Seasoned HEDIS and Quality Management Leader

Janet Stieg BSN, RN, MS, CPHQ

* ********* **** **. **********, NY 11719 • 917-***-**** • *********@*****.***

PROFESSIONAL EXPERIENCE

The J Morris Group (JMG) New York, NY

Director 2011-CURRENT

An experienced healthcare quality leader with a passion for improving the quality of care delivered to patients through the creation, development, and management of quality-directed projects, quality-focused programs, and provider and staff education.

Coordinated and performed data collection and abstraction services for SNP (Special Needs Plan) Coordination of Care audit.

HEDIS (Healthcare Effectiveness Data and Information Set) data collection project manager, and QA over reader for New York Health Plan.

Project Director for New York State Delivery System Reform Incentive Payment (DSRIP) Program (HEDIS-like project). Managed budgets, staff, and coordinated data elements for a large-scale 5-year healthcare quality data collection and review project. Assisted in improving down state data collection by 40% as a result of the integration of state data with JMG proprietary data location software. Overall data collection rate of 94% throughout the project which was delivered on time and within budget as well as successfully passed all outside data integrity audits for each of the 5 years.

Pioneered and developed big data project management software to assist with the coordination of data collection for the New York State Medicaid program.

Established and coordinated health care provider address normalization and data location tracking software for all New York State Medicaid providers.

Developed real-time BI analytics and associated logic for DSRIP data collection reporting efforts.

Successful implementation of 2018 and 2019 Medicaid provider data clean-up for New York State Department of Health resulting in an overall state 20% improvement in data collection.

Project Manager for numerous Managed Care Organizations HEDIS audits.

Project Manager for ACO (Accountable Care Organization) Quality Metrics audit.

Develop and conducted a national online medical data collection and abstraction training course.

Assisted health plans, medical facilities, and clients in identifying and correcting quality-related deficiencies, by instituting training and collaborating with providers and facilities to integrate depression screening for all patients.

Managed and organized risk assessment coding projects.

Developed and conducted all project training courses including national HEDIS Nurse Training Seminars

MedReview/NYCHSRO (New York County Healthcare Service Review Organization) New York, NY

Director of Special Projects 2018-2021 Director of HEDIS Audits (Healthcare Effectiveness Data and Information Set) 2007-2015

Director of UAS Assessment Department 2013-2015

Developed and conducted all measure-based HEDIS Nurse Training Seminars.

Project management of all measures and all aspects of HEDIS data collection and review projects as well as other quality initiatives for multiple Managed Care Organizations. All projects were delivered on time and within budget as well as passing all outside data integrity audits.

Director of UAS Assessment Department. Managed 10-15 staff members and coordinated all UAS assessments for large health plan

Project Manager and execution of data collection and integrity for RADV (Risk Adjustment and Data Validation) Mock Audit for New York City Managed Care Organization.

Project Designer and Manager for Corporate Integrity Audit and subsequent systems review for home health care agency.

Developed database and collection tool based on OMIG’s (Office of Medicaid Inspector General) home health audit criteria.

URAC (Utilization Review Accreditation Commission) committee member. Responsible for the development and execution of Core Standards for Quality, Consumer Complaint, Consumer Safety, and Consumer Rights and Responsibility standards.

Assisted in the development of HEDIS hybrid data collection module and collection tools for NCQA (National Committee for Quality Assurance) certified software group.

Developed and coordinated numerous federal and state proposals and grant submissions.

People Helping People Azama, Ecuador

Volunteer Medical Clinic Director 2006-2015

Organized and oversaw all hiring and retention of clinical staff.

Performed equipment needs assessments and procurement.

Developed and instituted a pregnancy prevention program.

Planned and coordinated various fundraising efforts.

Conducted healthcare needs assessment and study to better understand the high rates of anemia in the village community.

Organized transfers for patients needing medical treatment in the United States and ensured an effective continuum of care.

Royal Healthcare New York, NY

HEDIS Clinical Quality Compliance Consultant 2004-2007

EDUCATION

Texas Women’s University Denton, TX

Master of Science in Health Care Management

Karolinska Institute Stockholm, Sweden

Research Assistant

Parkland Memorial Hospital Dallas, TX

Administrative Resident

West Texas A&M University Canyon, TX

Bachelor of Science in Nursing

PROFESSIONAL LICENSES

Registered Professional Nurse, New York

Certified Professional in Health Care Quality (CPHQ)

AFFILIATIONS

Board Member, Morris Heights Health Center, Bronx New York

Volunteer, New York City Department of Health and Mental Hygiene Medical Reserve Corps

Member, National Association for Healthcare Quality

Associate Member, American College of Medical Quality

Member, American Healthcare Quality Association

Member, New York Association of Healthcare Quality

Member Project Management Institute

Member, People Helping People

Board Member and Past President of The Friends of Brigham and Women’s Hospital, Boston, Massachusetts

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