Grace Crofton Email & Phone Number
Vice President, Risk Adjustment and Quality @ Clever Care Health Plan
5 free lookup(s).
Grace Crofton Location
- Rancho Palos Verdes, CA, US
Grace Crofton Work
- 2026 -now Vice President, Risk Adjustment and Quality @
- 2024 -2024 Vice President, Risk Adjustment and Quality Improvement @
- 2022 -2024 Director, Quality Improvement and Risk Adjustment @
- 2020 -2022 Strategic Advisor, Quality Informatics @
- 2016 -2020 Director, Quality Performance Management and HEDIS @
- 2015 -2016 Director, Medicare Stars Performance Improvement @
- 2014 -2015 Director, HEDIS Operations @
- 2014 -2014 Director Quality Improvement @
- 2013 -2014 Director, Corporate Quality Risk Adjustment @
- 2008 -2013 Quality and 5 Star Initiatives Developer @
- 2006 -2008 Director, Community Outreach and Development @ Institute for Healthcare Advancement
- 2004 -2006 Director, Administrative Quality @
- 2002 -2004 Manager, HEDIS Measurement and Reporting @
- now Administrative Director, Group Operations @ Childrens Oncology Group
- 1987 -1988 Research Associate @
Grace Crofton Education
- UCLA Fielding School of Public Health
- University of Chicago
Grace Crofton Skills
- Quality Initiatives
- HEDIS
- Medicare 5 Stars
- Healthcare Informatics
- Process Improvement
- Healthcare Management
- Program Development
- Grant Writing
- Biotechnology
- Medicare
- HMO
- Healthcare
- Informatics
- HIPAA
- Hospitals
- Quality Management
- NCQA
- Training
- Managed Care
- Program Implementation
- Disease Management
- Clinical Research
- Public Health
- Utilization Management
- Performance Management
- Leadership
- Medicaid
- Quality Improvement
- Accreditation
- Provider Relations
- Physician Relations
- Health Policy
- EHR
- Healthcare Consulting
- Healthcare Industry
- Revenue Cycle
- EMR
- Medicare Part D
- Wellness
- Strategic Planning
- Nonprofits
- Change Management
- Community Outreach
- u.s. National Committee for Quality Assurance
- Retrieval
- Clinical Trials
- Pools
- Corrective Actions
- Payments
- P4p
- Insurance
- Vendors
- Contract Specialist
- Community
- Net
- Narrative
- Manuscript
- Access to Care
- Special Needs
- Advancement
- Performance Metrics
- Finance
- Structure
- Oversight
- Medical Records
- Savings
- Families
- Temporary Placement
- Charting
- Quality Auditing
- Vetting
- Std
- Third Party
- Assessment
- Organizational Structure
- Disease
- Document Preparation
- Regulatory Compliance
- Cancer
- Data Conversion
- Procurement
- Benchmarking
- Private Funding
- Growth Hormone
- Management
- Revenue
- Design
- PC
- Line of Business
- Childhood
- Funding
- Patient Safety
- Snp
- Health Education
- Clerical
- Job Descriptions
- Hiring
- Group Policy
- Qip
- Committees
- Monitors
- Performance Measurement
- Source
- Publications
- Signal
- Workflow
- Human Resources
- Gaps
- Scorecard
- Guidance
- Meeting Planning
- Networking
- Foundation
- Medi Cal
- System
- u.s. Health Insurance Portability and Accountability Act Hipaa
- Cell
- Business Services
- Staff Management
- Utilization
- Fundraising
- Reports
- Flat Patterning
- County
- Medicare Advantage
- Account Reconciliation
- PPO
- Revision
- Medicine
- Oncology
- Piloting
- Policy
- Enterprise Software
- Patient
- Cancer Centers
- Surveying
- Health Information Exchange
- Operational Excellence
- Documentation
- Project Management
- Transitioning
- Research
- System Monitoring
- Reporting
- Third Party Applications
- Commercial Real Estate
- Investigation
- Chicago
- R&d
- Board of Directors
- Analysis
- Survey Administration
- Revise
- Ratings
- Primary Care
- Los Angeles
- Auto
- Identifying Opportunities
- Barriers
- Catholicism
- Payer
- C
- Coordination
- STAR
- Applications
- Y2k
- Data Collection
- Schedules
- Home
- Communication
- Business Alignment
- Modeling
- Community Health
- Cost Savings
- Group Events
- Institutions
- Licensure
- Operations
- Empowerment
- CMS
- Provider Networks
- Network Administration
- Executive Leadership
- Lives
- Project Planning
- Project
- SQL
- Contractual Agreements
- House
- Measurements
- Medical Groups
- Software Development Life Cycle
- Analytics
- Advocacy
- Corporate Office
- Outpatient
- Performance Improvement
- Income
- Healthcare Effectiveness Data and Information Set Hedis
- Followup
- Counties
- Responsibility
- Internal Audit
- Data Reporting
- Fact
- Policies and Procedures
- Regulations
- Product Lines
- International
- Clinics
- Art
- Renewal
- Code
- Encounter
- Biology
- Google Groups
- Executive Management
- Business Units
- Efficient
- Administrative Work
- Reimbursement
- Quality of Care
- Heath
- Tax
- Grants
- Consortium
- Data Analytics
- Guidelines
- Patient Outcomes
- Property Management Systems
- Temps
- Marketplace
- SAS
- Health Informatics
- Outcomes Research
- Image Capture
- Compliance
- Arizona
- San Francisco
- Profiles
- Workgroups
- Rate
- Proposal Writing
- Electronic Medical Record Emr
- Patient Care
- Capitation
- Incorporation
- Inpatient
- Vaccines
- Private Foundations
- Budgets
- Risk
- Hos
- Interventions
- Support Staff
- Abstraction
- Chronic Care
- Database Systems
- Care Plans
- Board Development
- Evaluation
- Coordinated
- Coordinate
- u.s. Health Insurance Portability and Accountability Act
- Healthcare Effectiveness Data and Information Set
- Electronic Medical Record
Grace Crofton Summary
- Grace Crofton, based in Rancho Palos Verdes, CA, US, is currently a Vice President, Risk Adjustment and Quality at Clever Care Health Plan. Grace Crofton brings experience from previous roles at Astiva Health, Inc, Conifer Health Solutions and L.A. Care Health Plan. Grace Crofton holds a UCLA Fielding School of Public Health. With a robust skill set that includes Quality Initiatives, HEDIS, Medicare 5 Stars, Healthcare Informatics, Process Improvement and more. Grace Crofton has 1 emails and 1 mobile phone numbers on RocketReach.
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