Ed M.

Quality Management professional with 10+ years in managed care and 10+ years in clinical academia

United States of America
English

Quality Management professional with 10+ years in managed care and 10+ years in clinical academia. Experienced with Medicare Star, Medicaid, HEDIS, Member Satisfaction, Access to Care, and NCQA Accre...see more

  • Healthcare
  • Wellness & Fitness

500

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

Experience

Senior Manager, Informatics

Aetna, a CVS Health Company
3 years
Current position
Apr 2020 - Present
• Partner with provider leadership (ACOs and SMI clinics) to lead and develop content for projects and programs supporting value-based care. • Coordinate with analytics team to develop ...see more

Owner

Edward Mitchell Photography
4 years
Current position
Mar 2019 - Present
Owner of my own photography company.

Quality Operations Manager

Matrix Medical Network
3 years
Jan 2017 - Jan 2020
o Improved overall quality documentation performance of 3,000 clinicians by 4% nationwide through coordinating and directing efforts of clinical management teams. o Initiated process im...see more

Corporate HEDIS Program Manager

Molina Healthcare
2 years
Jan 2015 - Jan 2017
• Led data load process redesign which reduced data load time by 30%. • Developed new-hire-onboarding procedure improvement resulting in two-week improvement in onboarding time. • Creat...see more

Manager, Quality and Peformance Improvement

AIDS Healthcare Foundation
2 years
Jan 2013 - Jan 2015
o Successfully led 2014 American Association for Ambulatory Health Care (AAAHC) Accreditation Survey, receiving high praise from surveyors and earning full 3-year accreditation. o Desig...see more

Medicaid Care Access and Improvement Projects Manager

L.A. Care Health Plan
3 years
Jan 2010 - Jan 2013
o Managed Member Incentive Program which increased Annual Well Child HEDIS measure compliance rate over 5%. o Increased Nurse Advice Line marketing footprint 100% for same cost by brin...see more

Manager, Stereotactic Surgery Section & Academic Program Coordinator

David Geffen School of Medicine at UCLA
14 years
Jun 1996 - Jun 2010
• Duties covered all non-clinical aspects of the highest-volume academic neurosurgical practice in the department, which in addition to managing patient care included: o Coordination o...see more

Industries, roles and expertise

Industry experience

  • Healthcare
  • Wellness & Fitness

Expertise

  • Leadership
  • Program Management
  • Analytics
  • Business Process Improvement
  • Continuous Improvement
  • Strategy Development
  • Data Analytics
  • Program Development
  • Quality Management
  • Patient Safety
  • Health Policy
  • Managed Care
  • Medicare
  • Medicaid
  • Medicaid Managed Care