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Candidate's Name
Quality Hedis Improvement RepStreet Address  Springlake Village CtKissimmee Fl Street Address
PHONE NUMBER AVAILABLEExperienceEducation2021- CurrentHedis Improvement Rep- Aegis Medical Group9 years Hedis experience. Consistently maintain up to date standards of CMS AHCA guidelines and NCQA. Coordinating information between departments and offices to improve the quality of care to our members. Responsible for Stars Quality rating for all offices also assigned data collection, abstraction, data entry and performance improvement activities. Knowledge of many EMR systems such as ECW, Athena, Total Md charts, Aprima, and Amazing Charts.2020-2021Medical Records Account Manager-Centerwell Offices CHMC Medical ManagementFulfill requests for all medical records for all Centerwell offices and patients under practices. Manage 5 employees under this title and complete all reports and payroll for my department.2017-2020 Utilization Management RepMagellan Complete Care (Molina Health)Verify eligibility and benefits. Create Authorization shells for providers or Hospitals for procedures or Hospital Procedures & Retrospective shells.2013-2017 HEDIS Data AbstractorUnited Health CareStars Quality rating maintaining for all offices also assigned data collection, abstraction, data entry and performance improvement activities. Knowledge of many EMR systems such as ECW, Athena, Total Md charts, Aprima, and Amazing Charts.Columbia College2021 -Current BA-Social WorkFlorida Technical College2012-2013 Certified Medical AssistantValencia Community College2002-2004 Associates in Arts Criminal JusticeSeminole State College2004-2005 Certified Police OfficerSkillsCreativityLeadershipOrganizationProblem solvingTeamworkTime Management