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Moises Campos

@moisescampos

Experienced HEDIS data specialist driving quality improvement and accurate healthcare reporting.

United States
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What I'm looking for

I seek a role in quality improvement or healthcare data where I can apply HEDIS abstraction, SQL-driven reporting, and cross-functional collaboration to improve measure performance and compliance.

I am a detail-oriented HEDIS Abstractor and Quality Improvement Data Specialist with over 10 years supporting Medicare, Medi‑Cal, and commercial health plans. I specialize in medical record abstraction, chart auditing, data validation, and quality reporting to improve HEDIS and STAR performance.

I lead data collection, validation, and reporting efforts, generate and automate reports using SQL, Excel, and Access, and ensure submissions meet NCQA and DHCS standards. I serve as a liaison between Quality Improvement and Analytics, provide staff training, and support data quality and address clean-up initiatives.

I bring strong cross-functional collaboration skills, bilingual communication in English and Spanish, and a background in technical instruction and IT support that helps streamline workflows and improve measure performance.

Experience

Work history, roles, and key accomplishments

BP

HEDIS Abstractor II

Blue Shield Promise

Sep 2011 - Jan 2017 (5 years 4 months)

Conducted medical record abstraction for HEDIS, STAR, and HCC measures, collaborated with provider offices to improve chart retrieval and documentation, and prepared data summaries for Quality Improvement leadership.

Citrus College logoCC

Computer Lab Assistant / Math Tutor

Citrus College

Aug 2008 - Jun 2009 (10 months)

Assisted students with software installations and IT troubleshooting and provided tutoring in Algebra through Calculus II to support academic improvement and retention.

Education

Degrees, certifications, and relevant coursework

DeVry University logoDU

DeVry University

Bachelor of Science, Networking Communications

Completed a Bachelor of Science in Business Technical Management with a focus on Networking Communications, conferred in February 2012.

Citrus College logoCC

Citrus College

Associate of Science, Computer Engineering

Earned an Associate of Science in Natural Science with coursework in Computer Engineering, completed in June 2009.

California State University, Long Beach logoCB

California State University, Long Beach

Teaching Credential, Information Technology

Completed a Full‑Time Technical Education Teaching Credential in Information Technology.

Tech stack

Software and tools used professionally

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Moises Campos - Quality Improvement Data Specialist - Blue Shield of California | Himalayas