Anita M.

Healthcare Products | Quality Management | Health Policy Development

United States of America
English

Experienced quality improvement consultant with a demonstrated history of working in the insurance industry. Skilled in Medicare Products, MRA, Physician Incentive Programs,HEDIS, STAR Initiatives,Phy...see more

  • Healthcare
  • Wellness & Fitness

50

/hr
  • Pre-vetted expert
  • Confirmed hourly rate
  • Available on short notice

Experience

HEDIS Quality Consultant

Aetna, a CVS Health Company
9 months
Current position
Jan 2022 - Present
Founded in 1853 in Hartford, CT, Aetna is one of the nation's leading diversified health care benefits companies, serving an estimated 46.7 million people with information and resources...see more

HEDIS Analyst

Aetna, a CVS Health Company
4 months
Jan 2021 - May 2021
· Executed provider and member outreach initiatives for the HEDIS Medical Record Review project. · Performed and analyzed HEDIS abstractions to close gaps in care and improve Star ratin...see more

HEDIS Performance Management Senior Analyst

Advantasure
3 years
May 2017 - Nov 2019
· Responsible for preparing ad hoc data requests. Responsible for identifying, collecting, analyzing, and maintaining data to evaluate issues that support prospective business decisions...see more

Provider Engagement Consultant

Humana
7 months
Sep 2016 - Apr 2017
Designed and executed profitable growth strategies to align with the Provider Engagement Director’s market strategy and the provider’s needs. Developed and/or implemented processes and ...see more

Clinical Operations Analyst -STARS MA

Blue Cross Blue Shield of Michigan
1 year
Aug 2015 - Sep 2016
Blue Cross Blue Shield of Michigan is a nonprofit corporation and an independent licensee of the Blue Cross and Blue Shield Association. BCBSM's commitment to Michigan is what differen...see more

Industries, roles and expertise

Industry experience

  • Healthcare
  • Wellness & Fitness

Expertise

  • Business Development
  • Quality Management
  • Health Policy
  • Quality Improvement
  • Medicaid
  • Business Administraton
  • Business Performance Analysis