Janeece Flournoy

Experience

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  Elevance Health

  Feb 2007 - Apr 2024

  Job duties include(d)• Develop and utilize knowledge of databases, information systems, managed care, Medicaid/CHIP population, statistical tools and analytical principles to analyze quality outcomes that support strategies for managing health plan performance• Serve as HEDIS data project administrator for QSHR system creating custom queries, performing gap analysis and running reports to close measure gaps• Utilize Microsoft Access databases and SQL server to conduct data analysis on quality initiatives including HEDIS, NCQA, and EQRO.• Create and maintain multiple SharePoint sites for the QM Department to share necessary documents, reports and other resources• Function as subject matter expert on claims data, MACESS and FACETS for department • Liaison to the Health Promotion team responsible for running member outreach lists for quality initiatives • Built and maintain departmental dashboards and staff production systems • Build automated reports for financial and operational analysis • Abstract and data entry of HEDIS Medicaid and Medicare medical record review• Participate in clinical focus study development, data collection, analysis and report writing• Responsible for documentation of Quality Improvement Workgroup committee meeting minutes• Act as a liaison to State, vendor, and enterprise partners • Train, mentor, and onboard new IT and production associates• Extensive knowledge of Medicare, Medicaid and compliance to HIPPA standards and regulations• Assign, prioritize, and monitor department projects through review of initial requests, workload balancing, and completion tracking Show less

  • Program Manager, Government Business Division

    Apr 2021 - Apr 2024

  • Program Consultant, Government Business Division

    Jun 2019 - Apr 2021

  • Clinical Program Development Consultant

    Mar 2018 - Jun 2019

  • Business Information Analyst Sr

    Feb 2007 - Mar 2018
• 

  Blue Cross NC

  May 2024 - now

  Sr. Manager Quality Improvement Strategy