Heidi Balog
- Role
- Senior Director for Supplemental Data Processes at WellMed Medical Management
- Location
- Pompano Beach, FL, US
- LinkedIn followers
- 500 followers
About Heidi Balog
Results-oriented purpose driven healthcare executive with proven results leading teams to…
Experience
Senior Director for Supplemental Data Processes
Feb 2021 — Present
Responsible for direction and guidance on clinical quality improvement and management programs including accreditation. Conducts clinical quality audits and may also be responsible for NCQA requirements. Responsible for the reporting and analysis of member care quality and development of plans and programs to support continuous quality improvement in order to improve CMS Stars and HEDIS scores-Collect Quality data and/or information based on applicable standards, state/federal or other regulations, customer or consumer requests, internal requests, or project assignments -Identify appropriate sources for data or information either internally or externally and collect data/information -Develop effective methods for data/information collection -Mine data and/or information to identify inconsistencies, trends, and successes -Analyze and interpret data or information (e.g, clinical, administrative, Quality) to ensure they meet standards, are compliant and/or accurate and complete
Education
Duquesne University
BSN, Nursing
Skills
- Hospitals
- Project Management
- Healthcare Information Technology
- Acute Care
- Care Coordination
- Care Management
- Healthcare Management
- Health Policy
- Utilization Management
- Disease Management
- Patient Safety
- Wellness
- Cross-Functional Team Leadership
- Team Leadership
- Population Care Management
- Medical Home
- Operations
- Quality Improvement
- Productivity
- Leadership
- Patient Centered Medical Home
- Managed Care
- Medicine
- Informatics
- Patient Advocacy
- Population
- Productivity and Quality Improvement
- Ehr
- Client Interfacing
- Ncqa
- Process Improvement
- Healthcare
- Healthcare Industry
- Hipaa
- Decision Support
- Medicare
- Call Center
- Crm
- Nursing
- Emr
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