Wasima Parveen

Results driven Quality Improvement leader with over 20 years of experience advancing healthcare performance, compliance, and operational excellence. Proven track record in developing KPI frameworks, implementing predictive analytics, and leading large scale process redesign to improve service delivery and health outcomes. Adept at translating complex CMS, NCQA, and state regulatory requirements into measurable, scalable programs that drive quality, efficiency, and stakeholder satisfaction.

Recognized for building cross functional alignment, achieving 100% audit compliance, and fostering a culture of continuous improvement through data driven decision making, workforce development, and strategic change management.

Director of Quality and Accreditation at AgeSpan (2019-01 – Present)

• Led the implementation of complex state and federal health policies, including those from CMS and NCQA, converting regulatory requirements into over 30 measurable operational indicators to ensure daily workflows were compliant and effective.
• Developed and launched a centralized KPI system used by over 100 staff members, enabling real-time quality monitoring and data-driven executive decisions, which led to a 95% reduction in regulatory data errors.
• Developed interactive dashboards and predictive analytics tools that annually identified over 5,000 high-risk older adults from a population of 43,000, allowing for targeted, policy-aligned service delivery.
• Chaired the Performance & Quality Improvement Oversight Group and served as a representative on three statewide policy and technical advisory committees, actively contributing to strategic alignment and achieving 100% audit compliance.

Senior Program Consultant, Population Health Analytics & Accreditation at Blue Cross Blue Shield of Massachusetts (2017-01 – 2019-01)

• Directed enterprise-wide accreditation and compliance projects, managing risk analysis, milestone tracking, and executive reporting to ensure adherence to regulatory standards across the organization and its 12 delegated provider entities.
• Led successful NCQA accreditation efforts for population health and case management programs, implementing new standards and developing 10+ dashboards to monitor performance for population of over 300,000 members.
• Spearheaded quality and satisfaction improvement initiatives like HEDIS and CAHPS, establishing clear performance metrics and designing vendor delegation infrastructure to drive continuous improvement and ensure contractual compliance.
• Provided expert guidance and mentorship to clinical and operations teams, translating complex regulatory requirements into actionable daily practices and co-developing population health program policies aligned with state and federal quality goals.

Patient Experience Project Manager at Hallmark Health (2014-01 – 2017-01)

• Directed $6M practice transformation initiative to achieve NCQA Level 3 Patient-Centered Medical Home certification for all participating practices, demonstrating expertise in leading complex quality improvement projects from inception to completion.
• Managed and leveraged CAHPS survey results to drive targeted quality improvement initiatives and promote health equity, showing data-driven approach to improving patient experience and outcomes.
• Developed and standardized internal workflows for population health tracking, leading to measurable improvements in care coordination and overall health outcomes for large network of member organizations.
• Managed team of five to implement patient-centered policy initiatives across 21 member organizations, successfully aligning them with value-based care and quality standards.

Senior Practice Consultant – Health IT & Analytics at New England Quality Care Alliance (2011-01 – 2014-01)

• Directed $2M Electronic Medical Record (EMR) system rollout, managing vendor partnerships and stakeholder communications to ensure successful implementation that improved quality reporting and care coordination.
• Developed and implemented programs to establish network-wide Patient-Centered Medical Home (PCMH) model, achieving Level 3 NCQA recognition across all sites, demonstrating a commitment to high-quality, patient-centered care.
• Oversaw HEDIS data submissions to CMS and integrated evidence-based practice improvement strategies, ensuring accuracy and enhancing care quality across the network.
• Managed a team of five analysts and informatics staff, delivering training to over 80 providers and staff on EMR use and quality dashboards to improve performance and data-driven decision-making.

EMR Implementation Manager at Children's Hospital Pediatric Physician Organization (2010-01 – 2011-01)

• Directed $2M project to deploy the eClinicalWorks EMR across 75+ practices, managing vendor relations and overseeing all phases from pilot to full-scale adoption, ensuring the project remained on schedule and within budget.
• Led the Patient-Centered Medical Home (PCMH) transformation initiative for all participating sites, resulting in successful achievement of Level 3 NCQA certification.
• Delivered training to over 100 providers on EMR usage, quality reporting, and performance measurement, specifically aligning with PCMH and HEDIS standards.
• Optimized clinical workflows by leveraging performance benchmarking, successfully aligning quality objectives with operational efficiency.

Practice Manager at West Cambridge Pediatric and Adolescent Medicine (2004-01 – 2010-01)

• Drove 900% increase in annual revenue for large pediatric practice by redesigning workflows, optimizing the revenue cycle, and implementing data-driven strategic financial management.
• Developed and executed standard operating procedures (SOPs) that enhanced clinical efficiency and streamlined patient flow, directly contributing to improved quality of care and operational excellence.
• Created tailored financial reporting and clinical benchmarking tools to facilitate data-driven decisions, enabling continuous quality improvement initiatives and supporting strategic growth planning.
• Directed routine performance audits and budget planning activities, ensuring regulatory compliance (OSHA, HIPAA) and maintaining operational sustainability and financial stability.

MBA in Management – Johnson & Wales University

Postgraduate Diploma in Cost & Management Accounting – ICMAB

BSc in Business – University of Dhaka