Kim Hopkins

Senior Director, Medicare Quality (West Region-ca) @Elevance Health

Simi Valley, CA, US
MOBILE NUMBERS
+18•••••••19

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WORK HISTORY

Jun 2025 — Present

Senior Director, Medicare Quality (West Region-ca) @Elevance Health

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Woodland Hills, CA, US

EDUCATION

1999 — 2001

University of Missouri-Kansas City

MSN, Nursing

1994 — 1998

Southeast Missouri State University

RN, ADN, BSN, Nursing

SKILLS

Utilization ManagementEmployee WellnessHealthcare ManagementCase ManagmentHealthcareHipaaHealth InsuranceManaged CareHealthcare Information TechnologyHedisQuality ImprovementMedicineHmoPpoLeadershipPopulation HealthClinical ResearchMedicareDisease ManagementNcqaMedicaidHealth Care ReformNursingHealthcare IndustryInpatientInformatics

ABOUT KIM HOPKINS

I am a forward-thinking healthcare executive with a unique blend of clinical insight, data expertise, and strategic leadership. Over the past two decades, I have guided leading California health plans and provider organizations through complex transformation—elevating Medicare Star Ratings, leading a $55 million financial turnaround, and embedding enterprise agility across Commercial, Medicare, and Medicaid/Medi-Cal product lines. I excel at aligning people, processes, and performance to drive measurable improvements in quality, regulatory compliance, and operational outcomes. I am especially passionate about reshaping the future of value-based care by leveraging strategic partnerships, advanced analytics, and the thoughtful application of artificial intelligence to enable smarter, more equitable healthcare solutions.Specialties:Healthcare Strategy | Clinical Quality Management and Improvement | Medicare Stars | Value-Based Care | Population Health | Medical Informatics | Agile Transformation | Analytics | Provider & Payer Collaboration | Clinical Leadership | Actuarial & Financial Performance

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Kim Hopkins — Email, Phone Number & Contact Info | Unifers