Senior Director, Star Ratings
Jessica Assefa is the Senior Director of Star Ratings at Gorman Health Group (GHG). In this role she provides expertise to health plans regarding Quality Improvement (QI), the Centers for Medicare & Medicaid (CMS) Services Quality Bonus Programs (QBP) and Star Ratings. Jessica is an accomplished nurse and brings clients over twenty years of diverse experience and achievement in managed care, quality improvement and clinical care in addition to strong Medicare, Medicaid, Marketplace and Dual-Special Needs Plans (D-SNP) programs knowledge.
Prior to joining Gorman Health group, Jessica led the Medicare, Marketplace and Medicaid Star Ratings Programs and Quality Ratings Systems (QRS) for an independent, nonprofit health plan in the state of Minnesota, successfully achieving 4, 4.5 and 5 Star Ratings for the plan’s multiple Medicare and Marketplace contracts and product lines. Her managed care experience expands into the areas of Clinical Compliance, including training and oversight of internal and delegated care coordination entities for Medicare Advantage and Dual-Special Needs Plans (D-SNP).
For the past several years, Jessica has been asked to speak at multiple, national health care, quality and managed care conferences on the topics of Star Ratings, social determinants of health, health plan operations and beneficiary experience, among other topics.
In addition to her managed care experience, Jessica brings years of clinical knowledge, patient-care and nursing experience in the states of Minnesota, Indiana and New York, working extensively with the geriatric and disabled populations in nursing home, school, clinic and home-care settings in a variety of roles including Director of Clinical Education, Manager of Alzheimer’s & Memory Care and Minimum Data Set (MDS) coordination.