Cristina Mulé

About Cristina Mulé

Healthcare Quality Professional and Certified Professional Coder with a proven record in driving interoperability initiatives. Expertise in Quality Assurance, NCQA Technical Specifications, CMS Stars, HEDIS, and Healthcare Management.

Experience

1. Stars Improvement Lead

   Humana

   Jan 2023 — Present

   Spearheaded the establishment of best practices and workflows for the newly created Stars Improvement Lead position, encompassing Provider Interoperability, Vendor Relationship Management, and Initiative Campaign management.• Conducted needs assessments with provider groups, analyzing workflows, EMR capabilities, and infrastructure, resulting in the recommendation of optimal interoperability solutions.• Tracked interoperability and medical record metrics, providing insights to Medicare Risk Adjustment (MRA) and Quality Improvement (QI) Leaders.• Collaborated with internal teams and CarePlus to develop standardized interoperability implementation and expansion plans for new and existing providers.• Mediated between provider groups and internal/external partners to ease adoption of standard supplemental files, bi-directional data exchange, and/or medical record retrieval.• Developed detailed initiative briefs, securing approval and budget for new/existing campaigns through effective presentations highlighting value and alignment with organizational goals.• Established and maintained a work plan for the approval, maintenance, and development of new/existing FL Quality Improvement campaigns.

Education

• Pasco-Hernando State College

  Bachelor of Applied Science - BASc, Health/Health Care Administration/Management

• City University of New York-College of Staten Island

  Art History, Criticism and Conservation

  2009 — 2011

• Purchase College, SUNY

  Art History, Criticism and Conservation

  2005 — 2007