Data, QI Specialists, QRS Teams
The Nurses - QPAs, CPG, Abstractors
Medicare Team
EPSDT Team
Leads & Accreditation Team
100

1. I have a bachelor’s degree in Healthcare Information Management

2. I have received and processed a total of 750+ medical records since the start of Q4, with many more to come…

3. The importance of my role has earned me a spot as the next “Bachelorette”.

Jasmine Morgan, QI Specialist

100

1. I pulled 100 charts from Piedmont’s EMR in past 2 weeks.

2. I have a master’s in nursing informatics.

3. I have been in my role for 6 months.

Shamiko Brown, QPA

100

1. I’ve pulled over 300 charts in the last 3 weeks in various East Region Providers EMR.

2. I led a Wellness Health Fair in the Augusta Region on October 14th.

3. I have 3 more events planned for 2023.

Kara Noel, Health & Wellness Coach

100

1. I hosted a Peach State Day at a Provider’s office located in Camden New Jersey on last week.

2. I have completed Medical Record Review for more than 60 Providers for the current year. 

3. I have been assisted in scheduling more than 60 appointments for non-compliant members for the current year. 

Kevin Jenkins, EPSDT Coordinator I

100

1. I am a Healthcheck Coordinator II and the team lead for the HALO team.

2. I only work with providers in the Atlanta region.

3. The HALO Team outreach to our members 3 different ways, via phone call, text and letters.

Shantanae Strickland, Healthcheck Coordinator II (Team Lead EPSDT)

200

1. I've been in my role for 5 months.

2. I meet with 10 groups per week, face to face. 

3. I enjoy going over childhood measures with the groups.

Shayla Pack, Quality Reporting Specialist

200

1. I have been in my QI Specialist role since 2018. 

2. My HEDIS experience was launched 14 years ago at Blue Cross Blue Shield.

3. I have worked the COA and TRC measures during each HEDIS Hybrid season since joining the organization.

Kavonya Johnson, QI Abstractor

200

1. I initiated and launched the Medicare 'Meet Your Health Coach' postcards.

2. I am a part of the Georgia Care Crew.

3. I have my Six Sigma Black Belt.

Keyia Coleman, Provider Practice Coordinator

200

1. I never ask my team mates questions.

2. On Oct 28, I will have been in my EPSDT role for 4 years.

3. In my current role I enjoy with the current Medicaid population that we service under 21 years old (EPSDT).



Michelle Webb, EPSDT Coordinator I

200

1. My team and I develop strategies and interventions to help improve Quality scores and help our members receive the care that they need.

2. I have worked in healthcare for over 20 years.

3. My first job was abstracting medical records at Morehouse School of Medicine.

Sheakeena Lamb, Mgr, STARS (Medicaid & Marketplace)

300

1. I meet with corporate staff weekly.

2. My 7th Centene Anniversary was last month.

3. I outreached 20 members last week.

Jovonne Mikell, QI Specialist II (Medicaid & Marketplace Team)

300

1. I have had 5 different managers.

2. I have worked for Centene for 5 years.

3. I worked at my previous job with 2 other Quality Team members.

Wendi Clark, QI Abstractor

300

1. I have been with the Quality Department for 2.5 years.

2. I work closely with the Text Message Campaigns.

3. I have worked 3 different roles within the Quality Department.

Harley Hicks, Health & Wellness Coach

300

1. I previously worked with Centene under Ambetter of Tennessee.

2. I act as a liaison between the plan and members.

3. I assist with community events across the state.

Amber James, Healthcheck Coordinator I

300

1. I’m a graduate of the Peach State Development Institute.

2. I once abstracted childhood immunization charts for a HEDIS project.

3. I originally worked in the Provider Relations department. 

Sonji Barnes, Supervisor, QI

400

1. I’ve worked in the QI department for 11+ years.

2. I travel to local provider offices to pick up charts for the QI Abstractors.

3. I provide noncompliant lists to internal departments within Centene and the external vendors to help close care gaps.

Major Cole, Data Analyst II

400

1. I don’t want them to take Interpreta away from us.

2. I am a Subject Matter Expert for the Childhood HEDIS measures.

3. I love spreadsheets!

Sally Lester, QI Abstractor

400

1. Esther Souffrant, QI Specialist II, is on the Medicare Team.

2. Connie Davis, Provider Practice Coordinator, is on the Medicare Team.

3. Daviona Jackson, Health Coach, is on the  Medicare Team.

Daviona Jackson is on the Medicaid & Marketplace Team.

400

1. I have been in my current role for 2 years.

2. I have been with Centene for 10 years.

3. I complete outreach calls to assist with closing care gaps.

Janet D. Wallace-Wilson, Healthcheck Coordinator I

400

1. I conduct the monthly Consumer Excellence Workgroup.

2. I help the market interpret results of member experience surveys and collaborate with departments to plan strategies to improve member experience.

3. With other staff, I write content for the Member Experience report that is submitted to NCQA.

Tobechi Eheduru, QI Coordinator II

500

1. I have been a QI Specialist for less than 6 months.

2. I have spent the last few weeks pulling charts for different facilities.

3. I am still learning my QI role.

Renata Murphy, QI Specialist II (Medicare Team)

500

1. I enjoy looking for and finding the missing puzzle pieces in medical records.

2. I have been working with HEDIS measures for 5 years now.

3. I am the PPC guru on my team! 

Nikki York, QI Abstractor

500

1. TRC - Transitions of Care is a Medicare measure.

2. COA - Care for Older Adults is a Medicare measure. 

3. PPC - Prenatal and Postpartum Care is a Medicare measure. 

PPC product lines are Commercial & Medicaid. 

500

1. I compete audits every quarter.

2. I participate in a lot of community events.

3. I speak Portuguese to Portuguese-speaking members. 

Yesenia Martinez, EPSDT Coordinator

500

1. I have worked at every manage care plan in Georgia.

2. I enjoy strategizing and finding innovative ways to improve quality care.

3. My first leadership role was in 4th grade. I was class president and presented a deck to the school board requesting healthier lunch options for students.

Shonda Williams, Mgr, STARS (Medicare)