Fatima Crawford

Results-driven healthcare professional with expertise in healthcare quality improvement, clinical operations, healthcare data analytics, HEDIS performance, and risk adjustment across payer and provider organizations. Skilled at analyzing complex healthcare data, identifying performance opportunities, and translating insights into strategies that improve quality outcomes, operational efficiency, and value-based care. Experienced in healthcare research, EMR optimization, provider education, and cross-functional collaboration.

AAPC Certified Risk Adjustment Coder and trilingual in English, Spanish, and Portuguese, committed to data-driven decision-making and continuous quality improvement.

Data Consultant, Patient & Provider Research Solutions - OPTUM Life Sciences - Remote USA

(2026-01 - 2026-06)

• Supported a multi-site maternal health quality improvement initiative across five OB/GYN clinics aimed at improving postpartum depression screening and behavioral health support.
• Analyzed operational data for 1,245 eligible prenatal and postpartum patients to evaluate workflow implementation and program outcomes.
• Contributed to outcomes demonstrating improved prenatal PPD screening rates from 8% to 39% and postpartum Screening improvements from 90% to 96%.
• Completed CITI Human Subjects Research Training and supported research-focused quality improvement methodologies.
• Developed analytical tables and organized complex datasets to support outcome analysis, reporting, and strategic recommendations.
• Interpreted healthcare data trends and translated findings into meaningful insights for clients and internal stakeholders.
• Partnered with multidisciplinary teams to support data-driven decision-making and project deliverables

Practice Performance Manager and Medicare Consultant - United Healthcare Group Medicare Retirement - Atlanta, GA

(2022-01 - 2026-01)

• Analyzed quality metrics, identified care gaps, and developed targeted strategies to improve clinical outcomes.
• Led provider performance improvement initiatives focused on HEDIS, STAR ratings, and risk adjustment accuracy across assigned provider groups. Accomplishment.
• Educated physicians and clinical teams on HCC coding, documentation accuracy, and quality measure performance.
• Collaborated with executive leadership, providers, and operational teams to implement performance improvement Plans.
• Increased HEDIS scores by 22% within assigned regions through focused provider engagement and gap closure Initiatives.

Site Data Collector - Inovalon - San Francisco, CA

(2016-08 - 2021-04)

• Managed collection, review, and submission of 500+ medical records annually supporting HEDIS and regulatory audits.
• Improved record retrieval processes, reducing errors by 35% through standardized workflows.
• Generated reports identifying trends in documentation accuracy and care gap opportunities.
• Trained staff on medical record retrieval protocols and documentation standards.

Medical Assistant Lead - OPTUM-Southwest Medical Associates - Las Vegas, NV

(2011-11 - 2016-06)

• Supervised and trained a team of eight medical assistants within a high-volume clinical environment.
• Improved patient satisfaction scores from 82% to 94% through workflow and communication improvements.
• Reduced patient wait times by 20% by redesigning appointment scheduling processes.
• Managed referrals, supported diagnostic testing, and optimized day-to-day clinic operations.

Certified Medical Assistant - Westbury BOCES, Westbury NY (1998)

Bachelor of Healthcare Management (2026-12)