Tammy Lester

Licensed Practical Nurse with 25+ years in healthcare and 12+ years of HEDIS abstraction experience. Recently promoted to HEDIS QA Overreader, performing high-level quality review to ensure NCQA compliance and data accuracy. Expertise in medical record review, HEDIS measures, and audit readiness. Known for strong accuracy, productivity, and effectiveness in remote environments. Seeking remote contract opportunities.

HEDIS QA Overreader (Contract) at MedView Health (Client: Elevance Health) (2026-01 – 2026-04)

• Conducted QA review across multiple HEDIS measures (WCC, CBP, BPD, GSD, PPC, TRC, LSC)
• Identified discrepancies and escalated findings to QA leadership
• Ensured accuracy, consistency, and audit readiness of abstraction data
• Maintained HIPAA compliance in secure remote workflows
• Reviewed records across Epic, Cerner, Allscripts, and NextGen

Senior HEDIS Abstractor (Contract) at BlueCross BlueShield of Tennessee

• Completed 4 HEDIS seasons with high-volume chart abstraction per NCQA guidelines
• Achieved 100% pass rates on validation testing
• Abstracted across multiple measures with strong accuracy and productivity
• Partnered with QA/audit teams to resolve discrepancies
• Supported HEDIS gap closure initiatives and quality improvement efforts

Care Coordinator (LPN) at BlueCross BlueShield of Tennessee (2016-09 – 2025-03)

• Managed care for members with chronic conditions (diabetes, COPD, CHF, CAD)
• Supported HEDIS gap closure and preventive care compliance
• Collaborated with providers to improve quality scores
• Participated in quality improvement programs tied to HEDIS performance

Licensed Practical Nurse (LPN) at Mountain States Health Alliance (1999-11 – 2016-09)

Delivered direct patient care and collaborated with interdisciplinary teams

Licensed Practical Nurse (LPN) – Tennessee Technology Center – Elizabethton, TN