PRISCILLA LOPEZ
Healthcare Administrator
Monterey Park
Summary
Resourceful healthcare administrator with more than eight years of industry experience managing operations for patient-centric medical offices. Successfully develop high standards of practice for cost-effective, compassionate health care. Motivational leader with track record of success in clinical metrics, process improvement, and patient satisfaction.
Overview
11
11
years of professional experience
8
8
years of post-secondary education
5
5
Certifications
Work History
Adjunct Faculty: Community Health Worker
Los Angeles Valley College
12.2022 - Current
- Assisted in developing interdisciplinary and monolingual (Spanish) courses that integrated knowledge from multiple fields of study such as public health and employment skills for a well-rounded education experience.
- Collaborated with fellow faculty members to develop innovative teaching strategies for improved learning outcomes.
- Managed course materials through an online learning management system (Canvas) for easy accessibility by students and colleagues alike.
- Enhanced student comprehension by creating interactive lectures and incorporating multimedia resources.
- Championed diversity initiatives within the department by promoting inclusivity and equitable practices in course design, student support, and hiring processes.
- Conducted research within the area of expertise (CHW/Promotoras) to contribute to the expansion of knowledge within the field and share findings through publications or conference participation.
- Participated in professional development opportunities such as HCAI meetings, to stay current with industry trends, teaching methods, and subject matter expertise.
Quality Improvement Accreditation Manager
L.A. Care Health Plan
11.2022 - Current
- Served as Quality Improvement Manager for a health plan serving over 2.5 million members.
- Oversaw eight project managers responsible for NCQA Health Plan Accreditation, Health Equity Accreditation, and DMHC Access to Care Survey.
- Facilitated communication between various stakeholders throughout the accreditation process including leadership, consultants, and accrediting bodies.
- Served as a subject matter expert on both regulatory and specialized accreditations within the organization.
- Ensured consistent application of policies across departments by creating standardized procedures for all aspects of the accreditation process.
- Oversaw delegation service agreements and corrective action plans to ensure compliance with regulatory requirements.
- Fostered a culture of continuous improvement within the organization by highlighting the importance of accreditation standards and regulatory requirements in maintaining institutional excellence.
Director of Patient Services & Process Improvemet
East Valley Community Health Center
12.2020 - 10.2021
- Provided strategic leadership for short and long-term goals of a PCMH certified Federally Qualified Health Center serving primarily Medi-cal/managed care insured patients
- Oversaw effectiveness of 8 health centers and program operations including primary care, OBGYN, HIV, and Medication Assisted Treatment services
- Ensured compliance with all accrediting and regulatory agencies through monitoring of quality improvement programs and preparation for site audit reviews
- Lead LEAN (PDSA) process and quality improvement efforts for front office, back office, prenatal, and referral workflows
- Participated in quality improvement workgroups with an emphasis on blood pressure and diabetes HEDIS measures
- In conjunction with Department of Public Health, coordinated the administration of 60,000+ COVID-19 vaccines throughout San Gabriel Valley and the City of Pomona
- Collaborated with community partners and legislators to bring vaccination and medical services to schools, parks, and local businesses
- Served as interim Director of Homeless Services overseeing Whole Person Care & Housing For Health programs as well as the application for Enhanced Care Management/CalAIM
- Developed and updated policies and procedures, maintaining compliance with statutory, regulatory and local, state and federal guidelines relating to HIPAA, benefits administration and general liability.
- Executed risk management analysis in cross-functional teams to analyze and understand enterprise-wide operational impacts and opportunities for mitigation strategies.
- Supervised 25+ team members in a work environment which promoted learning, fostered teamwork and empathy, and prioritized the patient experience
Clinic Manager
East Valley Community Health Center
06.2019 - 11.2020
- Oversaw day to day operations and performance of primary care and OBGYN support staff as well as ancillary services including referrals, mammograms, xrays, retinals, and Comprehensive Perinatal Services Program
- Supervised and developed health center 40+ team members by fostering accountability, promoting collaboration, and building mentorship/competency training for staff development
- Conducted root cause analysis and provided service recovery for patient grievances and incident reports
- Participated in interdepartmental LEAN process and quality improvement efforts with an emphasis on HEDIS measures
- Provided leadership throughout the COVID-19 pandemic ensuring patient and staff safety
- Collaborated with community partners to provide medical services to high-risk and homeless patients on and off site
- Served as interim health center manager for three sites in Pomona, CA
- Designed and introduced leadership development, coaching and team management model, resulting in promotion of employees into increased levels of responsibility
- Conducted routine facility inspections, identifying areas needing improvement and eliminating hazards posed to staff and residents for continued compliance with associated regulations
Associate Clinic Director
Family Health Centers Of San Diego
11.2016 - 02.2019
- Managed day-to-day activities of a PCMH, Joint Commission, and NCQA accredited Federally Qualified Health Center serving primarily Medi-cal/managed care insured patients
- Supervised a team of 20+ nursing, lab, and registration staff
- Developed operational reports analyzing schedule utilization, qualified visits, wait times, provider productivity, budget, and clinical metrics such as HEDIS
- Coordinated grant-funded health promotion community events for up to 1,500 attendees
- Led LEAN continuous improvement teams for organization-wide optimization of referrals management, integration of mother and child services, and increasing Cervical Cancer Screening rates
- Facilitated monthly diabetes management group classes of ~15 patients per session
Community Connector
Molina Healthcare
11.2013 - 10.2016
- Position based on the Community Health Worker/Promotora Model
- Conducted telephonic and/or face to face outreach to member’s homes, local clinics, or hospitals on behalf of the Case Management or Transition of Care (ToC)Departments for all lines of business
- Completed safety assessments and identified the member’s main concern or needs
- Provided the members with assistance to overcome barriers to healthcare including education, transportation arrangements, or community resources such as food, housing, and employment
- Designed, organized, and developed procedures to assist in the management of a community resource directory accessed by all department staff
Education
Master of Science - Public Health
San Jose State University
San Jose, CA 08.2013 - 12.2015
Bachelor of Science - Biology
San Diego State University
San Diego, CA 08.2005 - 05.2011
Skills
15 years Microsoft Office
Experience for PC & Mac
Proficient Electronic Health Record
Adobe Acrobat Pro
Hiring and recruitment
Team Building
Multidisciplinary team collaboration
Project oversight
Analytical and Critical Thinking
G-Suite
Project Management
Fluent in Spanish
Certification
Google Project Management Professional Certificate
Affiliations
- American College of Healthcare Executives (ACHE)
- National Association for Healthcare Quality (NAHQ)
- Urgent Care Association (UCA)
Awards
- Target BP-Silver Level Org. 2021
American Heart Association - Team Hero 2020
East Valley Community Health Center - Writing Recognition 2015 SJSU Department of Health Science
References
- Chinhnam Hathuc, D.O.
CMO-Physician
CHathuc@evchc.org - Pippa Stewart, MSN, NP-C, MBA
Associate Director of Compliance
Bruinpip@gmail.com - Angela Davidson, MHA
Clinic Director
AngelaD@FHCSD.org - Armdabi Chung, D.O.
Physician– Family Medicine
Dabi.Chung@gmail.com
Timeline
Adjunct Faculty: Community Health Worker
Los Angeles Valley College
12.2022 - Current
Quality Improvement Accreditation Manager
L.A. Care Health Plan
11.2022 - Current
Google Project Management Professional Certificate
09-2022
Director of Patient Services & Process Improvemet
East Valley Community Health Center
12.2020 - 10.2021
Clinic Manager
East Valley Community Health Center
06.2019 - 11.2020
Six Sigma Green Belt Training
03-2019
Associate Clinic Director
Family Health Centers Of San Diego
11.2016 - 02.2019
Screening, Brief Intervention Referral to Treatment (SBIRT)
07-2016
Master Certified Health Education Specialist (MCHES)
04-2016
Institutional Review Board Human Subjects Tutorial
11-2013
Community Connector
Molina Healthcare
11.2013 - 10.2016
Master of Science - Public Health
San Jose State University
08.2013 - 12.2015
Bachelor of Science - Biology
San Diego State University
08.2005 - 05.2011
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