DAÁIYAH “DEE” AKRAM, MBA
7360 Buckeye Drive
Fontana, California 92336
Home Telephone #: [Send email to request phone number] 27-1837 Cell Phone #: [Send email to request phone number] 97-4902 Fax #: (866)
724-4059
Email address: deeakram@sbcglobal.net
SUMMARY OF QUALIFICATIONS
- MBA graduate, pursuing Doctoral degree in Public Policy and Administration
- Highly skilled in utilizing critical thinking skills to conduct Root Cause
Analysis and Focus Review
sessions that comply with corporate standards and regulatory requirements
- Knowledgeable in quality assurance and process improvement via Lean Six Sigma
Process
WORK EXPERIENCE
Online Facilitator 10/2009 – Present
Axia College / University of Phoenix Phoenix, Arizona
- Provide online instructions relating to Introduction to Healthcare. Course
topics focuses on ambulatory care; hospitals; long-term health care system;
mental health service area; increasing health care costs; health insurance;
occupations in healthcare; and the strengths and weaknesses of the U.S.
healthcare system.
Quality Improvement P4P Project Coordinator 06/2006 – Present
North American Medical Management (NAMM) Ontario, California
- Demonstrate excellent time management, organizational and communication (oral,
written, and telephone) skills when applying them to completed projects
- Create and assist with the execution of project work plans
- Coordinate with multiple levels of management across organizational lines and
Health Plan on varying projects towards continuous improvement and strategies
(P4P, member satisfaction)
- Conduct audits of provider access for annual appointments and provide data
analysis / verification of integrity of documents
- Facilitate annual audit preparation, presentation, and any other auditing
requirements, as needed
- Assist with planning, designing, implementing and maintaining comprehensive
organizational wide gain sharing programs
- Work with QI initiatives to develop product placement strategies for quality
health fairs
- Collaborate with QI Team to develop / implement P4P strategic initiatives of
medical groups
- Abstract data from company databases to analyze and generate reports that
capture individual IPA performance percentiles of quality improvement and
compliance efforts
- Prepare and present P4P rates from month to month and year to year
- Generate reporting mechanisms that includes data validation, reliability,
objectivity, implications, and impact
- Combine QI efforts with IT to develop on-going disease registries for
prevention purposes
- Coordinate and develop collaborative educational initiatives and training for
contracting medical groups
- Ensure privacy and security of Protected Health Information (PHI) as outlined
within NAMM's policies and procedures related to HIPAA compliance
Quality Analyst for Vice President of Quality Resources 09/2006 – 12/2006
Loma Linda University Medical Center Loma Linda, California
- Developed methods to assess current practices for performance measurements via
Loma Linda’s HPF systems, VSurvey, PowerChart, and MIDAS
- Evaluated needs and made recommendations for process improvements, new systems
and methods using Lean Six Sigma processes
- Managed data collection and analysis to meet reporting requirements, which
included data validation, reliability, objectivity, implications, and impact
- Educated team leaders and management regarding process improvement methods and
tools, and identified and negotiated for resources required for each project
- Coordinated successful completion of weekly medical record reviews for 7
analysts
- Investigated patient claims using Root Cause Analysis (RCA) and Focus Reviews
processes according to JCAHO requirements
- Organized and reported outcomes of the following committees: Women's and
Neonatal Multidisciplinary QI, Professional Practice Committee, Pre-Hospital &
Transfer Committee; OR Committee; and Sedation Committee
- Ensured privacy and security of Protected Health Information (PHI) as outlined
within Loma Linda’s policies and procedures related to HIPAA compliance
Administrative Specialist 05/2004 – 05/2006
Kaiser Permanente Fontana, California
- Coordinated various meetings, including notifying attendees, reserving rooms,
refreshments and audio/visual equipment, as well as preparing and distributing
supporting confidential documentation
- Represented Project Managers in delivering PowerPoint presentations for new
employee orientations and training sessions
- Investigated patient injury claims, including interviews, telephone calls or
correspondence to determine possible extent of company’s liability
- Entered Unusual Occurrence data into Access database for reporting purposes
- Processed medical legal referrals and signature verifications for the Legal
Department
Project Administrator 06/2002 – 01/2004
Hellmuth, Obata + Kassabaum, Inc. Culver City, California
- Composed correspondence outlining policies and procedures to staff
- Implemented new departmental filing system
- Conducted extensive internet research, that resulted in substantial cost
savings for the department
- Entered Request for Information (RFI) using Expedition software
- Maintained timekeeping operations for the project team, generated department
requisitions
- Compiled extensive statistical data for various reporting purposes
- Managed and maintained inventory of supplies for entire project location
Senior & Confidential Executive Secretary 05/1990 – 11/2001
UHP Healthcare Inglewood, California
My employment with UHP Healthcare included 4-1/2 in Legal Affairs; 2 years in
Membership Services; and 5-1/2 years in the Human Resources Department. Some of
my duties for all three departments included the following:
- Worked in conjunction with attorneys’ to negotiate provider contracts, as it
related to evaluating and monitoring of contract performance to determine the
need for amendments, extensions and compliance of contractual obligations
- Assisted the Risk Management Director in developing Requests for Proposals for
self insurance
- Participated in the negotiation phases of collective bargaining agreements,
hearings, and drafting of policies and procedures
- Provided research services to resolve variances, and decreased corporate
costs
- Worked with senior management staff to identify problems, diagnose causes and
determine corrective action plans
- Assisted with annual budgetary preparations and monitoring
- Ensured compliance with Federal and State regulations by transmitting annual
EEO data
- Scheduled computer training courses, as well as staff development courses for
all employees’
- Worked in conjunction with Service Representatives in the appeal process to
ensure reimbursements were identified and paid, and in a timely fashion
- Chaired Annual Support Staff festivities and Employee Recognition activities,
and coached scholarship applicants through the completion of scholarship process
- Supervised and trained clerical staff and effectively generated performance
evaluations
EDUCATION
Doctor of Philosophy
Walden University, Minneapolis, Minnesota
- Concentration: Public Policy and Administration
- Enrollment Status: Degree in progress
- Graduation Date: July 2010 (Pi Alpha Alpha Inductee)
Masters of Business Administration
American InterContinental University, Hoffman Estates, Illinois
- Concentration: Healthcare Management
- Graduation Date: June 2007
Bachelors of Arts in Business Administration
American InterContinental University, Hoffman Estates, Illinois
- Concentration: Healthcare Management
- Graduation Date: May 2006 (Summa Cum Laude)
TECHNICAL SKILLS
Microsoft Word
Excel
PowerPoint
Access
Publisher
HR-1 Software
ABC Flowcharts
Visio
MedImpact
Cycare
Expedition
Cognition
Outlook
Lotus Notes
MIDAS
KPDS Mainframe
SPC Excel
LLUMC HPF
PowerChart
VSurvey
Paradigm
SPSS Operation
NAMMNet Express |