Forward-thinking Operations Specialist bringing 14+ years of expertise in Medical Management. Cultivates rapport with individuals to optimize project goals and output, resolve complex problems and deliver innovative improvement strategies. Proficient in Microsoft 365, Outlook and Teams.
Overview
23
23
years of professional experience
Work History
Senior Manager Provider Contracting
Prospect Medical Systems
Orange, CA
08.2023 - Current
Provided strong leadership to enhance team productivity and morale.
Led cross-functional teams to achieve project milestones and deliver high-quality results.
Balanced competing priorities efficiently while maintaining focus on critical tasks requiring immediate attention.
Managed a diverse portfolio of contracts, ensuring timely renewals and minimal disruptions to business operations.
Decreased contract negotiation timeframes with effective communication and collaboration strategies.
Interpreted contact terms and coordinated solutions to resolve disputes between clients and service providers.
Conducted thorough market research to identify potential Providers, resulting in more competitive contract rates.
Served as a subject matter expert on contracting issues within the organization to support decision-making processes.
Maintained up-to-date knowledge of industry trends and regulations related to contracting practices, ensuring compliance at all times.
Reviewed existing contracts periodically to identify opportunities for renegotiation or improvement based on changing business conditions.
Senior Provider Relations Representative Advocate
Optum
3990 Concours Street Ste #500, Ontario, CA 91764
08.2011 - 08.2023
Maintained up-to-date knowledge of systems
Sought ways to improve processes and services provided.
Optimized support to physician offices by establishing collaborative service environments through targeted operational initiatives.
Conducted routine visits to Primary Care Physician and Specialist offices in an effort to enhance relationships and ensure staff is educated and compliant with performance initiatives.
Track and report initiatives on a regular basis.
Assisted in credentialing requests.
Submitted contracts, negotiated contract rates and double-check contract requests for accuracy.
Enhanced provider satisfaction by addressing concerns and resolving issues in a timely manner.
Sales and Service Specialist
WestStar Credit Union
Las Vegas, NV
03.2007 - 02.2010
Developed strong rapport with customers, fostering loyalty and trust for sustained business growth.
Assessed clients' financial situations to develop strategic planning solutions
Submitted and finalized loan
Opened member accounts
Marketing Manager
Station Casinos
Las Vegas, NV
02.2002 - 11.2006
Boosted brand awareness and generated leads while managing internal and external marketing campaigns and programs.
Developed and implemented marketing strategies to use for launches, rebranding campaigns and promotions.
Collaborated with cross-functional teams to ensure consistent branding across all company touchpoints and communications channels.
Planned, implemented, and executed a monthly calendar of events
Responsible for running postforma analysis of events