Geanie Galindo MSN FNP
Winchester
Summary
Dynamic healthcare leader and Nurse Practitioner with 10+ years driving clinical leadership, care coordination operations, utilization management, and population health across health plans and provider organizations. Proven record improving HEDIS and risk-adjustment performance, optimizing care coordination workflows, and leading interdisciplinary teams to achieve metric-driven goals. Skilled at translating clinical and claims data into concise reports and executive presentations (Excel, PowerPoint) to support program design, KPIs, and operational decisions.
Overview
10
10
years of professional experience
1
1
Certification
Work History
HEDIS Quality Improvement Supervisor
SCAN Health Plan
Long Beach
02.2025 - Current
- Led HEDIS-focused quality improvement operations across provider networks, applying continuous quality improvement and benchmarking to close care gaps and improve chronic disease management outcomes.
- Improved Star Rating across three markets by aligning initiatives to measure-driven targets and provider engagement strategies.
- LED NCQA audits without error.
- Oversaw regulatory compliance and aligned care coordination and case management activities with federal, state, and organizational standards to maintain accreditation readiness.
- Collaborated with executive leadership and interdisciplinary teams to optimize workflows, present performance metrics and action plans using Excel and PowerPoint, and drive metric-based improvements.
- Led policy development initiatives to improve patient care and clinical outcomes in a healthcare setting.
- Applied strong analytical skills to improve patient outcomes and operational efficiency in clinical leadership roles.
Founder
Erase and Embrace
Temecula
01.2023 - Current
- Founded and scaled a healthcare and wellness business focused on laser tattoo removal and aesthetic services; achieved six-figure gross profits within the first two years through strategic marketing and operational management.
Risk Adjustment Regional Manager
Transtreme, LLC
Inland Empire
01.2020 - 02.2025
- Directed regional quality and risk adjustment operations across multiple provider groups and clinical teams, overseeing care coordination and provider engagement to improve coding accuracy and risk-score capture.
- Managed a minimum of 50 employees across clinical and administrative roles to support regional operations and service delivery.
- Negotiated contracts and service-level agreements to enhance care coordination operations and vendor performance.
- Contributed to meeting financial goals by optimizing operational efficiency and cost-effectiveness within clinical leadership.
- Led strategic initiatives to improve chronic condition management and preventive screening performance, applying benchmarking and data analysis to measure and report outcomes to leadership.
- Implemented workflow optimization and provider outreach strategies that improved operational efficiency and compliance; analyzed claims and performance data in Excel to inform process changes.
Lead Nurse Practitioner & Inland Territory Manager
Transtreme, LLC
Ontario
01.2020 - 02.2025
- Managed provider relationships, territory operations, and clinical quality initiatives while supporting organizational quality goals and patient satisfaction through targeted education and operational oversight.
- Led provider education and training on documentation improvement, coding accuracy and HEDIS performance; designed and facilitated group presentations and materials to drive documentation change and compliance.
- Coordinated care management and care coordination workflows with interdisciplinary teams to enhance continuity of care and close care gaps.
- Improved clinical outcomes in five separate initiatives over one year.
Registered Nurse/Family Nurse Practitioner
Derek Nguyen
Riverside
10.2016 - 01.2020
- Provided comprehensive patient care, chronic disease management and clinical assessments in a fast-paced outpatient environment; documented care and outcomes in the EMR.
- Coordinated patient treatment plans and facilitated interdisciplinary communication to improve continuity of care and patient outcomes.
- Connected patients to community resources and social supports to address social determinants of health and reduce readmissions.
- Enhanced quality initiative strategies to achieve improved outcomes in patient care.
Education
Master of Business Administration (MBA) -
Western Governors University
Salt Lake City, UT11-2026
Master of Science - Nursing
Western University of Health Sciences
Pomona12-2019
Bachelor of Science in Nursing -
West Coast University
Ontario, CA06-2016
Skills
- Care Coordination & Case Management
- Utilization Management
- Performance Improvement & Benchmarking
- Chronic Disease Management
- HEDIS
- STARs & Risk Adjustment
- Data Analysis (Excel) & KPI reporting
- PowerPoint - Executive Presentations
- Clinical Documentation & EMR Systems
- Contract Negotiation & Vendor Management
- Budgeting & Financial Oversight
Certification
- California Nurse Practitioner License, Active & Unrestricted
- California Registered Nurse License, Active & Unrestricted
- CPR Certified
Timeline
HEDIS Quality Improvement Supervisor
SCAN Health Plan
02.2025 - Current
Founder
Erase and Embrace
01.2023 - Current
Risk Adjustment Regional Manager
Transtreme, LLC
01.2020 - 02.2025
Lead Nurse Practitioner & Inland Territory Manager
Transtreme, LLC
01.2020 - 02.2025
Registered Nurse/Family Nurse Practitioner
Derek Nguyen
10.2016 - 01.2020
Master of Business Administration (MBA) -
Western Governors University
Master of Science - Nursing
Western University of Health Sciences
Bachelor of Science in Nursing -
West Coast University