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Yyyyyy x. yyyyyy

Xxxxxx, XXXXXX xxxxxx (xxx-xxx-xxxx


Qualifications for Specialist Quality Interventions QI Compliance

Details- and Results-Focused Leader Committed to Optimizing Your Company s Quality Interventions / QI Compliance Initiatives


Quality Improvement (QI) Quality Interventions Quality Improvement (QI) Compliance

Quality Metric Data Performance Measurements Trends Tracking Accreditation Standards

Strategic Analysis / Planning Program Management Data Collection Data / Reports Generation


Dynamic Quality Improvement (QI) Specialist who makes sound decisions to continually rexxxxxxect positively on multi-site operations initiatives and seamlessly align with an employer s strategic vision, value, and goals. Top Performer who offers solutions-centric critical thinking for insightful, change-oriented results while maintaining cutting-edge technical skills and up-to-date industry trends awareness. Out-of-the-Box Thinker who rises above business challenges to improve the bottom line and achieve winning outcomes, including quickly adapting to evolving operational scenarios. Bilingual Communicator (Spanish / English) who develops synergistic relationships with decision-makers, teams, and customers of diverse cultural, ethnic, and socioeconomic backgrounds, and who leads peers by example and with ethics and integrity.


Core Competencies Include:

  Exhibiting recognition as a quick study who rapidly picks up new concepts.

  Continually complying with regulatory requirements and accreditation standards.

  Cross-functionally collaborating with peers to deliver high-quality products / services.

  Demonstrating skill in reporting and monitoring key performance measurement activities.

  Providing hands-on support always willing to go the extra mile to surpass the status quo.


Professional Synopsis


Molina Healthcare, Inc., Xxxxxx, XXXXXX

(2015 Present)


Health Educator HEDIS QI Specialist

Capitalize on the opportunity to lead forward-thinking collaborations with Quality Improvement (QI) staff to analyze and report results of solutions-centric initiatives, including continually evaluate areas requiring key Quality Improvements (QI). Expertly evaluate collection of Quality Improvement (QI) data to comply with regulatory requirements and accreditation standards. Draft, prepare, and present reports and analyses for senior leaders to evaluate performance improvements using diverse sources. Contribute skill in analyzing quality metric data, including HEDIS, STARS, and all Line of Business. Develop business reporting efforts in SSRS and SQL, and coordinate reports to show impact of the quality department.


Xxxxxx Children s Hospital, Xxxxxx, XXXXXX

(2014 2015)


Patient Account Representative

Utilized broad scope of industry knowledge toward managing insurance verification practices, including collecting co-pays and additional patient / insurance payments. Demonstrated experience in checking patients in and out in a prompt and efficient manner. Facilitated accurate patient registration, including responding to and / or transferring patient calls as necessary. Educated patients on comprehensive billing processes, including reviewing all financial options to meet needs.


Sullivan & Cogliano Training Center, Xxxxxx, XXXXXX



Office Clerk (Internship)

Ensured seamless training center operations by providing quality-focused clerical support, including promptly handling high-volume call management. Optimized administrative efficiency by managing files containing confidential information.


Xxxxxx Dade College, Xxxxxx, XXXXXX

(2011 2013)


Front Desk Clerk

Played a vital role in promptly responding to high-volume front desk calls while actively delivering excellence in customer service within a fast-paced administrative environment. Expertly reviewed and filed records and managed key inventories.


Education & Technical Summary


Undergraduate Studies in Healthcare Administration Xxxxxx Dade College


Microsoft Office Suite (Word, Excel, PowerPoint, Outlook) EMR QSI SSRS SQL ICD-9 Coding CPT Coding


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