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Provider Quality

Provider-Quality


To ensure a continued focus on quality, Fidelis Care is dedicated to engaging with providers to ensure our members get the best care possible. Quality is a critical component of the work we do at Fidelis Care. The Provider Relations Department works diligently to support providers in quality improvement initiatives.


Hearthands

Quality Care Incentives (QCI) Program

Fidelis Care's QCI Program rewards groups/practices for providing recommended preventive care, for caring for members with chronic disease, and for comprehensive obstetrical care. As your health plan partner, we remain committed to rewarding our providers for achieving high-quality outcomes and have made significant changes to the program for measurement year 2024 to align with our shared goals, encourage participation, and recognize regional differences within New York State.

Fidelis Care’s Quality Care Incentives (QCI) Program is available on Provider Access Online. Once logged in, please navigate to the File Downloads section to access the brochure.

Within the brochure, we are providing a summary of the components of our QCI Program, along with the associated coding specifications, to help you drive improvements in quality and to reward you for your efforts. Fidelis Care also provides monthly care gap reports to track your incremental performance, and identify those patients who may benefit from needed care and services.

If you have any questions regarding Fidelis Care’s Quality Care Incentives, please contact your Quality Improvement Specialist.



Provider Access Online

Verify member eligibility or renewal status, check claims, send e-scripts, and more.

Quality Improvement Specialists
NYC Region:

Name Coverage Area Assigned Counties and/or Providers
Brianni Blue Loftlin 

✉ Email Address

Brooklyn County: 11201, 11203, 11205, 11206, 11207, 11212, 11217, 11211, 11213, 11221, 11226, 11220, 11237, 11238, 11239, 11243, 11249 Brooklyn County
 Yen Min Yau

✉ Email Address

ZIP Codes: 11220, 11204, 11214, 11229 Kings County

Providers: CAIPA & Excelsior Empire Health Brooklyn Providers
 Zinaida Khavasova

✉ Email Address

Kings County: 11219, 11223, 11224, 11229, 11235, 11230, 11204, 11209, 11214, 11228, 11232, 11210,11239, 11218 Kings County

Providers: Maimonides, One Brooklyn Health System: (Interfaith, Brookdale and Kingsbrook) 
 Michael Gayle

✉ Email Address

All ZIP Codes in the Bronx except for providers/groups assigned to an IPA (Balance, Bronx United) Bronx County

Providers: Boston Children's Health Physicians (Westchester County), Northwell (All Affiliated TINs) 
 Stanley Laforest

✉ Email Address

ZIP Codes: 10003, 10004, 10005, 10006, 10007, 10009, 10010, 10011, 10012, 10014, 10016, 10017, 10018, 10019, 10020, 10021, 10022, 10023, 10024, 10025, 10026, 10027, 10029, 10030, 10031, 10032, 10033, 10034, 10035, 10036, 10038, 10039, 10040, 10041, 10044, 10047, 10048, 10128 Various Counties
 Adebunmi (Bunmi) Browne

✉ Email Address

Various ZIP Codes Providers: Balance Medical IPA
 Osaruyi Eduwen

✉ Email Address

Queens County ZIP Codes: 11101, 11102, 11103, 11104, 11105, 11106, 11368, 11369, 11370, 11371, 11372, 11373, 11374, 11375, 11377, 11378, 11379, 11385 Queens County
 Rui Kang (Ray) Lin

✉ Email Address

Queens County ZIP Codes: 111354, 11355
Queens County
Providers: CAIPA & Excelsior Empire Health Queens Provider
 Rosemond Guillaume

✉ Email Address

ZIP Codes: 11365, 11366, 11367, 11411, 11412, 11413, 11414, 11415, 11421, 11422, 11430, 11433, 11434, 11435; 11416, 11417, 11419, 11420, 11423, 11426, 11427, 11428, 11429, 11432, 11418, 11436, 11691, 11692, 11693, 11694, 11697
Various Counties

 Taylor Panzarella
✉ Email Address


Rockland and Westchester Counties: 10977, 10952, 10956, 10901, 10954, 10965, 10980, 10970, 10960, 10989, 10927, 10994, 10923, 10920, 10962, 10983, 10913, 10993, 10974, 10984, 10986, 10968, 10964, 10976, 10931, 10911, 10982, 10701, 10801, 10573, 10705, 10583, 10550, 10704, 10562, 10598, 10710, 10558, 10566, 10557, 10708, 10552, 10703, 10567, 10605, 10543, 10591, 10603, 10805, 10549, 10580, 10804, 10538, 10606, 10528, 10514, 10530, 10803, 10604, 10553, 10570, 10536, 10601, 10520, 10707, 10522, 10523, 10595, 10510, 10709 Rockland and Westchester County

 Haneefah Mahdi

✉ Email Address

Richmond County ZIP Codes: 10301, 10302, 10303, 10304, 10305, 10304, 
10305, 10306, 10307, 10308, 10309, 10310, 10311, 10312, 10313, 10314
Richmond County

Providers: Amboy Medical Practice, Bon Secours, NYC  Health & Hospitals, Refuah Health Center
 Leidy Mejia

✉ Email Address

Nassau County ZIP Codes: 11096, 11509, 11510, 11516, 11518, 11520, 11550, 11552, 11553, 11554, 11555, 11557, 11558, 11559, 11563, 11565, 11566, 11570, 11572, 11575, 11580, 11581, 11598, 11709, 11710, 11756, 11758, 11762, 11783, 11793,11001, 11020, 11021, 11023, 11024, 11030, 11040, 11042, 11050, 11501, 11507, 11514, 11530, 11542, 11545, 11548, 11560, 11568, 11576, 11577, 11579, 11590, 11596, 11714, 11732, 11735, 11753, 11771, 11791, 11797, 11801 Nassau County
 Robert Dean

✉ Email Address

Suffolk County ZIP Codes: 11720, 11721,  11724, 11725,11729;11731, 11733, 11738, 11740, 11741, 11742, 11743, 11746, 11747, 11754, 11757, 11763, 11764, 11766, 11768, 11769, 11776, 11777, 11778, 11780, 11782, 11784, 11786, 11787, 11788, 11790, 11794, 11901, 11930, 11931, 11933, 11934, 11935, 11937, 11939, 11940, 11941, 11942, 11944, 11946, 11948, 11949, 11950, 11951, 11952, 11953, 11954, 11701, 11702, 11703, 11704, 11705, 11706, 11707, 11708, 11709, 11713, 11715, 11716, 11717, 11718, 11722, 11727, 11750, 11751, 11752, 11755, 11767, 11772, 11779, 11789, 11792, 11795, 11796, 11798, 11955, 11957, 11958, 11959, 11961, 11962, 11963, 11964, 11965, 11967, 11968, 11970, 11971, 11975, 11976, 11977, 11978, 11980 Suffolk County
 Kay Stewart-Benjamin

✉ Email Address

Kings County: 11238, 11212, 11234, 11236 Kings County

Providers: NYU and Affiliates,  NYPHS and Affiliates, Mount Sinai and Affiliates
 Nadia Oleniak

✉ Email Address

ZIP Codes: 02886, 06484, 06518, 07020, 10002, 10003, 10006, 10007, 10010, 10013, 10016, 10017, 10019, 10027, 10023, 10025, 10029, 10032, 10034, 10036, 10037, 10075, 0301, 10304, 10305, 10312, 10451, 10452, 10455, 10457, 10458, 10459, 10461, 10462, 10463, 10464, 10466, 10469, 10508, 10523, 10604, 10952, 11042, 11102,  11103, 11104, 11203, 11204, 11206, 11207, 11208, 11209, 11210, 11212, 11213, 11214, 11215, 11216, 11218, 11219, 11220, 11223, 11224, 11226, 11228, 11229, 11230, 11234, 11235, 11236, 11237, 11238,  11354, 11355, 11358, 11360, 11361, 11362, 11364, 11365, 11368, 11372, 11373, 11374, 11375, 11377, 11385, 11411, 11416, 11418, 11419, 11423, 11427, 11432, 11435, 11436, 11691, 11772, 11940 Various Counties
 Steven Lee

✉ Email Address

ZIP Codes: 10002, 10013, 10314

Counties: Manhattan, Richmond

Providers: Charles B. Wang Community Health Center, CAIPA Manhattan Providers, Excelsior Empire Health Manhattan Providers, CAIPA Staten Island Providers


Upstate Regions:

Name Coverage Area
Assigned Counties and/or Providers
 Jane Sanderson

✉ Email Address

Rensselaer County: 12180, 12144, 12182, 12061, 12033, 12198, 12090, 12179, 12018, 12123, 12196, 12154, 12138, 12121, 12094, 12185, 12168, 12062, 12052, 12156, 12140, 12153, 12028 ,12057, 12022 12169, 12063, 12082, 12181, 12089, 12133, 12040                                                                                   

Saratoga County:  12065, 12866, 12020, 12010, 12831, 12118, 12019, 12188, 12828, 12803, 12148, 12822, 12170,  12871, 12025, 12833, 12134, 12027, 12850, 12074,12859, 12835, 12151, 12863, 12086,  12884 

Schenectady County:  12008, 12053, 12056, 12137 , 12141, 12150 , 12301, 12302, 12303, 12304, 12305 , 12306 ,12307,12308, 12309, 12325, 12345  

Washington County:  12839, 12828, 12834, 12832, 12887, 12827, 12816, 12865, 12809, 12154, 12094, 12821, 12185, 12028, 12057, 12837, 12873, 12861, 12819, 12823, 12838, 12849, 12841, 12844, 12848, 12854 
Counties: Rensselaer, Saratoga, Schenectady, Washington


 Barbara Bentley-Morrill

✉ Email Address

Albany County: 12309, 12203, 12205, 12303, 12047, 12208, 12304, 12110, 12189, 12054, 12206, 12211, 12210, 12209, 12009, 12202, 12159, 12204, 12077, 12158, 12186, 12143, 12084, 12053, 12083, 12111, 12183, 12262, 12222, 12023, 12067, 12207, 12193, 12059, 12087, 12469, 12046, 12120, 12147, 12226, 12460, 12041, 12234, 12085, 12007, 12201, 12212, 12214, 12220, 12223, 12224, 12225, 12227, 12228, 12229, 12230, 12231, 12232, 12233, 12235, 12236, 12237, 12238, 12239, 12240, 12241, 12242, 12243, 12244, 12245, 12246, 12247, 12248, 12249, 12250, 12255, 12257, 12260, 12261, 12288, 12107, 12128, 12161, 12045, 12055

Clinton County:  12901, 12972, 12962, 12918, 12992, 12919, 12944  12981, 12910, 12958, 12921, 12935, 12912, 12903 ,12979, 12929 ,12959, 12985, 12934, 12923, 12955, 12952, 12911, 12924, 12978, 12933 

Columbia County: 12534, 12571, 12184, 12526, 12037, 12075, 12546, 12106, 12529, 12583, 12567, 12060, 12173, 12516, 12521, 12523, 12156, 12125, 12029, 12502, 12136, 12565, 12503, 12017, 12130, 12513, 12517, 12115, 12024, 12165, 12132, 12593, 12174, 12530, 12195, 12172, 12050, 12541, 12544

Essex County: 12983, 12946, 12883, 12944, 12928, 12912, 12870, 12941, 12960, 12974, 12996, 12932, 12997, 12993, 12943, 12950, 12851, 12936, 12987, 12913, 12956, 12857, 12852, 12942, 12998, 12964, 12961, 12855, 12858, 12975, 12977, 12872, 12879 

Franklin County: 12953, 12983, 12986, 12966, 13655, 12920, 12926, 12916, 12957, 12937, 12917, 12980, 12989, 12914, 12970, 12945, 12930, 12976, 12913, 12955, 12969, 12995, 12915, 12939, 13683   

Greene County: 12414, 12051, 12143, 12083, 12015, 12413, 12192, 12496, 12058, 12463, 12431, 12468, 12451, 12087, 12430, 12423, 12473, 12427, 12436, 12442, 12405, 12480, 12418, 12470, 12424, 12450, 12444, 12485, 12492, 12482, 12422, 12454, 12407, 12460, 12042, 12176, 12439, 12490, 12452, 12124   

Warren County: 12804, 12801, 12845, 12885, 12846, 12817, 12853, 12814, 12856, 12843, 12815, 12824, 12878, 12808, 12836, 12810, 12860, 12874, 12844, 12862, 12886, 12811, 12820  
Counties: Albany, Clinton, Essex, 
Columbia, Greene, Warren

Providers: All Vermont Providers, Silver Springs Health Care Management, Saratoga Regional Medical, Twin River Medical

 Jaime Laube

✉ Email Address

Orange County: 10950, 12550, 10940, 12553, 10990, 12589, 10941, 10924, 12771, 10918, 12566, 12549, 10980, 12586, 10930, 10992, 10928, 12721, 12518, 10963, 10916, 10998, 10921, 10987, 10925, 12575, 10958, 10926, 12577, 12780, 12520, 10973, 10986, 12729, 12746, 12543, 10969, 10996, 10917, 10919, 10975, 10914, 10922, 10933, 12785, 10911, 10943, 10985, 10910, 10912, 10915, 10932, 10949, 10953, 10959, 10979, 10981, 10988, 10997, 12551, 12552, 12555, 12584  

Putnam County: 10541, 10512, 10509, 12563, 10579, 10516, 10524, 12531, 10588, 10537, 10542

Sullivan County: 12701, 12721, 12754, 12790, 12758, 12788, 12747, 12776, 12783, 12775, 12764, 12723, 12789, 12729, 12768, 12740, 12748, 12737, 12779, 12763, 12734, 12726, 12719, 12733, 12759, 12732, 12777, 12765, 12751, 12760, 12762, 12786, 12725, 12766, 12742, 12743, 12770, 12785, 12778, 12741, 12720, 12745, 12738, 12750, 12724, 12749, 12736, 12769, 12787, 12791, 12792, 12752, 12767, 12781, 12784, 12722, 12727  

Ultser County:  12401, 12477, 12561, 12589, 12528, 12566, 12428, 12446, 12542, 12758, 12443, 12487, 12498, 12404, 12525, 12547, 12449, 12484, 12466, 12458, 12548, 12455, 12440, 12491, 12461, 12740, 12486, 12515, 12409, 12494, 12472, 12464, 12406, 12481, 12410, 12480, 12456, 12457, 12433, 12725, 12411, 12419, 12435, 12495, 12416, 12412, 12448, 12475, 12429, 12465, 12493, 12490, 12471, 12441, 12489, 12483, 12782, 12402, 12417, 12420, 12432, 12453, 12568, 12588  

Counties: Orange, Putnam,
Sullivan, Ulster

Providers: Hudson Valley Regional Community Health
 Penny Patterelli

✉ Email Address

Oneida County: 13440, 13501, 13502, 13413, 13421, 13323, 13492, 13403, 13316, 13309, 13308, 13354, 13476, 13478, 13480, 13456, 13438, 13495, 13471, 13461, 13042, 13424, 13417, 13363, 13318, 13425, 13490, 13431, 13054, 13304, 13477, 13338, 13328, 13303, 13322, 13321, 13486, 13441, 13469, 13319, 13494, 13440, 13501, 13502, 13413, 13421, 13323, 13492, 13403, 13316, 13309, 13308, 13354, 13476, 13478, 13480, 13456, 13438, 13495, 13471, 13461, 13042, 13424, 13417, 13363, 13318, 13425, 13490, 13431, 13054, 13304, 13477, 13338, 13328, 13303, 13322, 13321, 13486, 13441, 13469, 13319, 13494, 13483, 13157, 13455, 13352, 13162, 13301, 13435, 13341, 13362, 13401, 13313, 13123, 13442, 13449, 13479, 13503, 13504, 13505, 13599  

Otsego County:  13820, 13326, 13849, 13439, 13491, 13411, 13825, 12197, 13843, 13320, 12155, 13809, 13807, 13810, 13335, 13315, 13808, 13750, 12116, 13485, 13348, 13796, 13361, 13337, 13468, 13861, 12064, 13776, 13450, 12036, 13342, 13333, 13415, 13488, 13859, 13860, 13457, 13482, 13747, 13834   

Schoharie County: 12043, 12053, 12122, 12157, 12149, 12023, 13459, 12066, 12093, 12167, 12092, 12076, 12469, 12160, 12187, 12175, 12035, 12064, 12031, 12036, 12194, 12071, 12131, 12073
Counties: Oneida, Otsego,
Schoharie
 Jeannie Vanhoeven

✉ Email Address

Fulton County: 12010, 12078, 12095, 12025, 13452, 13329, 12117, 12070, 12032, 12086, 13470 

Hamilton County: 12134, 13324, 12842, 13454, 12856, 12032, 12108, 12847, 12190, 13360, 12139, 13436, 12812, 12164, 13353, 12864

Montgomery County: 12010, 13339, 13452, 13317, 12068, 12072, 12070, 12066, 12166, 12137, 13428, 12086, 12177, 13410, 12069, 12016  

Saint Lawrence County: 13662, 13676, 13669, 13617, 13642, 12986, 13667, 13668, 13658, 13646, 13613, 13654, 13697, 13625, 13648, 13679, 13660, 13652, 13630, 13684, 13694, 13680, 13681, 12980, 13621, 12967, 13635, 12914, 13690, 13687, 13672, 13670, 13633, 12927, 12965, 13614, 13666, 13695, 13664, 12922, 13639, 12973, 13649, 12949, 13623, 13645, 13647, 13677, 13678, 13696, 13699 

Herkimer County: 13502, 13350, 13357, 13367, 13365, 13340, 13339, 13407, 13439, 13329, 13456, 13491, 13438, 13416, 13324, 13431, 13338, 13322, 13454, 13420, 13361, 13690, 13670, 13494, 13406, 13472, 13331, 13475
Counties: Fulton, Hamilton, Montgomery, Saint Lawrence, Herkimer

Providers: Bernadot Pediatrics, Whitney M Young Health, Northern Medical Group, Nuvance Health Medical Practice, St Regis Mohawk Tribe 





 Sarah Freyer

✉ Email Address

Broome County: 13760, 13850, 13905, 13790, 13903, 13901, 13904, 13865, 13803, 13862, 13833, 13748, 13787, 13795, 13746, 13754, 13730, 13797, 13835, 13813, 13744, 13802, 13777, 13737, 13745, 13749, 13761, 13762, 13763, 13794, 13826, 13848, 13851, 13902

Chenango County: 13815, 13778, 13830, 13733, 13460, 13787, 13411, 13746, 13040, 13730, 13332, 13843, 13809, 13052, 13464, 13813, 13072, 13801, 13844, 13780, 13129, 13832, 13155, 13136, 13841, 13758, 13124, 13814   

Delaware County: 13820, 13856, 13753, 13849, 13838, 13754, 13783, 12776, 12455, 12093, 13775, 12167, 13788, 12474, 13750, 13839, 12468, 13757, 13752, 13739, 12406, 12430, 13731, 13782, 13755, 13842, 12760, 13756, 13740, 12421, 13846, 13786, 12465, 13804, 13806, 12438, 13751, 12434, 13837, 13774, 13860, 12459, 13847 

Madison County: 13032, 13421, 13037, 13035, 13346, 13082, 13491, 13408, 13030, 13409, 13332, 13402, 13334, 13355, 13052, 13485, 13072, 13061, 13122, 13310, 13418, 13163, 13314, 13364, 13043, 13134, 13465, 13484  

Dutchess County: 12603, 12601, 12590, 12533, 12508, 12524, 12538, 12569, 12571, 12572, 12540, 12564, 12570, 12582, 12522, 12545, 12580, 12531, 12594, 12546, 12581, 12514, 12501, 12583, 12578, 12567, 12592, 12585, 12507, 12604, 12574, 12602, 12504, 12506, 12510, 12511, 12512, 12527, 12537
Counties: Broome, Chenango, Delaware, Madison, Dutchess

Providers: Columbia Family Medience Clinic, Kudos Medical, Oneida Nation Health Services

 Maureen Hudson

✉ Email Address

Erie County ZIP Codes: 14004, 14026, 14031, 14043, 14051, 14059, 14086, 14094, 14202, 14203, 14206, 14209, 14212, 14214, 14215, 14216, 14217, 14220, 14225, 14226 Counties: Erie, Niagara

Providers: Mount St. Mary's Hospital, Primary Care of WNY, Sisters Hospital, Trinity Medical WNY, WNY Medical                                         
 Christine Santiago

✉ Email Address

Allegany County: 14706, 14709, 14711, 14715, 14727, 14802, 14803, 14804, 14806, 14813, 14822, 14880, 14884, 14895

Cattaraugus County: 14042, 14070, 14101, 14138, 14171, 14706, 14723, 14727, 14731, 14737, 14760, 14772, 14779

Chautauqua County: 14701, 14702, 14048, 14063, 14136, 14787

Steuben County: 14572, 14810, 14898
Counties: Allegany, Cattaraugus, Chautauqua, Erie, Niagara, Steuben

Providers: Family Health Medical Services, Great Lakes Physician Practice, Jamestown Pediatrics, Jones Memorial, Keuka Family Practice, UPMC
 Christine Jendraszek

✉ Email Address

Various  
Counties: Monroe, Orleans, Niagara

Providers:  Anthony Jordan, Erie County Medical Corporation, Kaleida Health, Oak Orchard, Niagara Falls Memorial Hospital, Paul DeJac  
 Robert Chantra

✉ Email Address

Ontario County: 14424, 14456, 14564, 14425, 14522, 14469, 14432, 14487, 14548, 14512, 14532, 14485, 14561, 14471, 14560, 14544, 14466, 14504, 14475, 14537, 14585, 14461, 14463, 14518, 14443, 14453, 14547 Counties: Monroe and Ontario 

Providers: Canton-Potsdam Hospital, Canton-Potsdam Medical Practice, Gouverneur Hospital, GRIPA, Guthrie Medical Group, Massena Hospital, St Lawrence Health Systems, Strong/University of Rochester              
 Nicole Lloyd

✉ Email Address

Cayuga County: 13021, 13022, 13024, 13026, 13033, 13034, 13064, 13071, 13081, 13092, 13111, 13113, 13117, 13118, 13139, 13140, 13147, 13156, 13160 and 13166

Chemung County: 14814, 14816, 14825, 14838, 14845, 14861, 14864, 14871, 14872, 14889, 14894, 14901, 14902, 14903, 14904 and 14905

Jefferson County: 13601, 13602, 13603, 13605, 13606, 13607, 13608, 13611, 13612, 13615, 13616, 13618, 13619, 13622, 13624, 13628, 13632, 13634, 13636, 13637, 13638, 13640, 13641, 13643, 13650, 13651, 13656, 13659, 13661, 13665, 13671, 13673, 13674, 13675, 13679, 13682, 13685, 13691, 13692 and 13693

Lewis County: 13305, 13309, 13312, 13325, 13327, 13343, 13345, 13367, 13368, 13404, 13433, 13473, 13489, 13620, 13626, 13627, 13631, 13648 

Schuyler County: 14886, 14837, 14891, 14812, 14865, 14818, 14864, 14869, 14878, 14824, 14805, 14841, 14815, 14876, 14887, 14863

Seneca County:  14850, 14456, 13165, 13148, 14886, 14532, 14521, 13146, 14847, 14541, 14860, 14841, 13065, 14588

Yates County: 14415, 14418, 14441, 14478, 14507, 14527, 14544, 14837, 14842, 14857 and 14878
Counties: Cayuga, Chemung, Jefferson, Lewis, Schuyler, Seneca and Yates

Providers: Lewis County General Hospital, Arnot Ogden, Arnot Medical Services, Auburn Community Hospital and Auburn Memorial Medical Services, Finger Lakes Migrant 
 Karen Yonkers-Santy

✉ Email Address

Cortland County: 13045, 13077, 13159, 13803, 13053, 13040, 13101, 13835, 13052, 13158, 13141, 13863, 13841, 13087, 13738, 13056, 13784

Oswego County: 13126, 13069, 13036, 13114, 13142, 13135, 13074, 13167, 13132, 13131, 13044, 13042, 13493, 13076, 13111, 13083, 13661, 13302, 13145, 13144, 13028, 13437, 13103, 13426, 13093, 13107, 13115, 13121                                
Tioga County:  13760, 13827, 14892, 13732, 13811, 14883, 13743, 13812, 13736, 13734, 13835, 13864, 14859, 13840, 13845            

Tompkins County: 14850, 13068, 14886, 13073, 14867, 13053, 14883, 14882, 13736, 14817, 13864, 14853, 14881, 14852, 13062, 13102, 14851, 14854
Counties: Cortland, Oswego, Tioga,
Tompkins

Providers: Family Health Network of CNY, Northern Oswego County Health Services Inc., Oswego County OB-GYN
 Peter Stone

✉ Email Address

Onondaga County: 13027, 13090, 13210, 13208, 13212, 13088, 13204, 13039, 13203, 13205, 13206, 13031, 13104, 13057, 13219, 13215, 13207, 13041, 13066, 13209, 13078, 13260, 13224, 13152, 13214, 13029, 13202, 13077, 13108, 13211, 13135, 13159, 13084, 13082, 13080, 13120, 13030, 13116, 13110, 13164, 13060, 13063, 13112, 13141, 13122, 13020, 13153, 13201, 13217, 13218, 13220, 13221, 13225, 13235, 13244, 13250, 13251, 13252, 13261, 13290, 13051, 13089, 13119, 13137, 13138 Onondaga County                                                                                         
Providers: Brighton Hill Pediatrics, Buckley Road Pediatrics, Camillus Family Health Associates, Crouse Medical Practice, Department of Medicine, Family Care Medical Group, Lyndon Pediatrics, Pediatric Service Group, Pediatric Associates, Summerwood Pediatrics, Trinity Partners including: St Joseph Hospital Health Center, St Josephs Medical PC, St Peters Health Partners, St Peters Health Partners Medical Associates, Samaritan Hospital of Troy, Upstate Family and Preventative Medicine

 Marissa Harvey

✉ Email Address

 Main Street Rural Health, Providers Only All providers regardless of county that are part of Main Street Rural Health
 Abenaa Danquah

✉ Email Address

Erie County: 14026, 14031, 14051, 14059, 14086, 14202, 14203, 14206, 14209, 14212, 14215, 14217, 14224, 14225 and 14226 Select providers in all of the following counties: Monroe, Cattaraugus, Chautuaqua, Erie, Niagara, Onondaga,  Steuben, Schuyler, Tompkins, and Wyoming                                                                                         
Providers: Alicia W Hermogenes, MD, PC, Allegany Family Medicine, Bohdan Dejneka, MD dba Holiday Pediatrics, Danilo Saldana, Denise C Wolken, MD, PLLC, 
Eastside Pediatrics, PLLC, Edward OBrien III, MD, 
Erie County Health Dept/ECHD Accounting Office, Family Practice Associates of Dryden, Finger Lakes Internists, LLP, Intention Internal Medicine, J&E Medical Specialties, PC, Jones Medical, PLLC dba: Syracuse Pediatrics, Mendon Pediatrics, PLLC, Michael Cilip, MD, Northeast Pediatrics & Adolescent Medicine, LLP, Patchwork Pediatrics, Philip Penepent, Phillip M Schirck, MD, PLLC, Phoenix Rising Medical, PC, Reach Medical PLLC, South Street Health Services Family Health & Psychiatry


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Fidelis Care hosts webinars called “Provider Office Hours” several times each month to share information and answer any of your questions. 

Provider Satisfaction Survey

Your provision of quality care and services to our members contributes greatly to Fidelis Care’s success. One of the ways Fidelis Care prioritizes quality is making sure you are satisfied with your experiences. Our annual Provider Satisfaction Survey identifies areas to focus on for further improvement in the coming year. The Provider Relations Department works diligently to identify an action plan to address areas of improvement, while continuing to develop actions and interventions to improve the provider experience.

HEDIS® Measurement Year 2025 Toolkit

HEDIS® is a tool used by more than 90% of America’s health plans to measure performance on important dimensions of care and service. We've developed this toolkit to help identify required preventive services.


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SUMMER 2025 PROVIDER BULLETIN


  • Championing Mental Health: Early Intervention is Key
  • Important Reminders About HIV Prevention and Testing
  • Supporting Maternal Health for Healthy Pregnancies and Babies
  • Encourage Preventive Cancer Screenings
  • Help Your Patients of All Ages Stay Active!

 

 

Provider Quality News


Fidelis Care Summer Internship Program – Celebrating Diversity
9/6/2023 • Posted by Fidelis Care in Diversity, Equity and Inclusion

Summer interns

Fidelis Care welcomed 11 students to its second annual Summer DEI Internship Program, which ran from late May to early August. Diversity serves as the bedrock upon which the Fidelis Care summer internship program is built. The students, chosen by Fidelis Care People Leaders from a group of highly qualified candidates, represent a wide range of backgrounds and academic and practical experience.

"The Fidelis Care internship program stands as a beacon of our commitment to diversity, equity, and inclusion in the healthcare sector,” said Michael Coppa, Fidelis Care Director of Application Development Engineering, internship program leader, and member of the company’s DEI Council’s Talent Acquisition and Development Subcommittee. “By providing a platform for students from all walks of life to engage, learn, and contribute, we not only enrich their professional growth but also fuel a more representative and empathetic industry. This program empowers us to cultivate a dynamic and inclusive workforce that mirrors the diverse communities we serve and foster a brighter, more equitable future for healthcare."  

Nine Fidelis Care interns were assigned to mentors in six departments including Product Development, Sales and Marketing, Healthcare Transformation, Finance, Regulatory and Compliance, and Value-based Purchasing. This year the program also included two Fidelis Care New Jersey interns, who worked for that plan’s Marketing and Provider Relations departments. 

The 2023 Fidelis Care summer internship program participants include:

  • Mary Katherine Stewart – New York University
  • Jada Sherrod – Columbia University
  • Stephany Cruz Perez – Syracuse University
  • Ruishi Tao - Columbia University
  • Daniel Gunduz - St. John’s University
  • Anum Masoor – Columbia University
  • Justin Bonilla – University of Connecticut
  • Jessica Huang – Columbia University
  • Victoria O'Connell – Touro University
  • Trinity Durboro- Columbia University
  • Angelina Avila- Montclair State University

All interns set goals and developed, along with their mentors, a capstone project to gain real-world experience and directly benefit Fidelis Care, its members, providers, and other stakeholders. Past capstone projects included creating a social determinants of health dashboard, a midwife health benefit representative initiative, a strategic plan competitive landscape analysis, and a marketplace filing and implementation support plan.

"Our summer internship program is a vital cornerstone of fostering the next generation of healthcare leaders,” said Su Chang, Fidelis Care Director of Retention, internship program leader, and member of the company’s DEI Council’s Talent Acquisition and Development Subcommittee. “By immersing students in real-world challenges, we provide hands-on experience that goes beyond textbooks, equipping them with the skills needed to excel in the industry. Our impressive full-time job placement rate for program graduates underscores our dedication to nurturing talent. Many of our former interns now hold key positions within our organization, driving innovation and contributing to our mission of providing quality, affordable healthcare coverage.”

Of the six 2022 summer internship program graduates, four landed full-time jobs within Fidelis Care or Centene and two have had a successful career start with other employers.  Here’s a look at the 2022 summer interns now working full-time for Fidelis Care and Centene:

Alex Vasa, Master of Public Health, Columbia University
Business Analyst II, Fidelis Care

“My internship was instrumental in preparing me for a full-time role by allowing me to take the lead on projects and gain exposure to workstreams across the product landscape. While doing so, my experience highlighted that the most successful results are driven by collaboration and teamwork. Moreover, it prepared me to be flexible and adaptable by exposing me to the dynamic nature of an organization that sits at the unique intersection of policy, providers, and consumers.”

Louisa Lindgren, Master of Public Health, New York University
Project Manager II (HBR), Fidelis Care

“The summer internship program allowed me to succeed in the role I am in today. Through in-person and virtual events, I was able to connect with leaders across many departments in Fidelis Care which eventually allowed me to connect with leaders in my current department. These relationships and other experiences during my internship introduced me to several skills that I have continued to build upon in the past year of working at Fidelis Care and are essential to being successful in my role. The support received from both my people leader and the intern leaders was crucial to having an impactful internship experience that has since allowed me to begin my career in healthcare.”

Nia Watkins, Master of Public Health, Columbia University
Corporate Operations Manager, Centene Provider Experience

“Working at Fidelis Care, I had a wealth of experiences spanning from understanding the impact of state policy to the open enrollment process for different products, and more broadly, an awareness of the functions necessary to operate a health plan. Through these experiences, I gained a baseline understanding of Managed Care, which has made the transition to my full-time role within Centene much smoother. Overall, my time in the internship program was an invaluable experience and I will continue to carry the knowledge, skills, and relationships I gained as I move forward in my career.

Grace Gilbert, Master of Public Health, Columbia University
Project Manager I, Centene Value Creation Office

“The summer internship program allowed me to understand the various facets of a large health insurance company like Centene. I connected with like-minded peers and multiple mentors at Fidelis Care that helped me grow my analytical and interpersonal skills. Additionally, being part of the intern cohort allowed me to hear about opportunities within Centene and continue my professional career at the VCO office after my summer internship.”

As Fidelis Care’s 2023 summer interns finished the program, their leaders and mentors expressed confidence that they are well-equipped to enjoy long, successful careers.  For more information on Fidelis Care and Centene summer internships and how to apply for 2024, visit https://jobs.centene.com/us/en/students.