Melissa Mello
@melissamello
Experienced healthcare professional specializing in quality management and compliance.
What I'm looking for
I am a dependable and detail-oriented professional with extensive experience in administrative operations, customer service, and regulatory compliance. My journey in healthcare has been marked by a commitment to managing complex systems and supporting daily operations while effectively communicating with diverse teams and the public. I thrive on learning new systems and contributing to the success of healthcare organizations through reliable, professional service.
Throughout my career, I have held various leadership roles, including Director of Quality Management and Manager of Quality, Accreditation, and Infection Prevention. I have successfully led quality and regulatory readiness efforts, ensuring compliance with CMS and CDPH requirements. My ability to collaborate with clinical and administrative teams has resulted in improved employee engagement and sustained compliance across multiple quality compliance programs.
With a Doctor of Public Health and a proven track record in quality management, I am passionate about driving strategic initiatives that promote excellence in compliance practices. I have developed comprehensive training materials and executive summaries that empower teams and inform decision-making. I am eager to bring my expertise in healthcare operations and quality management to a forward-thinking organization.
Experience
Work history, roles, and key accomplishments
Director Quality Management
Madera Community Hospital
Dec 2024 - Jan 2025 (1 month)
Recruited to lead quality and regulatory readiness efforts during the hospital's reopening phase, focusing on compliance with CMS and CDPH requirements. Assessed existing quality and regulatory infrastructure to identify immediate priorities for reopening readiness and collaborated with leadership to outline a plan for audit preparation and policy review.
Manager and Interim Director Quality, Accreditation, & Infection Prevention
Saint Agnes Medical Center
Mar 2024 - Nov 2024 (8 months)
Promoted from Manager to Interim Director to lead organization-wide quality, accreditation, and infection prevention functions. Ensured compliance with regulatory standards, strengthened department operations, and supported survey readiness during a leadership transition.
California Quality Compliance Program Manager
Bright Health
Oct 2021 - Jan 2023 (1 year 3 months)
Established Clinical and Quality Compliance Program for California IFP product in adherence to set standards, while ensuring readiness and compliance for entry into California market. Designed comprehensive training materials on quality compliance, empowering teams through engaging group and individual training.
Provider Engagement Manager
La Salle Medical Associates
Nov 2019 - Oct 2021 (1 year 11 months)
Facilitated collaborative efforts between providers and health plans by deploying custom suite to elevate overall quality improvement compliance and meet HEDIS standards. Offered valuable guidance and support to contracted provider network alongside maintaining adherence to HEDIS measures and providing necessary training to enhance compliance.
Medical Management Specialist
CalViva Health
Sep 2016 - Nov 2019 (3 years 2 months)
Organized management, development, review, and revision of policies and procedures in alignment with directives from DMHC, DHCS, and Knox-Keene, ensuring compliance and regulatory adherence. Implemented and coordinated multiple annual oversight audits, meticulously documenting and reporting audit findings to leadership and relevant authorities such as DMHC and DHCS.
Administrator
Central California Faculty Medical Group (CCFMG)
Jul 2015 - Sep 2016 (1 year 2 months)
Provided comprehensive oversight of daily operations, leading a diverse team of 50 staff members, providers, and physician's assistants. Organized planning and successful execution of construction project for Visalia, CA expansion Neurosurgery office, ensuring efficient operations and enhanced accessibility for patients.
Quality Management Analyst, Neurosurgery Data Specialist, Patient Account Biller
Community Health System
Oct 2006 - Jul 2015 (8 years 9 months)
Progressively advanced through multiple roles over nine years, gaining experience across clinical operations, quality measurement, and administrative systems. Built a foundation in data analytics, regulatory documentation, and interdisciplinary collaboration that informed future leadership in healthcare performance and compliance.
Education
Degrees, certifications, and relevant coursework
Capella University
Doctor of Public Health, Public Health
Grade: 4.0 GPA
Activities and societies: President’s List, Every eligible quarter throughout the program
Achieved President’s List every eligible quarter throughout the program, demonstrating consistent academic excellence. Graduated with a perfect GPA of 4.0, reflecting strong dedication and mastery of public health principles.
University of Phoenix
Master of Health Administration, Health Administration
Focused on education within the health administration curriculum, gaining specialized knowledge in training and development in healthcare settings. Developed skills in managing health organizations with an emphasis on educational strategies.
University of Phoenix
Bachelor of Science, Health Administration
Concentrated on Emergency Health Care Management, acquiring foundational knowledge in health administration and emergency response protocols. Prepared for roles requiring quick decision-making and effective management in critical healthcare situations.
Availability
Location
Authorized to work in
Job categories
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