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Melissa Phillips
Process Improvement Director Hedis @Elevance Health
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WORK HISTORY
Process Improvement Director Hedis @Elevance Health
Houston, TX, US
Led cross-functional execution of enterprise HEDIS operations, ensuring quality, integrity, and audit readiness while driving alignment with senior clinical and business leaders to meet performance and regulatory targets.• Led cross-functional teams to redesign and operationalize an enterprise-wide gap-closure model for Medicare contracts, coordinating EMR access, supplemental data, provider engagement, and member outreach to drive measurable performance improvement.• Directed the Enterprise Lab Data Integrity Initiative, establishing governance and leading multidisciplinary teams to diagnose and resolve defects preventing lab values from flowing into the quality data engine, improving regulatory measurement completeness.• Served concurrently as Chief of Staff to the sVP of Quality: Acting as strategic advisor and operational integrator—leading command center routines, synthesizing complex updates into executive insights, coordinating cross-functional alignment, and elevating issue escalation and decision-making efficiency across the organization.
EDUCATION
University of Houston-Clear Lake
MBA/MHA, Business Administration and Management, General
Oakwood University
Health Science BS
Oakwood University
Bachelor of Science, Health Services/Allied Health/Health Sciences, General
University of Houston-Clear Lake
Master of Business Administration, Business Administration and Management, General
ABOUT MELISSA PHILLIPS
I have over a decade of experience in the healthcare industry, specializing in quality and improvement projects for healthcare organizations; with a dual degree in Business Administration and Healthcare Administration (MBA/MHA), and certifications in Project Management (PMP) and Healthcare Quality (CPHQ).My core competencies include healthcare consulting, physician relations, healthcare information technology (HIT), healthcare management, risk adjustment, and managed care. I am passionate about enhancing the quality and efficiency of healthcare delivery, and empowering healthcare providers and consumers with data-driven insights and solutions. Some of the initiatives that I have successfully led and supported include implementing an EHR system, designing and executing a provider incentive program, and conducting a comprehensive gap analysis and action plan for quality improvement.
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