Mary L. Reth

Experience

• 

  UC Davis Stores

  Apr 2009 - Jun 2012

  Assistant II

  • Performed multiple administrative tasks such as handling phone calls, filing, emails, data entry, internet based researching, and packaging shipments. • Accomplished weekly projects to meet deadlines and specialized in producing book displays and signs to attract customers and help with store sales. • Planned and organized calendars and several author events to help promote book sales.

• 

  North East Medical Services

  Jan 2013 - Apr 2017

  • Implemented CareMessage, a text messaging tool, to increase patient awareness on managing different chronic conditions, such as type 2 diabetes, and to increase patient engagement.• Managed the patient health coaching program and trained a team of health coaches to offer competent coaching services to NEMS' patients with chronic conditions, such as diabetes and hypertension. • Oversaw and managed grant funded projects to address the health needs of the community, which includes tracking budgets and reporting progress updates.• Developed training guides for end-user training and provides support for new or implemented changes in systems/processes.• Led the development of project plans and implementation timelines to meet goals and deadlines.• Provided strategic guidance for and independently problem solve project issues.• Proactively assessed progress and effectiveness of projects using data analysis.• Developed content expertise in clinical and operational areas of the organization.• Delegated and oversaw assignments to Project Coordinator I and ensure they are completed on time and accurately. Show less • Through my execution and cross collaboration with the Population Management Team, we met and exceeded our 2015 organizational clinic goal of reaching 73.1% in getting our patients between the ages of 24-65 screened for cervical cancer in the measurement year at NEMS.• Implemented digital displays at NEMS to offer easily accessible and important patient care information for all NEMS patients at all clinic and member services sites. • Coordinated yearly patient centered Focus Groups and analyzed patient feedback to help the organization improve overall patient satisfaction and quality improvement in patient care.• Coordinated medical education talks to provide continued education opportunities for NEMS’ doctors. • Designed and purchased promotional materials for NEMS' initiatives for distribution across all NEMS' sites• Aligned projects and strategic objectives and identifies opportunities to increase efficiencies, cost-effectiveness, quality and service.• Created policies and procedures for new programs and processes.• Managed organizational and departmental level projects for the medical and executive teams.• Identified industry trends, conducts research to understand key issues, and applies to North East Medical Services (NEMS). Show less • Worked on ongoing projects such as updating departmental policies & procedures and internal and clinical forms for various departments. • Handled and processed all incoming/outgoing mail and faxes for all 10 clinic sites and all departments.• Prepared, ordered, and distributed marketing and clinical flyers and materials to all NEMS sites.• Designed electronic file systems and maintained both electronic and paper files• Maintained office services and vendor coordination.• Assisted in special projects and performs other duties as assigned by supervisor, Executive Assistant(s), and President & CEO. Show less

  • Project Coordinator II

    Aug 2016 - Apr 2017

  • Project Coordinator I

    Feb 2015 - Aug 2016

  • Administrative Assistant

    Jan 2013 - Feb 2015
• 

  San Francisco Health Plan

  Apr 2017 - now

  •Manages the PointClickCare (PCC) program and application utilized by Care Management, Pharmacy, and Utilization Management:+ Research and troubleshoots issues impacting the application and ensuring timely resolution. + Submits configuration change requests for the application to streamline business users’ workflows.+ Updates and creates desktop procedures and training materials to improve efficiency and standardize use of PCC for users.+ Manages the vendor relationship, which includes monthly check-ins, report requests, and issue escalation.+ Provides support for onboarding ECM providers onto PCC to better manage SFHPs’ ECM eligible members.+ Completed a contract amendment to add the CUO-SNF program to support with Transitions of Care services go-live by 1/1/2024.• Oversees SFHP’s telehealth programs, Teladoc and the Nurse Advice Line (NAL):+ Manages the vendor relationship, which includes monthly check-ins, monitoring SLAs, contract review, and issue escalation.+ Reviews reports and shares utilization data with leadership. + Submits data for the Timely Access report as part of the DHCS annual audit.+ Collaborates with Marketing on promotional mailings and other media.• Led the Nurse Line RFP project as the Business Lead with 100% deliverables and milestones met on time.• Contributes to the CAHPS Access to Care project to support with SFHPs’ FY23/24 organizational goals to increase telehealth utilization.• Provides ongoing backup support for Essette, such as configuration changes and troubleshooting issues. Show less Product & Vendor Management:• Quality Reporter (HEDIS application):+ Ensures HEDIS vendor is administering the HEDIS & MCAS measures accurately+ Masters all reporting tools within the application+ Holds the vendor accountable for meeting SLAs • Essette (Care Management application):+ Provides backup support and expertise in the Essette application for 150+ business users• Works with application vendors to resolve bugs/issues and to identify process improvement opportunities for users' workflows• Manages vendor relationships for accountability to ensure business needs and SLAs are met• Acts as the liaison between business stakeholders, development teams, and vendors• Participates and provides SME feedback during RFPs, including creation of scorecards and attending vendor demosProgram Management:• Manages the annual Healthcare Effectiveness Data and Information Set (HEDIS) program and audit:+ Reviews and submits all ROADMAPS to two different auditing agencies + Monitors and submits HEDIS data for DHCS and NCQA accreditation + Oversees HEDIS reporting and supports all HEDIS activities, including quality and process improvement initiatives, to improve HEDIS outcomes: - Improved SFHP's Chlamydia Screening (CHL) measure rate by 20% for measurement year 2019 + Manages and prepares for the annual HEDIS audits with the auditor+ Collaborates with the Data Management team to execute data loads and identify data sources used for HEDIS + Manages all audit findings, provides timely updates to auditor, and ensures resolution to all findings Project Management:• Manages cross-collaborative projects, such as Voice of the Customer (VOC), following standardized project management methodologies (PMLC)• Develops project charters, project plans, and gathers business requirements to meet success outcomes• Coordinates and facilitates meetings with stakeholders and project teams to meet project timelines and success criteria Show less • Maximizes efficiencies through technology in the Health Services department by working on projects affecting the Health Outcomes Improvement, Pharmacy, and Clinical Operations departments. • Serves as the Subject Matter Expert (SME) for Essette, a Care Management application used by 150+ SFHP users (i.e.- care coordinators, nurses, pharmacists, UM coordinators, etc).• Created and implemented the annual Essette Customer Satisfaction Action plan based on user feedback• Provides overview training of applications and training for new process changes. This includes creating User Acceptance Training (UAT) scripts and testing of deployment packages.• Assigns support tickets through RemedyForce for Essette and completes configuration changes from a testing environment to Production. • Tests bug fixes and enhancements (SOWs) to the Essette application in testing envioronments.• Processes member incentives (hypertension, well-child, diabetes, childhood immunizations, asthma, etc) for SFHP's members to promote healthy living and improve HEDIS outcomes. Show less

  • Configuration Analyst, Health Services Product Management

    Mar 2024 - now

  • Program Manager, Health Services Product Management

    Feb 2023 - Mar 2024

  • Associate Program Manager, Health Services Product Management

    Sept 2019 - Feb 2023

  • Specialist, Health Services Product Management

    Apr 2017 - Sept 2019