Decisive, action-oriented quality improvement specialist with expertise defining quality strategy and direction to drive continuous quality improvement. I possess a diverse medical management background in managed healthcare and direct care services. I successfully worked with quality improvement teams both at a local and corporate level to ensure medical management operations for utilization management, case management, and care coordination meet state and federal requirements and ensure processes are followed during service delivery, achieving customer satisfaction, and improving member outcomes. I am a strategic visionary with continuous quality improvements skills and a proven track record in motivating collaborative teams, effective leadership, efficient program & product implementations, project management, quality & process improvements, data analysis and operations in the following areas: medical insurance, healthcare business, Joint Commission and NCQA. Bachelor of Arts Degree in Psychology from an accredited college, 19 years’ experience in clinical social work Excellent knowledge of Centene Data Analytic Tools, Dashboards, SDOH Matrix, Power BI, and NCQA Dashboard HEDIS experience and knowledge including the Quality Compass Familiar with QI Trilogy Documents Knowledge of State Contract Requirements Ability to pull data from various sources for reporting and accreditation needs Familiar with Process Improvement Projects Project Management skills and knowledge Experienced with taking meeting minutes for State and executive leadership meetings as well as presenting Experience working with various departments to brainstorm barriers, opportunities for improvement, interventions as well as implementing action items Familiar with Centene SMARTSHEET QI Workbook Knowledge of NCQA Standards, reports, bookmarking, and annotating Ability to prep files for NCQA File Review Good communicator Ability to work well under pressure in a fast-paced, time sensitive environment with shifting priorities and multiple deadlines Able to learn quickly and grasp new procedures and concepts. Capable of exercising good judgment in crisis situations. Able to work and effectively deal with multiple types of personalities in a variety of situations Talented professional considered knowledgeable leader and dedicated problem solver. Brings 29 years of valuable expertise to forward company objectives. Attentive to detail with experience in coordinating projects, programs and improvements.