Grace Kim Crofton Email & Phone Number | As a Director of Quality Improvement and Risk Adjustment at Conifer Health Solutions, I oversee the strategy and implementation of quality and Medicare/ACA risk adjustment programs for provider practices in California and Hawaii. With over 15 years of experience in the healthcare industry, I have a proven track record of improving HEDIS, Stars, and RAF scores, as well as NCQA accreditation and Medicaid plan ratings. My areas of expertise include CMS Stars, HEDIS, Quality Improvement, Risk Adjustment, and Data Analytics. I leverage these skills to collaborate with practice management, IPA leadership, and health plans/payors on setting and executing quality and operational goals and objectives. I also lead and manage the analytics and reporting functions for the quality improvement department. My mission is to deliver high-quality, cost-effective, and patient-centered care to diverse populations.

Grace Kim Crofton

As a Director of Quality Improvement and Risk Adjustment at Conifer Health Solutions, I oversee the...
4904 Elkridge Drive, Rancho Palos Verdes, United States

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Grace Kim Crofton’s Email gcrofton@lacare.org

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Grace Kim Crofton’s Location 4904 Elkridge Drive, Rancho Palos Verdes, United States

Grace Kim Crofton’s Current Industry Conifer Health Solutions

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Work Experience

Conifer Health Solutions

Director, Quality Improvement and Risk Adjustment

2022-04-01 00:00:00 - Present

La Care Health Plan

Strategic Advisor, Quality Informatics

2020-02-01 00:00:00 - 2022-04-01 00:00:00

Alignment Healthcare

Director, Medicare Stars Performance Improvement

2015-07-01 00:00:00 - 2016-03-01 00:00:00

California Health And Wellness Health Plan Centene

Director Quality Improvement

2014-02-01 00:00:00 - 2014-10-01 00:00:00

Molina Healthcare

Director, Corporate Quality Risk Adjustment

2013-02-01 00:00:00 - 2014-02-01 00:00:00

Scan Health Plan

Quality and 5 Star Initiatives Developer

2008-01-01 00:00:00 - 2013-02-01 00:00:00

Institute For Healthcare Advancement

Director, Community Outreach and Development

2006-06-01 00:00:00 - 2008-01-01 00:00:00

Health Net

Director, Administrative Quality

2004-11-01 00:00:00 - 2006-06-01 00:00:00

Childrens Oncology

Administrative Director, Group Operations

2001-01-01 00:00:00 - 2002-01-01 00:00:00

Genentech

Research Associate

1987-06-01 00:00:00 - 1988-12-01 00:00:00

Skills

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Languages

No Languages Available

FAQ About Grace Kim Crofton

Grace Kim Crofton is located at
4904 Elkridge Drive, Rancho Palos Verdes, United States

Grace Kim Crofton is a As a Director of Quality Improvement and Risk Adjustment at Conifer Health Solutions, I oversee the strategy and implementation of quality and Medicare/ACA risk adjustment programs for provider practices in California and Hawaii. With over 15 years of experience in the healthcare industry, I have a proven track record of improving HEDIS, Stars, and RAF scores, as well as NCQA accreditation and Medicaid plan ratings. My areas of expertise include CMS Stars, HEDIS, Quality Improvement, Risk Adjustment, and Data Analytics. I leverage these skills to collaborate with practice management, IPA leadership, and health plans/payors on setting and executing quality and operational goals and objectives. I also lead and manage the analytics and reporting functions for the quality improvement department. My mission is to deliver high-quality, cost-effective, and patient-centered care to diverse populations.

Grace Kim Crofton currently works in the Conifer Health Solutions |

No Languages Available

Grace Kim Crofton has prior
experience in the following industries:
La Care Health Plan | Alignment Healthcare | California Health And Wellness Health Plan Centene | Molina Healthcare | Scan Health Plan | Institute For Healthcare Advancement | Health Net | Childrens Oncology | Genentech

Grace Kim Crofton has the following professional experience:
Conifer Health Solutions | La Care Health Plan | Alignment Healthcare | California Health And Wellness Health Plan Centene | Molina Healthcare | Scan Health Plan | Institute For Healthcare Advancement | Health Net | Childrens Oncology | Genentech