20 years in healthcare, and I also teach population health and data analysis to MSN and MBA students at Concordia University.
Experience
Work history, roles, and key accomplishments
System Director - Quality & Performance Improvement
The Ochsner Health Plan
Jan 2022 - Present (4 years 7 months)
Promoted internally to start up Medicare Advantage Plan. Developed end-to-end reporting for care gap closure and identification of opportunities, and achieved first year STAR Rating of 4.0 (4.5 STARs Part C).
Education
Degrees, certifications, and relevant coursework
Cardinal Stritch University
Master of Business Administration, Business Administration
Master of Business Administration degree from Cardinal Stritch University in 2014.
Availability
Location
United StatesAuthorized to work in
Job categories
Skills
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