Marco Ruiz
@marcoruiz
I lead clinical quality operations, HEDIS compliance, STAR improvement, and risk-based performance across healthcare markets.
United StatesWhat I'm looking for
I've led clinical quality operations for WellMed Medical Management/UnitedHealth Group across Houston and Southeast Texas, directing 19 Clinical Quality Consultants and improving STAR performance, HEDIS quality control, provider compliance, and gap-closure execution.
Previously, I built Wellvana Health's quality program across 19 states and led quality compliance at INET/IntegraNet Health, where I developed HEDIS workflows, managed multidisciplinary teams, strengthened NCQA compliance, and raised triple-weighted measures including HbA1c and CBP to 5 stars.
Experience
Work history, roles, and key accomplishments
Director, Quality Operations
WellMed Medical Management / UnitedHealth Group
Jan 2024 - Present (2 years 8 months)
Led market-wide Quality Operations for Houston and Southeast Texas, improving STAR compliance. Managed a team of 19 Clinical Quality Consultants, providing strategic guidance and performance oversight with weekly SMART goal sessions.
Education
Degrees, certifications, and relevant coursework
Universidad Iberoamericana (UNIBE)
Doctor of Medicine, Medicine
2001 - 2007
Pursued a Doctor in Medicine and Science degree, including pre-medical and general science courses.
Tech stack
Software and tools used professionally
Availability
Location
United StatesAuthorized to work in
Job categories
Skills
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