Sheeba Alousyes

Background

About Sheeba Alousyes

Objective: To grow professionally and be able to lead in analyzing and improving the quality of life for all humans. Professional Summary Initiate, Develop and Lead Population health and Care Management Projects: Developed, Trained and led the projects in the company required to meet the delegation requirements for Case Management programs, Disease Management Programs and Utilization Management. Passed the audit successfully with 100% in Case management a100% Disease Management and 100% in Utilization Management. Lead and Initiate Quality Improvement and revenue enhancement project: In depth knowledge of the CMS led Quality Improvement Initiatives like FIVE STARS, QIP, CCIP for Medicare Advantage or Medical Practice Management. Indepth understanding of, HEDIS, NCQA, PCMH, ACO and other shared savings initiatives. Received a 5 stars rating for the Medicare Advantage programs. Highly Skilled with Computer Applications. Performed CLINICAL CUSTOMIZATION of Electronic Medical Record applications. Worked on CMS initiated IT projects like CPC to define the requirements as a subject matter expert to help with development of the IT platform. Worked with IT project managers to develop customized reports and shared folders, FTP sites and other application to achieve the results for the company. Well versed with outlook, MS word, Power point, Visio, and MS Excel applications. Comfortable with navigation of, AllScripts, Case Trakker, E-Clinical Works, Vision CRISP query portal and notifications, COGNOS, IDEA, Med measures, Epic, Meditech and Popworks programs. Planned, developed, and implemented Case Management and Disease Management Programs in the company. Highly skilled in intensive assessment and care planning while maintaining confidentiality and building a trusting relationship with clients or patients. Diversely experience in different Healthcare settings like Hospital, Ambulatory Care, Insurance companies, Managed Care and large physician practice.