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About CenCal Health > Management |
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About CenCal Health - Management |
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Carlos Hernandez
Director, Decision Support
E-mail:
chernandez@cencalhealth.org |
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As the Authority's Director of Decision Support,
Mr. Hernandez oversees operational processes necessary
to evaluate the Authority's effectiveness and inform the
implementation of strategic initiatives.
Additionally, he directs all aspects of HEDIS project
management, including the continual refinement of the
Authority's quality management program. Prior to
Mr. Hernandez' s present directorship, he held positions
of increasing responsibility within the Authority's
Health Services Department. Most recently he was
the Authority's acting Director of Health Services.
Mr. Hernandez earned a Bachelor of Arts degree in
Economics from Stanford University, and has thirteen
years of experience in quality management, and seven
years prior experience in program management and
statistical process control. He is a longstanding
member of the National Committee for Quality Assurance's
(NCQA) Technical Advisory Group, and as an advisor to
the NCQA he also formerly served on its Audit
Methodology Panel, and Expert Panels on Pediatric Lead
Screening and Culturally & Linguistically Appropriate
Services. In 1998, Mr. Hernandez was selected as a
member of the Department of Health Services Medi-Cal
Managed Care Quality Improvement Workgroup. In
this capacity, he advises the Medi-Cal Managed Care
Division's development of quality management policy.
As a former NCQA-Certified HEDIS Compliance Auditor, Mr.
Hernandez conducted numerous commercial, Medicare and
Medicaid audits on behalf of the NCQA and managed care
plans throughout the United States.
With Mr. Hernandez's dedication to continuous quality
management, and breadth of experience in health plan
operations, he is a dedicated catalyst for
organizational quality improvement. He balances
family time with the demands of racing on a regional
cycling team. |
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