Steven Smith-Henderson
Dunwoody
Summary
Proficient Quality Analyst with experience handling and resolving critical quality problems using research abilities. Strong analytical, organizational and planning abilities. Consistently works with minimum supervision. Independent and self-directed.
Overview
10
10
years of professional experience
Work History
Clinical Quality Analyst
Russell Tobin/ United Healthcare
ATLANTA
12.2024 - 05.2026
- Reviewed medical records to verify accuracy of source documentation before database lock, ensuring data integrity.
- Ensured compliance with patient care protocols and clinical trial operations by conducting regular reviews.
- Conducted routine visits to research sites to ensure compliance with protocol requirements.
- Researched and overread measures TRC, CBP, COA, EED, GSD, BPD to ensure adherence to quality standards.
- Developed and maintained accurate and timely study databases.
- Assessed records of each patient, reviewed databases and checked referrals to locate potential research study participants.
- Gathered and reviewed study data to support analysis and reporting for clinical trials.
Clinical Data Analyst
Nearterm/blue cross
ATLANTA
01.2016 - 09.2024
- Analyzed HEDIS data to establish baselines and evaluate performance shifts, informing project strategies for quality improvement.
- Analyzed clinical data to support healthcare decision-making processes.
- Reviewed and interpreted clinical data to identify trends in patient care, supporting enhanced clinical outcomes.
- Abstracted data from medical records to support HEDIS measures, ensuring compliance with regulatory standards and contributing to quality improvement initiatives
- Verified data accuracy by reviewing claims databases for correct CPT and ICD-9CM codes, maintaining integrity in reporting practices
- Coordinated with members and clinical providers to facilitate access to preventive and chronic disease management services, ensuring patient care continuity
- Collaborated with cross-functional teams to improve data management practices.
- Ensured compliance with regulatory standards in data handling procedures.
- Provided technical support to staff on data systems and software tools, ensuring effective use of clinical data analysis resources.
Education
High School Diploma -
Thornton Township High School
Harvey, ILSome College (No Degree) - Health Information Management
GEORGIA STATE UNIVERSITY
ATLANTA, GASkills
- Healthcare Systems and Measures
- Quality Improvement
- Regulatory Compliance
- Data Management
- Data analysis
- Microsoft Office Applications
- Problem solving
- Attention to detail
- Organizational Skills
- Time management
- Teamwork and Collaboration
- Professional Communication
- Effective communication
- Critical thinking
Timeline
Clinical Quality Analyst
Russell Tobin/ United Healthcare
12.2024 - 05.2026
Clinical Data Analyst
Nearterm/blue cross
01.2016 - 09.2024
High School Diploma -
Thornton Township High School
Some College (No Degree) - Health Information Management
GEORGIA STATE UNIVERSITY