Associate Director of Medicare Advantage Stars Quality and Performance Strategy
April 2016 — Present
Manage and execute on the strategies for the stars program at UnitedHealth Group for our Medicare Advantage members.
Oversee and collaborate with resources to develop programs to improve and increase both member and provider satisfaction: building on health outcome survey initiatives and CAHPS to improve member's satisfaction and helping physicians increase their member's satisfaction through various programs. Manage and execute on HEDIS measures specific strategies. Ensure all states deliver at a 4+ star plan and help members to live healthier lives.
Previously, working as a population health management consultant assist providers in addressing NCQA patient preventative care opportunities and increase their CMS stars performance alongside their value based contract. Monthly interactions with provider offices to explain their clinical performance. Responsible for NCQA HEDIS chart abstraction implementation across multiple lines of business.
Formerly, responsible for managing CMS Medicare Advantage bid planning and member plan implementation for four states. Licensed Insurance Producer.
Monitoring value based physician contracting success for all five states and strategic population health methods.