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Vidalia
ivar mocorro

ivar mocorro

Quality Assurance | Program Manager

Healthcare

Vidalia, Toombs

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About ivar mocorro:

Highly experienced in quality process excellence for health care utilization management and clinical review. 

A Registered Nurse who is well verse in utilizing Lean Six Sigma Methodology.

Can deliver reports with high quality and creativity.

Very passionate in data analytics and capturing areas for improvement for the business.

Experience

Quality Program Manager - | Shearwater Health Advisors Inc.  (BCBS, CIGNA, Molina, Scan Health, Humana Health, eviCore, Highmark Health Inc. and Clover Health Inc.) - 11/01/2022- 02/06/2023


Quality Assurance Supervisor - | Shearwater Health Advisors Inc. (Highmark Health Inc. and Clover Health Inc.) - 10/01/2021- 10/31/2022


Quality Assurance Specialist - | Shearwater Health Advisors Inc. (Highmark Inc.) - 4/16/2020- 09/30/2021

USRN Utilization Management - EviCore | Shearwater Health Advisors Inc. 06/24/2019 – 4/15/2020


USRN Utilization Management – NaviHealth | Shearwater Health Advisors Inc. 06/05/2019 – 06/23/2019


Research and Development Nurse Coder | EXL Service Philippine Inc (HUMANA INSURANCE INC)
07/01/2017 – 05/20/2019


Senior Executive Nurse Coder | EXL Service Philippine Inc (HUMANA Special Investigation Unit / Provider Payment Integrity)
03/01/2017 – 06/30/2017


Senior Executive – Quality Compliance Auditor | EXL Service Philippine Inc (HUMANA Clinical Claims Review)
08/20/2016 – 02/28/2017


Senior Executive Nurse Associate – Clinical Claim Specialist | EXL Service Philippine Inc (HUMANA Clinical Claims Review)
03/03/2014 – 08/19/2016


Booking Consultant – Team Leader| FASTRACT Agency Services Ltd (United Kingdom) 04/09/2009 – 04/02/2014


Private Duty Nurse (Part-Time)| Tacloban City Philippines 09/01/2013 – 11/13/2013


Medical Surgical Ward Nurse| Divine Word Hospital – Tacloban City 11/05/2010 – 11/13/2013


Nurse Rotator - Trainee| Divine Word Hospital – Tacloban City 05/01/2010 – 11/04/2010
 

Education

Remedios Trinidad Romualdez Medical Foundation –Tacloban City Philippines
April 2009 - Bachelor of Science in Nursing


Manlabang National High School – Caibiran, Biliran, Philippines
March 2005 - Second Highest - Salutatorian Achiever

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