Michael Curran
Independent Consultant - HEDIS/Stars/Digital Quality Measurement SME
- Role
- Principal, Payer Solutions at Kiser Healthcare Solutions, Llc
- Location
- Plymouth, MA, US
- LinkedIn followers
- 500 followers
Experience
Principal, Payer Solutions
Kiser Healthcare Solutions, Llc
Oct 2023 — Present · Plymouth, MA, US
Lead engagements focused on HEDIS, Stars, and quality improvement strategy.• Advise payers on CMS policy changes, quality reporting, Stars readiness and NCQA Accreditation• Conduct digital measurement readiness assessments and create success roadmaps.• Provide subject matter expertise on HEDIS, CAHPS, HOS, and MIPs operations.• Develop partnerships to enhance payer quality improvement and data interoperability.• Contribute to national thought leadership on Stars, data strategy, and digital measurement.
Education
Boston University School of Public Health
Master of Public Health - MPH
Saint Anselm College
BA, Politics
Skills
- Data Analysis
- Six Sigma
- Hipaa
- Working with Physicians
- Managed Care
- Medicaid
- Healthcare Information Technology (Hit)
- Disease Management
- Ncqa
- Quality Improvement
- Clinical Research
- Ehr
- Healthcare Management
- Case Managment
- Medicare
- Case Management
- Healthcare Consulting
- Healthcare Industry
- Performance Improvement
- Hedis
- Healthcare Effectiveness Data and Information Set (Hedis)
- Health Policy
- Utilization Management
- U.s. Health Insurance Portability and Accountability Act (Hipaa)
- Contract Negotiation
- Provider Relations
- Physicians
- Public Policy
- Policy Analysis
- Healthcare Information Technology
- Electronic Medical Record (Emr)
- Credentialing
- Contract Management
- Leadership
- Accreditation
- Healthcare
- Policy
- Process and Outcomes Measurement
- Public Health
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