Practice Performance & Compliance Specialist
Resume:
SHUCCANA WILLIAMS
Practice Performance Specialist
PROFILE
Dynamic Practice Performance Specialist with a proven track record at United Healthcare, excelling in performance improvement and regulatory compliance. Adept at leveraging advanced data analysis and exceptional customer service skills to enhance care quality and close gaps effectively. Committed to optimizing operational efficiency and fostering strong relationships with healthcare providers.
CONTACT
PHONE:
ADDRESS: 2001 West Long 17th St. North Little Rock, AR 72114
EMAIL:
****************@*****.***
EDUCATION
Philander Smith College
August 2009 – May 2011
Honors Graduate
Pulaski Technical College
August 2006 – May 2009
Honors Graduate
United Healthcare/Optum Practice Performance Specialist
March 2023- Current
Data analysis to identify quality gaps, collaborate with staff to create improvement strategies, and perform administrative tasks like appointment scheduling and member outreach.
Southeastrans Inc. Compliance Manager & Compliance Officer
May 2022–January 2023
Ensure that an organization's non-emergency medical transportation (NEMT) services are properly credentialed and adhere to all federal, state, and local laws.
Southeastrans Inc. Compliance Coordinator
November 2019- May 2022
Develop, implement, credential, and oversee programs and policies to ensure that all non-emergency medical transportation (NEMT) services meet strict state and federal regulations. Job efficiency is essential for preventing fraud, waste, and abuse while maintaining high-quality service for Medicaid recipients.
SKILLS
Provider Credentiaing and Certification
Performance Analysis
Advanced Office Skills
Gap Analysis
Regulatory Compliance
Task Prioritization
Multitasking Abilities
Communication Skills
Quality Peformance Improvement
HEDiS Quality Measures Validations
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