Lucy Shaw, M.S

Experience

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  East Carolina University

  Jun 2009 - May 2011

  Graduate Assistant Athletic Trainer

  - Served as full-time graduate assistant to Division I athletic department.- Designated as Approved Clinical Instructor and mentored undergraduate athletic training students.- Taught undergraduate course in First Aid/CPR

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  University of Chicago

  Aug 2011 - Jun 2015

  Athletic Trainer

  - Assessed the injuries and illnesses of highly competitive student-athletes, providing treatment and preventative care. - Engaged multiple stakeholders in treatment and management of student-athlete injury and status for participation and travel. - Wrote departmental Policy and Procedures Manual, including procedures for concussion management, disordered eating management, and emergency action plans.- All inventory management and purchasing/ordering for two sports medicine facilities within a tight budget. - Management of 10 student workers including: hiring, training, scheduling and day-to-day oversight. Show less

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  University of Chicago Medicine

  Jan 2012 - Jun 2015

  Physician Extender

  - Evaluated orthopedic and general medical conditions, designing and instructing on home exercise programs as appropriate. - Discussed treatment plans with physician for feedback and recommendations.

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  Iora Health

  Dec 2015 - Mar 2017

  Health Coach

  -Built relationships with patients to promote behavior changes leading to healthier lifestyles and improvedhealth outcomes.- Assisted primary care provider with all aspects of clinical visits including documenting history, takingvitals, and organizing any post-visit needs or follow-up.- Taught a weekly stretch and self-mobilization wellness class for members of Harken Health

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  Harken Health

  Mar 2017 - Aug 2017

  Patient Care Coordinator and Outpatient Network Lead

  -Identified and proactively engaged at risk and high utilization members into care model through analysisof health metrics and utilization of services resulting in improved patient health outcomes and reducedspending.- Led growth of outpatient specialist referral network enabling every center in the market to have multiplego-to providers in high utilization specialties.- Developed clinic processes for: medical record requests, prescription of controlled substances and highrisk medications, prior authorizations, triage, imaging study orders, and referrals. Show less

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  Aetna, a CVS Health Company

  Aug 2017 - now

  - HEDIS 2018 project co-lead. Specific duties included: project launch and closure, staff assignment of duties related to outreach and other project tasks, tracking of project status and strategy effectiveness, managing locations, provider assignments, and medical record abstraction.- Assisted project manager in final phases of NCQA health plan accreditation first survey from documentsubmission to preparation and execution of on-site survey resulting in a status of Accredited for bothMedicaid and MMP lines of business.- Data analysis and reporting of state QIP - Development of interventions to close gaps in care for specific member groups resulting in an increasedcapture of administrative and supplemental data.- Monitoring and sharing of monthly HEDIS rates with stakeholders at the plan to help drive initiatives to support HEDIS goals. Show less

  • Healthcare QM Project Manager, National Medicaid Quality Management

    Oct 2020 - now

  • Healthcare QM Sr Consultant - HEDIS

    Aug 2018 - Oct 2020

  • Healthcare Quality Management Consultant

    Aug 2017 - Aug 2018