
Timeline
About me
NCQA Accreditation | Quality Assurance | Process Improvement | Strategy & Implementation
Education

United health group emerging leaders program
2023 - 2023
Manhattanville college
-Post-baccalaureate pre-health program
Bucknell university
-Bachelor's degree biology, general
St. george's university
-Master's degree public health
Experience

Fleetwood ophthalmology
Jul 2015 - Jul 2016Office managerPossess extensive expertise in medical insurance structures, including HMO and PPO models, ensuring optimal coverage and resource allocation. Designed and implemented an efficient scheduling system that streamlined patient visit coordination, management inventory supply, and facilitated collaboration with White Plains Hospital. Led the management and training of over 30 patients in pre-operative and post-operative care for cataract surgery, improvement patient understanding and recovery outcomes. Show less

Ministry of health grenada
Oct 2018 - Dec 2018Practicum studentAuthored the National Tuberculosis Control Program Operational Manual for the Ministry of Health (MOH), establishing a comprehensive framework to guide national efforts in tuberculosis management.Cultivated a strategic partnership between the MOH and Hope Pals Network (HPN), an NGO dedicated to supporting individuals living with AIDS, resulting in successful implementation of targeted AIDS programs. Developed a strategic framework to enhance program delivery.

St. george's university
Nov 2018 - Apr 2019Graduate research assistantDesigned and implemented a health policy and management curriculum for the Department Chair, significantly enhancing the Master of Public Health program’s educational framework. Led engaging public health discussions and managed course projects and term papers. Published in the International Journal of Gender and Women’s Studies.

Verdugo hills home care, inc.
Jan 2019 - Jul 2019Policy analystLed the implementation of a Quality Assessment and Performance Improvement program, following Medicare’s Condition of Participation (CoPs) for Home Health Agencies.

Jewish board of family and children's services
Jul 2019 - Oct 2020Performance improvement coordinator | project coordinatorLed the implementation of comprehensive programs for adult residential housing, transition housing, community services, and children’s residential services, in accordance with NY State Office of Mental Health.

Optum
Oct 2020 - Sept 2024Successfully led 5-8 strategic projects across 18 Optum Health (OH) markets, positively impacting over 100,000 employees. Developed and executed initiatives to align employee and patient wellbeing with provider satisfaction, improving retention rates. Drove projects to a 5% increase in Social Determinants of Health (SDOH) data capture through EPIC integration and spearheaded the creation of cultural competency training programs to enhance care quality.Notable Accomplishments: - Transformed HE curriculum strategy for OH markets, targeting new employees for 2024; boosted curriculum completion rates from below 50% to 87% within the first 30 days of onboarding from 2023 to 2024. - Implemented a high-impact change management strategy focused on inclusive practices, achieving a 117.5% increase in engagement rates, surpassing company benchmarks. Show less Effectively led cross-functional teams through audits and utilization management (UM) accreditations, driving business impact for over 2,000 employees. Developed and executed comprehensive project documentation including business cases, project charters, communication plans, schedules, budgets, work breakdown structures, RACI matrices, change request management processes, risk logs, and lessons learned analyses. Notable Accomplishments: - Spearheaded organizational efforts to achieve a 3-year NCQA UM accreditation with a 98% score, demonstrating exceptional quality and compliance. - Project manage the 2023 Annual Health Plan UM Documents (evaluations, program description and charter) for 11 Health Plans and for the organization. Show less Executed four patient experience projects, directing cross-functional teams of over 12 members to enhance patient experience, resulting in a significant improvement in NPS scores.Notable Accomplishments:- Implemented an interactive voice response system for patient experience surveys in English and Spanish, training over 200 clinicians on new workflows while collaborating with product, engineering and legal teams.- Developed 40+ dashboards on Qualtrics for patient and provider experience, generating actionable insights that informed process improvements to meet NCQA UM requirements and coordinated patient complaints to drive targeted improvement initiatives. Show less
Project Manager (Health Equity)
May 2023 - Sept 2024Compliance Consultant | Project Manager
Feb 2022 - May 2023Quality Consultant | Project Manager
Oct 2020 - Feb 2022

Wellsky
Mar 2025 - nowSenior manager, clinical quality & complianceEstablishing a quality and compliance utilization management department by developing a structured framework to ensure clinical services meet regulatory standards, promote patient safety, and drive continuous improvement. Framework includes developing policies and procedures that comply with federal, state, and accrediting body requirements (e.g., CMS, NCQA) and implementing a robust quality assurance program to monitor performance metrics, conduct audits, and investigate incidents. Notable Accomplishments: - Led efforts to achieve a 3-year NCQA UM accreditation, demonstrating exceptional quality and compliance. Show less
Licenses & Certifications

National institutes of health (nih)
National institutes of health (nih) office of extramural researchMay 2017
Data visualization for data analysis and analytics
LinkedinAug 2021- View certificate

Excel essential training (office 365/microsoft 365)
LinkedinJun 2021 - View certificate

Critical thinking for better judgment and decision-making
LinkedinMar 2021 - View certificate

Scrum: advanced
LinkedinNov 2021 - View certificate

Leading projects
LinkedinApr 2021 - View certificate

Scrum: the basics
LinkedinApr 2021 
Six sigma yellow belt
Asq - world headquartersSept 2020
Incident management regulations and reportability & special investigator training
New york state office of mental healthDec 2019- View certificate

Powerpoint: creating an infographic
LinkedinMar 2021
Volunteer Experience
Student Volunteer, Critical Care Unit
Issued by White Plains Hospital on Oct 2013
Associated with Christine Ku, MPH, CPHQ, CSSYBSummer Intern
Issued by Verdugo Hills Home Care Inc. on May 2009
Associated with Christine Ku, MPH, CPHQ, CSSYB
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