Kristin Letham

Kristin Letham

Senior Program Manager, Clinical Quality @ Highmark

About Kristin Letham

Kristin Letham serves as the Senior Program Manager for Clinical Quality at Highmark Health, where she leads the Clinical Vertical for Government Quality. With expertise in health coaching and motivational interviewing, she also plays a key role in mentoring staff and contributing to strategic initiatives.

Work at Highmark

Kristin Letham serves as the Senior Program Manager for Clinical Quality at Highmark Health. In this role, she leads the Clinical Vertical for Government Quality, focusing on enhancing healthcare quality metrics. She has been with Highmark since 2008, contributing to various strategic initiatives aimed at improving performance and operational metrics. Kristin co-leads the CMS Stars Committee, which concentrates on Medicare Advantage and NCQA Accreditation, ensuring compliance and excellence in healthcare delivery.

Education and Expertise

Kristin Letham holds a Master of Science (MS) in Professional Leadership in Health Services Education from Carlow University, where she studied from 1995 to 1997. She also earned a Bachelor of Science (BS) in Registered Nursing from Penn State University, completing her studies from 1986 to 1990. Her educational background supports her expertise in health coaching and motivational interviewing, which are integral to her current role in clinical quality.

Background

Before joining Highmark, Kristin worked at UPMC as a Business Systems Analyst II from 1990 to 1999, where she gained experience in operational metrics. She later served as a Concurrent Review Nurse at Coventry Health Care, an Aetna Company, from 2005 to 2008. Her diverse background in healthcare settings has equipped her with a comprehensive understanding of clinical quality and operational efficiency.

Achievements

Kristin Letham acts as a subject matter expert in her field, contributing to the training of new hires and mentoring staff. Her leadership in the CMS Stars Committee demonstrates her commitment to improving Medicare Advantage programs and achieving NCQA Accreditation. Through her roles, she has played a significant part in advancing clinical quality initiatives within the healthcare sector.

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